In new guidelines from the European Society of Cardiology (ESC), prasugrel a once daily oral antiplatelet medicine received a Class I recommendation for use in patients undergoing percutaneous coronary intervention (PCI) after experiencing a non-ST-segment elevation acute coronary syndrome (which comprises non-ST segment elevation myocardial infarction or NSTEMI a type of heart attack and unstable angina or UA).(1) The highest available recommendation, Class I recognizes that prasugrel is