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Postgraduate Medical Journal 2008;84:217-219; doi:10.1136/pgmj.2007.065193
© 2008 BMJ Publishing Group Ltd and The Fellowship of Postgraduate Medicine.

CASE REPORTS

Drug interaction with anti-mycobacterial treatment as a cause of clopidogrel resistance

M Srinivasan, D Smith

Department of Cardiology, Morriston Hospital, Swansea, Wales, UK

Correspondence to:
Dr M Srinivasan, Department of Cardiology, Morriston Hospital, Swansea SA 6 6NL, Wales, UK; smanivannan70{at}hotmail.com

The case is reported of a patient presenting with recurrent acute myocardial infarction due to stent thrombosis resulting from possible clopidogrel resistance caused by interaction between clopidogrel and anti-tuberculosis drugs. A brief overview of drug interaction as a risk factor for clopidogrel resistance is given.

Keywords: anti-mycobacterial therapy; clopidogrel resistance; cytochrome 450 3a; dual anti-platelet therapy; stent thrombosis


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