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Ticagrelor

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Regulated

Molecule Description

Platelet inhibitor (platelets help in blood clotting).

Uses

  • Heart attack
  • To reduce the risk of stroke in patients having a history of heart attack or chest pain
  • In patients who have stents inserted (i.e. to prevent blocking of the stent with a blood clot)

Contraindications

When should one not use Ticagrelor

  • You are allergic to Ticagrelor
  • You have any active bleeding currently
  • You have a history of intracranial bleeding or history of bleeding from ulcer in the stomach or intestine
  • In patients in whom aspirin is contraindicated

Side effects

Common side effects of this drug are:

  • Allergic reaction like fever, chills, rash, hives, breathing difficulty, swelling over your face, lips, throat
  • Bleeding from an unusual site (mouth, nose, rectum, vagina, gums)
  • Easy bruising, pinpoint rash on the skin
  • Easy weakness and fatigue
  • Red or pink urine
  • Diarrhea
  • Itching
  • Fainting
  • Blood in the stool (red or black ), cough or vomit (coffee coloured vomit)
  • Shortness of breath
  • Sudden numbness or weakness on one side of the body with problems in speech, balance and vision and excessive headache indicating of stroke (serious side effect)
  • Yellowing of eyes or skin, weakness, fever and anorexia (suggestive of liver problems)

Precautions and Warnings

Pregnancy

Pregnancy

It is not recommended during pregnancy.

Breast Feeding

Breast Feeding

It is unknown if Ticagrelor passes into breast milk. Consult your doctor before breastfeeding if you are on this medication.

Driving

Driving

Generally, Ticagrelor does not affect the ability to drive; if you feel confused or dizzy after taking this, do not drive.

Alcohol

Alcohol

Alcohol should be avoided as it increases the risk of bleeding from the intestine and stomach.

Other General Warnings

Other General Warnings

Talk to your doctor if
  • Have any liver disease
  • Have any lung problem or difficulty in breathing
  • Had any recent bleeding or injury or surgery or dental procedure
  • Have an upcoming surgery
  • Have a high uric acid level
  • A sudden stoppage of medicine can increase the risk of heart attack or stroke

Mode of Action

How Does It Work?

Ticagrelor prevents the formation of a blood clot by not allowing the platelets to stick together in the blood. This prevents clot formation and blockage of essential vessels in the heart or other parts of the body.

Interactions

Interactions with other medicines

  • Non-Steroidal Anti-Inflammatory Drugs like Naproxen, Ibuprofen, Diclofenac
  • Taking medicine that contains more of Aspirin. Since Aspirin is already advised along with Ticagrelor. Consuming combination medicine that contains Aspirin can cause its overdose and result in bleeding
  • Antibiotics like Clarithromycin
  • Antiviral medicine (Anti HIV medicine like Ritonavir and Atazanavir)
  • Antifungal medicine like Ketoconazole
  • Anti-seizure medications
  • Tuberculosis medicines like Rifampicin
  • Do not take Ticagrelor if you are already taking blood thinner medicines like Warfarin

Interactions with food items

No information is available.

Dosage

Overdose

Excess Ticagrelor ingestion may cause excessive bleeding from and inside different parts of the body. Seek emergency medical help immediately if you overdose.

Missed a Dose

Take medicine as soon as you remember. If the missed dose falls at the time of your next scheduled dose, then skip it. Do not take an extra dose to compensate for the missed dose.

Frequently Asked Questions (FAQs)

You must take medicine precisely the way the physician prescribes it. Follow the instructions mentioned on the prescription labelDo not alter the dose unless recommended by your doctor. Please do not take it longer than advisedDo not take more aspirin than prescribed by your physician as this may render Ticagrelor less effectiveThe medicine can be taken with or without a meal but preferably at the same time dailyDo not discontinue taking this medicine without informing your doctor, even if you have signs of bleedingA sudden stoppage of medicine can increase the risk of heart attack or stroke

Avoid activities that can result in injury and bleeding, e.g. rigorous exercise and take extra care while brushing your teeth, shaving, etc.

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