Plavix is a brand-name prescription drug that prevents heart attack and stroke due to blood clots. Clopidogrel, its active ingredient, blocks the ability of blood platelets to clump together to start the blood clotting process. Daily doses are identical no matter what condition is being treated, but some people may have an initial dose that’s very large. Oral blood thinners are potentially hazardous drugs because of the risk of bleeding and blood loss. However, they keep people from having worse problems, so Plavix’s benefits outweigh the risks.
Plavix
Clopidogrel bisulfate
Helps prevent stroke, heart attack, and other heart problems by preventing blood clots.
Platelet aggregation inhibitor, adenosine diphosphate receptor antagonist
Tablet
By mouth
Healthcare professionals use Plavix to prevent heart attack or stroke in people with heart problems (acute coronary syndrome), poor circulation in their legs (peripheral arterial disease), or who have had a recent heart attack or stroke.
Tablet
75 mg
300 mg
To prevent heart attack or stroke in people with acute coronary syndrome: 300 mg initial dose followed by 75 mg tablet once per day
To prevent heart attack or stroke in people who have recently had a heart attack or stroke: 75 mg tablet once per day
Plavix
15 tablets bottle
Plavix
30 tablets bottle
Plavix
90 tablets bottle
Plavix
300mg tablet
Plavix
75mg tablet
Your doctor will tell you how much medicine to use. Do not use more than directed.
Please read the Medication Guide that comes with this drug. It contains useful information about taking the drug, its risks, and what signs to watch for.
Do not change the dose.
Do not miss doses or stop taking Plavix except under the advice of a doctor.
Take only one tablet per day.
Store Plavix at room temperature in a closed container.
If a dose of Plavix is missed, take it when remembered. If it’s almost time for the next dose, skip the missed dose and take the next dose as scheduled.
Do not take two doses to make up for a missed dose.
This medicine is not right for everyone.
Do not use it if you have had an allergic reaction to clopidogrel or have any condition that causes bleeding, such as a stomach ulcer.
Because of the risk of bleeding, it is very important that any doctor, dentist, or other healthcare professional who treats you knows that you are taking Plavix.
Your doctor may need to perform regular check-ups and lab tests to monitor your progress and detect side effects or complications. Keep all appointments while taking Plavix.
Before starting clopidogrel, tell the prescriber if you are pregnant or breastfeeding. The prescriber should also know about all medical conditions you have or may have had, especially:
Any current bleeding problems like stomach ulcers
Any history of intestinal or stomach ulcers
Any history of bleeding problems or bleeding episodes
Any upcoming surgery or medical procedure, including dental procedures
Kidney disease
Heart failure
Plavix is hazardous because it makes you bleed and bruise more easily. Once bleeding starts, it will take longer than usual to stop. Immediately contact the prescribing doctor or get medical help if you experience:
Unexplained bleeding or bruising
Bleeding that lasts a long time
Blood in the urine
Blood in the stools
Black and tarry stools
Coughing or vomiting up blood or blood clots (“coffee grounds” vomit)
To prevent unnecessary bleeding or bruising:
Take special care to avoid injury.
Avoid rough or risky activities.
Be gentle when brushing or flossing your teeth.
Avoid sharp objects. If you can’t avoid using a sharp object, be very careful.
This medicine may cause a rare but serious blood clotting condition called thrombotic thrombocytopenic purpura (TTP).
Do not stop taking Plavix until talking with the prescriber. Stopping the medicine too soon puts you at risk of heart attack or stroke.
Keep Plavix out of the reach of children.
To avoid potentially hazardous drug interactions, tell the prescribing healthcare provider about all prescription drugs, over-the-counter medications, and supplements being used, particularly:
Other blood thinners, such as warfarin
Nonsteroidal anti-inflammatory drugs (NSAIDs) such as aspirin or ibuprofen
The stomach acid reducers omeprazole or esomeprazole
Antidepressants and anxiety medications called SSRIs or SNRIs
Repaglinide, rifampin, ritonavir
Tell other healthcare providers you are taking Plavix before they prescribe new medications.
Find more detailed information about clopidogrel interactions to avoid here.
Serious side effects
Talk to a doctor if you notice any signs or symptoms of a possible serious side effect, including:
Unexpected bleeding or bruising, bleeding that doesn’t stop
Bloody or black, tarry stools
Red, bloody, or dark brown urine
Coughing or vomiting up blood or blood clots
Severe abdominal pain
Pinpoint red or purple spots on your skin or in your mouth, pale skin, yellow skin or eyes, tiredness, fever, trouble breathing, fast heartbeat, headache
Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
Less serious side effects
Nosebleeds
Bruises
Headache
Dizziness
Rash
Abdominal pain
Purple spots on the skin
Upset stomach
Find more detailed information about Plavix's side effects here.
Clopidogrel, StatPearls
Plavix clopidogrel prescribing information, Sanofi-Aventis
Plavix drug summary, Prescriber’s Digital Reference (PDR)
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