Prasugrel 10mg Tablets are a prescription antiplatelet medicine containing prasugrel 10mg as the active ingredient. They are the generic equivalent of Effient® 10mg (USA brand) and Efient® 10mg (UK/EU brand), the reference brand products co-developed by Eli Lilly and Daiichi Sankyo. Prasugrel is a third-generation thienopyridine P2Y12 inhibitor — a potent antiplatelet agent used to reduce the risk of serious cardiovascular events in patients with acute coronary syndrome (ACS) undergoing **percutaneous coronary intervention (PCI)**. Generic prasugrel 10mg tablets are available internationally across the USA, UK, Australia, UAE, Germany, France, Russia, South Korea and worldwide under multiple brand and generic names.
| Detail | Information |
|---|---|
| Generic Name | Prasugrel |
| Brand Reference | Effient® 10mg (USA) / Efient® 10mg (UK/EU) |
| Strength | 10mg |
| Dosage Form | Film-Coated Tablet |
| Drug Class | Thienopyridine Antiplatelet / P2Y12 Receptor Inhibitor |
| ATC Code | B01AC22 |
| Active Ingredient | Prasugrel 10mg per tablet |
| Route | Oral |
| Prescription Required | Yes — prescription-only in all major markets |
| Generic Status | Generic equivalent of Effient® 10mg / Efient® 10mg |
| Pack Size | Varies by manufacturer and market |
| Manufacturer | Multiple generic manufacturers |
| Availability | USA · UK · Australia · UAE · Germany · France · Russia · South Korea · Worldwide |
Prasugrel 10mg tablets are used in patients with acute coronary syndrome (ACS) who are undergoing percutaneous coronary intervention (PCI — coronary angioplasty with or without stenting). Approved indications vary by country and regulatory authority.
United States: Effient® (prasugrel) is FDA-approved, in combination with aspirin, to reduce the rate of thrombotic cardiovascular events (including stent thrombosis) in patients with ACS — unstable angina (UA), non-ST-elevation myocardial infarction (NSTEMI) or ST-elevation myocardial infarction (STEMI) — who are managed with PCI. The standard maintenance dose is prasugrel 10mg once daily following a 60mg loading dose.
United Kingdom / EU: Efient® (prasugrel) is EMA-approved, in combination with aspirin, for the prevention of atherothrombotic events in adult patients with ACS undergoing primary or delayed PCI. The 10mg maintenance dose is used in patients not meeting criteria for the reduced 5mg dose.
Australia: Prasugrel 10mg Australia — Effient® and generic prasugrel 10mg products are subject to TGA registration and ARTG listing. PBS subsidisation depends on indication and eligibility — confirm with your prescriber or pharmacist.
UAE / Gulf: Prasugrel products are subject to UAE Ministry of Health registration. Consult a UAE-licensed physician or pharmacist for current prasugrel 10mg UAE availability.
Germany: Prasugrel 10mg is available in Germany as Efient® and as generic prasugrel 10mg Filmtabletten from multiple manufacturers. All are prescription-only (rezeptpflichtig).
France: Prasugrel 10mg is available in France as Efient® and as generic prasugrel 10mg comprimés pelliculés. Subject to prescription and HAS reimbursement rules.
Russia: Прасугрел 10 мг is available in Russia as Эффиент® and under generic names. All require a valid Russian prescription.
South Korea: 프라수그렐 10mg is registered for prescription use in South Korea per MFDS-approved labeling.
Always follow the prescribing information applicable to your country and the guidance of your licensed healthcare professional.
Prasugrel is a thienopyridine prodrug and P2Y12 receptor inhibitor. After oral administration, prasugrel is rapidly converted to its active metabolite in the body. The active metabolite irreversibly binds to the P2Y12 receptor on platelets, blocking ADP-mediated platelet activation and aggregation for the lifetime of the platelet (7–10 days).
Key pharmacological features of prasugrel vs other P2Y12 inhibitors:
Both strengths contain prasugrel as the active ingredient. The difference is the maintenance dose:
The loading dose is 60mg regardless of maintenance dose. Dose selection is made by the prescribing physician based on patient weight, age and bleeding risk.
Do not change your prasugrel dose without guidance from your prescriber.
| Feature | Prasugrel 10mg | Clopidogrel 75mg | Ticagrelor 90mg |
|---|---|---|---|
| Class | Thienopyridine (P2Y12 inhibitor) | Thienopyridine (P2Y12 inhibitor) | Cyclopentyltriazolopyrimidine (P2Y12 inhibitor) |
| Binding | Irreversible | Irreversible | Reversible |
| Onset | Fast (~30 min) | Slower (2–6 hrs) | Fast (~30 min) |
| Prodrug | Yes | Yes | No |
| Potency | High | Moderate | High |
| Primary Indication | ACS with PCI | ACS / PAD / AF / Post-MI | ACS |
| Bleeding Risk | Higher than clopidogrel | Lower | Similar to prasugrel |
| Contraindicated | Prior stroke/TIA | — | Intracranial haemorrhage |
| ATC Code | B01AC22 | B01AC04 | B01AC24 |
These medicines are not interchangeable. Do not substitute one for another without specific medical guidance.
Effient® 10mg (USA) / Efient® 10mg (UK/EU) is the originator brand containing prasugrel 10mg. Generic prasugrel 10mg tablets contain the same active ingredient at the same strength but may differ in:
Generic products are not automatically interchangeable with Effient®/Efient® in every market — local substitution rules apply. Consult your pharmacist before switching between branded and generic prasugrel products.
