Clopidogrel Bisulfate

Revision as of 15:43, 7 May 2014 by ShiSheng (talk | contribs) (Created page with "{{DrugProjectFormSinglePage |authorTag={{SS}} |genericName=Clopidogrel Bisulfate |aOrAn=a |drugClass=P2Y12 platelet inhibitor, Platelet aggregation inhibitor |indication=acu...")
(diff) ← Older revision | Latest revision (diff) | Newer revision → (diff)
Jump to navigation Jump to search

Clopidogrel Bisulfate
Black Box Warning
Adult Indications & Dosage
Pediatric Indications & Dosage
Contraindications
Warnings & Precautions
Adverse Reactions
Drug Interactions
Use in Specific Populations
Administration & Monitoring
Overdosage
Pharmacology
Clinical Studies
How Supplied
Images
Patient Counseling Information
Precautions with Alcohol
Brand Names
Look-Alike Names

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sheng Shi, M.D. [2]

Disclaimer

WikiDoc MAKES NO GUARANTEE OF VALIDITY. WikiDoc is not a professional health care provider, nor is it a suitable replacement for a licensed healthcare provider. WikiDoc is intended to be an educational tool, not a tool for any form of healthcare delivery. The educational content on WikiDoc drug pages is based upon the FDA package insert, National Library of Medicine content and practice guidelines / consensus statements. WikiDoc does not promote the administration of any medication or device that is not consistent with its labeling. Please read our full disclaimer here.

Black Box Warning

WARNING: DIMINISHED EFFECTIVENESS IN POOR METABOLIZERS
See full prescribing information for complete Boxed Warning.
* Effectiveness of clopidogrel depends on activation to an active metabolite by the cytochrome P450 (CYP) system, principally CYP2C19. (5.1)
  • Poor metabolizers treated with clopidogrel at recommended doses exhibit higher cardiovascular event rates following acute coronary syndrome (ACS) or percutaneous coronary intervention (PCI) than patients with normal CYP2C19 function. (12.5)
  • Tests are available to identify a patient's CYP2C19 genotype and can be used as an aid in determining therapeutic strategy. (12.5)
  • Consider alternative treatment or treatment strategies in patients identified as CYP2C19 poor metabolizers. (2.3, 5.1)

Overview

Clopidogrel Bisulfate is a P2Y12 platelet inhibitor, Platelet aggregation inhibitor that is FDA approved for the {{{indicationType}}} of acute coronary syndrome (ACS), recent MI, recent stroke, or established peripheral arterial disease. There is a Black Box Warning for this drug as shown here. Common adverse reactions include non-major bleeding.

Adult Indications and Dosage

FDA-Labeled Indications and Dosage (Adult)

Condition 1

  • Dosing Information
(Dosage)

Off-Label Use and Dosage (Adult)

Guideline-Supported Use

Condition 1

  • Developed by: (Organization)
  • Class of Recommendation: (Class) (Link)
  • Strength of Evidence: (Category A/B/C) (Link)
  • Dosing Information/Recommendation
  • (Dosage)

Non–Guideline-Supported Use

Condition 1

  • Dosing Information
  • There is limited information about Off-Label Non–Guideline-Supported Use of Clopidogrel Bisulfate in adult patients.

Pediatric Indications and Dosage

FDA-Labeled Indications and Dosage (Pediatric)

Condition 1

  • Dosing Information
(Dosage)

Off-Label Use and Dosage (Pediatric)

Guideline-Supported Use

Condition 1

  • Developed by: (Organization)
  • Class of Recommendation: (Class) (Link)
  • Strength of Evidence: (Category A/B/C) (Link)
  • Dosing Information/Recommendation
  • (Dosage)

Non–Guideline-Supported Use

Condition 1

  • Dosing Information
  • There is limited information about Off-Label Non–Guideline-Supported Use of Clopidogrel Bisulfate in pediatric patients.

Contraindications

  • Condition 1
  • Condition 2
  • Condition 3
  • Condition 4
  • Condition 5

Warnings

WARNING: DIMINISHED EFFECTIVENESS IN POOR METABOLIZERS
See full prescribing information for complete Boxed Warning.
* Effectiveness of clopidogrel depends on activation to an active metabolite by the cytochrome P450 (CYP) system, principally CYP2C19. (5.1)
  • Poor metabolizers treated with clopidogrel at recommended doses exhibit higher cardiovascular event rates following acute coronary syndrome (ACS) or percutaneous coronary intervention (PCI) than patients with normal CYP2C19 function. (12.5)
  • Tests are available to identify a patient's CYP2C19 genotype and can be used as an aid in determining therapeutic strategy. (12.5)
  • Consider alternative treatment or treatment strategies in patients identified as CYP2C19 poor metabolizers. (2.3, 5.1)

Conidition 1

(Description)

Adverse Reactions

Clinical Trials Experience

Central Nervous System

(list/description of adverse reactions)

