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CLOPIDOGREL- clopidogrel bisulfate tablet, film coated


  1. Clopidogrel Bisulfate Tablets Are A Prescription Medicine Used To Treat People Who Have Any Of The Following:
  2. Before You Take Clopidogrel Tablets, Tell Your Doctor If You:
  3. How Should I Take Clopidogrel Tablets?
  4. Active Ingredient:
  5. Inactive Ingredients:
  6. Distributed By:
  7. What Is The Most Important Information I Should Know About Clopidogrel Tablets?
  8. May Not Work As Well In People Who:
  9. Taking Clopidogrel Tablets With Certain Other Medicines May Increase Your Risk Of Bleeding.especially Tell Your Doctor If You Take:
  10. What Are The Possible Side Effects Of Clopidogrel Tablets?
  11. Can Cause Serious Side Effects Including:
  12. How Should I Store Clopidogrel Tablets?
  13. Active Ingredient:
  14. Inactive Ingredients:
  15. Marketed/packaged By:
  16. Patient Information
  17. Advise Patients That They:
  18. 1. Clopidogrel Tablets May Not Work As Well In People Who:
  19. Call Your Doctor Right Away If You Have Any Of These Signs Or Symptoms Of Bleeding:
  20. Clopidogrel Tablets Are A Prescription Medicine Used To Treat People Who Have Any Of The Following:
  21. Do Not Take Clopidogrel Tablets If You:
  22. Clopidogrel Tablets Can Cause Serious Side Effects Including:
  23. What Are The Ingredients In Clopidogrel Tablets, Usp?
  24. Manufactured For:

Clopidogrel Bisulfate Tablets Are A Prescription Medicine Used To Treat People Who Have Any Of The Following: 

chest pain due to heart problems
poor circulation in their legs (peripheral arterial disease)
a heart attack
a stroke

Clopidogrel 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. Clopidogrel helps to prevent platelets from sticking together and forming a clot that can block an artery.

It is not known if clopidogrel tablets are safe and effective in children.

Before You Take Clopidogrel Tablets, Tell Your Doctor If You: 

have a history of bowel (gastrointestinal) or stomach ulcers
have a history of bleeding problems
plan to have surgery or a dental procedure. "
are pregnant or plan to become pregnant. It is not known if clopidogrel will harm your unborn baby
are breastfeeding or plan to breastfeed. It is not known if clopidogrel passes into your breast milk. A decision should be made with your healthcare provider to avoid or discontinue breastfeeding when continuing clopidogrel is needed.
have had an allergy or reaction to any medicine used to treat your disease.

Tell all of your doctors and your dentist that you are taking clopidogrel tablets. They should talk to the doctor who prescribed clopidogrel tablets for you before you have any surgery or invasive procedure.

Tell your doctor about all the medicines you take, including prescription, non-prescription medicines, vitamins and herbal supplements.

Clopidogrel tablets may affect the way other medicines work, and other medicines may affect how clopidogrel tablets work. "

Clopidogrel may increase blood levels of other medicines such as repaglinide (Prandin).

Taking clopidogrel tablets with certain other medicines may increase your risk of bleeding.Especially tell your doctor if you take:

aspirin, especially if you have had a stroke. Always talk to your doctor about whether you should take aspirin along with clopidogrel to treat your condition.
Non-steroidal anti-inflammatory drugs (NSAIDs). Ask your doctor or pharmacist for a list of NSAID medicines if you are not sure.
warfarin (Coumadin, Jantoven).
selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs). Ask your doctor or pharmacist for a list of SSRI or SNRI medicines if you are not sure.

Know the medicines you take. Keep a list of them to show your doctor or pharmacist when you get a new medicine.

How Should I Take Clopidogrel Tablets? 

Take clopidogrel tablets exactly as your doctor tells you.
Do not change your dose or stop taking clopidogrel tablets without talking to your doctor first. Stopping clopidogrel tablets may increase your risk of heart attack or stroke.
Take clopidogrel tablets with aspirin as instructed by your doctor.
If you miss a dose, take clopidogrel tablets as soon as you remember. If it is almost time for your next dose, skip the missed dose. Take the next dose at your regular time. Do not take 2 doses of clopidogrel tablets at the same time unless your doctor tells you to.
If you take too much clopidogrel, call your doctor or go to the nearest emergency room right away.
Talk with your doctor about stopping your clopidogrel tablets before you have surgery. Your doctor may tell you to stop taking clopidogrel tablets at least 5 days before you have surgery to avoid excessive bleeding during surgery.

Active Ingredient: 

clopidogrel bisulfate

Inactive Ingredients: 

Tablet: anhydrous lactose, colloidal silicon dioxide, crospovidone, methylcellulose and zinc stearate

Film coating: ferric oxide red, hydroxypropyl cellulose, hypromellose, polyethylene glycol and titanium dioxide.

All registered trademarks in this document are the property of their respective owners.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

APOTEX INC.

CLOPIDOGREL TABLETS, USP 75 mg and 300 mg

Manufactured by

Manufactured for

Apotex Inc.

