Effient is used for management of strokes, heart attacks, or other serious problems with your heart or blood vessels. It is given to patients before they have a heart procedure called percutaneous coronary intervention (PCI). A heart attack or stroke may occur when a blood vessel in the heart or brain is blocked by a blood clot.
Prasugrel reduces the chance that a harmful blood clot will form by preventing certain cells in the blood from clumping or sticking together. Prasugrel may also increase the chance for serious bleeding in some people. This medicine is available only with your doctor's prescription. This product is available in the following dosage forms.
2 What to Know Before Using
Before using Effient, you must know all about the risks and complications associated with it. When using this medicine, the following should be considered. Check whether you have ever suffered from allergies or any other unusual allergic reactions.
Also tell your healthcare professional if you have any other form of allergies such as to:
Preservatives or animals
When using non-prescription products, it is preferable that you read the label or package ingredients carefully. Use of these medicines in pediatrics is not yet fully understood. In pediatrics studies that have been performed, there have been no relationships of age to the effects of prasugrel in the pediatric populations. There are also no safety and efficacy studies that have been done on the use of this medicine.
As for the geriatric studies performed to date, there are no studies that have demonstrated the geriatric specific problems that would limit the usefulness of prasugrel in the elderly. Because of prasugrel toxicity, use in elderly patients 75 years of age and older is not recommended. Pregnancy information about this medicine is also in conclusive especially for use of prasugrel through the oral route.
Animal studies have also demonstrated no evidence of harm to the fetus; however, there are no adequate studies in the pregnant women or animal and have failed to demonstrate the risk to the fetus. In breast feeding, there are no adequate studies in women for the determination of the infant risk when using this medication during breastfeeding. There is a possibility of potential interactions when this medicine is used in combination with other medicines.
It is recommended that the doctor needs to weigh the potential benefits against the potential risks before recommending this medicine to the patient and using this medicine during or while breastfeeding. It is also known that certain medicines need not be used together with other medicines. In many other cases, this medicine may be used in combination with other medicines even with the possibility of potential interactions between the two medicines.
When the medicine has to be used in this case, in most of the cases, the doctor may want to change the dose, or other interactions while consideration all precautions as will be necessary. When using this medicine, it is important that your healthcare professional knows when and how you are using this medicine listed below.
The interactions listed in this list below are selected on the basis of potential significance and not necessarily may be all inclusive. Use of this medicine with any of the following may not be recommended but may be required in some of the cases. When both of the medicines have to be prescribed together, your doctor may change the dose or how often one uses the medicine or both of the medicines:
Use of this medicine with any of the medicines listed below may cause an increased risk of certain side effects. However, using both of the medicines may be the best treatment for you. When both of the medicines have to be prescribed together, your doctor who may change the dose or how often you feel you can use the medicines. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines such as ritonavir.
Other Interactions may also occur when certain medicines are used at or around the time of eating food or eating certain types of food. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
There are other medical problems which may affect the use of medicine. Inform your medical doctor if you have any of the medical problems listed such as bleeding (e.g., head, stomach, or bowel bleeding), active or Stroke, or its history, transient ischemic attack (TIA) or "mini-stroke" or its history. These medicines need not be used in patients with these conditions: Hypersensitivity reaction to clopidogrel (Plavix ) or ticlopidine (Ticlid ), patients with a history of or Kidney disease, moderate to severe Liver disease, severe or Low body weight (less than 60 kilograms or 132 pounds) or Stomach or bowel bleeding, recurrent or stomach ulcer or surgery or other procedures such as recent heart bypass surgery, coronary angiography, PCI), or trauma. This medicine needs to be used with caution. This medicine may increase the risk for more serious side effects.
Use Effient only as directed by the medical doctor. Never use more of the medicine or less of the medicines or take it for a longer duration as it has been directed. Doing so may increase the chance of increasing the side effects. The medicine may also come with a medication guide. It is also necessary that one reads and follow the instructions provided with the medicine. Consult your doctor or pharmacists when you have any form of question. Take this medicine with or in the absence of food.
