We do always Prasugrel 60 mg p.o. loading dose, if not already on Clopidogrel/ Prasugrel/ or Ticagrelor. Prasugrel 30 mg p.o. if patient is already on Clopidogrel. Post Stroke loading with Ticagrelor 180 mg.
Ticagrelor would be the preferred choice looking at the pharmaco-kinetics and the results in all subsets of patients as per PLATO.Also because of reduction in mortality. Prasugrel has some limitations as eluded earlier