Clopidogrel Treatment Report

Category: Prescription Drugs

Most Popular Types: Plavix

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Generic Name: Clopidogrel

What is Clopidogrel?

An example of Clopidogrel

Clopidogrel is a potent oral antiplatelet agent often used in the treatment of coronary artery disease, peripheral vascular disease, and cerebrovascular disease.

Reported Purpose & Perceived Effectiveness

Reasons and Perceived effectiveness
Perceived Effectiveness
Purpose # of patients # of patients with evaluations
Major
Moderate
Slight
None
Can’t tell
56 17 Efficacy_major Efficacy_moderate Efficacy_cant_tell
29 4 Efficacy_major Efficacy_cant_tell
7 1 Efficacy_cant_tell
6 0
6 1 Efficacy_cant_tell
5 1 Efficacy_cant_tell

See all 166 patients currently taking Clopidogrel

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Reported Side Effects

Side effects as an overall problem

Severe
3
Moderate
5
Mild
9
None
19

Reported Dosages

Frequently reported dosages based on patients currently taking Clopidogrel. See all 13 dosages

  daily 1 mcg daily 1 mg daily 1 other daily 37.5 mg m,w,f 40 mg daily 50 mg daily 75 mg daily 80 mg daily 300 mg daily
  2 Number of Patients: 2 1 Number of Patients: 1 4 Number of Patients: 4 4 Number of Patients: 4 1 Number of Patients: 1 2 Number of Patients: 2 1 Number of Patients: 1 149 Number of Patients: 149 1 Number of Patients: 1 2 Number of Patients: 2  

Reported Stop Reasons

Why Patients Stopped Taking Clopidogrel (multiple reasons could be selected)
Reason # Patients Percentage of patients
Doctor's advice 22   Doctor's advice: 56%
Course of treatment ended 11   Course of treatment ended: 28%
Other 5   Other: 13%
Side effects too severe 3   Side effects too severe: 8%
Expense 3   Expense: 8%
Did not seem to work 3   Did not seem to work: 8%
Change in health plan coverage 1   Change in health plan coverage: 3%

See all 39 patients who’ve stopped taking Clopidogrel

Currently Taking Clopidogrel

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Stopped Taking Clopidogrel

A bar graph

0-1 month 1-3 months 3-6 months 6 months-1year 1-2 years 2 years or more

Reported Adherence, Burden & Cost See details from patient evaluations

Adherence

Taking treatment as prescribed

Adherence of Clopidogrel

Always
34 94%
Usually
1 3%
Sometimes
1 3%
Never
0 0%

Burden

Difficulty being on treatment

Burden of Clopidogrel

Very
0 0%
Somewhat
1 3%
A little
3 8%
Not at all
32 89%

Cost

Paid out of pocket

Cost of Clopidogrel

$200+
1 5%
$100-199
3 14%
$50-99
3 14%
$25-49
5 24%
< $25
9 43%

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7 patient evaluations for Clopidogrel

Purpose: Prevent blood clotting (Started Jul 06, 1996)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Aug 09, 2012 75 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major SevereSevereSevereSevereSevere AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Jul 17, 2012 75 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major SevereSevereSevereSevereSevere AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
May 25, 2012 75 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major SevereSevereSevereSevereSevere AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Apr 28, 2012 75 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate SevereSevereSevereSevereSevere AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
Date
Aug 09, 2012
Advice & Tips
as of 04-08-12 my bruising probably from this medication has just gone haywire again no use in tlaking to the doctor about it again as I am a stent patient and allergic to aspirin and I need an anti-platlet drug.
Cost
< $25 monthly
Date
May 25, 2012
Advice & Tips
Still have to take this drug despite TTP and bruising being very bad at times as I have a stent in my aortic artery from my anuerysm repair. I have to take this drug as I am allergic to Aspirin and non compliant with any other antiplatlet drug.
Cost
< $25 monthly
Date
Apr 28, 2012
Advice & Tips
Frequent attacks of TTP and unexplained bruising with this drug, I only took it as an option being alergic to Aspirin and non compliant with Warfarin.
Cost
< $25 monthly
  • Icon_thumb_off 0 helpful marks
  • daiseyblue
    Data Quality: 2 stars
    • Sex: Female
    • Age: 58y
    Condition: Systemic Lupus Erythematosus 11 additional condition(s)
    Quality of Life:
    • Mental: Moderate
    • Physical: Moderate
    I am: Very bad
  • Portrait_default_thumb
  • See daiseyblue's full Clopidogrel history
Purpose: Prevent blood clotting (Started Mar 23, 2012)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
May 15, 2012 75 mg Daily Led_efficacy_3Led_efficacy_3Led_efficacy_3Led_defaultModerate SevereSevereSevereSevereSevere AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
  • Icon_thumb_off 0 helpful marks
Purpose: Prevent blood clotting (Started Oct 05, 2011)
Date Dosage Perceived effectiveness Side Effects Adherence Burden
Nov 27, 2011 75 mg Daily Led_efficacy_4Led_efficacy_4Led_efficacy_4Led_efficacy_4Major NoneNoneNoneNoneNone AlwaysAlwaysAlwaysAlwaysAlways Not at allNot at allNot at allNot at allNot at all
  • Icon_thumb_off 0 helpful marks
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What is clopidogrel?

