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Kogrel 75mg Tablet 7s (strip)

RM 26.67

RM 20.00

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7s (strip)

14s

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7s (strip)

14s

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Product Overview

How To Use Kogrel 75mg Tablet 7s (strip)

This medicine is for oral use only. Swallow this medication as a whole with water. Do not chew, crush or break it. It is better to take this medication at a fixed time each day if it is indicated for everyday use.

Brands

Sandoz

Active Ingredient

clopidogrel

Manufactured by

Sandoz

Side Effects

As with all medications, you may experience some side effects. Not everyone experiences it. This is not a cause for concern. However, it is so that you are aware of it.

So many side effects of this medication does not require any medical attention and it resolve as the body responds to the medication. Consult the doctor if they continue or if you are worried about them.

Bleeding is the most common side effect seen with this medication. This can be in the form of bruises, bleeds of the nose, blood in the urine or stools (black-colored stools) or more severe periods than normal in women. If you cut or hurt yourself, it can take longer than normal to stop bleeding. Such bleeding episodes are typically mild and resolve on their own. However, if bleeding continues or you are concerned, you can contact your doctor immediately.

Diarrhea, Abdominal pain, Dyspepsia, Hematoma, Bruising, Epistaxis, Bleeding at puncture site, Steven-Johnson syndrome, Myalgia, Hematuria

Warning Precautions

Precautionary Steps of Kogrel 75mg Tablet 7s (strip)

Please consult a doctor especially before taking Kogrel. If you have any of the following conditions & contraindications:-

Severe high blood pressure
Liver disease
Allergy to Kogrel or any of its components
Hypersensitivity
Pregnancy
Breastfeeding

Please stop using this medication if you are experiencing these symptoms and conditions.

Kogrel Drug Interactions

Drug to drug interaction reaction of Kogrel varies from a person to another person. It is advisable to check with your doctor about all the possible drug interactions before starting the medication.

Alcohol
Omeprazole
Esomeprazole
Morphine
Grapefruit juice
Scutellarin
Fluoxetine
Azole antifungals
Calcium channel blockers
Sulfonylureas
Ritonavir
Aspirin
Curcumin
Cyclosporin
St John’s wort
Rifampicin
Angiotensin-converting enzyme inhibitors

This is an incomprehensive list of drug interactions and conditions that might interfere with Kogrel. Before taking this drug, inform your doctor about all your present medications.

Keep the following precautions in mind as well:-

Avoid excess exposure to sunlight
Avoid this medicine for a longer use
Alcohol might affect your liver if it is taken with this medication
Tell your doctor if you have any other diseases or if you are taking any other medication
Do not discontinue the prescribed course

Alcohol Warning (Safe)

It is safe to take alcohol with Kogrel 75mg Tablet 7s (strip). However, it is advisable to consume alcohol in moderate amount because drinking too much alcohol while on Kogrel 75mg Tablet 7s (strip) might irritate the stomach.

Pregnancy Warning (Maybe Safe)

Animal studies have failed to prove that there is a risk to the fetus and there are no adequate human studies. As no data is available, it is recommended not to use Kogrel 75mg Tablet 7s (strip) during pregnancy.

Breastfeeding Warning (Limited Data)

There is limited human data on whether Kogrel 75mg Tablet 7s (strip) is excreted in human breast milk. Animal studies demonstrated that Kogrel 75mg Tablet 7s (strip) is excreted in breast milk. It is advisable that breastfeeding is discontinued following treatment with Kogrel 75mg Tablet 7s (strip).

Driving Warning (Generally Safe)

Kogrel 75mg Tablet 7s (strip) usually does not affect the ability to drive. Do not drive unless you are feeling well.

Kidney Warning (Use With Care)

There is limited study on the usage of Kogrel 75mg Tablet 7s (strip) in patients with renal impairment. This, it is recommended that Kogrel 75mg Tablet 7s (strip) should be used with caution in such patients.

Liver Warning (Limited Data)

There is limited experience in patients with liver disease who may have bleeding tendencies. In such a population, Kogrel 75mg Tablet 7s (strip) need to be used with caution.

Quick Tips

Take Kogrel 75mg Tablet after meal, preferably at the same time every day to help you remember.
Be cautious when shaving, using sharp objects, or removing fingernails or toenails. Inform your doctor immediately if the bleeding does not stop.
Do not stop taking Kogrel 75mg Tablet without consulting your doctor, as this may raise the risk of developing another underlying disorder.
Your doctor may advise you to stop taking Kogrel 75mg Tablet temporarily if you are expected to undergo surgery or dental treatment.

What If You Forget To Take

If you miss a dose of Kogrel 75mg Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

FAQ

Should Kogrel 75mg Tablet 7s (strip) be stopped before surgery?

Yes, your doctor may advise you to stop taking Kogrel 75mg Tablet 7s (strip) few days prior to surgery. The reason being that Kogrel 75mg Tablet 7s (strip) increases the risk of bleeding and may lead to excessive bleeding during surgery.

Can the use of Kogrel 75mg Tablet 7s (strip) cause bleeding?

It is possible that Kogrel 75mg Tablet 7s (strip) can increase the risk of bleeding. It is best that you are always careful while doing activities that can result in injuries. Consult your doctor if you experience any abnormal bleeding or bruising.

Does Kogrel 75mg Tablet 7s (strip) affect blood pressure?

Kogrel 75mg Tablet 7s (strip) may rarely cause a decrease in blood pressure as a side effect. It is advised to consult your doctor if you experience lightheadedness, dizziness, blurred vision or feel weak. It is best to contact your doctor immediately if you experience these side effects.