Manufacturers of generic prasugrel 10mg available internationally include products from Accord, Teva, Sandoz, Ratiopharm, Aurobindo, Sun Pharma and others depending on market.
Bleeding Risk — Most Important Risk
The most significant safety concern with prasugrel 10mg is serious and potentially fatal bleeding. Prasugrel inhibits platelet function irreversibly, increasing the risk of bleeding from all sites including surgical and procedural sites, gastrointestinal tract and intracranial bleeding.
Patients at highest bleeding risk include those who are:
Contraindications
Prasugrel 10mg is absolutely contraindicated in patients with:
Black Box Warning (USA)
Prasugrel carries an FDA black box warning for serious bleeding risk. It is contraindicated in patients with prior stroke or TIA due to net clinical harm in these patients in the TRITON-TIMI 38 trial.
Discontinuation Before Surgery
Prasugrel should be discontinued at least 7 days before elective surgery where bleeding risk is a concern, including CABG. Patients must not stop prasugrel without guidance from their cardiologist — premature discontinuation increases the risk of stent thrombosis and myocardial infarction.
Drug Interactions
Significant interactions include:
Always read the patient information leaflet (PIL) and prescribing information applicable to your country before taking prasugrel.
| Country | Status | Notes |
|---|---|---|
| USA | Prescription-only (FDA-approved) | Effient® 10mg; generic prasugrel 10mg — multiple manufacturers |
| UK | Prescription-only (MHRA/EMA) | Efient® 10mg; generic prasugrel 10mg — Accord, Teva, Sandoz and others |
| Australia | Prescription-only (TGA/ARTG) | PBS eligibility — confirm with prescriber |
| UAE / Dubai | Prescription-only | Subject to MOH product registration |
| Germany | Prescription-only | Efient® 10mg; generic prasugrel 10mg Filmtabletten |
| France | Prescription-only | Efient® 10mg; generic prasugrel 10mg — HAS reimbursement |
| Russia | Prescription-only | Эффиент® 10 мг; generic прасугрел 10 мг |
| South Korea | Prescription-only | Per MFDS-approved labeling |
| Worldwide | Varies by country | Contact us for availability in your market |
What is Prasugrel 10mg used for?
Prasugrel 10mg is used in combination with aspirin to reduce the risk of heart attack, stroke and cardiovascular death in patients with acute coronary syndrome (ACS) who are undergoing percutaneous coronary intervention (PCI). It prevents blood clots from forming in coronary arteries and stents.
Is Prasugrel 10mg the generic for Effient® / Efient® 10mg?
Yes. Effient® (USA) and Efient® (UK/EU) are the originator brands containing prasugrel 10mg. Generic prasugrel 10mg tablets contain the same active ingredient and strength. Inactive ingredients, appearance and manufacturer may differ.
What is the difference between Prasugrel 5mg and 10mg?
Prasugrel 10mg is the standard maintenance dose for most ACS/PCI patients. Prasugrel 5mg is the reduced maintenance dose recommended for patients weighing less than 60kg or aged 75 years or older. The loading dose is 60mg for both. Dose selection is made by the prescribing physician.
How does Prasugrel compare to Clopidogrel?
Prasugrel is a more potent P2Y12 inhibitor than clopidogrel with faster onset and less variability in response. It reduces ischaemic events more effectively in ACS/PCI patients but carries a higher bleeding risk. Prasugrel is contraindicated in patients with prior stroke or TIA, where clopidogrel remains an option.
Can Prasugrel 10mg be stopped before surgery?
Prasugrel should be discontinued at least 7 days before elective surgery. Never stop prasugrel without consulting your cardiologist — stopping prematurely can cause stent thrombosis, which is life-threatening.
Does Prasugrel 10mg increase bleeding risk?
Yes. Prasugrel carries a significant bleeding risk. It is contraindicated in patients with prior stroke or TIA (black box warning in the USA) and in those with active bleeding. Patients aged 75 or older or weighing under 60kg have a higher bleeding risk on the 10mg dose.
Can I buy Prasugrel 10mg tablets online?
Prasugrel 10mg is prescription-only in the USA, UK, Australia, UAE and most markets worldwide. A valid prescription from a licensed prescriber is required.
Is Prasugrel 10mg available in Australia on the PBS?
Prasugrel 10mg products are registered on the ARTG. PBS subsidisation depends on indication and patient eligibility. Confirm current PBS status with your prescriber or pharmacist.
What is Prasugrel 10mg in Germany?
Prasugrel 10mg Filmtabletten are available in Germany as Efient® and as generic prasugrel from manufacturers including Accord, Teva and Sandoz. All are prescription-only (rezeptpflichtig).
Is Prasugrel the same as Clopidogrel or Ticagrelor?
No. Prasugrel, clopidogrel and ticagrelor are all P2Y12 inhibitors but they differ in chemical class, potency, onset, binding characteristics, contraindications and approved indications. They are not interchangeable without medical guidance.
This information is provided for educational and commercial reference purposes only and is not a substitute for professional medical advice, diagnosis or treatment. Prasugrel 10mg is a prescription-only antiplatelet medicine with a significant bleeding risk and important contraindications including prior stroke or TIA. Always use it according to the applicable prescribing information and the advice of a qualified healthcare professional licensed in your country. Never stop taking prasugrel without first consulting your prescribing cardiologist.
Last Updated: September 25, 2026
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