natgillin/translations-raw huggingface dataset:
• For more than 12 hours: patients should take the next dose at the regular scheduled time and should not double the dose.
- če je zamuda več kot 12 ur: bolnik naj naslednji odmerek vzame ob pravem času; odmerka ne sme podvojiti.
• Active pathological bleeding such as peptic ulcer or intracranial haemorrhage.
- Aktivna patološka krvavitev, npr. peptična razjeda ali intrakranialna krvavitev.
TROPICAL-ACS (Testing Responsiveness to Platelet Inhibition on Chronic Antiplatelet Treatment for Acute Coronary Syndromes)
TROPICAL-ACS (Preverjanje odzivnosti na zavrtje trombocitov ob kroničnem antiagregacijskem zdravljenju akutnih koronarnih sindromov)
If you think any of these apply to you, or if you are in any doubt at all, consult your doctor before taking Clopidogrel Krka d.d..
Če menite, da se karkoli od navedenega nanaša na vas, ali če ste kakorkoli v dvomih, se posvetujte s svojim zdravnikom, preden vzamete zdravilo Clopidogrel Krka d.d..
The cumulative incidence of all bleeding events (BARC class 1 to 5) was 9% (114 events) in the guided de-escalation group versus 11% (137 events) in the control group (p=0.14).
Kumulativna pojavnost vseh krvavitev (razredi od 1 do 5 po BARC) je bila 9 % (114 dogodkov) v skupini z vodeno deeskalacijo in 11 % (137 dogodkov) v kontrolni skupini (p = 0,14).
The pharmacokinetics of digoxin or theophylline were not modified by the co-administration of clopidogrel.
Farmakokinetika digoksina ali teofilina nista bili spremenjeni ob sočasni uporabi klopidogrela.
A total of 99.7% of patients received fibrinolytics (fibrin specific: 68.7%, non- fibrin specific: 31.1%), 89.5% heparin, 78.7% beta blockers, 54.7% ACE inhibitors and 63% statins.
Skupno 99,7 % bolnikov je dobivalo fibrinolitike (fibrinsko specifične: 68,7 %, nefebrinsko specifične: 31,1 %), 89,5 % heparin, 78,7 % zaviralce adrenergičnih receptorjev beta, 54,7 % zaviralce ACE in 63 % statine.
75 mg film-coated tablets
75 mg filmsko obložene tablete
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.
Prehod z močnejšega zaviralca receptorjev P2Y12 na klopidogrel v kombinaciji z acetilsalicilno kislino po akutni fazi AKS so ocenili v dveh randomiziranih, s strani raziskovalcev sponzoriranih študij (ISS - investigator-sponsored studies) - TROPIC in TROPICAL-ACS - s podatki o kliničnih izidih.
In vitro studies have shown the increase in repaglinide exposure is due to inhibition of CYP2C8 by the glucuronide metabolite of clopidogrel.
Študije in vitro so pokazale, da se izpostavljenost repaglinidu poveča zaradi zavrtja CYP2C8, ki ga povzroči glukuronidni presnovek klopidogrela.
- 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.
- Druge sestavine zdravila so mikrokristalna celuloza, brezvodni koloidni silicijev dioksid, krospovidon (vrsta A), makrogol 6000 in hidrogenirano ricinusovo olje v jedru tablete ter polivinilalkohol, titanov dioksid (E171), rdeči železov oksid (E172), rumeni železov oksid (E172), smukec ter makrogol 3000 v filmski oblogi.
Prevention of atherothrombotic and thromboembolic events in atrial fibrillation In adult patients with atrial fibrillation who have at least one risk factor for vascular events, are not suitable for treatment with Vitamin K antagonists (VKA) and who have a low bleeding risk, clopidogrel is indicated in combination with ASA for the prevention of atherothrombotic and thromboembolic events, including stroke.
Preprečevanje aterotrombotičnih in trombemboličnih dogodkov pri atrijski fibrilaciji Pri odraslih bolnikih z atrijsko fibrilacijo, ki imajo vsaj en dejavnik tveganja za žilne dogodke in ki niso primerni za zdravljenje z antagonisti vitamina K (VKA) ter imajo majhno tveganje za krvavitev, je klopidogrel v kombinaciji z ASA indiciran za preprečevanje aterotrombotičnih in trombemboličnih dogodkov, vključno z možgansko kapjo.
