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Systematic review with meta-analysis: The risk of gastrointestinal bleeding in patients taking third-generation P2Y12 inhibitors compared with clopidogrel

Alimentary Pharmacology and Therapeutics Dec 06, 2018

Guo CG, et al. - This systematic review with meta-analysis compared the risk of gastrointestinal bleeding (GIB) among users of third-generation P2Y12 inhibitors with clopidogrel. Until September 2018, researchers systematically searched for published randomised controlled trials of ticagrelor or prasugrel vs clopidogrel. Researchers included 41 studies in the analysis of non-coronary artery bypass graft (CABG) major bleeding, 12 of which were included 58,678 patients in the GIB analysis. When compared with clopidogrel, third-generation P2Y12 inhibitors were related to increased risk of GIB and non-CABG major bleeding. The findings for the upper and the unspecified GIB were consistent, but not lower GIB.
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