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Effient vs. Brilinta

Prasugrel (also known by its brand name Effient) is a medication that's used as a blood thinner to prevent blood clots in people who have a stent placed in their heart after a heart attack. This medication is also available as a lower-cost generic tablet. The dose is taken once per day. Since prasugrel (Effient) is a blood thinner, an important warning to note is that the medication can make it easier for you to bleed or bruise. Other side effects can include high blood pressure, high cholesterol, and headache.

• Prevention of blood clot problems in people who received a stent after a heart attack

• High blood pressure (8%)
• High cholesterol (7%)
• Headache (6%)
• Bleeding of any kind (5%)
• Back pain (5%)
• Shortness of breath (5%)
• Nausea (5%)
• Dizziness (4%)
• Cough (4%)
• Low blood pressure (4%)
• Fatigue (4%)

• Bleeding
• Risk of heart attack if stopped suddenly or too early
• Blood-clotting problem called thrombotic thrombocytopenic purpura (TTP)
• Allergic reaction

Brilinta (ticagrelor) is an antiplatelet blood thinner used to lower the risk of heart-related death, heart attack, or stroke in people with certain heart conditions. It comes as a tablet that's taken by mouth twice per day. It's a brand-name medication only, so a generic version isn't available. Side effects include shortness of breath, bleeding, and nausea.

• Lowering the risk of heart-related death, heart attack, and stroke in people with acute coronary syndrome (ACS) or who've had a previous heart attack
• Lowering the risk of a first-time heart attack or stroke in high-risk people with coronary artery disease (CAD)
• Lowering the risk of stroke in people who've had a previous stroke or a high-risk transient ischemic attack (TIA) (also called "mini stroke")

• Shortness of breath (14%)
• Bleeding (12%)
• Dizziness (5%)
• Nausea (4%)

• Bleeding
• Risk of heart attack if stopped suddenly or too early
• Shortness of breath
• Slow heart rate
• Sleep apnea