Medicinal products that are strong or moderate CYP2C19 inhibitors include, for example, omeprazole and esomeprazole, fluvoxamine, fluoxetine, moclobemide, voriconazole, fluconazole, ticlopidine, carbamazepine, and efavirenz.
Med zdravila, ki so močni ali zmerni zaviralci CYP2C19, spadajo, na primer; omeprazol in esomeprazol, fluvoksamin, fluoksetin, moklobemid, vorikonazol, flukonazol, tiklopidin, karbamazepin, efavirenz.
The prevalence of CYP2C19 alleles that result in intermediate and poor CYP2C19 metabolism differs according to race/ethnicity (see Pharmacogenetics).
Prevalenca alelov CYP 2C19, ki povzročijo srednjo ali slabo presnovo s CYP 2C19, se razlikuje glede na rasno/etnično pripadnost (glejte Farmakogenetika).
The clinical benefit provided by the more potent P2Y12 inhibitors, ticagrelor and prasugrel, in their pivotal studies is related to a significant reduction in recurrent ischaemic events (including acute and subacute stent thrombosis (ST), myocardial infarction (MI), and urgent revascularization).
Klinična korist močnejših zaviralcev P2Y12, tikagrelorja in prasugrela, v njunih ključnih študijah je bila povezana z značilnim zmanjšanjem ponovnih ishemičnih dogodkov (vključno z akutno in subakutno trombozo žilne opornice (ST - stent thrombosis), miokardnim infarktom (MI) in nujno revaskularizacijo).
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 presnovek klopidogrela selektivno zavira vezavo adenozin-difosfata (ADP) na njegov trombocitni receptor P2Y12 in nadaljnjo aktivacijo glikoproteinskega kompleksa GP IIb/IIIa z ADP ter s tem zavre agregacijo trombocitov.
Serum sickness, anaphylactoid reactions cross-reactive drug hypersensitivity among thienopyridines (such as ticlopidine, prasugrel) (see section 4.4)*, insulin autoimmune syndrome, which can lead to severe hypoglycemia, particularly in patients with HLA DRA4 subtype (more frequent in the Japanese population)*
Bolezni imunskega sistema serumska bolezen, anafilaktoidne reakcije, navzkrižna preobčutljivost med tienopiridini (kot sta tiklopidin in prasugrel) (glejte poglavje 4.4)*, avtoimuni inzulinski sindrom, ki lahko vodi v resno hipoglikemijo, še posebej pri bolnikih s HLA DRA4 podtipom (pogostejši v japonski populaciji)*
If you have experienced severe chest pain (unstable angina or heart attack), you may be prescribed Clopidogrel Krka d.d.
Če ste doživeli hudo obliko bolečine v prsih (nestabilna angina ali srčni napad), so vam morda predpisali zdravilo Clopidogrel Krka d.d.
If you experience prolonged bleeding when taking Clopidogrel Krka d.d.
Če doživite podaljšanje krvavitve v času jemanja zdravila Clopidogrel Krka d.d.
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).
Krvavitve, opredeljene kot vsi BARC, so se pojavile pri 30 bolnikih (9,3 %) v skupini z deeskaliranim DAPT in pri 76 bolnikih (23,5 %) v skupini z nespremenjenim DAPT (p < 0,01).
In patients with acute ST-segment elevation MI, safety and efficacy of clopidogrel have been evaluated in 2 randomised, placebo-controlled, double-blind studies, CLARITY and COMMIT.
Pri bolnikih z akutnim miokardnim infarktom z elevacijo ST-spojnice sta bili varnost in učinkovitost klopidogrela vrednoteni v dveh randomiziranih s placebom kontroliranih dvojno slepih študijah CLARITY in COMMIT.
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%).
V ACTIVE-A je bil delež hujših krvavitev v skupini s klopidogrelom + ASA večji kot v skupini s placebom + ASA (6,7 % v primerjavi s 4,3 %).
Ask your doctor or pharmacist for advice before taking any medicine.
Posvetujete se z zdravnikom ali farmacevtom, preden vzamete katero koli zdravilo
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).
Ta statistično značilna razlika je bil predvsem posledica manjšega števila krvavitev, medtem ko razlik v ishemičnih opazovanih dogodkih ni bilo (p = 0,36); krvavitve BARC ≥ 2 so bile manj pogoste v skupini z deeskaliranim DAPT (4,0 %) kot v skupini z nespremenjenim DAPT (14,9 %) (p < 0,01).
