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Ticagrelor 90 mg

Ticagrelor 90 mg: How It Works, Dosage, and Risks

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Preventing blood clots is crucial for people with heart conditions, especially those recovering from a heart attack or undergoing stent placement. Blood-thinning medications help reduce the risk of clot formation, which can lead to serious complications like strokes or another cardiac event.

Among the various antiplatelet drugs available, Ticagrelor 90 mg stands out for its rapid action and strong platelet inhibition. It plays a vital role in reducing the risk of heart-related complications, particularly in individuals with acute coronary syndrome (ACS) or a history of heart attacks.

To get the most out of this medication, it’s essential to understand how Ticagrelor works, proper dosing, potential side effects, and cost considerations. Whether you’re starting treatment or exploring alternatives, having the right information will help you make informed decisions about your cardiovascular health.

Understanding Ticagrelor 

Ticagrelor belongs to a class of medications known as P2Y12 receptor antagonists, which work by preventing blood platelets from sticking together. This action helps reduce the formation of dangerous blood clots that could block arteries and cause a heart attack or stroke.

Unlike some other blood thinners, Ticagrelor works reversibly, meaning its effects wear off faster once the medication is stopped. It is also known for its fast onset, typically starting to work within 30 minutes to two hours, making it highly effective in emergency situations.

Ticagrelor Dosing Guidelines

The dosing regimen for Ticagrelor depends on the patient’s medical condition and the stage of treatment.

Loading Dose for Acute Coronary Syndrome (ACS)

For patients diagnosed with ACS, treatment usually starts with a loading dose of 180 mg (two 90 mg tablets taken at once). This initial dose quickly inhibits platelet activity, reducing the risk of early clot formation.

Maintenance Dose

After the loading dose, patients continue with a 90 mg dose taken twice daily. This regimen typically lasts for at least one year to maintain clot prevention and reduce the risk of recurrent cardiovascular events.

Long-Term Dosing Adjustments

For patients requiring long-term platelet inhibition beyond 12 months, doctors may reduce the Ticagrelor dose to 60 mg twice daily to maintain protection while lowering the risk of excessive bleeding.

It’s important to take Ticagrelor with low-dose aspirin (75-100 mg daily) unless advised otherwise by a healthcare provider.

Ticagrelor Side Effects and Risks

As with any medication, Ticagrelor comes with potential side effects, which can range from mild to severe.

Common Side Effects

Many patients experience mild to moderate side effects, including:

  • Shortness of breath (dyspnea) – Some patients report difficulty breathing, which often improves over time.
  • Headaches and dizziness – More common when starting the medication.
  • Increased bruising – Due to reduced platelet function, minor injuries may lead to visible bruises.

Serious Side Effects

Although less common, some individuals may experience severe side effects, such as:

  • Excessive bleeding – Even small cuts may take longer to clot.
  • Internal bleeding – Symptoms may include dark stools, vomiting blood, or severe headaches.
  • Slow heart rate (bradycardia) – Some patients experience a drop in heart rate, which may require medical attention.

If any severe side effects occur, medical intervention is necessary to prevent complications.

Ticagrelor Brand Name and Cost Factors

Ticagrelor is sold under the brand name Brilinta, which is manufactured by AstraZeneca. While Brilinta is widely available, some regions also offer generic Ticagrelor, which is often more affordable.

Factors Affecting the Price of Ticagrelor

The Ticagrelor price varies based on:

  • Brand vs. generic – Generic versions are generally less expensive.
  • Insurance coverage – Some health plans cover partial or full costs.
  • Pharmacy pricing differences – Online and retail pharmacies may have different prices.

For those seeking a more affordable option, prescription discount programs or manufacturer assistance plans may help reduce out-of-pocket costs.

How Long Should You Take Ticagrelor?

The length of Ticagrelor treatment varies based on your medical history and risk factors. Your doctor will determine the appropriate duration to ensure optimal protection against blood clots while minimizing potential risks.

  • Short-Term Treatment (Up to 12 Months)

Most patients recovering from a heart attack or stent placement take Ticagrelor for at least one year to prevent blood clots.

  • Long-Term Use (Beyond 12 Months)

For high-risk patients, doctors may recommend continuing with a lower dose (60 mg twice daily) to provide ongoing protection.

  • Stopping Ticagrelor

Patients should never stop Ticagrelor suddenly without consulting their doctor, as it may increase the risk of a heart attack or stroke.

Takeaways

Ticagrelor is a widely used antiplatelet medication that helps reduce the risk of heart attacks and strokes in high-risk patients. By inhibiting platelet aggregation, it provides strong cardiovascular protection when taken as prescribed.

While Ticagrelor side effects like shortness of breath and bruising are common, the benefits generally outweigh the risks for individuals at high risk of blood clots.

For those considering Ticagrelor 90 mg price, factors like brand vs. generic availability, insurance coverage, and pharmacy pricing can influence the cost.

If you have questions about how Ticagrelor works, proper dosing, or long-term use, consult your healthcare provider for personalized recommendations.

Where to Learn More About Ticagrelor

For more detailed information about Ticagrelor 90 mg, including its cost, usage, and potential risks, visit our Ticagrelor Product Page. This resource provides essential insights into its role in preventing blood clots and offers detailed instructions on proper use, storage, and administration techniques. 

Frequently Asked Questions (FAQs)

How does Ticagrelor compare to other blood thinners?

Ticagrelor is faster-acting and reversible compared to clopidogrel (Plavix). It also provides stronger platelet inhibition, making it more effective for high-risk patients.

Can Ticagrelor cause excessive bleeding?

Yes, since Ticagrelor prevents blood clotting, patients may experience prolonged bleeding from cuts or injuries. It’s essential to monitor for unusual bruising or internal bleeding symptoms.

Is Ticagrelor safe for long-term use?

Ticagrelor is generally prescribed for long-term use in patients at risk of heart attacks or strokes. However, long-term use should be monitored by a healthcare provider to assess benefits versus potential bleeding risks. 

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Written by CDI Staff Writer on March 27, 2025

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