PT - JOURNAL ARTICLE AU - Lawrence D. Lazar AU - A. Michael Lincoff TI - Prasugrel for acute coronary syndromes: Faster, more potent, but higher bleeding risk AID - 10.3949/ccjm.76a.09116 DP - 2009 Dec 01 TA - Cleveland Clinic Journal of Medicine PG - 707--714 VI - 76 IP - 12 4099 - http://www.ccjm.org/content/76/12/707.short 4100 - http://www.ccjm.org/content/76/12/707.full SO - Cleve Clin J Med2009 Dec 01; 76 AB - Prasugrel (Effient) has been approved for reducing the risk of thrombotic complications in patients with acute coronary syndromes who are to undergo percutaneous coronary intervention. In a large clinical trial (N Engl J Med 2007; 357:2001–2005), prasugrel was superior to clopidogrel (Plavix), another drug of its class, in this situation. However, bleeding complications were more frequent with prasugrel, and so this drug should be avoided in patients at higher risk of bleeding.