For the treatment of this condition your doctor may have placed a stent in the blocked or narrowed artery to restore effective blood flow.
Pri zdravljenju tega stanja vam je zdravnik v zamašeno ali zoženo arterijo morda moral vstaviti žilno opornico (stent), da je žilo razširil in obnovil krvni pretok.
The dose of 0.2 mg/kg achieved the mean percent inhibition of 49.3% (5 µM ADP-induced platelet aggregation) which was comparable to that of adults taking clopidogrel 75 mg/day.
Odmerek 0,2 mg/kg je dosegel povprečno 49,3 % zavrtje (agregacija trombocitov povzročena s 5 µM ADP), primerljivo kot pri odraslih ob uporabi klopidogrela v odmerku 75 mg/dan.
Furthermore, the pharmacodynamic activity of clopidogrel was not significantly influenced by the co-administration of phenobarbital or oestrogen.
Poleg tega na farmakodinamično aktivnost klopidogrela ni pomembno vplivala sočasna uporaba fenobarbitala ali estrogena.
Clopidogrel significantly reduced the relative risk of death from any cause by 7% (p=0.029), and the relative risk of the combination of re-infarction, stroke or death by 9% (p=0.002), representing an absolute reduction of 0.5% and 0.9%, respectively.
Klopidogrel je pomembno zmanjšal RT za smrt zaradi kateregakoli vzroka za 7 % (p = 0,029) in RT za ponovni infarkt, kap ali smrt za 9 % (p = 0,002), kar je predstavljalo absolutno zmanjšanje za 0,5 % oziroma 0,9 %.
In patients with atrial fibrillation, clopidogrel should be given as a single daily dose of 75 mg. ASA (75-100 mg daily) should be initiated and continued in combination with clopidogrel (see section
Bolniki z atrijsko fibrilacijo morajo klopidogrel dobivati v enem dnevnem odmerku 75 mg. ASA (75-100 mg na dan) je treba uvesti in nadaljevati v kombinaciji s klopidogrelom (glejte poglavje 5.1).
A. MANUFACTURERS RESPONSIBLE FOR BATCH RELEASE
A. PROIZVAJALEC (PROIZVAJALCI), ODGOVOREN (ODGOVORNI) ZA SPROŠČANJE SERIJ
Patients randomized in the ACTIVE program were those presenting with documented AF, i.e., either permanent AF or at least 2 episodes of intermittent AF in the past 6 months, and had at least one of the following risk factors: age 75 years or age 55 to 74 years and either diabetes mellitus requiring drug therapy, or documented previous MI or documented coronary artery disease; treated for systemic hypertension; prior stroke, transient ischaemic attack (TIA), or non-CNS systemic embolus; left ventricular dysfunction with left ventricular ejection fraction <45%; or documented peripheral vascular disease.
V program ACTIVE so bili randomizirani bolniki, ki so imeli dokumentirano AF, tj. bodisi permanentno AF ali vsaj 2 epizodi intermitentne AF v zadnjih 6 mesecih ter vsaj enega od naslednjih dejavnikov tveganja: starost  75 let ali starost od 55 do 74 let in bodisi sladkorno bolezen, ki je zahtevala zdravljenje z zdravili, ali dokumentiran predhodni MI ali dokumentirano koronarno bolezen; zdravljenje zaradi sistemske hipertenzije; predhodno možgansko kap, tranzitorno ishemično atako
Titanium dioxide (E171)Red iron oxide (E172) Yellow iron oxide (E172) Talc
Filmska obloga: polivinilalkohol titanov dioksid (E171) rdeči železov oksid (E172) rumeni železov oksid (E172) smukec makrogol 3000
Because the active metabolite is formed by CYP450 enzymes, some of which are polymorphic or subject to inhibition by other medicinal products, not all patients will have adequate platelet inhibition.
Ker aktivni presnovek nastane z delovanjem encimov CYP450, ki se razlikujejo med seboj po polimorfizmu ali pa jih lahko zavirajo druga zdravila, se ustrezno zavrtje agregacije trombocitov ne pojavi pri vseh bolnikih.
