Clopidogrel (clop-id-o(h)-grel) and Aspirin (as-per-in)
Consumer medicine information
What is in this leaflet
This leaflet answers some common questions about APX-Clopidogrel/Aspirin 75/100 tablets.
It does not contain all the available information. Some of the information it contains
may not apply to you.
It does not take the place of talking to your doctor or pharmacist.
All medicines have benefits and risks. In deciding to give you APX-Clopidogrel/Aspirin
75/100, your doctor has weighed the risks of you taking APX-Clopidogrel/Aspirin 75/100
against the expected benefits it will have for you.
Always follow the instructions that your doctor and pharmacist give you about APX-Clopidogrel/Aspirin
75/100 tablets.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Please read this leaflet carefully before you start taking APX-Clopidogrel/Aspirin
75/100.
You may wish to keep it to read again.
What APX-Clopidogrel/Aspirin 75/100 is used for
APX-Clopidogrel/Aspirin 75/100 contains the medicines clopidogrel and aspirin. APX-Clopidogrel/Aspirin
75/100 belongs to a group of medicines called anti-platelet medicines.
Platelets are very small blood cells which clump together during blood clotting. By
preventing this clumping, anti-platelet medicines reduce the chances of blood clots
forming (a process called thrombosis).
APX-Clopidogrel/Aspirin 75/100 is used to prevent blood clots forming in hardened
blood vessels (a process known as atherothrombosis) which can lead to events such
as stroke, heart attack or death.
You may have been prescribed APX-Clopidogrel/Aspirin 75/100 to help prevent blood
clots forming and to reduce the risk of heart attack, stroke or death, because you
have suffered a severe type of chest pain called unstable angina, or had a heart attack.
Your doctor may have prescribed this medicine for another use. If you want more information,
ask your doctor.
APX-Clopidogrel/Aspirin 75/100 is only available on a doctor’s prescription.
Before you take it
When you must not take it
You should not take APX-Clopidogrel/Aspirin 75/100 if:
you are allergic to clopidogrel, aspirin, salicylates, anti-inflammatories (Non-Steroidal
Anti-Inflammatory Drugs) or any of the ingredients listed under ‘Product Description’
at the end of this leaflet.
you have a medical condition that is causing bleeding such as a haemophilia, stomach
ulcer or bleeding within your head or bowel.
you suffer from severe liver or kidney disease.
you have asthma, rhinitis or nasal polyps.
you are breastfeeding or intend to breastfeed. APX-Clopidogrel/Aspirin 75/100 passes
into breast milk and, therefore, there is the possibility that the breastfed baby
may be affected.
the packaging shows signs of tampering.
the expiry date on the pack has passed. If you use this product after the expiry date
has passed, it may not work.
Do not take APX-Clopidogrel/Aspirin 75/100 to treat any other complaint unless your
doctor says it is safe. Do not give this medicine to anyone else.
APX-Clopidogrel/Aspirin 75/100 is not recommended for children as its safety and effectiveness
in children have not been established.
Before you start to take it
You must tell your doctor if:
you have allergies to:
any other medicines
any other substances, such as foods, preservatives or dyes
you are pregnant or intend to become pregnant. Your doctor will discuss the possible
risks and benefits of taking APX-Clopidogrel/Aspirin 75/100 during pregnancy.
you are breastfeeding. You must not breastfeed while taking APX-Clopidogrel/Aspirin
75/100.
you are planning to have an operation (including dental surgery) in the next two weeks.
Your doctor will decide whether or not you need to stop APX-Clopidogrel/Aspirin 75/100
prior to surgery.
if you have or have had any medical conditions, especially the following:
bleeding disorders or blood clotting problems
any illness or disability that was caused by bleeding, for example impaired sight
or vision because of bleeding within the eye
recent serious injury
recent surgery (including dental surgery)
any form of liver disease
any recent history of stroke
any form of kidney disease
history of stomach ulcers or other problems with your digestive system
inherited diseases causing galactose intolerance, glucose-galactose malabsorption
Lapp lactase deficiency
glucose-6-phosphate dehydrogenase (G6PD) deficiency
gout
asthma or allergies
allergic to other antiplatelet medicines (such as ticlopidine, prasugrel)
If you have not told your doctor about any of the above, tell him/her before you start
taking APX-Clopidogrel/Aspirin 75/100.
Some patients may not convert APX-Clopidogrel/Aspirin 75/100 to its active form as
well as other patients. These patients may not get the same benefit from APX-Clopidogrel/Aspirin
75/100. Your doctor may advise you to go for tests to determine if APX-Clopidogrel/Aspirin
75/100 will adequately work for you. Based on the test results, your doctor may consider
alternative treatments for you.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including any
that you buy without a prescription from your pharmacy, supermarket or health food
store.
