Medical  Explorer

Custom Search

Drugs A to Z  :  A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  R  S  T  U  V  W  X  Y  Z
Medicinal Ingredients : A  B  C  D  E  F  G  H  I  J  K  L  M  N  O  P  Q  R  S  T  U  V  W  X  Y  Z

Beauty Products : A  B  C  D  E  F  G  I  M  N  O  P  R  S  T  V

Aging      Allergies     Alzheimer's      newArthritis    Asthma      newBacteria    Cancer    Chickenpox     Colds     Constipation      Diabetes      Epilepsy     Fatigue     Fever     Genetics       Haemorrhoids       Headaches      Hepatitis    newImmunity      Infection      Insomnia       Leprosy       Menopause      Obesity      Osteoporosis     Other Diseases    Pain      PMS     Parasites     Sinusitis     Stroke     Toxicology    Urology




Arthritis medications
Acupuncture
Alcohol
Patients
newGeneral Health
Medicinal food
Chinese medicine
Nutrients
Smoking
Vitamins
OTC Drugs
Health Products
Therapy
Symptom
Parasitology
 
 

Aplaket
Ticlopidine hydrochloride

COMPOSITION:
Each coated tablet contains:
Active ingredient:
Ticlopidine hydrochloride     250 mg
Excipients:
Lactose monohydrate, sodium starch glycolate, polyethylene glycol, povidone, magnesium stearate, hydroxypropylcellulose. ethylcellulose. diethyl phthalate, acacia gum, titanium dioxide, talc, sucrose, carnauba wax, white beeswax, hard paraffin.

MODE OF ACTIONS:
Ticlopidine is an inhibitor of platelet aggregation. It causes dose-dependent inhibition of platelet aggregation and release of platelet factors, as well as a prolongation of bleeding time.

PHARMACOLOGY:
Ticlopidine is a thienopyridine with antithrombotic activity. It decreases platelet adhesivity, inhibits platelet aggregation (induced by ADP, collagen, thrombin and endoperoxides). stimulates platelet disaggregation. decreases the hyperaggregability of erythrocytes (induced by protamine sulfate). improves erythrocytes ability to modify their shape (filtration capacity).

Pharmacokinetics properties:
After oral administration of a single 250 mg or 500 mg dose, the peak of the active ingredient occurs at approximately 2 hours after dosing, and the drug is almost totally eliminated from blood 8 hours after administration. The dose is absorbed by 80-90% in rats and man. After a single oral dose of 1000 mg, the plasmatic peak is 2.1 mg/l. The half-life is 24 hours. At the therapeutic doses. the inhibition of platelet aggregation induced by ticlopidine becomes significant after 24-48 hours from the beginning of treatment: the greatest effect is reached during the 5th or 6th day of treatment and disappears 5 to 6 days after treatment withdrawal.

Oral administration of 14C-ticlopidine (25 mg/Kg) to rats has shown that the product is eliminated by 70% in the bile and by 30% at renal level. After a single oral administration of 500 mg ticlopidine, its concentration decreases rapidly to 0.7 mg/12 hours after dosing.

INDICATIONS:
Ticlopidine is indicated in the secondary prevention of cerebral and cardiovascular occlusive ischemia in patients with thrombotic risk (peripheral occlusive arterial disease, previous myocardial infarction, previous recurrent and transient ischemic attacks, cerebro-ischemic stroke, unstable angina). In patients who have experienced previous myocardial infarction and previous recurrent and transient ischemic attacks, ticlopidine should be used in the case that intolerance to acetylsalicylic acid (ASA) has been ascertained or when ASA resulted ineffective.

Ticlopidine is also indicated in the prevention of aorta-coronary bypass graft occlusion, in extra-corporal circulation and in haemodialysis.

CONTRAINDICATIONS:
Assessed individual hypersensitivity to ticlopidine.

The product is contraindicated in patients affected or who have experienced leucopenia, thrombocytopenia or agranulocytosis.