Apotex Corp.

Toronto, Ontario

Weston, Florida

Canada M9L 1T9

33326

Distributed By: 

MAJOR PHARMACEUTICALS

17177 N Laurel Park Dr., Suite 233

Livonia, MI 48152

Revised: June 2019

Rev. 26

What Is The Most Important Information I Should Know About Clopidogrel Tablets? 


1. Clopidogrel tablets

May Not Work As Well In People Who: 


  • have certain genetic factors that affect how the body breaks down clopidogrel tablets.Your doctor may do genetic tests to make sure clopidogrel tablets are right for you.
  • take certain medicines, especially omeprazole (Prilosec) or esomeprazole (Nexium).Your doctor may change the medicine you take for stomach acid problems while you take clopidogrel tablets.

2. Clopidogrel tabletscan cause bleeding which can be serious and can sometimes lead to death.Clopidogrel tablets are a blood thinner medicine that lowers the chance of blood clots forming in your body. While you take clopidogrel tablets:


  • you may bruise and bleed more easily
  • you are more likely to have nose bleeds
  • it will take longer for any bleeding to stop

Taking Clopidogrel Tablets With Certain Other Medicines May Increase Your Risk Of Bleeding.especially Tell Your Doctor If You Take: 


  • aspirin, especially if you have had a stroke. Always talk to your doctor about whether you should take aspirin along with clopidogrel tablets to treat your condition.
  • Non-steroidal anti-inflammatory drugs (NSAIDs). Ask your doctor or pharmacist for a list of NSAID medicines if you are not sure.
  • warfarin (Coumadin, Jantoven)
  • selective serotonin reuptake inhibitors (SSRIs) and serotonin norepinephrine reuptake inhibitors (SNRIs). Ask your doctor or pharmacist for a list of SSRI or SNRI medicines if you are not sure.

Know the medicines you take. Keep a list of them to show your doctor or pharmacist when you get a new medicine.

What Are The Possible Side Effects Of Clopidogrel Tablets? 

Clopidogrel tablets

Can Cause Serious Side Effects Including: 

  • A blood clotting problem called Thrombotic Thrombocytopenic Purpura (TTP).TTP can happen with clopidogrel tablets, sometimes after a short time (less than 2 weeks). TTP is a blood clotting problem where blood clots form in blood vessels; and can happen anywhere in the body. TTP needs to be treated in a hospital right away, because it may cause death. Get medical help right away if you have any of these symptoms and they can not be explained by another medical condition:
    • purplish spots (called purpura) on the skin or in the mouth (mucous membranes) due to bleeding under the skin
    • your skin or the whites of your eyes are yellow (jaundice)
    • you feel tired or weak
    • your skin looks very pale
    • fever
    • fast heart rate or feeling short of breath
    • headache
    • speech changes
    • confusion
    • coma
    • stroke
    • seizure
    • low amount of urine, or urine that is pink or has blood in it
    • stomach area (abdominal) pain
    • nausea, vomiting, or diarrhea
    • vision changes

Tell your doctor if you have any side effect that bothers you or that does not go away. Tell your doctor if you develop an allergic reaction including skin reactions while taking clopidogrel tablets.


These are not all the possible side effects of clopidogrel tablets. For more information, ask your doctor or pharmacist.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

How Should I Store Clopidogrel Tablets? 


  • Store clopidogrel tablets at 20 to 25 C (68 to 77 F); excursions permitted to 15 to 30 C (59 to 86 F).

Keep clopidogrel tabletsand all medicines out of the reach of children.


General information about clopidogrel tablets


Medicines are sometimes used for purposes other than those listed in a Medication Guide. Do not take clopidogrel tablets for a condition for which it was not prescribed. Do not give clopidogrel tablets to other people, even if they have the same symptoms that you have. It may harm them.


This Medication Guide summarizes the most important information about clopidogrel tablets. If you would like more information, talk to your doctor. Ask your doctor or pharmacist for information about clopidogrel tablets that was written for healthcare professionals.


For more information, call 1-866-850-2876.

Active Ingredient: 

clopidogrel bisulfate

Inactive Ingredients: 

Tablet: anhydrous lactose, colloidal silicon dioxide, crospovidone, methylcellulose and zinc stearate

Film coating: hydroxypropyl cellulose, hypromellose, polyethylene glycol, red ferric oxide and titanium dioxide.

All registered trademarks in this document are the property of their respective owners.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

APOTEX INC.

CLOPIDOGREL TABLETS, USP 75 mg and 300 mg

Manufactured by

Manufactured for

Apotex Inc.

Apotex Corp.

Toronto, Ontario

Weston, Florida

Canada M9L 1T9

33326

Revised: November 2017

Rev. 23

Coumadinis a registered trademark of Bristol-Myers Squibb Pharma Company.
Prilosecis a registered trademark of AstraZeneca.
Prandinis a registered trademark of Novo Nordisk Inc.
Jantovenis a registered trademark of USL Pharma.