In vitro and in vivo, clopidogrel is metabolised according to two main metabolic pathways: one mediated by esterases and leading to hydrolysis into its inactive carboxylic acid derivative (85% of circulating metabolites), and one mediated by multiple cytochromes P450.
Tako in vitro kot in vivo se presnovi po dveh glavnih presnovnih poteh: ena poteka z esterazami kjer s hidrolizo nastane neaktiven karboksilnokislinski derivat (85 % presnovkov v obtoku), druga pa prek encimov citokroma P450.
Then, the recommended dose is one 75 mg tablet of Clopidogrel Krka d.d.
Priporočeni odmerek je ena 75 mg tableta zdravila Clopidogrel Krka d.d.
Headache, stomach ulcer, vomiting, nausea, constipation, excessive gas in stomach or intestines, rashes, itching, dizziness, sensation of tingling and numbness.
Glavobol, razjeda na želodcu, bruhanje, slabost, zaprtost, preveč plinov v želodcu ali črevesju, izpuščaji, srbenje, omotica, občutek mravljinčenja in omrtvelosti.
Bullous dermatitis (toxic epidermal necrolysis, Stevens Johnson Syndrome, erythema multiforme, acute generalised exanthematous pustulosis (AGEP)), angioedema, drug-induced hypersensitivity syndrome, drug rash with eosinophilia and systemic symptoms (DRESS), rash erythematous or exfoliative, urticaria, eczema, lichen planus
bulozni dermatitis (toksična epidermalna nekroliza, StevensJohnsonov sindrom, multiformni eritem, akutna generalizirana eksantemska pustuloza (AGEP)), angioedem, z zdravili povzročen sindrom preobčutljivosti (sindrom DIHS, Drug-Induced Hypersensitivity Syndrome), kožni izpuščaj z eozinofilijo in sistemskimi simptomi, kot posledica zdravljenja z zdravilom (sindrom DRESS, Drug Rash with Eosinophilia and Systemic Symptoms), eritematozni ali eksfoliativen izpuščaj, urtikarija, ekcem, lihen planus
Patients on aspirin and a more potent P2Y12 blocker and without adverse event at one month were assigned to switch to fixed-dose aspirin plus clopidogrel (de-escalated dual antiplatelet therapy (DAPT)) or continuation of their drug regimen (unchanged DAPT).
Bolnike, ki so prejemali acetilsalicilno kislino in močnejši blokator P2Y12 ter so bili po enem mesecu brez neželenih dogodkov, so razvrstili ali na prehod na kombinacijo fiksnih odmerkov acetilsalicilne kisline in klopidogrela (deeskalirano dvotirno antiagregacijsko zdravljenje (DAPT - de-escalated dual antiplatelet therapy) ali na nadaljevanje dotedanje sheme zdravljenja (nespremenjeno DAPT).
Caution is required in patients treated concomitantly with clopidogrel and CYP2C8 substrate medicinal products (see section 4.5).
Previdnost je potrebna pri bolnikih, ki sočasno jemljejo klopidogrel in zdravila, ki so substrati CYP2C8 (glejte poglavje 4.5).
At steady state, the average inhibition level observed with a dose of 75 mg per day was between 40% and 60%.
V stanju dinamičnega ravnovesja je bila povprečna raven zaviranja z odmerkom 75 mg na dan 40- do 60-odstotna.
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)).
Vodena deeskalacija ni povečala ne kombiniranega tveganja za ishemične dogodke (2,5 % v skupini z deeskalacijo in 3,2 % v kontrolni skupini, p za neinferiornost = 0,0115) ne ključnega sekundarnega opazovanega dogodka, krvavitve ≥ 2 po BARC (5 % v skupini z deeskalacijo in 6 % v kontrolni skupini, p = 0,23).
Other medicinal products:
Druga zdravila
What you need to know before you take Clopidogrel Krka d.d.
Kaj morate vedeti, preden boste vzeli zdravilo Clopidogrel Krka d.d.
Therefore clopidogrel should be used with caution in these patients (see section 4.2).
Zato moramo pri teh bolnikih klopidogrel uporabljati previdno (glejte poglavje 4.2).
The primary outcome, a composite of cardiovascular death, stroke, urgent revascularization, and BARC (Bleeding Academic Research Consortium) bleeding ≥2 at 1 year post ACS, occurred in 43 patients (13.4%) in the de-escalated DAPT group and in 85 patients (26.3%) in the unchanged DAPT group (p<0.01).
