Ticagrelor® Tablets for Acute Coronary Syndrome

Ticagrelor® is an oral antiplatelet tablet used after certain heart events to help prevent clots. This page explains how it works, basic dosing, and key safety points. US delivery from Canada is available, including options for Ticagrelor without insurance.

What Ticagrelor Is and How It Works

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This medicine is a P2Y12 receptor inhibitor that reduces platelet activation and aggregation. By blocking ADP-mediated signaling, it helps lower the chance of new heart attacks or strokes after an acute coronary syndrome. The treatment is typically combined with low-dose aspirin as part of dual antiplatelet therapy.

Use of Antiplatelet therapy is guided by your clinician based on timing after the event and bleeding risk. Ticagrelor tablets are taken on a regular schedule to keep platelet inhibition consistent over the day. Reversibility of binding means the effect tapers after discontinuation, but stopping suddenly may increase risk; follow the official label and your prescriber’s directions.

Who It’s For

This therapy is indicated to reduce the risk of cardiovascular death, heart attack, and stroke in adults with acute coronary syndrome, or a history of heart attack. It is also used after certain stent procedures to help keep the artery open.

People with active pathological bleeding or a history of intracranial hemorrhage should not use this treatment. Severe liver impairment is another reason to avoid it. Caution applies in those with bradyarrhythmias without a pacemaker, a history of gout, or asthma-like symptoms. Your healthcare professional will weigh bleeding risk against benefit before starting therapy. See related options in Heart Health Medications.

Dosage and Usage

Therapy usually starts in the hospital or soon after discharge. Use of Ticagrelor 90mg tablets is common during the first year after an acute coronary syndrome, together with low-dose aspirin. After that initial period, many patients continue with a lower tablet strength as directed by their prescriber. Do not crush unless your clinician advises that approach on the label. Take doses about 12 hours apart, with or without food, and follow the package insert for full instructions.

Invasive procedures or dental work may warrant a planned interruption; your healthcare professional will provide timing guidance. If switching from another P2Y12 inhibitor, follow the official label and your clinician’s plan for the transition. For a deeper overview, see Ticagrelor 90 Mg.

Strengths and Forms

This medicine is available as film-coated tablets in 60 mg and 90 mg strengths. Packaging and tablet appearance can vary by manufacturer and market; availability may differ over time.

Missed Dose and Timing

If you miss a dose, take it when remembered unless it is close to the next one. Do not double up. Stay as consistent as possible to maintain platelet inhibition. If vomiting occurs soon after a dose, consult the label or your prescriber for specific guidance.

Storage and Travel Basics

Store tablets at room temperature in the original container, closed tightly and kept dry. Protect from excessive heat and moisture. Keep out of reach of children and pets. For travel, carry your medicine in hand luggage with your prescription label. Bring enough supply for the full trip plus a small buffer. If crossing borders, keep documentation handy. Do not store tablets in a car glovebox for extended periods.

Benefits

This treatment helps reduce the risk of recurrent heart attack and stroke after an acute coronary syndrome. It provides consistent platelet inhibition across the dosing interval when taken regularly. Tablet dosing avoids injections, and administration does not require meal coordination. Reversible binding may be considered when procedures are planned, under a clinician’s direction.

Side Effects and Safety

• Bleeding, including easy bruising or nosebleeds
• Shortness of breath or a sensation of air hunger
• Dizziness or headache
• Nausea or diarrhea
• Increased uric acid in some patients

Serious bleeding can occur, including rare intracranial or gastrointestinal events. Seek emergency care for signs of severe bleeding. Shortness of breath is usually mild and transient, but evaluation may be needed to rule out other causes. Avoid abrupt discontinuation without medical advice, as clotting risk may rise. Follow pre-procedure guidance, including any recommended pause before surgery.

Drug Interactions and Cautions

Strong CYP3A inhibitors (for example, certain macrolides or azole antifungals) can raise exposure; strong CYP3A inducers (such as rifampin or some seizure medicines) can reduce effectiveness. High-dose aspirin can blunt this therapy’s effect; low-dose aspirin is typically recommended. Combining with other agents that affect clotting, including Anticoagulants, may increase bleeding risk and requires clinician oversight. See also background reading in Clopidogrel 75 Mg.

What to Expect Over Time

Many patients start this medicine soon after a heart event and continue for a prolonged period, guided by clinical status and the label. Minor bleeding or easy bruising can appear early and may persist. Mild breathlessness can occur and often lessens. Benefit depends on consistent daily use. Keep regular follow-up so your clinician can reassess risk, review other medicines, and plan for procedures when needed.

Compare With Alternatives

Other P2Y12 inhibitors are available if this therapy is not suitable or access is limited. Options include Prasugrel and Plavix®. Choice depends on event type, bleeding risk, age, weight, prior stroke history, and prescriber judgment. Discuss the differences in onset, reversibility, and procedure planning with your healthcare professional.

Pricing and Access

You can view live availability and place an order online. Brilinta price is shown alongside equivalent generic options when offered. Compare dispensing options to understand formulation and pack sizes.

We present total costs clearly so you can plan refills. Brilinta cost and generic listings reflect Canadian pharmacy rates, with US shipping from Canada. For current coupons or seasonal offers, see Promotions. We use encrypted checkout for secure payment.

Availability and Substitutions

Ticagrelor from Canada may be temporarily limited depending on manufacturer supply. If a strength or pack is unavailable, your prescriber may recommend a comparable alternative or a brand substitution. The brand counterpart, Brilinta medication, may be suggested when appropriate. Pharmacy teams dispense the specific product listed on your order or contact you about prescriber-approved substitutions.

Patient Suitability and Cost-Saving Tips

Candidates include adults with recent acute coronary syndrome or prior heart attack who do not have active bleeding or a history of intracranial hemorrhage. Those with severe liver impairment should avoid this therapy. People with higher bleeding risk need individualized assessment. Always share a full medication list, including over-the-counter agents and supplements.

• Multi-month fills: Fewer refills can reduce per-tablet costs.
• Refill reminders: Set alerts to avoid missed doses and gaps.
• One pharmacy source: Helps keep records consistent for safety checks.
• Travel planning: Carry extra doses and documentation.
• Procedure planning: Ask about timing before surgeries or dental work.

Questions to Ask Your Clinician

• Is this the right antiplatelet choice for my specific heart event?
• How long should I continue dual antiplatelet therapy with aspirin?
• What signs of bleeding should prompt urgent evaluation?
• Do any of my medicines or supplements raise bleeding risk?
• If I need surgery or dental work, when should I pause therapy?
• Could shortness of breath be related to this medicine, and what should I do?
• When would an alternative like prasugrel or clopidogrel be considered?

Authoritative Sources

AstraZeneca Brilinta Prescribing Information

FDA DailyMed: Ticagrelor

Health Canada DPD: Product Database

Ready to proceed? Place your order for US shipping from Canada with prompt, express shipping and temperature-controlled handling when required. This information is educational and does not replace advice from your healthcare professional. Always follow the official label.