Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
CLOPIDOGREL HYDROGEN SULPHATE
HOVID BERHAD
CLOPIDOGREL HYDROGEN SULPHATE
30Tablet Tablets; 10 Tablet Tablets; 100 Tablet Tablets; 30 Tablet Tablets
HOVID BERHAD
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP) _ CLOPIVID 75 MG TABLET_ _ CLOPIDOGREL (75MG) 1 WHAT IS IN THIS LEAFLET 1. What Clopivid is used for 2. How Clopivid works 3. Before you use Clopivid 4. How to use Clopivid 5. While you are using Clopivid 6. Side effects 7. Storage and Disposal of Clopivid 8. Product description 9. Manufacturer 10. Product Registration Holder 11. Date of revision WHAT CLOPIVID IS USED FOR Clopivid is taken by adult 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 Clopivid 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), and - 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 may 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 experienced symptoms of a stroke which go away within a short period of time (also known as transient ischemic attack) or an ischemic stroke mild in severity. You may also be given acetylsalicylic acid by your doctor starting within the first 24 hours. - You have an irregular heartbeat, a condition called 'atrial fibrillation', and you cannot take medicines known as 'oral anticoagulants' (vitamin K antagonists) which prevent new clots from forming and prevent existing clots from growing. You should have been told that 'oral anticoagulants' are more effective than acetylsalicylic acid or the combined use of Clopivid and a Baca dokumen lengkap
VICLO31-var (MY)3 CLOPIVID TABLET 75 MG DESCRIPTION Pink, round and bevel-edged with shallow convex faces film-coated tablet COMPOSITION Each tablet contains Clopidogrel Hydrogen Sulphate equivalent to Clopidogrel 75 mg/tablet PHARMACODYNAMICS Clopidogrel acts by inhibiting platelet aggregation through selective inhibition of binding of adenosine diphosphate (ADP) to its platelet receptor, and the subsequent ADP-mediated activation of the GPIIb/IIIa complex. Biotransformation of clopidogrel is necessary to produce inhibition of platelet aggregation. Platelet aggregation induced by agonists other than ADP is also inhibited by blocking the amplification of the platelet activation by released ADP. The action of Clopidogrel in modifying the platelet ADP receptor is irreversible. Consequently, platelets exposed to clopidogrel are affected for the remainder of their lifespan. At steady state, which occurs within 3 to 7 days, 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. PHARMACOKINETICS ABSORPTION Clopidogrel is rapidly absorbed, after repeated doses of 75 mg per day. Absorption is at least 50%. DISTRIBUTION Plasma concentrations of the parent compound are very low and below the quantification limit (0.00025 mg/l) beyond 2 hours. METABOLISM Clopidogrel is extensively metabolized by the liver to its main metabolite, a carboxylic acid derivative. It represents about 85% of the circulating drug-related compounds and achieves peak plasma level approximately 1 hour after dosing. Neither the parent compound nor the carboxylic acid derivative has platelet inhibiting effect. Clopidogrel is a prodrug. The active metabolite, a thiol derivative, is formed by oxidation of clopidogrel to 2-oxoclopidogrel and subsequent hydrolysis. The oxidative step is regulated primarily by Cytochrome P450 isoenzymes 2B6 and 3A4 and to a lesser extent by 1A1, 1A2 and 2 Baca dokumen lengkap