Ticagrelor 90mg Tablet: Comprehensive Medicine Guide
When to Call Your Doctor IMMEDIATELY
- Blood in stool or vomit
- Severe headache or confusion
- Sudden weakness or difficulty speaking
- Unusual bruising or bleeding that doesn't stop
- Shortness of breath that is severe or worsening
- Swelling of face, lips, or throat
- Fever with dark urine or yellowing of skin
If experiencing severe symptoms, call emergency services immediately.
What is axcer 90mg tablet used for?
This medicine contains Ticagrelor 90 mg, an antiplatelet agent used to prevent heart attack, stroke, and death in patients with acute coronary syndrome. It works by blocking the P2Y12 receptor on platelets, reducing clot formation. It is usually taken twice daily with aspirin.
- Generic Name: Ticagrelor
- Manufacturer: Sun Pharmaceutical Industries Ltd
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 axcer 90mg tablet के बारे में (Hindi Summary)
उपयोग: यह दवा टिकैग्रेलोर 90 मिलीग्राम युक्त है और इसे मुँह से लेने वाली गोली के रूप में दिया जाता है। यह दवा रक्त के थक्के बनने को रोकने में मदद करती है और दिल के दौरे, स्ट्रोक और हृदय रोग से होने वाली मृत्यु के जोखिम को कम करती है। यह उन रोगियों के लिए दी जाती है जिन्हें हाल ही में दिल का दौरा पड़ा हो, अस्थिर एनजाइना हुआ हो, या जिनकी हृदय की धमनियों में स्टेंट डाला गया हो। यह दवा आमतौर पर एस्पिरिन के साथ दी जाती है। इसे डॉक्टर के निर्देशानुसार ही लें और बिना पूछे बंद न करें।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में सिरदर्द, चक्कर आना, जी मिचलाना, उल्टी, दस्त, और आसानी से चोट लगना या खून बहना शामिल हैं। सांस फूलना भी आम है। गंभीर दुष्प्रभावों में गंभीर रक्तस्राव, जैसे मस्तिष्क में रक्तस्राव, पेट या आंतों में रक्तस्राव, शामिल हैं। यदि आपको काला या खूनी मल, खून की उल्टी, या असामान्य रक्तस्राव दिखे तो तुरंत डॉक्टर से मिलें।
सुरक्षा सलाह: इस दवा को शुरू करने से पहले अपने डॉक्टर को अपनी सभी स्वास्थ्य समस्याओं और दवाओं के बारे में बताएं। इसे रोज एक ही समय पर लें। शराब का सेवन न करें क्योंकि इससे पेट में रक्तस्राव का खतरा बढ़ सकता है। किसी भी सर्जरी या दंत चिकित्सा से पहले अपने डॉक्टर को इस दवा के बारे में जरूर बताएं। यदि आपको कोई असामान्य रक्तस्राव या चोट दिखे तो तुरंत डॉक्टर से संपर्क करें।
💊 axcer 90mg tablet Uses & Benefits
[{"condition":"Acute coronary syndrome","description":"This medicine is used to reduce the risk of cardiovascular death, heart attack, and stroke in patients with acute coronary syndrome, including those managed medically or with percutaneous coronary intervention.","evidence":"Well-established"},{"condition":"Myocardial infarction","description":"It is used in patients who have had a heart attack to prevent recurrent cardiovascular events.","evidence":"Well-established"},{"condition":"Unstable angina","description":"This medicine is indicated for patients with unstable angina to reduce the risk of further cardiac events.","evidence":"Well-established"},{"condition":"Post-percutaneous coronary intervention","description":"It is used after stent placement to prevent stent thrombosis and other thrombotic complications.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Peripheral arterial disease","description":"Sometimes prescribed off-label to reduce the risk of cardiovascular events in patients with peripheral arterial disease.","evidence":"Limited"},{"condition":"Ischemic stroke prevention","description":"Occasionally used off-label for secondary prevention of ischemic stroke, but evidence is not robust.","evidence":"Limited"}]
Primary treatment for: Acute coronary syndrome
Also treats: Myocardial infarction, Unstable angina, Peripheral arterial disease
📋 Drug Information
| Generic Name(s) | Ticagrelor |
| Brand Name | Axcer |
| Manufacturer | Sun Pharmaceutical Industries Ltd |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | BLOOD RELATED |
| Action Class | P2Y12 inhibitors (ADP receptor) |
| Route of Administration | Oral |
| Storage | Store at room temperature between 15°C and 30°C (59°F to 86°F). Keep in the original container, tightly closed, away from moisture and heat. Do not refrigerate. |
| Shelf Life | 24 months from the date of manufacture. |
| WHO Guideline | The World Health Organization does not provide specific guidelines for Ticagrelor. However, international cardiology guidelines recommend Ticagrelor as a first-line antiplatelet agent in acute coronary syndrome. |
