Can Clopidogrel prolong Prothrombin Time?

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Last updated: February 9, 2025View editorial policy

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From the Research

Effect of Clopidogrel on Prothrombin Time

  • The effect of clopidogrel on prothrombin time is not consistently reported across studies 1, 2, 3, 4, 5.
  • A study on healthy male subjects found that co-administration of clopidogrel and rivaroxaban had no significant effect on prothrombin time compared to rivaroxaban alone 1.
  • Another study on cats with asymptomatic hypertrophic cardiomyopathy found that clopidogrel therapy did not significantly affect prothrombin time 2.
  • A study on patients undergoing coronary artery stenting found that clopidogrel produced a prolongation in the time to platelet-fibrin clot formation, but this was measured using thrombelastography and not directly related to prothrombin time 3.
  • A study on patients with nonvalvular atrial fibrillation found that aspirin plus clopidogrel did not significantly affect coagulation parameters, including prothrombin fragment 1 + 2 4.
  • A study on patients with peripheral arterial disease found that clopidogrel alone or in combination with other antiplatelet agents decreased circulating tissue factor procoagulant activity, but did not report a direct effect on prothrombin time 5.

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