Clopacin 75 mg 28 tablets:

Why is Clopidogrel used:

• It is taken by adults to prevent blood clots (clots) in hardened blood vessels (arteries), a process known as atherosclerosis, which can lead to atherosclerotic events (such as stroke, heart attack, or death).

 How to use Clopidogrel:

• Always take this medicine exactly as your doctor or pharmacist tells you. Consult your doctor or pharmacist if you are not sure.
• The recommended dose, including for patients with a condition called 'atrial fibrillation' (arrhythmia), is one 75 mg clopidogrel tablet daily taken by mouth with or without food, and at the same time every day.
• If you have severe chest pain (unstable angina or heart attack), your doctor may give you 300 mg of clopidogrel (1 300 mg tablet or 4 75 mg tablets) once at the start of your treatment. Then the recommended dose is one 75 mg clopidogrel tablet daily as described above.

Do not use clopidogrel:

• If you are allergic to clopidogrel or any of the other ingredients of this medication.
  
•  If you have a medical condition that is currently causing bleeding such as a stomach ulcer or bleeding inside the brain.
• If you have severe liver disease

Warnings and precautions:

If any of the conditions listed below apply to you, you should tell your doctor before taking clopidogrel

• If you have a risk of bleeding such as:
•  A medical condition that puts you at risk for internal bleeding (such as a stomach ulcer).
• A blood disorder that makes you vulnerable to internal bleeding (bleeding within any tissues, organs, or joints in your body).
•  Recent serious injury.
•  Recent surgery (including dental).
•  Planned surgery (including dentistry) in the next seven days.
•  If you have had a clot in one of the arteries in the brain (ischemic stroke) that occurred within the past seven days.
•  If you have kidney or liver disease.
• If you have an allergy or reaction to any medicine used to treat your disease.

Possible side effects:

Stop using the product and seek immediate medical attention if you experience:

•  Tightness in the throat, swelling of the eyes, face, lips or tongue, or you feel faint or have difficulty breathing. 
•  Hives or itching of the face or body.

Other medications and clopidogrel:

You should specifically tell your doctor if you are taking it

Medications that may increase your risk of bleeding, such as:

• Oral anticoagulants, medications used to reduce blood clotting,
• A nonsteroidal anti-inflammatory drug, usually used to treat painful and/or inflammatory conditions of the muscles or joints,
• Heparin or any other injectable medication used to reduce blood clotting,
• Ticlopidine, another antiplatelet agent, a selective serotonin reuptake inhibitor (including but not limited to fluoxetine or fluvoxamine), medicines commonly used to treat depression,
• Omeprazole or esomeprazole, medications to treat stomach upset.
• fluconazole or voriconazole, medicines to treat fungal infections,
• efavirenz, or other antiretroviral medicines (used to treat HIV infection),
• Carbamazepine, a medicine to treat some forms of epilepsy,
• Moclobemide, a medication for treating depression,
• Repaglinide, a medicine for treating diabetes,
• Paclitaxel, a cancer drug,
• Opioids.