Bleeding diatheses and haemostatic disorders inducing a prolongation of bleeding time.

Active pathological bleeding (such as bleeding gastrointestinal ulcer, bleeding esophageal varices, etc.).

Acute haemorragic cerebrovascular strokes.

Severe hepatopathy.

Use in Pregnancy and Lactation: Ticlopidine should not be prescribed to a pregnant or nursing mother.

SIDE EFFECTS:
The following undesirable effects have been shown in course of treatment with ticlopidine:
  - bleeding complications (haemorrhages);
  - leucopenia, thrombocytopenia, agranulocytosis, medullary aplasia (particularly severe in the elderly);
  - gastrointestinal discomforts (nausea, gastralgia, diarrhoea);
  - increase of transaminases and, rarely, cholestatic jaundice (it is therefore adviced to monitor the hepatic function periodically);
  - skin rash, which is reversible by withdrawing the treatment;
  - vertigo;
  - thrombotic, thrombocytopenic purpura.

PRECAUTIONS:
The physician should prescribe the product only in the pathologies reported in the section INDICATIONS, monitoring the patients by scheduled blood tests and observing carefully the contraindications.

Before starting therapy and, then, every 15 days for the first 3 months of treatment, it is necessary to perform blood cell counting, particularly leucocyte and platelet counts.

Before a surgical intervention, the treatment must be withdrawn for one. week (except for those cases who cannot interrupt it) due to the hemorragic risk induced by the product; after treatment withdrawal and before the intervention, it is advised to evaluate if the effect on haemostasis still persists (by determination of the bleeding time).

If a dental extraction is needed, inform the dentist of the treatment in course.

In the case that pharyngitis, ulcers of the buccal mucosa, angina, fever, bleeding or hematomas occur, the treatment should be immediately withdrawn and the physician should be informed; the eventual resumption of therapy depends from the results of the blood tests and clinical evaluation. Patients with impaired liver function: Ticlopidine should be used with caution and treatment should be discontinued if hepatitis or jaundice develops. Safety and efficacy in children below 18 years old have not been established.

Drug interactions: As ticlopidine induces a prolongation of bleeding time, its association with NSAIDs (ASA, etc.), with anticoagulants (eparine, antivitamin K), should be avoided. The association with potentially myelotoxic drugs should be avoided.

WARNINGS:
Some cases on ticlopidine treatment evidenced, sometimes irreversibly, leucopenia and agranulocytosis; therefore the product should be administered only in the case that is effectively needed. The use of ticlopidine is absolutely avoided in the primary prevention of clinically healthy subjects.

DOSAGE:
The recommended dose is, for a long-term treatment, 1-2 coated tablets daily at meals.

OVERDOSAGE:
Symptoms of overdosage: hemorrhage, convulsions, hypothermia, dyspnea, loss of equilibrium and abnormal gait. Other anormalities reported include increased bleeding time and increased SGPT.

Following overdosage, induced vomiting, gastric lavage and other general supportive are recommended.

PRESENTATION:
Aplaket is a white, round shiny sugar coated tablet.
The tablets are packed in blisters of 10's. Each box contains 20 or 30 coated tablets.
Store at cool, dry place at room temperature not exceeding 25C.
Keep the medicine out of reach of children.
Expiry date is 3 years from the date of manufacturing.

Abdomen
Blood
newBone
Breast
Ear

Eye

Face
Hair

Head

Heart
Kidney
Liver
Limbs
Lungs
Mind
Mouth
Muscles
Nails

Neck

Nerves
Nose

Skin

Teeth

Throat

Tongue
 
Health news
 
Cardiovascular Guide
 
Natural Remedies
 
Treatment of Cancer
 
Women's Health
 
Irritable bowel syndrome
 
Common Childhood Illnesses
 
Prescribed Drugs
 
 

     
         
     

 

Disclaimer