plavix use in thrombocytopenia

Absorption is at least 50%, based on urinary excretion of clopidogrel metabolites.Plavix can be administered with or without food. Possible factors contributing to this outcome were the dose of clopidogrel, the concomitant administration of aspirin, and the late initiation of therapy following shunt palliation.

TTP is a serious condition that requires urgent treatment including plasmapheresis (plasma exchange). A similar reduction in antiplatelet activity was observed with esomeprazole when given concomitantly with Plavix. Concomitant use of drugs that inhibit the activity of this enzyme results in reduced plasma concentrations of the active metabolite of clopidogrel and a reduction in platelet inhibition Avoid concomitant use of Plavix with omeprazole or esomeprazole. Such subgroup analyses should be interpreted cautiously.The CAPRIE trial was a 19,185-patient, 304-center, international, randomized, double-blind, parallel-group study comparing Plavix (75 mg daily) to aspirin (325 mg daily). The developmental and health benefits of breastfeeding should be considered along with mother's clinical need for Plavix and any potential adverse effects on the breastfed infant from Plavix or from underlying maternal condition.Safety and effectiveness in pediatric populations have not been established.A randomized, placebo-controlled trial (CLARINET) did not demonstrate a clinical benefit of clopidogrel in neonates and infants with cyanotic congenital heart disease palliated with a systemic-to-pulmonary arterial shunt. To be eligible to enroll, patients had to have: 1) recent history of myocardial infarction (within 35 days); 2) recent histories of ischemic stroke (within 6 months) with at least a week of residual neurological signs; and/or 3) established peripheral arterial disease (PAD). It cannot be ruled out that a trial with a different design would demonstrate a clinical benefit in this patient population.Of the total number of subjects in the CAPRIE and CURE controlled clinical studies, approximately 50% of patients treated with Plavix were 65 years of age and older, and 15% were 75 years and older. They should talk to the doctor who prescribed Plavix for you before you have any surgery or invasive procedure.Plavix may affect the way other medicines work, and other medicines may affect how Plavix works. Plavix comes as 75-mg and 300-mg tablets. The mean duration of treatment was 23 months. Aspirin and clopidogrel are used widely as antiplatelet agents due to their efficacy, safety, and tolerability. If you must stop Plavix because of bleeding, your risk of a heart attack may be higher.Plavix is a prescription medicine used to treat people who have any of the following:Plavix is used alone or with aspirin to lower your chance of having another serious problem with your heart or blood vessels such as heart attack, stroke, or blood clot that can lead to death.Platelets are blood cells that help your blood clot normally.

Because these reactions are reported voluntarily from a population of an unknown size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.Hemorrhages, including those with fatal outcome, have been reported in patients treated with Plavix.Clopidogrel is metabolized to its active metabolite in part by CYP2C19. No adverse effects on breastfed infants have been observed with maternal clopidogrel use during lactation in a small number of postmarketing cases. Ask your doctor or pharmacist for information about Plavix that was written for healthcare professionals.For more information, go to www.sanofi-aventis.us or call 1-800-633-1610.Tablet: hydrogenated castor oil, hydroxypropyl cellulose, mannitol, microcrystalline cellulose, polyethylene glycol 6000Film coating: ferric oxide, hypromellose 2910, lactose monohydrate, titanium dioxide, triacetin, Carnauba waxThis Medication Guide has been approved by the U.S. Food and Drug Administration.The easiest way to lookup drug information, identify pills, check interactions and set up your own personal medication records. TTP is a potentially fatal condition requiring prompt treatment with plasmapheresis. Again, platelet count rebounded gradually and independently.

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