Brilinta 60

Brilinta 60

Manufacturer:

AstraZeneca

Distributor:

Zuellig Pharma
Concise Prescribing Info
Contents
Ticagrelor
Indications/Uses
Prevention of thrombotic events (CV death, MI & stroke) in patients w/ history of MI (occurred at least 1 yr ago) & high risk of developing thrombotic event.
Dosage/Direction for Use
Recommended dose: 60 mg bd; take in combination w/ ASA (low maintenance dose: 75-150 mg) daily unless specifically contraindicated. Patient initiated w/ Brilinta 90 mg bd at the time of acute event after 1 yr May continue w/ 60 mg bd w/o interruption.
Administration
May be taken with or without food: For patients w/ swallowing difficulties, crush tab to a fine powd & mix in ½ glass of water. Drink immediately. Rinse glass w/ another ½ glass of water & drink. Mixt may also be administered via nasogastric tube (CH8 or greater). Flush tube w/ water after administration.
Contraindications
Hypersensitivity. Active pathological bleeding. History of intracranial haemorrhage. Co-administration w/ strong CYP3A4 inhibitors (eg, ketoconazole, clarithromycin, nefazodone, ritonavir & atazanavir). Severe hepatic impairment.
Special Precautions
Patients w/ propensity to bleed (eg, due to recent trauma or surgery, active or recent GI bleeding, moderate hepatic impairment) or who are at increased risk of trauma. Concomitant administration of medicinal products that may increase the risk of bleeding (eg, NSAIDs, oral anticoagulants &/or fibrinolytics w/in 24 hr); antifibrinolytic therapy (aminocaproic acid or tranexamic acid) &/or recombinant factor VIIa therapy. Discontinue 5 days prior to surgery if to undergo elective surgery & antiplatelet effect is not desired. Patients w/ prior ischaemic stroke. Potential risk for bradyarrhythmia; patients at increased risk of bradycardic events (eg, patients w/o pacemaker w/ sick sinus syndrome, 2nd- or 3rd-degree AV block or bradycardic-related syncope). Discontinue use if new, prolonged or worsened dyspnoea occurs. Central sleep apnoea including Cheyne-Stokes respiration. Promptly treat patient if TTP occurs. False -ve platelet function test results for heparin-induced thrombocytopenia. History of hyperuricaemia or gouty arthritis. Not recommended to be co-administered w/ high maintenance dose of ASA (>300 mg). Avoid premature discontinuation of treatment. Possible dizziness & confusion; observe caution while driving or using machines. Moderate hepatic impairment. Pregnancy. Not recommended during breastfeeding. Childn <18 yr.
Adverse Reactions
Blood disorder bleedings; hyperuricaemia; dyspnoea. Gout; dizziness, syncope; vertigo; hypotension; resp system bleedings; diarrhoea, GI haemorrhage, nausea; SC or dermal bleeding, pruritus; urinary tract bleeding; increased blood creatinine; post-procedural haemorrhage, traumatic bleedings.
Drug Interactions
Increased Cmax & AUC w/ strong CYP3A4 inhibitors (eg, ketoconazole, clarithromycin, nefazodone, ritonavir, atazanavir); moderate CYP3A4 inhibitors (eg, diltiazem); cyclosporine. Decreased Cmax & AUC w/ rifampin & other CYP3A4 inducers (eg, phenytoin, carbamazepine, phenobarb). Increased Cmax & AUC of digoxin.
MIMS Class
Anticoagulants, Antiplatelets & Fibrinolytics (Thrombolytics)
ATC Classification
B01AC24 - ticagrelor ; Belongs to the class of platelet aggregation inhibitors excluding heparin. Used in the treatment of thrombosis.
Presentation/Packing
Form
Brilinta 60 FC tab 60 mg
Packing/Price
56's
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