Last update Feb. 11, 2025

Ticagrelor

Likely Compatibility

Fairly safe. Mild or unlikely adverse effects. Compatible under certain circumstances. Follow-up recommended. Read Commentary.

Ticagrelor is an adenosine triphosphate analog and acts as a P2Y1 receptor inhibitor similar to ticlopidine, inhibiting platelet aggregation. It is used in patients with a history of myocardial infarction or acute coronary syndrome to prevent thromboembolism. Oral administration.

At the date of the last update we found no published data on its excretion in breast milk.

Its pharmacokinetic data (large volume of distribution, moderately high molecular weight and high percentage of binding to plasma proteins) make passage into breast milk in clinically significant quantities very unlikely.

If administered during breastfeeding, it is advisable to monitor the appearance of bruising or bleeding in the infant.

Pending further published data on this drug in relation to breastfeeding, safer known alternatives may be preferable, especially during the neonatal period and in case of prematurity.

Alternatives

Suggestions made at e-lactancia are done by APILAM team of health professionals, and are based on updated scientific publications. It is not intended to replace the relationship you have with your doctor but to compound it. The pharmaceutical industry contraindicates breastfeeding, mistakenly and without scientific reasons, in most of the drug data sheets.

Jose Maria Paricio, Founder & President of APILAM/e-Lactancia

Your contribution is essential for this service to continue to exist. We need the generosity of people like you who believe in the benefits of breastfeeding.

Thank you for helping to protect and promote breastfeeding.

José María Paricio, founder of e-lactancia.

Other names

Ticagrelor in other languages or writings:

Group

Ticagrelor belongs to this group or family:

Tradenames

Main tradenames from several countries containing Ticagrelor in its composition:

Pharmacokinetics

Variable Value Unit
Oral Bioavail. 36 %
Molecular weight 522 daltons
Protein Binding 99.7 %
VD 1.26 l/Kg
pKa 12.94 -
Tmax 1.5 - 2.5 hours
7 - 8.5 hours

References

  1. Astra Z. Ticagrelor. Drug Summary. 2024 Full text (in our servers)
  2. EMA. Ticagrelor. Fina técnica. 2015 Full text (in our servers)

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