Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
TICAGRELOR
DUOPHARMA MANUFACTURING (BANGI) SDN BHD
TICAGRELOR
3 x 10 Tablets; 6 x 10 Tablets
DUOPHARMA MANUFACTURING (BANGI) SDN BHD
_CONSUMER MEDICATION INFORMATION LEAFLET (RIMUP)_ _ _ TRIXEVAS 90MG FC TABLET Ticagrelor 90mg Page 1 of 4 WHAT IS IN THIS LEAFLET 1. What TRIXEVAS TABLET is used for 2. How TRIXEVAS TABLET works 3. Before you take TRIXEVAS TABLET 4. How to take TRIXEVAS TABLET 5. While you are taking TRIXEVAS TABLET 6. Side effects 7. Storage and Disposal of TRIXEVAS TABLET 8. Product Description 9. Manufacturer and Product Registration Holder 10. Date of revision 11. Serial number WHAT TRIXEVAS TABLET IS USED FOR TRIXEVAS TABLET contains an active substance called ticagrelor. This belongs to a group of medicines called anti-platelet agents. TRIXEVAS TABLET in combination with acetylsalicylic acid (another antiplatelet agent) is only to be used in adults. You have been given TRIXEVAS TABLET because you have had: • a heart attack, or • unstable angina (angina or chest pain that is not well controlled). TRIXEVAS TABLET reduces the chances of you having a stroke or another heart attack or dying from a disease related to your heart or blood vessels. HOW TRIXEVAS TABLET WORKS TRIXEVAS TABLET affects cells called ‘platelets. Platelets are very small cells in your blood. These cells help stop bleeding by clumping together to plug tiny holes in blood vessels that are cut or damaged. However, clots can also form inside a damaged blood vessel. This can be very dangerous because: • the clot can cut off the blood supply completely; this can cause a heart attack (myocardial infarction) or stroke. • the clot can partly block the blood vessels to the heart - this reduces the blood flow to the heart. This can cause chest pain which comes and goes (called ‘unstable angina’). TRIXEVAS TABLET helps stop the clumping of platelets. This reduces the chance of a blood clot forming that can block a blood vessel and reduce blood flow. Your doctor will usually also tell you to take acetylsalicylic acid. This is a substance present in many medicines used to prevent blood clotting. BEFORE YOU TAKE TRIXEVAS TABLET - _When you must not take it _ Baca dokumen lengkap
Page 1 of 7 TRIXEVAS 90MG FC TABLET DESCRIPTION TRIXEVAS is a round, biconvex, yellow, film-coated tablet marked “T” on one side and plain on the other side. COMPOSITION TRIXEVAS Tablet: Each tablet contains 90 mg of ticagrelor. PHARMACODYNAMICS Pharmacotherapeutic group: Platelet aggregation inhibitors, ATC code: B01AC24 MECHANISM OF ACTION Ticagrelor is a member of the chemical class cyclopentyltriazolopyrimidines (CPTP), which is an oral, direct acting, selective and reversibly binding P2Y12 receptor antagonist that prevents ADP-mediated P2Y12 dependent platelet activation and aggregation. Ticagrelor does not prevent ADP binding, but when bound to the P2Y12 receptor prevents ADP-induced signal transduction. Since platelets participate in the initiation and/or evolution of thrombotic complications of atherosclerotic disease, inhibition of platelet function has been shown to reduce the risk of CV events such as death, MI or stroke. Ticagrelor also increases local endogenous adenosine levels by inhibiting equilibrative nucleoside transporter-1 (ENT-1). Ticagrelor has been documented to augment the following adenosine-induced effects: vasodilation, inhibition of platelet function and dyspnoea. However, a link between the observed increases in adenosine and clinical outcomes (e.g., morbidity mortality) has not been clearly elucidated. PHARMACODYNAMIC EFFECTS _Onset of action _ In patients with stable coronary artery disease (CAD) on ASA, ticagrelor demonstrates a rapid onset of pharmacological effect as demonstrated by a mean inhibition of platelet aggregation (IPA) for ticagrelor at 0.5 hours after 180 mg loading dose of about 41%, with the maximum IPA effect of 89% by 2-4 hours post dose, and maintained between 2-8 hours. 90% of patients had final extent IPA >70% by 2 hours post dose. _Offset of action_ If a CABG procedure is planned, ticagrelor bleeding risk is increased compared to clopidogrel when discontinued within less than 96 hours prior to procedure. _Switching data_ Switching from clopidogrel 75 mg t Baca dokumen lengkap