| ICMR Guideline | The Indian Council of Medical Research has not issued specific guidelines for Ticagrelor. Indian cardiology societies generally follow international guidelines for antiplatelet therapy. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by directly and reversibly blocking the P2Y12 receptor on the surface of platelets. The P2Y12 receptor is normally activated by adenosine diphosphate, which leads to platelet activation and aggregation. By blocking this receptor, Ticagrelor prevents adenosine diphosphate from activating platelets, thereby reducing platelet aggregation and the formation of blood clots. Unlike some other antiplatelet medicines, Ticagrelor does not require metabolic activation and its effect is reversible, meaning platelet function recovers after the medicine is cleared from the body.
Mechanism Steps
💡 How to Take axcer 90mg tablet
Strength: Immediate-release tablet, 90 mg
Dosage Information
| Adult Dosage | The usual adult dose of this medicine is 90 mg taken orally twice daily, with or without food. For patients with acute coronary syndrome, a loading dose of 180 mg (two 90 mg tablets) is often given as soon as possible after diagnosis, followed by 90 mg twice daily. For patients with a history of myocardial infarction, the recommended dose is 60 mg twice daily, but this strength may not be available in this product. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function, and concomitant medications. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | No dose adjustment is required based on age alone. However, elderly patients may be at higher risk of bleeding and should be monitored closely. Dose must be individualized by a qualified clinician. |
| Renal Impairment | No dose adjustment is required for patients with mild to moderate renal impairment. Ticagrelor has not been studied in patients with severe renal impairment or on dialysis; use with caution in these patients. |
| Hepatic Impairment | No dose adjustment is required for patients with mild hepatic impairment. Ticagrelor is not recommended in patients with severe hepatic impairment. Use with caution in patients with moderate hepatic impairment. |
| Maximum Daily Dose | The maximum recommended daily dose is 180 mg (90 mg twice daily) for acute coronary syndrome. For long-term use after myocardial infarction, the maximum daily dose is 120 mg (60 mg twice daily). |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of axcer 90mg tablet
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Ketoconazole | Major | |
| Rifampin | Major | |
| Warfarin | Major | |
| Ibuprofen | Major | |
| Diltiazem | Moderate | |
| Digoxin | Moderate | |
| Simvastatin | Moderate | |
| Omeprazole | Minor | |
| Aspirin | Minor | |
| Grapefruit juice | Moderate |
🚨 Major Interactions
- Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin, ritonavir)
- Strong CYP3A4 inducers (e.g., rifampin, carbamazepine, phenytoin)
- Anticoagulants (e.g., warfarin, apixaban, rivaroxaban)
- NSAIDs (e.g., ibuprofen, naproxen)
⚡ Moderate Interactions
- Moderate CYP3A4 inhibitors (e.g., diltiazem, verapamil, grapefruit juice)
- Digoxin
- Simvastatin, lovastatin
🍷 Alcohol Interaction
Alcohol may increase the risk of gastrointestinal bleeding when taken with this medicine. It is advisable to avoid or limit alcohol consumption while on this medicine.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Active pathological bleeding","History of intracranial hemorrhage","Severe hepatic impairment","Hypersensitivity to Ticagrelor or any component of the formulation","Concomitant use with strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin, ritonavir)"]
⚠️ Warnings & Precautions
["Increased risk of bleeding: This medicine increases the risk of bleeding. Use with caution in patients at risk of bleeding, and monitor closely.","Discontinuation: Premature discontinuation increases the risk of cardiovascular events. Do not stop without consulting your doctor.","Dyspnea: Shortness of breath is common and may require evaluation if severe.","Bradycardia: This medicine can cause bradycardia. Use with caution in patients with sick sinus syndrome or heart block.","Hepatic impairment: Avoid in severe hepatic impairment; use with caution in moderate impairment.","Pregnancy and lactation: Use only if clearly needed.","Surgery: Discontinue this medicine at least 5 days before any surgery or dental procedure to reduce bleeding risk, unless otherwise instructed by your doctor."]
