Bliden Kevin P, Patrick Jeff, Pennell Andrew T, Tantry Udaya S, Gurbel Paul A
Sinai Center for Thrombosis Research, Baltimore, MD, USA.
New Haven Pharmaceuticals, Inc., North Haven, CT, USA.
Future Cardiol. 2016 Jan;12(1):45-58. doi: 10.2217/fca.15.60. Epub 2015 Sep 10.
Current treatment guidelines recommend once-daily, low-dose acetylsalicylic acid (ASA; aspirin) for secondary prevention of cardiovascular events. However, the anti-thrombotic benefits of traditional ASA formulations may not extend over a 24-h period, especially in patients at high risk for a recurrent cardiovascular event. A next-generation, extended-release ASA formulation (ER-ASA) has been developed to provide 24-h anti-thrombotic coverage with once-daily dosing. The pharmacokinetics of ER-ASA indicates slower absorption and prolonged ASA release versus immediate-release ASA, with a favorable safety profile. ER-ASA minimizes systemic ASA absorption and provides sustained antiplatelet effects over a 24-h period.
当前的治疗指南推荐每日一次低剂量乙酰水杨酸(ASA;阿司匹林)用于心血管事件的二级预防。然而,传统ASA制剂的抗血栓益处可能无法持续24小时,尤其是在复发性心血管事件高危患者中。已开发出一种新一代缓释ASA制剂(ER-ASA),以便通过每日一次给药提供24小时抗血栓覆盖。与速释ASA相比,ER-ASA的药代动力学表明其吸收较慢且ASA释放时间延长,具有良好的安全性。ER-ASA可将全身ASA吸收降至最低,并在24小时内提供持续的抗血小板作用。