Cardiovascular

(list/description of adverse reactions)

Respiratory

(list/description of adverse reactions)

Gastrointestinal

(list/description of adverse reactions)

Hypersensitive Reactions

(list/description of adverse reactions)

Miscellaneous

(list/description of adverse reactions)

Postmarketing Experience

Central Nervous System

(list/description of adverse reactions)

Cardiovascular

(list/description of adverse reactions)

Respiratory

(list/description of adverse reactions)

Gastrointestinal

(list/description of adverse reactions)

Hypersensitive Reactions

(list/description of adverse reactions)

Miscellaneous

(list/description of adverse reactions)

Drug Interactions

  • (Drug 1)
  • (Description)
  • (Drug 2)
  • (Description)
  • (Drug 3)
  • (Description)

Use in Specific Populations

Pregnancy

Pregnancy Category (FDA): There is no FDA guidance on usage of Clopidogrel Bisulfate in women who are pregnant.
Pregnancy Category (AUS): There is no Australian Drug Evaluation Committee (ADEC) guidance on usage of Clopidogrel Bisulfate in women who are pregnant.

Labor and Delivery

There is no FDA guidance on use of Clopidogrel Bisulfate during labor and delivery.

Nursing Mothers

There is no FDA guidance on the use of Clopidogrel Bisulfate in women who are nursing.

Pediatric Use

There is no FDA guidance on the use of Clopidogrel Bisulfate in pediatric settings.

Geriatic Use

There is no FDA guidance on the use of Clopidogrel Bisulfate in geriatric settings.

Gender

There is no FDA guidance on the use of Clopidogrel Bisulfate with respect to specific gender populations.

Race

There is no FDA guidance on the use of Clopidogrel Bisulfate with respect to specific racial populations.

Renal Impairment

There is no FDA guidance on the use of Clopidogrel Bisulfate in patients with renal impairment.

Hepatic Impairment

There is no FDA guidance on the use of Clopidogrel Bisulfate in patients with hepatic impairment.

Females of Reproductive Potential and Males

There is no FDA guidance on the use of Clopidogrel Bisulfate in women of reproductive potentials and males.

Immunocompromised Patients

There is no FDA guidance one the use of Clopidogrel Bisulfate in patients who are immunocompromised.

Administration and Monitoring

Administration

There is limited information regarding Clopidogrel Bisulfate Administration in the drug label.

Monitoring

There is limited information regarding Clopidogrel Bisulfate Monitoring in the drug label.

IV Compatibility

There is limited information regarding the compatibility of Clopidogrel Bisulfate and IV administrations.

Overdosage

There is limited information regarding Clopidogrel Bisulfate overdosage. If you suspect drug poisoning or overdose, please contact the National Poison Help hotline (1-800-222-1222) immediately.

Pharmacology

There is limited information regarding Clopidogrel Bisulfate Pharmacology in the drug label.

Mechanism of Action

There is limited information regarding Clopidogrel Bisulfate Mechanism of Action in the drug label.

Structure

There is limited information regarding Clopidogrel Bisulfate Structure in the drug label.

Pharmacodynamics

There is limited information regarding Clopidogrel Bisulfate Pharmacodynamics in the drug label.

Pharmacokinetics

There is limited information regarding Clopidogrel Bisulfate Pharmacokinetics in the drug label.

Nonclinical Toxicology

There is limited information regarding Clopidogrel Bisulfate Nonclinical Toxicology in the drug label.

Clinical Studies

There is limited information regarding Clopidogrel Bisulfate Clinical Studies in the drug label.

How Supplied

There is limited information regarding Clopidogrel Bisulfate How Supplied in the drug label.

Storage

There is limited information regarding Clopidogrel Bisulfate Storage in the drug label.

Images

Drug Images

{{#ask: Page Name::Clopidogrel Bisulfate |?Pill Name |?Drug Name |?Pill Ingred |?Pill Imprint |?Pill Dosage |?Pill Color |?Pill Shape |?Pill Size (mm) |?Pill Scoring |?NDC |?Drug Author |format=template |template=DrugPageImages |mainlabel=- |sort=Pill Name }}

Package and Label Display Panel

{{#ask: Label Page::Clopidogrel Bisulfate |?Label Name |format=template |template=DrugLabelImages |mainlabel=- |sort=Label Page }}

Patient Counseling Information

There is limited information regarding Clopidogrel Bisulfate Patient Counseling Information in the drug label.

Precautions with Alcohol

Alcohol-Clopidogrel Bisulfate interaction has not been established. Talk to your doctor about the effects of taking alcohol with this medication.

Brand Names

There is limited information regarding Clopidogrel Bisulfate Brand Names in the drug label.

Look-Alike Drug Names

There is limited information regarding Clopidogrel Bisulfate Look-Alike Drug Names in the drug label.

Drug Shortage Status

Price

References

The contents of this FDA label are provided by the National Library of Medicine.