The dose of this medicine may be different from the dose used by other patients. Stick to the instructions of the doctor. The information provided here are just average doses of this medicine. When the of the medicine is different, do not change the dose unless instructed by your medical doctor. If the dose is different, do not change unless the instructed by the doctor.
The amount of the medicine taken by the patients depends on the strength of the medicine, number of doses to be taken, time allowed between doses, and length of time for which the medicine has to be taken which relies on the medical condition for which the medicine has to be used. The oral dosage form of the medicine can be used for the prevention of heart attack or strokes.
The dose for adults weighing 60 kilograms (kg) or more will require 60 milligrams (mg) taken as a single loading dose, and then 10 mg once a say. You may also be expected to take this medicine with aspirin (75 to 325 mgs once a day. When it has to be used by an adult weighing less than 60 kg body weight, 60 mgs of his medicine will be taken as a single dose and then 5 mg once a day.
In children, use of the dose must be determined by your doctor. In case of missed doses, take the medicine as soon as possible. However, if it is almost time for the next dose, skip the missed dose and go back to the regular dosing schedule. Never double the doses. Store the medicines away from the reach of children.
Never store outdated medicine or medicine that can no longer be needed. Ask your healthcare professional how you should dispose of the medicine that is not needed for use. Keep and store the medicine in a closed container at room temperature and way from any source of heat, moisture, direct light and keep the medicine from freezing. Ensure that the medicines are kept in their original container to avoid misuse of the medicines.
4 Precautions to Take
In using Effient, you must be careful and take some precautions as advised by your doctor.
It is very important that your doctor check your progress at regular visits. This will allow your doctor to see if the medicine is working properly and to decide if you should continue to take it. Blood and urine tests may be needed to check for unwanted effects. Tell all of your medical doctors, dentists, and nurses that you are taking this medicine.
Prasugrel may increase the risk of serious bleeding during an operation or some dental procedures. Treatment may have to be stopped about 7 days before the operation or dental procedure. Check with your doctor right away if you have the following symptoms: change in mental status, dark or bloody urine, difficulty with speaking, fever, pale color of the skin, pinpoint red spots on the skin, seizures, weakness, yellow eyes or skin. These may be symptoms of a serious condition called thrombotic thrombocytopenic purpura (TTP). This medicine may cause serious allergic reactions, including angioedema. Angioedema can be life-threatening and requires immediate medical attention.
Tell your doctor right away if you have chest pain, a rash, itching, swelling of the face, lips, tongue, or throat, or trouble with swallowing or breathing while you are using the medicine. Do not stop taking this medicine without checking with your doctor first. To do so may increase your risk for clots. Do not take other medicines unless they have been discussed with your doctor. This includes prescription or nonprescription (over-the-counter [OTC]) medicines and herbal or vitamin supplements.
5 Potential Side Effects
As with many medications, there are several potential side effects associated with Effient.
Although not all of these side effects may occur, if they do occur they may need medical attention. Check with your doctor immediately if any of the following side effects occur. The most common side effects include: Blurred vision, dizziness, headache, and nervousness, pounding in the ears, slow or fast heartbeat.
The common side effects may be in the form of black, tarry stools bloating or swelling of the face, arms, hands, lower legs, or feet chest pain or discomfort chills cough difficult or labored breathing fainting, fever, irregular, heartbeat, lightheadedness, dizziness, or fainting painful or difficult urination, rapid weight gain, sore throat, sores, ulcers, or white spots on the lips or in the mouth, swollen glands, tightness in the chest, tingling of the hands or feet unusual bleeding or bruising, unusual tiredness or weakness, unusual weight gain or loss.
Some of the incidences are not known: such as change in mental status, dark or bloody urine, difficulty with speaking, fever, pale color of the skin, pinpoint red spots on the skin, seizures, weakness and yellow eyes or skin. Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects.
Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them. The less common side effects include: Back pain, diarrhea, and nausea, pain in the arms or legs rash. Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional. Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
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