NICE guidance states that prasugrel can be used, in conjunction with aspirin, for the prevention of atherothrombotic events in individuals who:
- need immediate primary percutaneous coronary intervention for ST-segment-elevation MI, or
- developed stent thrombosis during clopidogrel treatment, or
- have diabetes mellitus.
People already receiving prasugrel for acute coronary syndromes who do not meet these criteria can continue to receive the drug until it is appropriate to stop.
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