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Do not take a double dose of this medication. It may take longer
than usual for you to stop bleeding, even from minor wounds. Tell
your doctor about any unusual bleeding or bruising that you
experience. Studies in rats have shown that clopidogrel appears in
breast milk; however, it is not known whether it also appears in
human breast milk. Because of a potential for side effects in the
nursing infant, the physician must weigh the potential benefits
and possible risks before prescribing clopidogrel in nursing
mothers.
Unlike ticlopidine, clopidogrel does not cause
serious reductions of white cells in the blood and, therefore,
routine blood testing to determine if the white blood cell count
is low is not necessary during treatment. The risk of heart
attacks and strokes (which usually are caused by blood clots) is
increased in patients with a recent history of stroke or heart
attack and patients with peripheral vascular disease. It
frequently occurs in the legs and often causes claudication or
pain in the legs upon walking). Clopidogrel is used to reduce the
risk of heart attacks and strokes in these patients. However, if
it is almost time for the next dose, skip the missed dose and take
only the next regularly scheduled dose.
In one large
study, clopidogrel was more effective than aspirin in reducing
heart attacks. The frequency of side effects of clopidogrel was
similar to aspirin; however, stomach and intestinal bleeding
probably occurs less often with clopidogrel than with aspirin. If
you do not understand these instructions, ask your pharmacist,
nurse, or doctor to explain them to you. Take each dose with a
full glass of water. Clopidogrel can be taken with or without
food.
Other, less serious side effects may be more
likely to occur. Continue to take clopidogrel and talk to your
doctor if you experience upset stomach; diarrhea or constipation;
or headache or dizziness. Side effects other than those listed
here may also occur. Talk to your doctor about any side effect
that seems unusual or that is especially bothersome.
There is a number of reasons for that. We do not spend anything on
marketing, there are no taxes to be paid as the product comes into
the country unregistered, the manufacturer is located in an
offshore zone and the production costs are way lower. No child
labor is used. Generic means using a different name for the same
ingredients. The contents of the pills are absolutely the same in
our generic version and the branded analogue.
Diarrhea,
rash, or itching occurs in approximately 1 in 20 persons taking
clopidogrel. Abdominal pain also occurs in about 1 in 20 persons,
but it is less frequent than with aspirin. It has been associated
with a severe reduction in white blood cell count in between 0.
The risk of this dangerous side effect with clopidogrel is about
0. Blood platelets, which participate in clotting, are consumed,
and the result can be bleeding because enough platelets are no
longer left to allow blood to clot normally.
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