Some medicines and APX-Clopidogrel/Aspirin 75/100 may interfere with each other. These
include:
aspirin – APX-Clopidogrel/Aspirin 75/100 already contains aspirin. Taking additional
aspirin is not recommended. Please check with your doctor first.
clopidogrel – APX-Clopidogrel/Aspirin 75/100 already contains clopidogrel. Taking
additional clopidogrel is not recommended. Please check with your doctor first.
medicines that “thin the blood”. The most common examples of these include heparins
and warfarin. There are others so please check with your doctor.
non-steroidal anti-inflammatory drugs (NSAIDs) – medicines used to treat arthritis,
period pain, aches and pains such as ibuprofen.
nicorandil – a medicine used to treat angina.
steroids e.g. hydrocortisone.
bupropion.
diazepam.
some gout medicines.
some antidepressant medicines.
antiretrovirals e.g tenofovir.
ciprofloxacin, chloramphenicol, fluconazole and voriconazole – medicines used to treat
infections.
varicella vaccine.
methotrexate – a medicine used to treat cancer or arthritis.
acetazolamide – a medicine used to treat glaucoma.
carbamazepine, oxcarbazepine, phenytoin and valproic acid – medicines used to treat
epilepsy.
tolbutamide, repaglinide and chlorpropamide- medicines used to treat diabetes.
tamoxifen and paclitaxel medicines used to treat breast cancer.
levothyroxine – a medicine used to treat low thyroid activity.
fluvastatin – a medicine used to lower cholesterol.
ACE inhibitors or angiotensin receptor antagonists plus a thiazide diuretic. These
medicines are used to treat high blood pressure. In some cases the medicines may be
used together to treat other cardiovascular diseases
medicines used to prevent gastric reflux – proton pump inhibitors (e.g. omeprazole)
certain type of pain relief medicines called opiates.
These medicines may be affected by APX-Clopidogrel/Aspirin 75/100 or affect how well
APX-Clopidogrel/Aspirin 75/100 works.
Your doctor may need to change the amount of your medicines, or you may need to take
different medicines.
If you are unsure about any medicine you are taking you should check with your doctor
or pharmacist. They will have more information on medicines to be careful with or
avoid while taking APX-Clopidogrel/Aspirin 75/100.
Alcohol Consumption
The consumption of alcohol may affect how well APX-Clopidogrel/Aspirin 75/100 works;
it may increase blood loss and stomach irritation. Please ask your doctor for more
information.
How to take it
How to take it
APX-Clopidogrel/Aspirin 75/100 is to be used under medical supervision only.
Your doctor will tell you how many tablets to take each day. Take APX-Clopidogrel/Aspirin
75/100 only as prescribed by your doctor and follow his or her directions carefully.
They may differ from the information contained in this leaflet.
The usual dose of APX-Clopidogrel/Aspirin 75/100 is one tablet daily.
APX-Clopidogrel/Aspirin 75/100 contains 75 mg clopidogrel and 100 mg aspirin
You may receive a starting dose of 300 mg clopdiogrel, then one APX-Clopidogrel/Aspirin
75/100 tablet daily. Take APX-Clopidogrel/Aspirin 75/100 during or immediately after
a meal. You should swallow the tablet with a glass of water.
Take APX-Clopidogrel/Aspirin 75/100 at about the same time each day. Taking your tablet
at the same time each day will have the best effect. It will also help you to remember
when to take it.
You should take APX-Clopidogrel/Aspirin 75/100 for as long as your doctor continues
to prescribe it.
Should your doctor require you to take higher doses of aspirin you will be switched
to separate tablets and no longer take APX-Clopidogrel/Aspirin 75/100.
If you forget to take it
If you miss a dose, take it as soon as you remember. If it is almost time for your
next dose, skip the dose you missed and take your next dose when you are meant to.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some
hints.
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (telephone 13
11 26), or go to the Emergency Department at your nearest hospital, if you think that
you or anyone else may have taken too much APX-Clopidogrel/Aspirin 75/100. Do this
even if there are no signs of discomfort or poisoning. You may need urgent medical
attention.
While you are taking it
Things you must do
take APX-Clopidogrel/Aspirin 75/100 exactly as your doctor has prescribed, and have
any blood tests promptly if your doctor orders them.
tell your doctor if you become pregnant while taking APX-Clopidogrel/Aspirin 75/100.
tell your doctor if you decide to breastfeed your baby. Your doctor may want to discuss
this and change your medicine.
tell your doctor that you are taking APX-Clopidogrel/Aspirin 75/100 if you are about
to start on any new medicine.
tell all your doctors, dentists, nurses and pharmacists that you are taking APX-Clopidogrel/Aspirin
75/100. APX-Clopidogrel/Aspirin 75/100 may increase the risk of bleeding during an
operation or some dental work. Therefore, treatment may need to be stopped before
surgery. Your doctor will decide whether to stop APX-Clopidogrel/Aspirin 75/100 and
if so, how long before surgery or dental work.
ask your doctor whether there are any activities you should avoid while taking APX-Clopidogrel/Aspirin
75/100, for example certain sports.