Marketed/packaged By: 

GSMS, Inc.

Camarillo, CA 93012

Patient Information 

Advise patients to read FDA approved patient labeling (Medication Guide).

Discontinuation

Advise patients not to discontinue clopidogrel bisulfate without first discussing it with the healthcare provider who prescribed it[seeWarnings and Precautions (5.3)].

Bleeding

Advise Patients That They: 

  • will bruise and bleed more easily
  • will take longer than usual to stop bleeding
  • must report any unanticipated, prolonged, or excessive bleeding, or blood in their stool or urine[seeWarnings and Precautions (5.2)]

Thrombotic Thrombocytopenic Purpura

Instruct patients to get prompt medical attention if they experience symptoms of TTP that cannot otherwise be explained[seeWarnings and Precautions (5.4)].

Invasive Procedures

Advise patients to inform physicians and dentists that they are taking clopidogrel bisulfate before any surgery or dental procedure[seeWarnings and Precautions (5.2,5.3)].

Proton Pump Inhibitors

Advise patients not to take omeprazole or esomeprazole while taking clopidogrel bisulfate. Dexlansoprazole, lansoprazole and pantoprazole had less pronounced effects on the antiplatelet activity of clopidogrel bisulfate than did omeprazole or esomeprazole[seeDrug Interactions (7.1)].


Dispense with Medication Guide available at:www.aurobindousa.com/product-medication-guides

1. Clopidogrel Tablets May Not Work As Well In People Who: 

  • have certain genetic factors that affect how the body breaks down clopidogrel.Your doctor may do genetic tests to make sure clopidogrel tablets are right for you.
  • take certain medicines, especially omeprazole (Prilosec) or esomeprazole (Nexium).Your doctor may change the medicine you take for stomach acid problems while you take clopidogrel tablets.

2. Clopidogrel tablets can cause bleeding which can be serious and can sometimes lead to death.Clopidogrel is a blood thinner medicine that lowers the chance of blood clots forming in your body. While you take clopidogrel tablets:

  • you may bruise and bleed more easily
  • you are more likely to have nose bleeds
  • it will take longer for any bleeding to stop

Call Your Doctor Right Away If You Have Any Of These Signs Or Symptoms Of Bleeding: 

  • unexpected bleeding or bleeding that lasts a long time
  • blood in your urine (pink, red or brown urine)
  • red or black stools (looks like tar)
  • bruises that happen without a known cause or get larger
  • cough up blood or blood clots
  • vomit blood or your vomit looks like coffee grounds

Do not stop taking clopidogrel tablets without talking to the doctor who prescribes it for you. People who stop taking clopidogrel tablets too soon have a higher risk of having a heart attack or dying. If you must stop clopidogrel tablets, because of bleeding, your risk of a heart attack may be higher.

Clopidogrel Tablets Are A Prescription Medicine Used To Treat People Who Have Any Of The Following: 

  • chest pain due to heart problems
  • poor circulation in their legs (peripheral arterial disease)
  • a heart attack
  • a stroke

Clopidogrel tablets are 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. Clopidogrel tablets help to prevent platelets from sticking together and forming a clot that can block an artery.

It is not known if clopidogrel tablets are safe and effective in children.

Do Not Take Clopidogrel Tablets If You: 

  • currently have a condition that causes bleeding, such as a stomach ulcer
  • are allergic to clopidogrel or other ingredients in clopidogrel tablets.

Clopidogrel Tablets Can Cause Serious Side Effects Including: 

    • Store clopidogrel tablets at 59 F to 86 F (15 C to 30 C).

    Keep clopidogrel tablets and all medicines out of the reach of children.

    General information about clopidogrel tablets

    Medicines are sometimes used for purposes other than those listed in a Medication Guide. Do not take clopidogrel tablets for a condition for which it was not prescribed. Do not give clopidogrel tablets to other people, even if they have the same symptoms that you have. It may harm them.

    This Medication Guide summarizes the most important information about clopidogrel tablets. If you would like more information, talk to your doctor. Ask your doctor or pharmacist for information about clopidogrel tablets that was written for healthcare professionals.

    For more information, contact AvKARE, Inc. at 1-855-361-3993.

What Are The Ingredients In Clopidogrel Tablets, Usp? 

Active ingredient: clopidogrel bisulfate, USP

Inactive ingredients:

Tablet: microcrystalline cellulose, mannitol, croscarmellose sodium, hydroxy propyl cellulose, hydroxy propyl methyl cellulose and hydrogenated castor oil.

Film coating: Hypromellose, titanium dioxide, polyethylene glycol and red iron oxide.

This Medication Guide has been approved by the U.S. Food and Drug Administration.

The brands listed are trademarks of their respective owners and are not trademarks of AvKARE, Inc. The makers of these brands are not affiliated with and do not endorse AvKARE Inc., or its products.

Manufactured For: 

AvKARE, Inc.

Pulaski, TN 38478

Mfg. Rev. 11/18

AV 10/19 (P)

AvPAK



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