Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
CLOPIDOGREL BESYLATE
Alpharme Plc Sdn. Bhd.
CLOPIDOGREL BESYLATE
30 Tablets; 100 Tablets
Pharmathen S.A.
_Consumer Medication Information Leaflet (RiMUP) _ _ _ CARDIVIX 75MG FILM COATED TABLET _Clopidogrel Besylate 112.10mg equivalent to clopidogrel 75mg. _ _ _ 1 WHAT IS IN THIS LEAFLET 1. What Cardivix is used for 2. How Cardivix works 3. Before you use Cardivix 4. How to use Cardivix 5. While you are using Cardivix 6. Side effects 7. Storage and disposal of Cardivix 8. Product description 9. Manufacturer and Product Registration Holder 10. Date of Revision WHAT CARDIVIX IS USED FOR Cardivix is taken to prevent blood clots (thrombi) forming in hardened blood vessels (arteries), a process known as atherothrombosis, which can lead to atherothrombotic events (such as stroke, heart attack, or death). You have been prescribed Cardivix to help prevent blood clots and reduce the risk of these severe events because: - You have a condition of hardening of arteries (also known as atherosclerosis) - You have previously experienced a heart attack, stroke or have a condition known as peripheral arterial disease, or - You have experienced a severe type of chest pain known as ‘unstable angina’ or ‘myocardial infarction’ (heart attack). For the treatment of this condition your doctor may have placed a stent in the blocked or narrowed artery to restore effective blood flow. You should also be given acetylsalicylic acid (a substance present in many medicines used to relieve pain and lower fever as well as to prevent blood clotting) by your doctor - You have an irregular heartbeat, a condition called 'atrial fibrillation', and you are not suitable take medicines known as 'oral anticoagulants' (vitamin K antagonists) which prevent new clots from forming and prevent existing clots from growing Your doctor should have prescribed Cardivix plus acetylsalicylic acid if you cannot take 'oral anticoagulants' and you do have a low bleeding risk to prevent atherothrombotic and thromboembolic events, including stroke. HOW CARDIVIX WORKS Cardivix belongs to a group of medicines called antiplatelet medicinal products. Platelets are very s Baca dokumen lengkap
1 CARDIVIX 75MG FILM COATED TABLET PRODUCT NAME Cardivix 75mg Film Coated Tablet NAME AND STRENGTH OF ACTIVE SUBSTANCE Each tablet contains clopidogrel besylate 112.10mg equivalent to clopidogrel 75mg PRODUCT DESCRIPTION Cardivix 75mg film-coated tablets are presented as pink, round, biconvex film-coated tablets 9.1mm ± 0.1mm in diameter and thickness 4.2mm ± 0.2mm. PHARMACODYNAMICS Pharmacotherapeutic group: Antithrombotic agents, platelet aggregation inhibitors excl. heparin. ATC Code: BO1AC/04. _Mechanism of action _ Clopidogrel is a prodrug, one of whose metabolites is an inhibitor of platelet aggregation. Clopidogrel must be metabolised by CYP450 enzymes to produce the active metabolite that inhibits platelet aggregation. The active metabolite of clopidogrel selectively inhibits the binding of adenosine diphosphate (ADP) to its platelet P2Y12 receptor and the subsequent ADP-mediated activation of the glycoprotein GPIIb/IIIa complex, thereby inhibiting platelet aggregation. Due to the irreversible binding, platelets exposed are affected for the remainder of their lifespan (approximately 7-10 days) and recovery of normal platelet function occurs at a rate consistent with platelet turnover. Platelet aggregation induced by agonists other than ADP is also inhibited by blocking the amplification of platelet activation by released ADP. Because the active metabolite is formed by CYP450 enzymes, some of which are polymorphic or subject to inhibition by other medicinal products, not all patients will have adequate platelet inhibition. _ _ _Pharmacodynamic effects _ Repeated doses of 75 mg per day produced substantial inhibition of ADP-induced platelet aggregation from the first day; this increased progressively and reached steady state between Day 3 and Day 7. At steady state, the average inhibition level observed with a dose of 75 mg per day was between 40% and 60%. Platelet aggregation and bleeding time gradually returned to baseline values, generally within 5 days after treatment was discontinued. 2 PHARMACOKINET Baca dokumen lengkap