Which of the following statements about clopidogrel is accurate?

Explore the USMLE Step 3 Drug MOA Test. Use flashcards and multiple-choice questions, each with hints and explanations. Ace your exam with confidence!

Clopidogrel is an antiplatelet medication that works primarily by irreversibly binding to the P2Y12 subtype of adenosine diphosphate (ADP) receptors on the surface of platelets. This binding inhibits the activation of the glycoprotein IIb/IIIa complex, which is essential for platelet aggregation and the initiation of clot formation. By blocking this receptor irreversibly, clopidogrel effectively reduces the risk of thrombus formation in patients at risk for cardiovascular events, such as those with a history of myocardial infarction or peripheral arterial disease.

The action of clopidogrel is significant because, unlike reversible inhibitors, the effect lasts for the lifespan of the platelet, which is about 7 to 10 days. Consequently, even after the medication is discontinued, the antiplatelet effect persists until new platelets are produced.

Other answer choices correspond to mechanisms of action that do not apply to clopidogrel. The correct choice, therefore, accurately reflects the irreversible nature of clopidogrel’s inhibition of platelet ADP receptors, and underscores its role in preventing clot formation.

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