Ticagrelor Accord
Ticagrelor Accord contains ticagrelor and is used with aspirin to reduce the risk of heart attack, stroke, and death from heart or blood vessel disease if you have had a heart attack or unstable chest pain.
How to Use
Dosage
The starting dose is two 90 mg tablets at once (total 180 mg), usually given in the hospital. After this, you take one 90 mg tablet twice a day for up to 12 months, unless your doctor tells you otherwise.
Method
Take the medicine at about the same time each day (e.g., one tablet in the morning and one in the evening). You can take the tablets with or without food. If you have trouble swallowing, you can crush the tablet into a fine powder, mix it with half a glass of water, and drink it right away. Rinse the glass with another half glass of water to make sure you've taken all the medicine.
The maximum daily dose after the initial loading dose is 180 mg (two 90 mg tablets).
Possible Side Effects
- •Shortness of breath (often mild, sudden, and goes away)
- •Bruises
- •Headache
- •Dizziness or a feeling of spinning (vertigo)
- •Diarrhea or indigestion
- •Feeling sick (nausea)
- •Constipation
- •Rash
- •Itching
- •Severe pain and swelling in joints (signs of gout)
- •Dizziness or weakness or blurred vision (signs of low blood pressure)
- •Nosebleed
- •More bleeding than usual after surgery or from cuts (e.g., shaving) and wounds
- •Bleeding from the lining of the stomach (ulcer)
- •Bleeding gums
- •High uric acid levels in the blood (seen in a blood test)
- •Bleeding caused by a blood disorder
- •Bleeding in the brain or inside the skull (may cause stroke-like symptoms like sudden numbness or weakness, confusion, or severe headache)
- •Allergic reaction (rash, itching, or swelling of the face, lips, or tongue)
- •Confusion
- •Vision problems caused by blood in the eye
- •Vaginal bleeding that is heavier or happens at unusual times than normal menstrual bleeding
- •Bleeding into joints and muscles, which can cause painful swelling
- •Blood in the ear
- •Internal bleeding that can cause dizziness or weakness
Important Warnings
- Do not take this medicine if you are allergic to ticagrelor, are currently bleeding, have severe liver disease, or had a stroke caused by bleeding in the brain.
- Tell your doctor if you have an increased risk of bleeding due to a recent serious injury, recent surgery (including dental work), a blood clotting disorder, or recent stomach or bowel bleeding.
- Tell your doctor if you are going to have surgery (including dental surgery), as you may need to stop taking this medicine 5 days before the procedure.
- Tell your doctor if you have a very slow heart rate (usually under 60 beats per minute) and do not have a pacemaker, or if you have asthma or other breathing problems.
- Tell your doctor if you have had liver problems or if a blood test has shown high uric acid levels in your blood.
Show 2 more warnings
- Tell your doctor if you are pregnant, planning to become pregnant, or are breastfeeding, as this medicine is not recommended during these times.
- Always tell your doctor or pharmacist about all other medicines you are taking, especially other blood thinners (like warfarin), pain relievers (NSAIDs like ibuprofen), or antidepressants (SSRI medicines).