Antiplatelets

NOTE: Anti-Platelets are no longer indicated for primary prevention of CHD

Aspirin plus clopidogrel indicated for maximum 12 months after ACS only

CAUTION: Bleeding events. Avoid combinations of anticoagulants, antiplatelets and NSAIDs

  • Consider PPI in those with additional GI risk factors (consider lansoprazole or pantoprazole in preference to (es)omeprazole in patients taking clopidogrel)
  • Consider anti-platelets as part of secondary prevention strategy after CVD events
  • First line anti-platelet for secondary stroke prevention is clopidogrel (rather than dipyridamole)