Primarni izid, sestavljeni dogodek srčno-žilne smrti, možganske kapi, nujne revaskularizacije in krvavitve ≥ 2 po BARC (Bleeding Academic Research Consortium), se je 1 leto po AKS pojavil pri 43 bolnikih (13,4 %) v skupini z deeskaliranim DAPT in pri 85 bolnikih (26,3 %) v skupini z nespremenjenim DAPT (p < 0,01).
The CLARITY trial included 3,491 patients presenting within 12 hours of the onset of a ST elevation MI and planned for thrombolytic therapy.
V študijo CLARITY je bilo v 12 urah po nastopu akutnega miokardnega infarkta z elevacijo ST-spojnice vključenih 3.491 bolnikov, ki so bili predvideni za trombolitično terapijo.
The use of clopidogrel in CURE was associated with a decrease in the need of thrombolytic therapy (RRR = 43.3%; CI: 24.3%, 57.5%) and GPIIb/IIIa inhibitors (RRR = 18.2%; CI: 6.5%, 28.3%).
Zdravljenje s klopidogrelom v študiji CURE je bilo povezano z zmanjšano potrebo po zdravljenju s trombolitiki (zmanjšanje RT: 43,3 %; IZ: 24,3 %, 57,5 %) in zaviralci glikoproteinov IIb/IIIa (zmanjšanje RT: 18,2 %; IZ: 6,5 %, 28,3 %).
- carbamazepine a medicine to treat some forms of epilepsy, - moclobemide, medicine to treat depression, - repaglinide, medicine to treat diabetes, - paclitaxel, medicine to treat cancer, - anti-retroviral medicines (medicines to treat HIV infections).
- moklobemid, zdravila za zdravljenje depresije, - repaglinid, zdravilo za zdravljenje sladkorne bolezni, - paklitaksel, zdravilo za zdravljenje raka, - protiretrovirusna zdravila (zdravila za zdravljenje okužbe z virusom HIV).
- If you have any further questions, ask your doctor or your pharmacist.
- Če imate dodatna vprašanja, se posvetujte z zdravnikom ali farmacevtom.
Cellulose, microcrystalline Colloidal anhydrous silica Crospovidone (type A) Macrogol 6000
Jedro tablete: celuloza, mikrokristalna brezvodni koloidni silicijev dioksid krospovidon (vrsta A) makrogol 6000 hidrogenirano ricinusovo olje
You should specifically tell your doctor if you take - medicines that may increase your risk of bleeding such as: o oral anticoagulants, medicines used to reduce blood clotting, o a non-steroidal anti-inflammatory medicine, usually used to treat painful and/or inflammatory conditions of muscle or joints, o heparin or any other injectable medicine used to reduce blood clotting, o ticlopidine, other antiplatelet agent, o a selective serotonin reuptake inhibitor (including but not restricted to fluoxetine or fluvoxamine), medicines usually used to treat depression, - omeprazole or esomeprazole, medicines to treat upset stomach, - fluconazole or voriconazole, medicines to treat fungal infections, - efavirenz, a medicine to treat HIV (human immunodeficiency virus) infections,
Še posebej pomembno je, da obvestite svojega zdravnika, če jemljete - zdravila, ki lahko povečajo tveganje za krvavitve, kot so: - peroralni antikoagulanti, zdravila, ki preprečujejo nastanek krvnih strdkov, - nesteroidna protivnetna zdravila, ki se običajno uporabljajo za lajšanje bolečine in/ali vnetja mišic ali sklepov, - heparin, ali katerokoli drugo zdravilo v obliki injekcij, ki se uporablja za zmanjševanje strjevanja krvi, - tiklopidin, druga antiagregacijska zdravila, - selektivni zaviralci privzema serotonina (vključno a ne omejeno na fluoksetin ali fluvoksamin), zdravila, ki se običajno uporabljajo za zdravljenje depresije, - omeprazol ali esomeprazol, zdravila za zdravljenje težav z želodcem, - flukonazol ali vorikonazol, zdravila za zdravljenje glivičnih okužb,
As a precaution, concomitant use of omeprazole or esomeprazole should be discouraged (see section 4.4).
Zaradi previdnosti se je treba izogniti sočasni uporabi omeprazola ali esomeprazola (glejte poglavje 4.4).
