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ticlopidine

Thienopyridine, P2Y12 receptor blocker · Antiplatelet

Thienopyridine, P2Y12 receptor blockerAntiplatelet
CDSCO approved
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 12
  • AbciximabSevereDatabaseDDInter
  • AcalabrutinibSevereDatabaseDDInter
  • ApixabanSevereDatabaseDDInter
  • ArdeparinSevereDatabaseDDInter

Mechanism

Ticlopidine is a prodrug whose active metabolite irreversibly blocks the Gi coupled P2Y12 purinergic receptors, which mediate adenylyl cyclase inhibition due to ADP. This interferes with platelet activation and prevents fibrinogen binding to platelets.

Indications

Stroke preventionTIAsIntermittent claudicationUnstable anginaPCI (percutaneous coronary intervention)Coronary artery bypass graftsSecondary prophylaxis of MI

Dosing

Adult
250 mg BD with meals

Pharmacokinetics

Onset
Peak platelet inhibition after 8–10 days therapy
Peak effect
Effect lasts 5–6 days after discontinuation
Half-life
8 hours (plasma)

Side effects

Common
DiarrhoeaVomitingAbdominal painHeadacheTinnitusSkin rash
Serious
  • Bleeding
  • Neutropenia
  • Thrombocytopenia
  • Haemolysis
  • Jaundice

Drug interactions

Abciximab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Acalabrutinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Apixaban
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Ardeparin
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Argatroban
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Avapritinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Betrixaban
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cabozantinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cangrelor
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Caplacizumab
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Cilostazol
Severe
Database

Drug interaction classified as: metabolism.

Source: DDInter

Citalopram
Severe
Database

Drug interaction classified as: metabolism.

Source: DDInter

Related guidelines

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Sources: KD Tripathi 7e·Verified: 2026-05-10 · House clinical team