natgillin/translations-raw huggingface dataset:
Glycoprotein IIb/IIIa inhibitors: clopidogrel should be used with caution in patients who receive concomitant glycoprotein IIb/IIIa inhibitors (see section 4.4).
Inhibitori glikoproteina IIb/IIIa: klopidogrel se s oprezom mora davati bolesnicima koji istodobno primaju inhibitore glikoproteina IIb/IIIa (vidjeti dio 4.4).
Omeprazole 80 mg once daily administered either at the same time as clopidogrel or with 12 hours between the administrations of the two drugs decreased the exposure of the active metabolite by 45% (loading dose) and 40% (maintenance dose).
Omeprazol primjenjen u dozi od 80 mg dnevno, istodobno s klopidogrelom ili s razmakom od 12 sati od primjene dvaju lijekova, smanjio je koncentraciju aktivnog metabolita klopidogrela za 45% (udarna doza) i 40% (doza održavanja).
Pink, round and slightly convex film-coated tablets.
Ružičaste, okrugle i blago konveksne filmom obložene tablete.
than you should Contact your doctor or the nearest hospital emergency department because of the increased risk of bleeding.
Ako uzmete više Clopidogrela Krka d.d. nego što ste trebali Odmah morate kontaktirati liječnika ili najbliži odjel hitne medicinske pomoći zbog povećanog rizika od krvarenja.
Recent myocardial infarction (MI), recent stroke or established peripheral arterial disease The CAPRIE study included 19,185 patients with atherothrombosis as manifested by recent myocardial infarction (<35 days), recent ischaemic stroke (between 7 days and 6 months) or established peripheral arterial disease (PAD).
Nedavni infarkt miokarda (IM), nedavni moždani udar ili utvrđena bolest perifernih arterija Studija CAPRIE uključivala je 19 185 bolesnika s aterotrombozom koja se manifestirala kao nedavni infarkt miokarda (<35 dana), nedavni ishemijski moždani udar (između 7 dana i 6 mjeseci) ili utvrđena bolest perifernih arterija (BPA).
Following an oral dose of 14C-labelled clopidogrel in man, approximately 50% was excreted in the urine and approximately 46% in the faeces in the 120-hour interval after dosing.
C u ljudi, približno 50% doze izlučilo se u mokraću, a približno 46% u stolicu u intervalu od 120 sati nakon doziranja.
In addition, IPA was 32% (24 hours) and 61% (Day 5), which were greater than in the poor metabolisers receiving the 300 mg/75 mg regimen, and were similar to the other CYP2C19 metaboliser groups receiving the 300 mg/75 mg regimen.
Dodatno, vrijednost IPA iznosila je 32% (24 sata) i 61% (dan 5), što je više nego u slabih metabolizatora koji su primali režim doziranja od 300 mg/75 mg i slično je ostalim skupinama CYP2C19 metabolizatora koje su primale doze od 300 mg/75 mg.
Very rare side effects (may affect up to 1 in 10,000 people): jaundice; severe abdominal pain with or without back pain; fever, breathing difficulties sometimes associated with cough; generalised allergic reactions (for example, overall sensation of heat with sudden general discomfort until fainting); swelling in the mouth; blisters of the skin; skin allergy; sore mouth (stomatitis); decrease in blood pressure; confusion; hallucinations; joint pain; muscular pain; changes in taste or loss of taste of food.
Vrlo rijetke nuspojave (mogu se javiti u manje od 1 na 10 000 osoba): žutica; jaka bol u trbuhu s ili bez bolova u leđima; vrućica, teškoće pri disanju, ponekad povezane s kašljem; generalizirane alergijske reakcije (primjerice, sveukupni osjećaj vrućine s iznenadnom općom nelagodom do nesvjestice); oticanje u ustima; mjehurići na koži; kožne alergijske reakcije; upala u usnoj šupljini (stomatitis); pad krvnoga tlaka; zbunjenost; halucinacije; bol u zglobovima; bol u mišićima; poremećaj okusa ili gubitak osjeta okusa hrane.
For patients over 75 years of age clopidogrel should be initiated without a loading dose.
Kod bolesnika starijih od 75 godina liječenje klopidogrelom ne treba započinjati udarnom dozom.
A total of 23.0% of patients received anti-arrhythmics, 52.1% beta-blockers, 54.6% ACE inhibitors, and 25.4% statins.
Ukupno 23,0% bolesnika primalo je antiaritmike, 52,1% beta blokatore, 54,6% ACE inhibitore te 25,4% statine.
