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Severe diarrhoea due to use of P2Y12 inhibitor ticagrelor: a rarely reported adverse event
Khalid Rashid1, Muhammad Aamir Waheed2, Hafeez Ur Rehman3
1Department of General Medicine, Northampton General Hospital NHS Trust, Northampton, UK Khalidrashid93@gmail.com.
Insights
Diarrhea is a potential side effect of ticagrelor, an antiplatelet medication used after percutaneous coronary intervention. This case report highlights that ticagrelor-induced diarrhea resolved after switching to an alternative antiplatelet agent.
Area of Science:
- Cardiology
- Pharmacology
- Gastroenterology
Background:
- Dual antiplatelet therapy (DAPT) with aspirin and ticagrelor is standard for acute coronary syndrome (ACS) patients post-percutaneous coronary intervention (PCI).
- While effective, DAPT can cause adverse effects, including gastrointestinal issues.
- Diarrhea is a less commonly reported side effect of ticagrelor.
Abstract:
Ticagrelor is a part of dual antiplatelet therapy (DAPT) which has proven benefits in patients with acute coronary syndrome especially in those undergoing percutaneous coronary intervention (PCI). However, like most other drugs, it can lead to undesired and adverse effects such as dyspnoea, easy bruising and gastrointestinal bleeding. We present a case of 70-year-old woman who developed diarrhoea following initiation of DAPT comprising of aspirin and ticagrelor following PCI. After excluding more common causes, it was attributed to ticagrelor administration and completely resolved after it was replaced with another oral antiplatelet agent. On follow-up, the patient reported complete resolution of symptoms.
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