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Ticagrelor® Tablets for Acute Coronary Syndrome
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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.
Qué es el ticagrelor y cómo actúa
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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 Medicamentos para la salud del corazón.
Posología y utilización
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.
Fortalezas y formas
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.
Dosis omitida y momento oportuno
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.
Almacenamiento y viaje
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.
Beneficios
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.
Efectos secundarios y seguridad
- Bleeding, including easy bruising or nosebleeds
- Shortness of breath or a sensation of air hunger
- Mareos o dolor de cabeza
- Náuseas o diarrea
- 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.
Interacciones medicamentosas y precauciones
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.
Qué esperar con el tiempo
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.
Comparar con alternativas
Other P2Y12 inhibitors are available if this therapy is not suitable or access is limited. Options include Prasugrel y 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.
Precios y acceso
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 Promociones. We use encrypted checkout for secure payment.
Disponibilidad y sustituciones
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.
Adecuación al paciente y consejos para ahorrar costes
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.
Preguntas para su médico
- 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?
Fuentes autorizadas
AstraZeneca Brilinta Información para recetar
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.
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How does this antiplatelet medicine work?
It blocks the platelet P2Y12 receptor, which reduces activation and aggregation. By limiting ADP-mediated signaling, the therapy lowers the chance of new clots that can cause heart attack or stroke. It is commonly used with low-dose aspirin as dual antiplatelet therapy. Because the effect lessens after discontinuation, adherence matters. Your clinician will individualize treatment based on your event type, bleeding risk, and other medicines.
Can I take it with aspirin?
Yes, this therapy is generally used with low-dose aspirin after an acute coronary syndrome. High doses of aspirin can reduce effectiveness, so follow the dose range on the official label. Your clinician will confirm the plan based on your history and procedure needs. Do not change aspirin or other antiplatelet medicines without medical guidance.
¿Qué debo hacer si me salto una dosis?
If you miss a dose, take it when remembered unless it is close to the next scheduled dose. Skip the missed one if it is nearly time and resume the regular schedule. Do not double doses. If vomiting occurs soon after a dose or you miss doses repeatedly, ask your prescriber how to proceed based on the label.
Is shortness of breath expected with this therapy?
Mild, transient shortness of breath can occur. It often appears early and may lessen with continued use. However, new or worsening breathlessness should be evaluated to rule out other causes. Contact your clinician promptly if symptoms are persistent, severe, or accompanied by chest pain, fainting, or signs of low oxygen. Do not stop the medicine without professional advice.
How is therapy managed around surgery or dental procedures?
Your clinician may recommend a planned interruption before invasive procedures to reduce bleeding risk. The timing depends on the procedure type and your clotting risk. Aspirin may be continued. Always coordinate with both the surgical team and the prescriber. Restarting typically occurs once bleeding risk is controlled, following label guidance and clinician direction.
Who should not use this treatment?
People with active pathological bleeding or a history of intracranial hemorrhage should not use it. Severe hepatic impairment is another reason to avoid it. Caution applies with bradyarrhythmias, a history of gout, or concurrent medicines that increase bleeding. Review your full medication and supplement list with your clinician before starting therapy.
How long is treatment continued after a heart event?
Duration depends on the event type, stent details, and your bleeding risk. Many patients continue dual antiplatelet therapy for an extended period after the initial event, then transition to a longer-term plan based on the label and clinician judgment. Regular follow-up is important to reassess benefits, side effects, and any planned procedures.
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