The Medical Letter on Drugs and Therapeutics
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1513
Yosprala - A Combination of Aspirin and Omeprazole
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The FDA has approved Yosprala (Aralez), a fixed-dose combination of delayed-release aspirin and immediate-release omeprazole, for secondary prevention of cardiovascular and cerebrovascular events in patients who are at risk of developing aspirin-associated gastric ulcers (≥55 years old or history of gastric ulcers). Yosprala is the first product to become available in the US that combines aspirin and a proton pump inhibitor (PPI).

SECONDARY PREVENTION — Aspirin irreversibly acetylates cyclooxygenase-1, blocking thromboxane synthesis and inhibiting platelet activation and aggregation for the life of the platelet (up to 10 days). It reduces the incidence of myocardial infarction by 30%, stroke by 20%, and all-cause mortality by 18% when used for secondary prevention of thromboembolic events. The annual risk of serious GI bleeding with aspirin doses ≤325 mg/day is about 0.4%, which is 2.5 times ... more      

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Title: Yosprala - A Combination of Aspirin and Omeprazole
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