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|
Contents |
Clopidogrel hydrogen sulfate |
|
Indications |
Prevention of atherosclerotic events in peripheral arterial disease, or within 35 days of MI,
or within 6 mths of ischemic stroke, or (given w/ aspirin) in acute coronary syndrome w/out S-T-segment elevation. |
|
Dosage |
75 mg once daily. |
|
Administration |
May be taken with or without food. |
|
Contraindications |
Hematopoietic disorder eg neutropenia or thrombocytopenia, hemorrhagic diathesis or other
hemorrhagic disorders associated w/ prolonged bleeding time. Increased risk of bleeding e.g.
GI ulcer, acute cerebral hemorrhage or severe liver dysfunction. |
|
Special Precautions |
Monitor blood counts within 2 wk of stopping treatment. Discontinue therapy 10-14 days pre-op. |
|
Adverse Drug Reactions |
GI disturbances & skin rashes. Blood dyscrasia including neutropenia & thrombotic thrombocytopenic purpura,
& hemorrhagic disorders. Hepatitis & cholestatic jaundice.
Increased blood-lipid conc may occur on long-term therapy. |
|
Drug Interactions |
Anticoagulants, antiplatelets, cimetidine, corticosteroids. |
|
Pregnancy Category (US FDA) |
Category B: Either animal-reproduction studies have not demonstrated a foetal risk but
there are no controlled studies in pregnant women or animal-reproduction studies have
shown an adverse effect (other than a decrease in fertility) that was not confirmed in
controlled studies in women in the 1st trimester (and there is no evidence of a
risk in later trimesters). |
|
ATC Classification |
B01AC04 - Clopidogrel ; Belongs to the class of platelet aggregation inhibitors excluding heparin.
Used in the treatment of thrombosis. |
|
Poison Schedule |
Rx |