Clopidrogel may still turn out to be useful in certain special clinical situations. But its indications will clearly need to be limited. Don't believe the hype. I study, which found that losartan was more effective than captopril. Thus ACE inhibitors provide clear benefit to a wide range of patients and should be used routinely in patients with left ventricular dysfunction or heart failure with or without a recent myocardial infarction.
Textbooks can be wrong.
They reduce the frequency of hospital readmissions, are effective in the management of such episodes, and also reduce the number of relapses if continued as a short course after an acute attack. In acute attacks, oral and intravenous steroids are about equally effective, and bronchodilators work as well when given by meter dose inhaler as by wet nebulizer. The analysis found that adding ipatropium bromide to -agonists offered no significant advantage. Methotrexate has not been shown to be useful for long-term therapy. There may be a kind of alchemical magic to medicine, but truly effective drugs stand the test of time and study, and we shouldn't take promises or performance for granted.