There was no significant difference between groups in the primary composite endpoint of death, shunt thrombosis or cardiac-related intervention prior to 120 days of age following an event considered of thrombotic nature (89 [19.1%] for the clopidogrel group and 90 [20.5%] for the placebo group) (see section 4.2).
Nije bilo značajne razlike među skupinama u primarnom kompozitnom ishodu koji se odnosi na smrt, trombozu šanta ili kardiološku intervenciju prije 120-og dana starosti nakon događaja za koji se smatra da je trombološke prirode (89 [19,1%] za klopidogrel skupinu i 90 [20,5%] za placebo skupinu) (vidjeti dio 4.2).
• For more than 12 hours: patients should take the next dose at the regular scheduled time and should not double the dose.
- Ako je prošlo više od 12 sati: bolesnik treba sljedeću dozu uzeti prema uobičajenom rasporedu i ne smije uzeti dvostruku dozu.
Less pronounced reductions of metabolite exposure has been observed with pantoprazole or lansoprazole.
Manje izraženo smanjenje izloženosti aktivnom metabolitu klopidogrela opaženo je kod pantoprazola i lanzoprazola.
The guided de-escalation did not result in an increased combined risk of ischemic events (2.5% in the deescalation group vs 3.2% in the control group; p non-inferiority=0.0115), nor in the key secondary endpoint of BARC bleeding ≥2 ((5%) in the de-escalation group versus 6% in the control group (p=0.23)).
Vođena de-eskalacija nije rezultirala povećanjem u kombiniranom riziku od ishemijskih događaja (2,5 % u skupini sa vođenom de-eskalacijom u odnosu na 3,2% u kontrolnoj skupini; p neinferiornosti=0,0115) niti u ključnoj sekundarnoj mjeri ishoda BARC stupnja krvarenja ≥ 2 ((5%) u skupini s vođenom de-eskalacijom nasuprot 6% u kontrolnoj skupini (p=0,23)).
- The other ingredients are microcrystalline cellulose, colloidal anhydrous silica, crospovidone (type A), macrogol 6000 and hydrogenated castor oil in the tablet core and polyvinyl alcohol, titanium dioxide (E171), red iron oxide (E172), yellow iron oxide (E172), talc and macrogol 3000 in the film-coating.
- Drugi sastojci su mikrokristalična celuloza, koloidni bezvodni silicijev dioksid, krospovidon (tip A), makrogol 6000 i hidrogenirano ricinusovo ulje u jezgri tablete, te poli (vinilni alkohol), titanijev dioksid (E171), crveni željezov oksid (E172), žuti željezov oksid (E172), talk i makrogol 3000 u film ovojnici tablete.
The ACTIVE-A study (N=7,554) was a multicenter, randomized, double-blind, placebo-controlled study which compared clopidogrel 75 mg/day + ASA (N=3,772) to placebo + ASA (N=3,782).
Studija ACTIVE-A (n=7554) bila je multicentrična, randomizirana, dvostrukoslijepa, placebom kontrolirana studija u kojoj se uspoređivao učinak klopidogrela u dozi od 75 mg/dnevno uz ASK (n=3772) u odnosu na placebo (n=3782).
A significantly lower exposure to clopidogrel active metabolite and reduced platelet inhibition has been demonstrated in HIV-infected patients treated with ritonavir- or cobicistat-boosted anti-retroviral therapies (ART).
Značajno niža izloženost aktivnom metabolitu klopidogrela i smanjena inhibicija trombocita opaženi su u bolesnika zaraženih HIV-om koji su liječeni antiretrovirusnim terapijama (ART) pojačanim ritonavirom ili kobicistatom.
The prasugrel-only patients were continued on prasugrel for 11.5 months.
Bolesnici koji su primali samo prasugrel nastavili su primati prasugrel još 11,5 mjeseci.
Overdose following clopidogrel administration may lead to prolonged bleeding time and subsequent bleeding complications.
Predoziranje klopidogrelom može izazvati produljenje vremena krvarenja i posljedičnog krvarenja kao komplikacije.
Thus, beyond 3 months of treatment, the benefit observed in the clopidogrel + ASA group was not further increased, whereas the risk of haemorrhage persisted (see section 4.4).
Tako se, nakon 3 mjeseca, zabilježena korist liječenja kombinacijom klopidogrela + ASK nije dalje povećavala, dok je opasnost od krvarenja i nadalje postojala (vidjeti dio 4.4).
