Ticagrelor Sandoz
Ticagrelor Sandoz is a medicine that prevents blood platelets from clumping together, reducing the risk of heart attack, stroke, and death from heart and blood vessel disease.
How to Use
Dosage
For 60mg tablets: Take one tablet twice a day. For 90mg tablets: Start with two tablets (180mg total) once, usually in the hospital, then one tablet twice a day.
Method
Take tablets with or without food, around the same time each day (e.g., one in the morning, one in the evening). If you have trouble swallowing, you can crush the tablet into a fine powder, mix it with half a glass of water, stir, and drink immediately. Rinse the glass with another half glass of water and drink to ensure no medicine is left.
For 60mg tablets, the maximum daily dose is 120mg (one tablet twice daily). For 90mg tablets, the maximum daily dose is 180mg (one tablet twice daily after the initial loading dose).
Possible Side Effects
- •Feeling short of breath.
- •High levels of uric acid in your blood (seen in blood tests).
- •Bleeding caused by problems with your blood.
- •Bruising.
- •Headache.
- •Dizziness or a spinning sensation.
- •Diarrhea or upset stomach.
- •Feeling sick (nausea).
- •Constipation.
- •Rash.
- •Itching.
- •Severe pain and swelling in joints (signs of gout).
- •Dizziness, 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 (stomach ulcer).
- •Bleeding gums.
- •Temporary loss of consciousness due to sudden lack of blood flow to the brain (fainting).
- •Bleeding in the brain or inside the skull, which can cause stroke symptoms like sudden numbness/weakness in arm, leg, or face (especially on one side), sudden confusion, difficulty speaking or understanding, sudden problems walking/balance/coordination, sudden dizziness, or a severe headache without a known cause.
- •Severe or uncontrolled bleeding, unexpected or long-lasting bleeding, pink, red, or brown urine, vomiting red blood or coffee ground-like vomit, red or black tarry stools, coughing up or vomiting blood clots.
- •Allergic reaction (skin rash, itching, swelling of face, lips or tongue).
- •Confusion.
- •Vision problems caused by blood in the eye.
- •Vaginal bleeding that is heavier or occurs at unusual times compared to your normal menstrual period.
- •Bleeding into joints and muscles causing painful swelling.
- •Blood in the ear.
- •Internal bleeding that may cause dizziness or weakness.
- •Symptoms of a rare blood clotting problem called thrombotic thrombocytopenic purpura (TTP), such as fever and purple spots on the skin or in the mouth, possibly with yellowing of the skin or eyes (jaundice), extreme tiredness, or confusion.
Important Warnings
- Do not use if you are allergic to ticagrelor or any other ingredients in this medicine.
- Do not use if you have current bleeding in your body.
- Do not use if you have had a stroke caused by bleeding in the brain.
- Do not use if you have a severe liver disease.
- Do not use if you are taking certain medicines like ketoconazole (for fungal infections), clarithromycin (for bacterial infections), nefazodone (for depression), ritonavir or atazanavir (for HIV/AIDS).
Show 8 more warnings
- Tell your doctor if you have an increased risk of bleeding, such as from a recent serious injury, recent surgery (including dental), a blood clotting disorder, or recent stomach or intestinal bleeding (e.g., ulcers).
- Tell your doctor if you will have surgery (including dental surgery) as you might need to stop this medicine 5 days before.
- Tell your doctor if your heart rate is abnormally slow (under 60 beats per minute) and you do not have a pacemaker.
- Tell your doctor if you have asthma or other lung problems, or if you experience irregular breathing.
- Tell your doctor if you have had or currently have liver problems.
- Tell your doctor if a blood test has shown you have high levels of uric acid.
- If you are taking both Ticagrelor Sandoz and heparin, tell your doctor as you might need a special blood test.
- Ticagrelor Sandoz is not recommended during pregnancy or if you are trying to become pregnant. Women should use effective birth control while taking this medicine. Talk to your doctor if you are breastfeeding.
Use in Elderly Patients
Suitable for older adults, with specific precautions. Initiation of treatment in specialized care. Consider potential interactions especially with other drugs that increase the risk of bleeding. Avoid grapefruit. (updated 19.9.2025)