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OGREL PLUS 81

CLOPIDOGREL AND ASPIRIN · by BOSCH

Composition

Tab 75 mg/75 mg: Clopidogrel (as hydrogen sulphate) 75 mg, aspirin 75 mg.Tab 75 mg/150 mg: Clopidogrel (as hydrogen sulphate) 75 mg, aspirin 150 mg. Tab 75 mg/81 mg: Clopidogrel (as hydrogen

Indications & Dosage

Prevention of atherothrombotic events in patients suffering from myocardial infarction (for less than 35 days), ischaemic stroke (from day 7 to 6 months) or established peripheral artery disease, in combination with aspirin in non-ST segment elevation acute coronary syndrome (unstable angina or non-C-Wave Myocardial Infarction): Adults: 1 tab daily. CHILDREN: Not recommended.

Contraindications

Do not initiate therapy within first few days after MI. PTCA (stenting), CABG acute ischaemic stroke of less than 7 days, hypoprothrombinaemia, severe hepatic impairment, bleeding dis-orders, active bleeding such as peptic ulcer or intracranial haemorrhage.

Precautions

Renal or hepatic impairment, moderate hepatic impairment, surgery, risk of bleeding and blood dyscrasias; perform blood counts, unusual bleeding, history of bronchospasm, dyspepsia.

Interactions

Anticoagulants, glycoprotein lib/Iiia inhibitors, thrombolytics, NSAIDs, hypoglycaemics, phenytoin, sodium valproate, uricosuric agents, methotrexate, sulphonamides, spironolactone, cor-ticosteroids, antacids.

Pregnancy

Contraindicated

Lactation

Not recommended.

Side Effects

Bleeding manifestation, GI upset, skin reactions, , nervous system, hepatic, biliary or, haematological disorders. Rare: thrombotic thrombocyt penic purpura