Appras 10 mg (Tablet)

Unit Price: ৳ 25.00 (1 x 10: ৳ 250.00)
Strip Price: ৳ 250.00

Medicine Details

Indications

  • Reduces rate of thrombotic cardiovascular events
  • Management of ACS in PCI patients

Pharmacology

  • Platelet activation and aggregation inhibitor

Dosage & Administration

  • Initiate with 60 mg oral loading dose
  • Continue with 10 mg once daily
  • Consider 5 mg once daily for patients <60 kg
  • Take with or without food
  • Co-administration with aspirin daily

Interaction

  • Increased bleeding risk with warfarin
  • Increased bleeding risk with NSAIDs
  • Can be administered with specific drugs including aspirin, heparin, GPIIb/IIIa inhibitors, statins, drugs that elevate gastric pH

Contraindications

  • Active pathological bleeding
  • History of TIA or stroke

Side Effects

  • Bleeding
  • Thrombotic thrombocytopenic purpura
  • Other side effects (headache, back pain, dyspnea, nausea, hypertension, bradycardia, rash etc)

Pregnancy & Lactation

  • No well-controlled studies in pregnant women
  • Unknown excretion in human milk
  • Use during nursing only if potential benefit justifies potential risk to infant

Precautions & Warnings

  • Increased bleeding risk in CABG patients
  • Risk of stent thrombosis, MI, and death with premature discontinuation

Use in Special Populations

  • No established safety and effectiveness in pediatric patients
  • Increased risk of fatal bleeding events in geriatric patients
  • No dosage adjustment for renal impairment
  • No dosage adjustment for mild to moderate hepatic impairment

Overdose Effects

  • Lethality observed in rats at high doses
  • Platelet transfusion may restore clotting ability
  • Active metabolite not likely to be removed by dialysis

Therapeutic Class

  • Anti-platelet drugs

Storage Conditions

  • Keep in dry place
  • Keep away from light and heat
  • Keep out of reach of children

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