References

1. Weitz JI. Blood Coagulation and Anticoagulant, Fibrinolytic, and Antiplatelet Drugs. In: Brunton LL, Chabner BA, Knollmann BC, editors. Goodman & Gilman’s: The Pharmacological Basis of Therapeutics. 12th ed. New York, New York: McGraw-Hill Medical; 2011. pp. 869-70.

2. Zehnder JL. Drugs Used in Disorders of Coagulation. In: Katzung BG, Masters SB, Trevor AJ, editors. Basic and Clinical Pharmacology. 11th ed. New Delhi, India: Tata McGraw Hill Education Private Limited; 2009. pp. 598-99.

3. Briggs GG, Freeman RK, editors. A Reference Guide to Fetal and Neonatal Risk: Drugs in Pregnancy and Lactation. 10th ed. Philadelphia, PA: Wolters Kluwer Health; 2015. pp. 304-305.

4. Fox KA, White HD, Gersh BJ, et al.Antithrombotic Agents: Platelete Inhibitors, Acute Anticoagulants, Fibrinolytics, and Chronic Anticoagulants. In: Opie LH, Gersh BJ, editors. Drugs for the Heart. 8th ed. Philadelphia, Pennsylvania: Elsevier Saunders; 2013. pp. 245-48.

5. Clopidogrel hydrogen sulfate. North Harrow, Middlesex; Accord Healthcare Limited; 2010 [revised 05 Jun. 2018]. [Accessed 25 Jan. 2019] (online),

6. New York: Bristol-Myers Squibb/Sanofi Pharmaceuticals Partnership; 2006. [Accessed 15 Mar. 2019] (online)

7. Dypiridamole: a blood thinning medicine to prevent blood pressure, National Health Services

8. Holmberg MT, Tornio A, Joutsi-Korhonen L, et al. Grapefruit juice markedly increases the plasma concentrations and antiplatelet effects of ticagrelor in healthy subjects. Br J Clin Pharmacol. 2013;75(6):1488-1496. doi:10.1111/bcp.12026

9. Lip GY, Felmeden DC. Antiplatelet agents and anticoagulants for hypertension. Cochrane Database Syst Rev. 2004;(3):CD003186. doi:10.1002/14651858.CD003186.pub2

10. Ticagrelor: a blood thinning medicine to prevent blood clots, National Health Services

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Disclaimer

Information last updated on: Sun Dec 08 2024 03:40:02 GMT+0000 (Coordinated Universal Time) The product images shown are for illustration purposes only and may not be an exact representation of the product.

The content provided on this webpage is to provide information only, to be fully-interpreted by a medical professional, and not intended as a guide to make purchase decisions, or a substitute to advice of a medical professional. Effectiveness and side effects of medication may differ from individual to individual. We do not encourage any customer to self-diagnose and/or self-medicate. Patients should always consult a medical professional before taking or using any medication. The content provided here is non-exhaustive and may not cover all aspects of the medication. Our service should only be used to support the doctor-patient dynamic, not replace it.

The fulfilment of prescription medication is subject to our review of a prescription issued by a Malaysian Medical Council (MMC) registered doctor. If required, we will provide a tele-consult service with one of our registered panel doctors. This is not an advertisement of a medicine as such an advertisement would require prior approval from the Medicines Advertisement Board of Malaysia. Kogrel 75mg Tablet 7s (strip) is available in many areas in Malaysia. Kuala Lumpur, Bukit Bintang, Titiwangsa, Setiawangsa, Wangsa Maju, Kepong, Segambut, Bandar Tun Razak, Cheras, Subang Jaya, Petaling Jaya, Mont Kiara, Puchong, Bandar Sunway, TTDI, Seri Kembangan, Klang, Bukit Tinggi, Damansara, Sentul, Penang, George Town, Jelutong, Gelugor, Bayan Baru, Bandar Baru Air Itam, Sungai Ara, Bukit Mertajam, Butterworth, Perai, Johor Bahru, Skudai, Bukit Indah, Gelang Patah, Senai, Pasir Gudang, Taman Daya, Taman Molek, Taman Perling, Tebrau, Danga Bay, Larkin, Nusajaya, Pontian, Masai, Setia Tropika, Desaru, Tampoi.

Kogrel 75mg Tablet 7s (strip) is available at many places in Singapore. Ang Mo Kio, Alexandra, Admiralty, Bedok, Bishan, Bukit Batok, Bukit Merah, Bukit Panjang, Bukit Timah, Boat Quay, Buona Vista, Beach Road, Bugis, Balestier, Boon Lay, Central Area, Choa Chu Kang, Clementi, Chinatown, Commonwealt, City Hall, Clarke Quay, Changi Airport, Changi Village, Clementi Park, Dairy Farm, Eunos, East Coast, Farrer Park, Geylang, Hougang, Harbourfront, Holland, Jurong, Jurong East, Jurong West, Kallang/ Whampoa, Lim Chu Kang, Marine Parade, Marina, Macpherson, Mandai, Newton, Novena, Orchard, Pasir Ris, Punggol, Potong Pasir, Paya Lebar, Queenstown, Raffles Place, Rochor, River Valley, Sembawang, Sengkang, Serangoon, Serangoon Rd, Seletar, Tampines, Toa Payoh, Tanjong Pagar, Telok Blangah, Tanglin, Thomson, Tuas, Tengah, Upper East Coast, Upper Bukit Timah, Upper Thomson, Woodlands, West Coast, Yishun, Yio Chu Kang.

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Authorship

Written By

Dr Mohd Ramzdhan Bin Mohd Masdar

MD (Crimea State Medical University)

Reviewed By

Dr Nur Syuhada binti Zulkifli

MD, Universiti Kebangsaan Malaysia (UKM)

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