Ticagrelor Sandoz
Ticagrelor Sandoz is a medicine that prevents blood clots by stopping platelets from clumping together, reducing the risk of heart attack, stroke, and related death.
How to Use
Dosage
For 60 mg, usually one tablet twice a day. For 90 mg, an initial dose of two tablets (180 mg) is given, then one tablet twice a day for up to 12 months, or as directed by your doctor.
Method
Take tablets with or without food, around the same time each day (e.g., one in the morning and one in the evening). If you have difficulty swallowing, crush the tablet, mix with half a glass of water, stir, drink immediately, and rinse the glass with more water to ensure all medicine is taken.
The maximum daily dose is 120 mg for 60 mg tablets (two tablets) or 180 mg for 90 mg tablets (two tablets), as prescribed by your doctor.
Possible Side Effects
- •Shortness of breath
- •Bruising easily
- •Headache
- •Dizziness or a feeling of spinning
- •Diarrhea or indigestion
- •Nausea
- •Constipation
- •Skin rash
- •Itching
- •Severe joint pain and swelling (signs of gout)
- •Dizziness, weakness, or blurred vision due to low blood pressure
- •Nosebleeds
- •Bleeding more than usual after surgery, cuts (e.g., shaving), or wounds
- •Bleeding from the stomach lining (stomach ulcer)
- •Bleeding gums
- •High levels of uric acid in the blood (seen in blood tests)
- •Fainting (temporary loss of consciousness due to reduced blood flow to the brain)
- •Allergic reaction (skin rash, itching, swollen face, lips, or tongue)
- •Confusion
- •Vision problems caused by blood in the eye
- •Vaginal bleeding that is heavier or occurs at unusual times
- •Bleeding into joints and muscles causing painful swelling
- •Blood in the ear
- •Internal bleeding that may cause dizziness or weakness
- •Signs of stroke due to bleeding in the brain, such as sudden numbness/weakness on one side of the body, sudden confusion or difficulty speaking/understanding, sudden problems with walking/balance, or sudden severe headache without cause.
- •Severe or uncontrolled bleeding (may be life-threatening)
- •Thrombotic thrombocytopenic purpura (TTP) symptoms, such as fever, purplish spots on skin/mouth, yellow skin/eyes, extreme tiredness, or confusion.
- •Abnormally slow heart rate (usually under 60 beats per minute)
Important Warnings
- Do not take if you are allergic to ticagrelor or any other ingredients in this medicine.
- Do not take if you have current bleeding, a history of bleeding stroke, or a high risk of bleeding due to recent injury, surgery (including dental), a blood clotting disorder, or stomach/bowel bleeding.
- Do not take if you have severe liver disease.
- Avoid taking with medicines like ketoconazole, clarithromycin, nefazodone, ritonavir, or atazanavir.
- Tell your doctor if you need surgery (including dental procedures); you might need to stop this medicine 5 days before.
Show 4 more warnings
- Talk to your doctor if you have an abnormally slow heart rate (under 60 beats per minute) and do not have a pacemaker.
- Discuss with your doctor if you have asthma, other lung diseases, or irregular breathing patterns.
- Do not stop taking this medicine without talking to your doctor, as it increases your risk of heart attack or stroke.
- Not recommended during pregnancy or if you plan to become pregnant; use effective birth control. 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)