Preclot 75 mg (Tablet)

Unit Price: ৳ 12.00 (3 x 10: ৳ 360.00)
Strip Price: ৳ 120.00

Medicine Details

Indications

  • Reduction of myocardial infarction rate
  • Reduction of stroke rate
  • Treatment for non-ST-segment elevation ACS
  • Treatment for ST-elevation myocardial infarction (STEMI)
  • Reduction of MI and stroke rate in patients with recent MI or recent Stroke
  • Reduction of MI and stroke rate in patients with established Peripheral Arterial Disease

Pharmacology

  • Prodrug
  • Inhibition of platelet activation
  • Irreversible binding of active metabolite to P2Y12 class of ADP receptors
  • Dose-dependent inhibition of platelet aggregation
  • Onset of action within 2 hours after single oral doses

Dosage & Administration

  • Single 300 mg oral loading dose for patients who need antiplatelet effect within hours
  • Maintenance dose of 75 mg orally once daily
  • Oral administration with or without food

Interaction

  • Increased risk of bleeding with NSAIDs, warfarin, SSRIs, SNRIs
  • Avoid concomitant use of CYP2C19 inhibitors (omeprazole or esomeprazole)
  • Increased plasma concentrations of Repaglinide when used with Preclot

Contraindications

  • Hypersensitivity to the drug substance or any component
  • Active pathological bleeding such as peptic ulcer or intracranial hemorrhage

Side Effects

  • Common: Bleeding, Diarrhoea, gastrointestinal discomfort, haemorrhage, Skin reactions
  • Rare: Acquired haemophilia, anaemia, angioedema, arthralgia, arthritis, bone marrow disorders

Pregnancy & Lactation

  • Use during pregnancy only if clearly needed
  • Unknown excretion of clopidogrel in human breast milk
  • Decision making for nursing mothers

Precautions & Warnings

  • Metabolism impairment by genetic variations in CYP2C19
  • Inhibition of platelet aggregation for the lifetime of the platelet
  • Increased risk of bleeding and restoration of hemostasis
  • Discontinuation risk and timing for elective surgery
  • Thrombotic Thrombocytopenic Purpura (TTP) risks
  • Hypersensitivity reactions

Use in Special Populations

  • Safety and effectiveness not established in pediatric populations
  • No dosage adjustment necessary in elderly patients

Overdose Effects

  • Bleeding complications
  • Platelet transfusion for restoring clotting ability

Therapeutic Class

Anti-platelet drugs

Storage Conditions

  • Keep below 30°C temperature
  • Store in a dry place
  • Protected from light
  • Do not freeze
  • Keep out of the reach of children

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