Sometimes after an injury bleeding may occur inside your body without you knowing
about it.
tell your doctor immediately if you are injured while taking APX-Clopidogrel/Aspirin
75/100.
It may take longer than usual to stop bleeding while you are taking APX-Clopidogrel/Aspirin
75/100.
tell your doctor immediately if you notice any of the following:
abnormal bruising or bleeding
abnormal nose bleeds
bloody or black bowel motions
red or purple blotches on your skin
swelling of the face, lips, mouth, tongue or throat which may cause difficulty swallowing
or breathing (see also ‘Side effects’ section)
Do not suddenly stop taking APX-Clopidogrel/Aspirin 75/100 without telling your doctor.
Things to be careful of
Be careful driving or operating machinery until you know how APX-Clopidogrel/Aspirin
75/100 affects you.
As with other medicines, APX-Clopidogrel/Aspirin 75/100 may cause faintness or dizziness
in some people. Make sure you know how you react to APX-Clopidogrel/Aspirin 75/100
before you drive a car or operate machinery, or do anything else that could be dangerous
if you are faint or dizzy. If this occurs, do not drive. If you drink alcohol, faintness
or dizziness may be worse.
Side effects
Tell your doctor or pharmacist as soon as possible if you do not feel well while you
are taking APX-Clopidogrel/Aspirin 75/100 tablets.
Like other medicines APX-Clopidogrel/Aspirin 75/100 can cause some side effects. Most
are likely to be minor and temporary. However, some may be serious and need medical
attention.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice any of the following and they worry you:
diarrhoea
itching
pain or stiffness in the joints
ringing in the ears
things taste different
hunger
trembling
flushing
a fast, pounding heart beat
Tell your doctor immediately if you notice any of the following:
bloody or black bowel motions
diarrhoea with blood, mucus, stomach pain and fever
abdominal or stomach pain
heartburn
vomiting of blood or vomit that looks like coffee grounds
coughing up blood
blood in the urine
blood in the eyes
unusually heavy bleeding or oozing from cuts or wounds
bleeding (including nose bleeds) or bruising more easily than normal
unusually heavy or unexpected menstrual bleeding
breast enlargement in men
numbness (paralysis) or problems with co-ordination
nausea or vomiting
faintness or dizziness
light-headedness or blurred vision
slurred speech or other difficulty in speaking
headache (severe and continuing)
confusion or hallucinations
fever or other signs of infection, such as a sore throat
rash or hives
chills, sweating or clammy skin
fever, muscle weakness, loss of appetite and fatigue
muscle pain
weight loss
anaemia (being tired and looking pale)
red or purple spots visible through your skin
itching, inflamed, cracking or red skin
tightness of the chest, wheezing, coughing or difficulty breathing
yellowing of the skin or the whites of the eyes, pale stools and dark urine with vomiting
and stomach pain
swelling of the face, lips, mouth, tongue or throat which may cause difficulty in
swallowing or breathing
oedema (build up of fluid in the body that can cause swelling).
These could be more serious side effects – you may need urgent medical attention.
Other side effects not listed above may also occur in some patients. Tell your doctor
if you notice any other effects.
Do not be alarmed by this list of side effects. Most people do not experience any
of them.
After taking it
Storage
Keep your tablets in the blister pack until it is time to take them.
If you take your tablets out of the box or blister pack they will not keep well.
Keep APX-Clopidogrel/Aspirin 75/100 in a cool, dry place where the temperature stays
below 25°C.
Heat and dampness can destroy some medicines. Do not leave APX-Clopidogrel/Aspirin
75/100 in the car on hot days.
Do not store APX-Clopidogrel/Aspirin 75/100 or any other medication in the bathroom
or near a sink.
Keep APX-Clopidogrel/Aspirin 75/100 where children cannot reach it.
A locked cupboard at least one and a half metres above the ground is a good place
to store medicines.
Disposal
If your doctor tells you to stop taking APX-Clopidogrel/Aspirin 75/100, ask your pharmacist
what to do with any tablets that are left over.
Product description
What it looks like
APX-Clopidogrel/Aspirin 75/100 is available as light pink, oval tablets with ‘C75’
on one side and ‘A100’ on the other.
Supplied in a box containing 30 tablets.
Active Ingredients:
clopidogrel (as hydrogen sulfate) 75 mg
aspirin 100 mg
Other Ingredients:
mannitol
macrogol 6000
microcrystalline cellulose
hydrogenated castor oil
hyprolose
hypromellose
maize starch
stearic acid
colloidal anhydrous silica
lactose monohydrate
titanium dioxide
glycerol triacetate
carnauba wax
red iron oxide
Manufacturer
sanofi-aventis australia pty ltd
12-24 Talavera Road
Macquarie Park NSW 2113
Distributor
Arrotex Pharmaceuticals Pty Ltd
15 – 17 Chapel Street
Cremorne, VIC 3121
Toll free number (medical information): 1800 195 055
AUST R 339625
This leaflet was prepared in July 2020.
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