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vorapaxar

Protease-activated receptor-1 (PAR-1) inhibitor · Antiplatelet

Protease-activated receptor-1 (PAR-1) inhibitorAntiplatelet
CDSCO approved
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 12
  • AbciximabSevereDatabaseDDInter
  • AcalabrutinibSevereDatabaseDDInter
  • AlteplaseSevereDatabaseDDInter
  • AmprenavirSevereDatabaseDDInter

Mechanism

Not yet extracted

Indications

reduction of thrombotic cardiovascular events in patients with a history of myocardial infarction or peripheral artery diseasesecondary prevention in patients with a history of myocardial infarction or peripheral artery disease

Dosing

Adult
Given orally in combination with either aspirin or clopidogrel.

Pharmacokinetics

Onset
rapid onset of action
Duration
effect on thrombin-induced platelet aggregation can persist for up to 4 weeks after the drug is stopped (due to tight binding to PAR-1)
Half-life
3 to 4 days (circulating)
Bioavailability
90%
Metabolism
metabolized in the liver by CYP3A4

Contraindications

  • history of intracranial bleeding
  • stroke
  • transient ischemic attack
  • cerebrovascular disease
  • prior intracranial bleed

Side effects

Common
bleeding (increased risk)
Serious
  • Bleeding
  • Intracranial bleeding (doubled risk compared to placebo)
  • Moderate or severe bleeding

Drug interactions

Abciximab
Severe
Database

Clinical effect not specified

Source: DDInter

Acalabrutinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Alteplase
Severe
Database

Clinical effect not specified

Source: DDInter

Amprenavir
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Anagrelide
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Anisindione
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Anistreplase
Severe
Database

Clinical effect not specified

Source: DDInter

Antithrombin Alfa
Severe
Database

Clinical effect not specified

Source: DDInter

Antithrombin Iii Human
Severe
Database

Clinical effect not specified

Source: DDInter

Apalutamide
Severe
Database

Drug interaction classified as: metabolism

Source: DDInter

Apixaban
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Ardeparin
Severe
Database

Clinical effect not specified

Source: DDInter

Related guidelines

Ask House about vorapaxar

Continue into a citation-backed clinical answer with the drug context already attached.

Sources: Goodman & Gilman 14e, Harrison 22e·Verified: 2026-05-10 · House clinical team