PLAKEKS 75 mg. 30 tablets

WHAT IS PLAKEKS AND WHAT TO USE
PlakEks, belongs to a group of drugs called antiplatelet medicines. Platelets are tiny blood elements smaller than red or white blood cells that adhere to one another in the formation of blood clots. By preventing this clumping, antiplatelet trombocitnite reduce the risk of blood clots (a process called thrombosis).
PlakEks applies to prevent the formation of blood clots (thrombi) compacted blood vessels (arteries), a process known as aterotromboza, resulting in atherothrombotic events (such as stroke, heart attack, or death).
Prescribed PlakEks you to prevent formation of blood clots and reduce the risk of these serious incidents because:
You have a situation of congestion of arteries (also known as arteriosclerosis);
You have a prior heart attack, stroke, or have a condition known as peripheral arterial disease;
You've had a severe chest pain, a condition known as unstable angina, or myocardial infarction (heart attack). To treat this condition Your doctor may put a stent in a blocked or narrowed artery to restore effective blood flow. You may be prescribed and acetylsalicylic acid (substance contained in the many medications used as painkillers and lowering the temperature, as well as to prevent blood clotting) by your doctor.

2. BEFORE YOU TAKE PLAKEKS
Do not take PlakEks:
If you are allergic (hypersensitive) to Clopidogrel or any of the other ingredients of PlakEks;
If you suffer from a disease that currently causes bleeding, such as stomach ulcers or bleeding in the brain;
If you suffer from severe liver disease;
If you believe that some of these apply to you, or you have any doubts, consult your doctor before treatment with PlakEks.
Take special care with PlakEks
If any of the following conditions apply to you, you should immediately inform your doctor before beginning use of PlakEks:
If you are at risk of bleeding, such as:
a disease that puts you at risk of internal bleeding (such as ulcers);
you have a blood disorder that make you prone to internal hemorrhages (bleeding into tissues, organs or joints of your body);
recent severe trauma;
a recent surgical interventions (including dental);
impending surgery (including dental) over the next seven days;
If you have had a blood clot in the brain artery (ischemic stroke) occurred in the last 7 days;
If you have kidney or liver disease.
During the use of PlakEks:
You must inform your doctor if you are planning a surgical intervention (including dental);
You must also immediately inform your doctor if you develop the condition (also known as thrombotic thrombocytopenic purpura, or TTP) that includes fever and bruises on the skin that can appear as a small red dots, with or without an excessive tiredness, confusion, yellowing of the skin or eyes (jaundice) (see section 4 "POSSIBLE SIDE EFFECTS");
If you cut or hurt, it might take a little more time than usual to stop bleeding. This is related to the mode of action of the drug to prevent blood clots. In minor cuts and injuries, such as. cut while you shave, it's usually is irrelevant. However, if the bleeding is bothering you, you should contact your doctor immediately (see section 4 "POSSIBLE SIDE EFFECTS");
Your doctor may order blood tests.
PlakEks is not intended for use by children and adolescents.

Intake of other drugs
Please inform your doctor or pharmacist if you are taking or have recently taken any other medicines, including those obtained without a prescription.
Some drugs can affect the action of PlakEks and vice versa.
You must inform your doctor if you take:
oral anticoagulants, drugs used to reduce s″sirvaemosta of blood;
non-steroidal anti-inflammatory drugs, commonly used for the lečenie painful and/or inflammatory conditions of the muscles or joints;
heparin or any other medication to reduce blood s″sirvaemostta;
Proton pump inhibitor (e.g. omeprazole.) for an upset stomach;
Fluconazole, voriconazole, ciprofloxacin or chloramphenicol, drugs for the treatment of bacterial and fungal infections;
IV, medicine for the treatment of upset stomach;
Fluoxetine, fluvoksaminili moklobemid, drugs for the treatment of depression;
carbamazepine or okskarbazepin, drugs for the treatment of some forms of epilepsy;
tiklopidin, another antitrombotično tool.
Pregnancy and lactation
It is preferable not to use the medicinal product during pregnancy and lactation.
If you are pregnant or suspect that you are pregnant, you should notify your doctor or pharmacist before you take PlakEks. If you become pregnant while taking the PlakEks immediately ask your doctor, since it is not recommended the use of clopidogrel in pregnancy.
Consult your doctor about breastfeeding while taking PlakEks.
Inform your doctor or pharmacist if you are taking or recently taken any other medications, including those prescribed.

Driving and operating machinery
PlakEks is unlikely to affect your ability to drive or use machines.

