Trade Name: DOREL TABLET 75 MG
Generic Name:
Clopidogrel INN 75 mg Tablet
Presentation
Dorel tablet : Each film coated tablet contains Clopidogrel bisulphate INN
equivalent to Clopidogrel 75 mg.
Indications
Clopidogrel is indicated for the reduction of atherosclerotic events (myocardial
infarction-MI, ischemic stroke and vascular death) in patients with
atherosclerosis documented by recent stroke, recent myocardial infarction or
established peripheral arterial disease.
Dosage and administration
Adults and elderly :
The recommended dose of Clopidogrel is 75 mg once daily. It can be taken with or
without food. No dosage adjustment is necessary for elderly patients or patients
with renal disease.
Children and adolescents :
Safety and efficacy below the age of 18 years have not been established yet.
Contraindications
Hypersensitivity to the drug substance or any component of the product.
Active pathological bleeding such as peptic ulcer or intracranial hemorrhage.
Side effects
The tolerability of Clopidogrel is similar to that of aspirin. Diarrhea, rash,
or itching occur in approximately 1 in 20 persons taking Clopidogrel. Abdominal
pain also occur in about 1 in 20 persons, but it is less frequent than with
aspirin.
Precaution
As with other antiplatelet agents, Clopidogrel should be used with caution in
patients who may be at risk of increased bleeding from trauma, surgery or other
pathological conditions. Clopidogrel should be discontinued 7 days prior to
surgery. Clopidogrel should be used with caution in patients who have ulcer or
in hepatically impaired patients who may have bleeding diatheses.
Use in pregnancy and lactation
Pregnancy :
There are no adequate studies of Clopidogrel in pregnant women. Therefore, it
can be used in pregnancy if the physician determines that it is needed.
Nursing mothers :
It is not known whether it appears in human breast milk. Because of a potential
for side-effects in the nursing infant, the physician must weigh the potential
benefits and possible risks before prescribing this drug in nursing mothers.
Drug interactions
The combination of Clopidogrel with NSAIDs, may increases the risk of stomach
and intestinal bleeding. At high concentration in the blood, Clopidogrel
inhibits the activity of the enzyme which metabolizes Warfarin and increase the
risk of bleeding due to over-thinning of the blood.
Overdosage
No adverse events were reported.
Commercial pack
Dorel tablet : Each box contains 3x10 tablets in blister strip.
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