The Cmax of the active metabolite is twice as high following a single 300-mg clopidogrel loading dose as it is after four days of 75-mg maintenance dose.
Cmax aktivnog metabolita je dvostruko veći nakon jednokratne udarne doze od 300 mg klopidogrela, nego nakon uzimanja doze održavanja od 75 mg tijekom četiri dana.
Furthermore, the pharmacodynamic activity of clopidogrel was not significantly influenced by the co-administration of phenobarbital or oestrogen.
Nadalje, na farmakodinamičku aktivnost klopidogrela nije značajno utjecala istodobna primjena fenobarbitala ili estrogena.
In vitro studies have shown the increase in repaglinide exposure is due to inhibition of CYP2C8 by the glucuronide metabolite of clopidogrel.
In vitro ispitivanja pokazala su da je povećanje izloženosti repaglinidu uzrokovano inhibicijom CYP2C8 putem metabolita, klopidogrel glukuronida.
Medicinal products that are strong or moderate CYP2C19 inhibitors include, for example, omeprazole and esomeprazole, fluvoxamine, fluoxetine, moclobemide, voriconazole, fluconazole, ticlopidine, carbamazepine, and efavirenz.
Lijekovi koji su jaki ili umjereni inhibitori CYP2C19 uključuju, primjerice, omeprazol i esomeprazol, fluvoksamin, fluoksetin, moklobemid, vorikonazol, flukonazol, tiklopidin, karbamazepin i efavirenz.
Side effects with frequency not known (frequency cannot be estimated from the available data): Hypersensitivity reactions with chest or abdominal pain, persistent low blood sugar symptoms.
Nuspojave s nepoznatom učestalošću (učestalost se ne može procijeniti iz dostupnih podataka): reakcije preosjetljivosti s bolovima u prsnom košu ili trbuhu, simptomi niske razine šećera u krvi koji ne prolaze.
Bleeding events defined as all BARC occurred in 30 patients (9.3%) in the de-escalated DAPT group and in 76 patients (23.5%) in the unchanged DAPT group (p<0.01).
Događaji krvarenja definirani kao svi BARC stupnjevi dogodili su se u 30 bolesnika (9,3%) u skupini s de-eskaliranim DAPT-om i u 76 bolesnika (23,5%) u skupini sa nepromijenjenim DAPT-om (p< 0,01).
Therefore, concomitant use of clopidogrel with boosted ART should be discouraged.
Stoga istodobnu primjenu klopidogrela s pojačanim terapijama ART-a treba izbjegavati.
Although the clinical relevance of these findings is uncertain, there have been spontaneous reports of HIV-infected patients treated with boosted ART, who have experienced reocclusive events after de-obstruction or have suffered thrombotic events under a clopidogrel loading treatment schedule.
Iako klinički značaj ovih nalaza nije jasan, zabilježene su spontane prijave slučajeva u kojima su bolesnici zaraženi HIV-om a liječeni pojačanim ART-om, doživjeli ponovnu okluziju nakon uspostavljanja prohodnosti ili doživjeli trombozu tijekom razdoblja liječenja udarnom dozom klopidogrela.
• You should also tell your doctor immediately if you develop a medical condition (also known as Thrombotic Thrombocytopenic Purpura or TTP) that includes fever and bruising under the skin that may appear as red pinpoint dots, with or without unexplained extreme tiredness, confusion, yellowing of the skin or eyes (jaundice) (see section 4 ‘Possible side effects').
- Također, odmah obavijestite svog liječnika ukoliko se pojavi medicinsko stanje (koje se naziva "trombotična trombocitopenična purpura" ili "TTP") sa simptomima koji uključuju vrućicu i potkožne modrice koji se mogu pojaviti kao crvene točkice, sa ili bez neobjašnjivog teškog umora, zbunjenosti i žute boje kože ili očiju (žutica) (vidjeti dio 4. 'Moguće nuspojave').
Thrombolytics: the safety of the concomitant administration of clopidogrel, fibrin or non-fibrin specific thrombolytic agents and heparins was assessed in patients with acute myocardial infarction.
Trombolitici: sigurnost istodobne primjene klopidogrela, fibrinskih ili afibrinskih specifičnih trombolitika i heparina procjenjivala se u bolesnika s akutnim infarktom miokarda.
However, if you are concerned by your bleeding, you should contact your doctor straightaway (see section 4 ‘Possible side effects').
Ukoliko ste ipak zabrinuti zbog krvarenja, odmah obavijestite svog liječnika (vidjeti dio 4. 'Moguće nuspojave').