Important information about some of the ingredients of PlakEks:
PlakEks contains lactose. If you are advised by your doctor that you have an intolerance to some sugars (e.g. lactose), contact him before you take this medication.
PlakEks also contains mannitol, which can cause stomach upset or diarrhea.

3. HOW to TAKE PLAKEKS
Always take PlakEks exactly as your doctor has told you. If you are unsure of something, ask your doctor or pharmacist.
If you have experienced severe chest pain (unstable angina or myocardial infarction), your doctor may give you 300 PlakEks mg (4 tablets of 75 mg) once at the beginning of treatment.
After that, the usual dose is one tablet of PlakEks 75 mg daily, taken by mouth with or without food, and at the same time every day.
You must take the product as long as your doctor prescribes it for you.

If you take more than the required dose PlakEks
Contact your doctor immediately or go to the emergency medical unit in the nearest hospital because of increased risk of bleeding.

If you forget to take PlakEks
If you forget to take a dose, but PlakEks remember within 12 hours after normal time, immediately take the Tablet, and then accept the next in the ordinary class. If you've forgotten for more than 12 hours, just take the following a single dose at the usual time. Do not take a double dose to make up for missed individual doses.

If you stop taking the PlakEks
Do not stop treatment. Contact your doctor or pharmacist before you do.
If you have any further questions relating to the use of this product, please ask your doctor or pharmacist.

4. POSSIBLE SIDE EFFECTS
Like all medicines, PlakEks can cause side effects, although not everybody gets them.
Tell your doctor immediately if you have:
fever, signs of infection or extreme fatigue. They can be due to a rare downgrade the value of certain blood cells;
signs of liver problems such as yellowing of the skin and/or eyes (jaundice), regardless of whether they are accompanied by subcutaneous hemorrhages which occur as small red spots and/or confusion (see section 2 "take special care with PlakEks");
swelling of the mouth or skin disorders such as rashes and itching, blisters on the skin.
The most commonly reported adverse drug reaction (affects 1 to 10 patients of 100) in PlakEks is bleeding. The bleeding can be manifest as bleeding in the stomach or intestines, bruise, and Hematoma (abnormal bleeding or bruising under the skin), nose bleeds, blood in the urine. In a small number of cases reported and bleeding in the eyes, head, lung or joints.

If you have prolonged bleeding when taking PlakEks
If you cut or hurt, it might take a little more time than usual to stop bleeding. This is related to the mode of action of the drug to prevent blood clots. In minor cuts and injuries, such as. cut while you shave, it usually doesn't matter. However, if the bleeding is bothering you, you should contact your doctor immediately (see section 2 "take special care with PlakEks").

Other adverse reactions reported in PlakEks are:
Common side effects (affecting 1 out of 10 patients of 100): diarrhea, abdominal pain, indigestion or heartburn.

Uncommon side effects (affecting 1 in 10 patients per 1 000): headache, stomach ulcers, nausea, vomiting, constipation, increased amount of gas in the stomach or intestines, rashes, itching, dizziness, feeling of numbness and tingling.

Rare side effects (affects 1 to 10 in 10,000 patients): dizziness.

Very rare side effects (affecting less than 1 patient per 10 000): jaundice; severe abdominal pain with or without back pain; fever, difficulty in breathing, sometimes accompanied with cough; common allergic reactions; swelling of the mouth; blisters on the skin; allergic skin reactions; inflammation of the oral mucosa (stomatitis); lowering blood pressure, confusion, hallucinations; joint pain; muscle pain; change the taste.
In addition, your doctor may ascertain changes in the indicators in the blood and urine.
If any of the side effects get serious, or notice any other than those described in this leaflet side effects, please inform your doctor or pharmacist.

5. HOW to STORE PLAKEKS
Keep out of the reach of children.
At a temperature below 25 ° c.
Do not use PlakEks after the expiry date stated on the package. Refers to the last day of that month.
Medicines should not be disposed of in the wastewater or household waste. Ask your pharmacist how to dispose of unnecessary drugs. These measures will help protect the environment.

6. additional information
What contains PlakEks
The active substance is Clopidogrel bezilat.
Each tablet contains 112.10 mg Clopidogrel (clopidogrel besylate) bezilat, equivalent to 75 mg clopidogrel.
Other ingredients: microcrystalline cellulose, mannitol, crospovidone, hidroksipropilceluloza, citric acid, propylene glycol, stearic acid, talc, opadri II pink.

What it looks like and what the package contains PlakEks
PlakEks 75 mg film-coated tablets are: pink, biconvex, round.
A cardboard box containing three number Al/Al blister packs or Al/PVC-PE/PVDC blister packs. Each blister contains 10 tablets.

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