Strokes occurred in 296 (7.8%) patients receiving clopidogrel + ASA and 408 (10.8%) patients receiving placebo + ASA (relative risk reduction, 28.4%; 95% CI, 16.8% to 38.3%; p=0.00001).
Možganska kap se je pojavila pri 296 (7,8 %) bolnikih, ki so prejemali klopidogrel + ASA, in pri 408 (10,8 %) bolnikih, ki so prejemali placebo + ASA (relativno zmanjšanje tveganja 28,4 %, 95 % IZ: od 16,8 % do 38,3 %, p = 0,00001).
In particular, in a post-hoc analysis in 2,172 patients (17% of the total CURE population) who underwent stent placement (Stent-CURE), the data showed that clopidogrel compared to placebo, demonstrated a significant RRR of 26.2% favouring clopidogrel for the co-primary endpoint (CV death, MI, stroke) and also a significant RRR of 23.9% for the second co-primary endpoint (CV death, MI, stroke or refractory ischaemia).
Zlasti post hoc analiza podatkov 2.172 bolnikov (17 % celotne populacije študije CURE), ki so jim namestili žilno opornico (Stent-CURE), je ob zdravljenju s klopidogrelom v primerjavi s placebom pokazala značilno, 26,2-odstotno zmanjšanje RT za sestavljeni primarni opazovani dogodek (srčno-žilna smrt, MI, možganska kap) in tudi značilno, 23,9-odstotno zmanjšanje RT za drug sestavljeni primarni opazovani dogodek (srčno-žilna smrt, MI, možganska kap ali neodzivna ishemija).
Patients should be evaluated for history of hypersensitivity to thienopyridines (such as clopidogrel, ticlopidine, prasugrel) since cross-reactivity among thienopyridines has been reported (see section 4.8).
Bolnike je treba oceniti glede na anamnezo preobčutljivosti na tienopiridine (na primer na klopidogrel, tiklopidin in prasugrel), ker so poročali o navzkrižnih alergijah med tienopiridini (glejte poglavje 4.8).
The concomitant administration of medicinal products associated with bleeding risk should be undertaken with caution (see section 4.4).
V primeru sočasne uporabe zdravil, ki so povezana s tveganjem za krvavitve, je potrebna previdnost (glejte poglavje 4.4).
Ninety five patients (7%) in the guided de-escalation group and 118 patients (9%) in the control group (p non-inferiority=0.0004) had an event.
- Enega od dogodkov je imelo 95 bolnikov (7 %) v skupini z vodeno deeskalacijo in 118 bolnikov (9 %) v kontrolni skupini (p za neinferiornost = 0,0004).
Rare side effects (may affect up to 1 in 1000 people): Vertigo, enlarged breasts in males.
Redki neželeni učinki (pojavijo se lahko pri največ 1 od 1.000 bolnikov): Vrtoglavica, povečanje prsi pri moških.
Clopidogrel must be metabolised by CYP450 enzymes to produce the active metabolite that inhibits platelet aggregation.
CYP450 morajo presnoviti klopidogrel, da nastane aktivni presnovek, ki zavira agregacijo trombocitov.
As with other antiplatelet agents, clopidogrel should be used with caution in patients who may be at risk of increased bleeding from trauma, surgery or other pathological conditions and in patients receiving treatment with ASA, heparin, glycoprotein IIb/IIIa inhibitors or non-steroidal anti-inflammatory drugs (NSAIDs) including Cox-2 inhibitors, or selective serotonin reuptake inhibitors (SSRIs), or other medicinal products associated with bleeding risk such as pentoxifylline (see section 4.5).
Tako kot druge antitrombotike tudi klopidogrel previdno uporabljamo pri bolnikih, pri katerih zaradi poškodbe, kirurškega posega ali drugih patoloških stanj obstaja tveganje za povečano krvavitev, in pri bolnikih, ki so na zdravljenju z ASA, s heparinom, z zaviralci glikoproteina IIb/IIIa ali z nesteroidnimi protivnetnimi zdravili (NSAIDs), vključno z zaviralci ciklooksigenaze-2 (COX-2), ali s selektivnimi zaviralci privzema serotonina (SSRI), ali z drugimi zdravili, ki so povezana s tveganjem za krvavitve, kot je pentoksifilin (glejte poglavje 4.5).