Mandatory Indications-ISI Mandatory Indications-ISI Pop-up appears when “Mandatory…” button is pressed. See next slide. The user is required to present these screens before proceeding. SEE NEXT SLIDE. An Overview of Efficacy and Safety Information DISEASE STATE/QUALITY HCR INFORMATION UNBRANDED PROGRAMS AND RESOURCES PRODUCT INFORMATION BRANDED PROGRAMS AND RESOURCES EFFIENT VALUE MESSAGE
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An Overview of Efficacy and Safety Information for Effient® (prasugrel)
DISEASE STATE/QUALITYHCR INFORMATION
UNBRANDED PROGRAMSAND RESOURCES
PRODUCTINFORMATION
BRANDED PROGRAMSAND RESOURCES
EFFIENT VALUE MESSAGE
Scrolling Text.
POPULATION OVERVIEW INITIATION MAINTENANCE SUPPORTING INFO
Symptoms Onset Where Treatment is Initiated in ACS-PCI Patients
Feeder Hospital
Coronary Care Unit
Emergency Department
Cath Lab
First Rx Fill by Patient
Rx Maintained inFollow-up Visits
Office-based Cardiologists
IM’s/PCP’s
Rx Refills by Patient
Each of these TABS (Pop, Init, Maint, Supp) can be pulled down to
reveal subsections which can touched to
jump to the appropriate section. SEE NEXT
SLIDE.
SELECTED SAFETY: DISCONTINUATION OF EFFIENT
PRO
TOCO
LSM
AIN
TEN
ANCE
Patient FlowInitiation of Antiplatelet Therapy and Outpatient Maintenance
First Rx Fill by Patient
Rx Maintained inFollow-up Visits
Office-based Cardiologists
IM’s/PCP’s
Rx Refills by Patient
PRO
TOCO
LSM
AIN
TEN
ANCE
Patients who experience stroke or TIA generally should discontinue therapy. Effient should also be is continued for active bleeding and elective surgery. If possible, manage bleeding without discontinuing. Premature discontinuation, particularly in the first few weeks after ACS, increases risk of stent thrombosis, MI, and death.
Symptoms Onset
POPULATION OVERVIEW
INITIATION
MAINTENANCE SUPPORTING INFO
• PREVALENCE
• BURDEN OF DISEASE
• GUIDELINES
• PATIENT SELECTION
• TRITON-TIMI 38
• PREDICTABLE ANTIPLATELET EFFECTS
• REDUCTIONS IN THROMBOTIC CV EFFECTS
• CONTINUOUS RISK REDUCTION
• DOSING
• CONCOMMITANT MEDICATIONS
• SUMMARY
SELECTED SAFETY: DISCONTINUATION OF EFFIENT
Patient FlowInitiation of Antiplatelet Therapy and Outpatient Maintenance
Prevalence
OVERVIEW
Nearly 594,000 ACS patients are managed with PCI annually
BURDENPREVALENCE
This slide will be linked to when thePOPULATION OVERVIEW: PREVALENCELink is touched on the Main Navigation page (slide 9 in this deck)
Offers a convenient dosing schedule•Simple one-tablet, once-daily maintenance dosingRecommended dosing•Initiate Effient as a single 60-mg oral LD (six 10-mg tablets)•Continue at 10 mg orally once daily•Patients taking Effient should also take aspirin (75 mg to 325 mg) daily•Effient may be administered with or without food
Dosing in low-weight patients• Consider lowering the maintenance dose to 5 mg
in patients <60 kg. The effectiveness and safety of the 5-mg dose have not been prospectively studied in ACS patients undergoing PCI
Dosage strengths• 5-mg and 10-mg tablets
SELECTED SAFETY: CONTRAINDICATIONSContraindicated in patients with active pathological bleeding, such as from a peptic ulcer or ICH, or a history of TIA or stroke, and in patients with hypersensitivity to prasugrel or any component of the product.