Clopidogrel bisulfate Dosage Form: Medically reviewed on Jul 1, The effectiveness of Clopidogrel results is cafergot available july 2018 its antiplatelet activity, which is dependent on its conversion to an active metabolite by the cytochrome P CYP system, principally CYP2C19 [see Warnings and Precautions plavix med 90 mg.
Clopidogrel at recommended doses forms less of the active metabolite and so has a reduced effect on platelet activity in patients who are homozygous for nonfunctional alleles of the CYP2C19 gene, termed "CYP2C19 poor plavix med 90 mg. In patients with established peripheral arterial disease or with a history of recent myocardial infarction Plavix med or recent stroke Clopidogrel plavix med indicated to reduce the rate of MI and stroke.
In patients who need an antiplatelet effect within hours, initiate Clopidogrel with a single mg oral loading dose and then continue at 75 mg once daily. Source Clopidogrel without a plavix med dose will delay establishment of plavix med 90 mg antiplatelet effect by several days plavix med 90 mg Clinical Pharmacology Clopidogrel is contraindicated in patients plavix med active pathological bleeding such as peptic ulcer or intracranial hemorrhage.
Clopidogrel is contraindicated in patients with hypersensitivity e. Clopidogrel is plavix med prodrug.
Inhibition of platelet aggregation by Clopidogrel is achieved through an active metabolite. The metabolism of Clopidogrel can also be impaired by drugs plavix med 90 mg inhibit CYP2C19, such as omeprazole or esomeprazole.
Avoid concomitant use of Clopidogrel with omeprazole or esomeprazole because both significantly reduce the antiplatelet activity of Clopidogrel [see Drug Interactions plavix med 90 mg. Thienopyridines inhibit platelet plavix med for the lifetime of the platelet 7 to 10 days. Because the half-life plavix med 90 mg Clopidogrel's active metabolite is short, it may be possible to restore hemostasis by administering exogenous platelets; however, platelet transfusions within 4 hours of the loading dose or 2 hours of the maintenance dose may be less effective.
Discontinuation of Clopidogrel increases the risk of cardiovascular events. If Clopidogrel must be temporarily discontinued e. When possible, interrupt therapy plavix med 90 mg Clopidogrel for five days prior to such surgery.
Resume Clopidogrel as soon as hemostasis is achieved.
TTP is a serious condition that requires urgent treatment including plasmapheresis plasma exchange.
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