RT Journal Article SR Electronic T1 Prasugrel for acute coronary syndromes: Faster, more potent, but higher bleeding risk JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 707 OP 714 DO 10.3949/ccjm.76a.09116 VO 76 IS 12 A1 Lawrence D. Lazar A1 A. Michael Lincoff YR 2009 UL http://www.ccjm.org/content/76/12/707.abstract 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.