Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
CLOPIDOGREL BISULPHATE
ACCORD HEALTHCARE SDN.BHD.
CLOPIDOGREL BISULPHATE
90 Tablets; 30 Tablets
INTAS PHARMACEUTICALS LIMITED
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ CLAVIX 75MG TABLETS Clopidogrel Tablets USP (75mg) 1 WHAT IS IN THIS LEAFLET? 1. What CLAVIX 75mg Tablets is used for 2. How CLAVIX 75 works 3. Before you use CLAVIX 75 4. How to take CLAVIX 75 5. While you are using it 6. Side effects 7. Storage and disposal of CLAVIX 75 8. Product description 9. Manufacturer and Product Registration Holder 10. Date of revision. 11. Serial Number WHAT CLAVIX 75MG TABLET IS USED FOR You have been prescribed CLAVIX 75 because you are at risk for experiencing unwanted blood clots (thrombi). These blood clots can lead to symptoms which present in different manners, such as strokes, unstable angina, heart attacks, or peripheral arterial disease (leg pain on walking or at rest). CLAVIX 75 is taken to prevent further blood clots from forming thereby reducing the risk of having unstable angina, a heart attack or another stroke. HOW CLAVIX 75 WORKS CLAVIX 75 tablets belong to a group of medicines called antiplatelet drugs. Platelets are very small structures in blood, smaller than red or white blood cells, which clump together during blood clotting. By preventing this clumping, antiplatelet drugs reduce the chances of blood clots forming (a process called thrombosis). BEFORE YOU USE CLAVIX 75 _-When you must not use it _ _ _ • If you are allergic to any of the substances contained in the tablets. • If you have a medical condition that is causing bleeding, such as a stomach ulcer. • If you have liver disease or damage. _ _ _ _ _-Before you start to use it _ Tell your doctor or pharmacist if: • You are pregnant or become pregnant on CLAVIX 75, or you are breast-feeding • You have a recent serious injury. • You have recently undergone surgery (including dental surgery). • You will be having surgery. Your doctor may ask you to stop taking CLAVIX 75 for 5-7 days before your surgery. • You have a blood disorder that makes you prone to internal bleeding (bleeding inside any tissues, organs or joints of your body) or tend to bleed Baca dokumen lengkap
CLAVIX 75 MG TABLETS (CLOPIDOGREL TABLETS USP 75 MG) • NAME AND STRENGTH OF ACTIVE INGREDIENT Clopidogrel Bisulfate USP (Form I) equivalent to Clopidogrel 75 mg • PRODUCT DESCRIPTION Pink coloured, round, biconvex, film coated tablets, debossed with “Cl” on one side and plain on other side. • PHARMACODYNAMICS & PHARMACOKINETICS _Pharmacodynamic properties_ Clopidogrel is a prodrug that is metabolized by CYP450 enzymes to the active thiol derivative. The active thiol derivative, selectively and irreversibly binds to the adenosine diphosphate (ADP) P2Y12 receptor on platelets. This prevents ADP from binding and activating the glucoprotein GPIIb/IIIa complex, which is necessary for platelet aggregation. Additionally, other agonists are blocked from inducing platelet aggregation because they are dependent on platelet activation, which is mediated by ADP. The action is irreversible for the lifespan of the platelet (7 to 10 days). Platelet aggregation induced by agonists other than ADP is also inhibited by blocking the amplification of platelet activation by released ADP. Dose dependent inhibition of platelet aggregation can be seen 2 hours after single oral doses of clopidogrel. Repeated doses of 75 mg clopidogrel per day inhibit ADP-induced platelet aggregation on the first day, and inhibition reaches steady state between Day 3 and Day 7. At steady state, the average inhibition level observed with a dose of 75 mg clopidogrel per day was between 40% and 60%. Platelet aggregation and bleeding time gradually return to baseline values after treatment is discontinued, generally in about 5 days. _Pharmacokinetic properties_ _Absorption _ Based on urinary excretion of metabolites, after single and multiple oral doses of clopidogrel 75 mg/day, absorption is rapid and is at least 50% (dose-limited). Food has no effect on the absorption of clopidogrel. _Distribution _ Clopidogrel and the carboxylic acid derivative (metabolite) are highly protein bound. _Metabolism _ Clopidogrel is extensively metabolised by the liver Baca dokumen lengkap