Clopidogrel keeps the platelets in your blood from coagulating (clotting) to prevent unwanted blood clots that can occur with certain heart or blood vessel conditions.

Clopidogrel is used to prevent blood clots after a recent heart attack or stroke, and in people with certain disorders of the heart or blood vessels.

Clopidogrel may also be used for other purposes not listed in this medication guide.


Precautions

Do not use this medication if you are allergic to clopidogrel, or if you have any active bleeding such as a stomach ulcer or bleeding in the brain (such as from a head injury).

Before taking clopidogrel, tell your doctor if you are allergic to any drugs, or if you have:

  • a bleeding or blood clotting disorder, such as hemophilia;
  • a history of stroke, including TIA ("mini-stroke");
  • a stomach ulcer or ulcerative colitis;
  • liver disease; or
  • kidney disease.

If you have any of these conditions, you may need a dose adjustment or special tests to safely take this medication.

FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether clopidogrel passes into breast milk or if it could harm a nursing baby. Do not use this medication without telling your doctor if you are breast-feeding a baby.

While you are taking clopidogrel, do not take aspirin or other NSAIDs (non-steroidal anti-inflammatory drugs) without your doctor’s advice. NSAIDs include ibuprofen (Motrin, Advil), naproxen (Aleve, Naprosyn), diclofenac (Voltaren), diflunisal (Dolobid), etodolac (Lodine), flurbiprofen (Ansaid), indomethacin (Indocin), ketoprofen (Orudis), ketorolac (Toradol), mefenamic acid (Ponstel), meloxicam (Mobic), nabumetone (Relafen), piroxicam (Feldene), and others.

Avoid sports or activities that could result in a bruising or bleeding injury. Use extra caution to avoid cuts when brushing your teeth or shaving.

Avoid drinking alcohol while taking clopidogrel. Alcohol may increase your risk of bleeding in your stomach or intestines.

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Instructions

Seek emergency medical attention if you think you have used too much of this medicine.

Overdose symptoms may include vomiting, feeling exhausted or short of breath, and blood in your stools or vomit.

Take the missed dose as soon as you remember. If it is almost time for your next dose, skip the missed dose and take the medicine at your next regularly scheduled time. Do not take extra medicine to make up the missed dose.

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Side Effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Stop using clopidogrel and call your doctor at once if you have any of these serious side effects:

  • nosebleed or other bleeding that will not stop;
  • black, bloody, or tarry stools;
  • coughing up blood or vomit that looks like coffee grounds;
  • chest pain or heavy feeling, pain spreading to the arm or shoulder, nausea, sweating, general ill feeling;
  • sudden numbness or weakness, especially on one side of the body;
  • sudden headache, confusion, problems with vision, speech, or balance; or
  • pale skin, easy bruising or bleeding, weakness, fever, and urinating more or less than usual.

Less serious side effects may include:

  • stomach pain;
  • runny or stuffy nose, cough, sore throat; or
  • mild headache or dizziness.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

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Interactions

Before taking clopidogrel, tell your doctor if you are using any of the following drugs:

  • phenytoin (Dilantin);
  • tamoxifen (Nolvadex);
  • tolbutamide (Orinase);
  • torsemide (Demadex);
  • fluvastatin (Lescol);
  • a blood thinner such as warfarin (Coumadin), heparin, ardeparin (Normiflo), dalteparin (Fragmin), danaparoid (Orgaran), enoxaparin (Lovenox), or tinzaparin (Innohep);
  • other medication used to prevent blood clots, such as alteplase (Activase), anistreplase (Eminase), dipyridamole (Persantine), streptokinase (Kabikinase, Streptase), ticlopidine (Ticlid), and urokinase (Abbokinase); or
  • certain stomach acid reducers, such esomeprazole (Nexium), dexlansoprazole (Kapidex), lansoprazole (Prevacid), omeprazole (Prilosec, Prilosec OTC, Zegerid), pantoprazole (Protonix), or rabeprazole (AcipHex).

This list is not complete and there may be other drugs that can interact with clopidogrel. Tell your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not start using a new medication without telling your doctor.

Other Names

Plavix and clopidogrel

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Disclaimer

Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2004 Cerner Multum, Inc. Version 2.05. Revision date 8/23/04

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