Deplatt

Deplatt

clopidogrel

Manufacturer:

Torrent

Distributor:

Torrent
Concise Prescribing Info
Contents
Clopidogrel bisulfate
Indications/Uses
Reduction of thrombotic events in recent MI, recent stroke or established peripheral arterial disease, acute coronary syndromes.
Dosage/Direction for Use
Recent MI, stroke or established peripheral arterial disease 75 mg once daily. Non-ST-elevation acute coronary syndrome (UA/NSTEMI) Initially 300 mg as a single loading dose, then continued at 75 mg once daily. Initiate aspirin 75-325 mg once daily in combination w/ clopidogrel bisulfate. STEMI 75 mg once daily administered in combination w/ aspirin 75-325 mg once daily w/ or w/o thrombolytic. Clopidogrel bisulfate tab may be initiated w/ or w/o loading dose.
Administration
May be taken with or without food.
Contraindications
Hypersensitivity. Active pathological bleeding eg, peptic ulcer or intracranial hemorrhage.
Special Precautions
Increased risk of bleeding. Reports of hypersensitivity including rash, angioedema or hematologic reaction; cross-reactivity among thienopyridines; TTP. Discontinue treatment 5 days prior to surgery if antiplatelet effect is not desired. Premature discontinuation may increase risk of CV events. Metabolism to active metabolite can be impaired by generic variations in CYP2C19 & by concomitant medications that interfere w/ CYP2C19. Avoid concomitant use w/ omeprazole or esomeprazole. Increased major bleeding in patients w/ recent transient ischemic attack/stroke using combination of aspirin & clopidogrel bisulfate. Should be used during pregnancy only if clearly needed. Discontinue nursing or discontinue the drug, taking into account the importance of therapy to the mother.
Drug Interactions
Reduced plasma conc of active metabolite & reduction in platelet inhibition w/ CYP2C19 inhibitors. Reduced antiplatelet activity w/ omeprazole or esomeprazole. Increased risk of GI bleeding w/ NSAIDs. Increased risk of bleeding w/ warfarin, SSRIs & SNRIs.
MIMS Class
Anticoagulants, Antiplatelets & Fibrinolytics (Thrombolytics)
ATC Classification
B01AC04 - clopidogrel ; Belongs to the class of platelet aggregation inhibitors excluding heparin. Used in the treatment of thrombosis.
Presentation/Packing
Form
Deplatt FC tab 75 mg
Packing/Price
100's (P3,304/pack)