After the 300 mg/75 mg dose regimen, antiplatelet responses were decreased in the poor metabolisers with mean IPA (5 μM ADP) of 24% (24 hours) and 37% (Day 5) as compared to IPA of 39% (24 hours) and 58% (Day 5) in the extensive metabolisers and 37% (24 hours) and 60% (Day 5) in the intermediate metabolisers.
Nakon režima doziranja od 300 mg/75 mg, antitrombocitni odgovor bio je smanjen u slabih metabolizatora sa srednjom vrijednosti IPA (5 μM ADP) od 24% (nakon 24 sata) te 37% (na dan 5), u usporedbi s vrijednostima IPA-e od 39% (24 sata) i 58% (dan 5) za brze metabolizatore te 37% (24 sata) i 60% (dan 5) za umjerene metabolizatore.
Other alleles associated with absent or reduced metabolism are less frequent and include CYP2C19*4, *5, *6, *7, and *8.
Ostali aleli povezani sa smanjenim metabolizmom uključuju CYP2C19*4, *5, *6, *7 i *8, ali oni su manje zastupljeni.
In ACTIVE-A, the rate of major bleeding was greater in the clopidogrel + ASA group than in the placebo + ASA group (6.7% versus 4.3%).
U studiji ACTIVE-A, učestalost velikih krvarenja bila je veća u skupini klopidogrel + ASK, nego u skupini placebo + ASK (6,7% naspram 4,3%).
After repeated doses of 75 mg clopidogrel per day for 10 days in patients with severe hepatic impairment, inhibition of ADP-induced platelet aggregation was similar to that observed in healthy subjects.
Nakon ponovljenih dnevnih doza klopidogrela od 75 mg tijekom deset dana, u bolesnika s teško oštećenom funkcijom jetre, inhibicija ADP-om inducirane agregacije trombocita bila je slična u usporedbi sa zdravim ispitanicima.
looks like and contents of the pack The film-coated tablets are pink, round and slightly convex.
Kako Clopidogrel Krka d.d. izgleda i sadržaj pakiranja Filmom obložene tablete su ružičaste, okrugle i blago konveksne.
is and what it is used for
Krka d.d. i za što se koristi
Acetylsalicylic acid (ASA): ASA did not modify the clopidogrel-mediated inhibition of ADP-induced platelet aggregation, but clopidogrel potentiated the effect of ASA on collagen-induced platelet aggregation.
Acetilsalicilatna kiselina (ASK): ASK nije utjecala na promjenu klopidogrelom posredovane inhibicije ADP-om inducirane agregacije trombocita, ali je klopidogrel potencirao učinak ASK na agregaciju trombocita posredovanu kolagenom.
Switching from a more potent P2Y12 receptor inhibitor to clopidogrel in association with aspirin after acute phase in ACS has been evaluated in two randomized investigator-sponsored studies (ISS)TOPIC and TROPICAL-ACS - with clinical outcome data.
Prelazak s potentnijeg inhibitora P2Y12 receptora na klopidogrel u kombinaciji s acetilsalicilatnom kiselinom nakon akutne faze akutnog koronarnog sindroma ispitan je u dva randomizirana ispitivanja sponzorirana od strane ispitivača (engl. investigator-sponsored studies, ISS) TOPIC i TROPICALACS, s podacima o kliničkim ishodima.
In CURE, there was no excess in major bleeds with clopidogrel plus ASA within 7 days after coronary bypass graft surgery in patients who stopped therapy more than five days prior to surgery .
U studiji CURE s klopidogrelom uz ASK nije bilo povećanja broja velikih krvarenja tijekom 7 dana nakon ugrađivanja srčane premosnice u bolesnika koji su lijekove prestali uzimati više od pet dana prije kirurškog zahvata.
Mean peak plasma levels of unchanged clopidogrel (approximately 2.2-2.5 ng/ml after a single 75 mg oral dose) occurred approximately 45 minutes after dosing.
Srednje vršne razine nepromijenjenog klopidogrela u plazmi (oko 2,2 - 2,5 ng/ml nakon jednokratne oralne doze od 75 mg), postiže se otprilike 45 minuta nakon uzimanja lijeka.
No substantial differences in active metabolite exposure and mean inhibition of platelet aggregation (IPA) were observed between ultrarapid, extensive and intermediate metabolisers.
Nisu opažene značajne razlike u izloženosti aktivnom metabolitu i prosječnoj vrijednosti inhibicije agregacije trombocita (IPA) među ultrabrzim, brzim i umjerenim metabolizatorima.
There was no statistically significant difference in the rates of fatal bleeding (1.1% in the clopidogrel + ASA group and 0.7% in the placebo +ASA group) and haemorrhagic stroke (0.8% and 0.6%, respectively) between groups.
Nije bilo statistički značajne razlike u učestalosti fatalnih krvarenja (1,1% u skupini klopidogrel + ASK i 0,7% u skupini placebo + ASK) i hemoragijskog moždanog udara (0,8% naspram 0,6%) među skupinama.
In addition to clinical studies experience, adverse reactions have been spontaneously reported.
Uz iskustvo iz kliničkih ispitivanja, nuspojave su se prijavljivale i spontano.
Consistent with the above results, in a meta-analysis including 6 studies of 335 clopidogrel-treated subjects at steady state, it was shown that active metabolite exposure was decreased by 28% for intermediate metabolisers, and 72% for poor metabolisers while platelet aggregation inhibition (5 μM ADP) was decreased with differences in IPA of 5.9% and 21.4%, respectively, when compared to extensive metabolisers.
U skladu s gore navedenim rezultatima, u meta analizi koja je uključivala 6 studija sa 335 osoba liječenih klopidogrelom u stanju dinamičke ravnoteže, pokazano je da je izloženost aktivnom metabolitu smanjena za 28% za umjerene metabolizatore te 72% za slabe metabolizatore, dok je inhibicija agregacije trombocita (5 μM ADP) smanjena s razlikama za vrijednsoti IPA-e od 5,9%, odnosno 21,4%, u usporedbi s brzim metabolizatorima.
• Adult patients suffering from myocardial infarction (from a few days until less than 35 days), ischaemic stroke (from 7 days until less than 6 months) or established peripheral arterial disease.
- odraslih bolesnika koji su pretrpjeli infarkt miokarda (u rasponu od nekoliko do najviše 35 dana), ishemijski moždani udar (u rasponu od 7 dana do najviše 6 mjeseci) ili imaju utvrđenu bolest perifernih arterija.
Major bleeding was mostly of extracranial origin in both groups (5.3% in the clopidogrel + ASA group; 3.5% in the placebo +ASA group), mainly from the gastrointestinal tract (3.5% vs. 1.8%).
Velika krvarenja su najčešće bila ekstrakranijalnog porijekla u obje skupine (5,3% u skupini klopidogrel + ASK; 3,5% u skupini placebo + ASK), uglavnom iz probavnog trakta (3,5% naspram 1,8%).
Overall, 645 of 646 patients with STEMI or NSTEMI or unstable angina were analyzed (de-escalated DAPT (n=322); unchanged DAPT (n=323)).
Sveukupno je ispitano 645 od 646 bolesnika s infarktom miokarda sa ST elevacijom (STEMI), infarktom miokarda bez ST elevacije (NSTEMI) i nestabilnom anginom (smanjeni DAPT (n=322); nepromijenjen DAPT (n=323)).
film-coated tablet
filmom obložena tableta
Although the administration of clopidogrel 75 mg/day did not modify the pharmacokinetics of S-warfarin or International Normalised Ratio (INR) in patients receiving long-term warfarin therapy, coadministration of clopidogrel with warfarin increases the risk of bleeding because of independent effects on hemostasis.
Iako primjena klopidogrela u dozi od 75 mg dnevno nije utjecala na farmakokinetiku S-varfarina ili INR (International Normalised Ratio) u bolesnika koji primaju dugotrajnu terapiju varfarinom, istodobna primjena klopidogrela s varfarinom povećava rizik od krvarenja zbog nezavisnih učinaka na hemostazu.
This benefit was mostly driven by the statistically significant reduction in the incidence of MI [287 (4.6%) in the clopidogrel-treated group and 363 (5.8%) in the placebo-treated group].
Na taj učinak najviše je utjecalo statistički značajno smanjenje incidencije infarkta miokarda [287 (4,6%) u skupini koja je primala klopidogrel i 363 (5,8%) u skupini koja je primala placebo].
In a dose escalation study of 86 neonates or infants up to 24 months of age at risk for thrombosis (PICOLO), clopidogrel was evaluated at consecutive doses of 0.01, 0.1 and 0.2 mg/kg in neonates and infants and 0.15 mg/kg only in neonates.
U studiji s postupnim povećanjem doze na 86 novorođenčadi ili dojenčadi u dobi do najviše 24 mjeseca te s rizikom od tromboze (PICOLO), procijenjen je učinak klopidogrela u konsekutivnim dozama od 0,01, 0,1 i 0,2 mg/kg u novorođenčadi i dojenčadi te u dozi od 0,15 mg/kg samo u novorođenčadi.
This statistically significant difference was mainly driven by fewer bleeding events, with no difference reported in ischaemic endpoints (p=0.36), while BARC ≥2 bleeding occurred less frequently in the de-escalated DAPT group (4.0%) versus 14.9% in the unchanged DAPT group (p<0.01).
Ova statistički značajna razlika uglavnom je posljedica manjeg broja događaja krvarenja, bez prijavljene razlike u ishemijskim mjerama ishoda (p=0,36), dok se BARC stupanj krvarenja ≥ 2 javljao rjeđe u skupini s de-eskaliranim DAPT-om (4,0%) u odnosu na skupinu sa nepromijenjenim DAPT-om (p < 0,01).
Patients were treated for up to one year.
Bolesnici su lijek primali do jedne godine.
There have been a number of retrospective analyses, however, to evaluate this effect in patients treated with clopidogrel for whom there are genotyping results: CURE (n=2721), CHARISMA (n=2428), CLARITY-TIMI 28 (n=227), TRITON-TIMI 38 (n=1477), and ACTIVE-A (n=601), as well as a number of published cohort studies.
Međutim, postoji veći broj retrospektivnih analiza za procjenu ovog učinka u bolesnika liječenih klopidogrelom za koje postoje rezultati genotipizacije: CURE (n=2721), CHARISMA (n=2428), CLARITY-TIMI 28 (n=227),
The incidence of clinically significant bleeding was similar to that observed when thrombolytic agents and heparin are co-administered with ASA (see section 4.8).
Incidencija klinički značajnog krvarenja bila je slična onoj zamijećenoj pri istodobnoj primjeni trombolitika i heparina s ASK (vidjeti dio 4.8).
Clopidogrel should be given as a single daily dose of 75 mg.
Klopidogrel se daje u jednokratnoj dnevnoj dozi od 75 mg.
Therefore, the guided de-escalation arm had patients on either prasugrel (40%) or clopidogrel (60%).
Dakle, u skupini sa deeskalacijom vođenoj na temelju vrijednosti HPR-a, bolesnici su primali ili prasugrel (40%) ili klopidogrel (60%).
Oral anticoagulants: the concomitant administration of clopidogrel with oral anticoagulants is not recommended since it may increase the intensity of bleedings (see section 4.4).
Oralni antikoagulansi: istodobna primjena klopidogrela i oralnih antikoagulansa se ne preporučuje, jer se može povećati intenzitet krvarenja (vidjeti dio 4.4).
In patients who remained on therapy within five days of bypass graft surgery, the event rate was 9.6% for clopidogrel plus ASA, and 6.3% for placebo plus ASA.
U bolesnika koji su terapiju nastavili primati i unutar 5 dana do ugrađivanja premosnice, stopa krvarenja bila je 9,6% za klopidogrel uz ASK, odnosno 6,3% za placebo uz ASK.
The active metabolite of clopidogrel selectively inhibits the binding of adenosine diphosphate (ADP) to its platelet P2Y12 receptor and the subsequent ADP-mediated activation of the glycoprotein GPIIb/IIIa complex, thereby inhibiting platelet aggregation.
Aktivni metabolit klopidogrela selektivno inhibira vezanje adenozin difosfata (ADP) za njegov receptor P2Y12 na trombocitima te posljedično ADP-om posredovano aktiviranje kompleksa GPIIb/IIIa, inhibirajući tako agregaciju trombocita.
The decrease was associated with a 39% (loading dose) and 21% (maintenance dose) reduction of inhibition of platelet aggregation.
Smanjenje je bilo povezano s oslabljenom inhibicijom agregacije trombocita od 39% (udarna doza) i 21% (doza održavanja).
The primary endpoint (the combined incidence of CV death, MI, stroke and BARC bleeding grade ≥2 at 12 months) was met showing non-inferiority.
Primarna mjera ishoda (kombinirana incidencija kardiovaskularne smrti, infarkta miokarda, moždanog udara i BARC stupnja krvarenja ≥ 2 u 12 mjeseci) je ostvarena te je pokazala neinferiornost.
• You should tell your doctor if a surgery (including dental) is planned.
Dok uzimate Clopidogrel Krka d.d.: - Obavijestite svog liječnika ako planirate kirurški zahvat (uključujući stomatološke zahvate).