🤱 Lactation Safety
It is not known whether Ticagrelor is excreted in human milk. Because many drugs are excreted in human milk and because of the potential for serious adverse reactions in nursing infants, a decision should be made whether to discontinue nursing or to discontinue the drug, taking into account the importance of the drug to the mother.
💊 Overdose Management
Overdose of this medicine may lead to excessive bleeding. There is no specific antidote. Treatment should be symptomatic and supportive. Platelet transfusion may be considered to reverse the antiplatelet effect, but it may not be effective immediately. In case of overdose, seek immediate medical attention.
⏰ Missed Dose
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not take two doses at the same time to make up for a missed dose.
Additional Safety Advice
Before starting this medicine, tell your doctor if you have a history of bleeding disorders, recent surgery, liver disease, or if you are pregnant or planning to become pregnant. Do not stop taking this medicine without talking to your doctor first, because stopping suddenly can increase your risk of heart attack or blood clots. Take this medicine at the same time each day, with or without food, but be consistent. Avoid alcohol while taking this medicine, as it can increase the risk of stomach bleeding. Inform all healthcare providers, including dentists, that you are taking this medicine before any procedure. Do not take other blood thinners, NSAIDs like ibuprofen or naproxen, or herbal supplements without consulting your doctor. If you miss a dose, take it as soon as you remember, but if it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose. Store this medicine at room temperature away from moisture and heat. Keep out of reach of children.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be at higher risk of bleeding and should be monitored closely. No dose adjustment is required based on age alone, but individual assessment is necessary.
🤰 Pregnancy Planning (TTC)
If you are planning to become pregnant, discuss with your doctor. This medicine should be used during pregnancy only if clearly needed. Effective contraception is recommended while taking this medicine.
🏥 Post-Surgery Considerations
This medicine increases bleeding risk. It should be discontinued at least 5 days before any surgery, unless otherwise instructed by your doctor. Inform your surgeon that you are taking this medicine.
🦷 Dental Procedures
Inform your dentist that you are taking this medicine before any dental procedure. Your dentist may recommend stopping the medicine temporarily or taking precautions to control bleeding.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
While taking this medicine, you may bruise or bleed more easily. Avoid contact sports or activities with a high risk of injury. Consult your doctor before starting any new exercise regimen.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause dizziness or shortness of breath in some people. Avoid driving or operating heavy machinery until you know how it affects you. Most people can continue their normal activities, but take precautions to avoid cuts and bruises.
🛑 When to Stop This Medicine
Do not stop taking this medicine without consulting your doctor. Your doctor will decide when it is safe to stop, usually after a specified duration of therapy. If you experience serious side effects, contact your doctor immediately for guidance.
📅 Long-Term Use Effects
Long-term use of this medicine is generally safe when prescribed for secondary prevention of cardiovascular events. However, it increases the risk of bleeding, which may persist as long as you take it. Regular monitoring for bleeding and liver function may be needed. The optimal duration of therapy depends on your condition and is determined by your doctor. Do not stop without medical advice.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Another antiplatelet medicine that may be used as an alternative if Ticagrelor is not suitable.
Evidence: Well-establishedAnother antiplatelet option for acute coronary syndrome.
Evidence: Well-established💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, inform your healthcare provider about all medicines you are taking before receiving any vaccine.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight and moisture
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling, carry this medicine in its original packaging with a copy of your prescription. Keep it in your carry-on luggage to avoid loss. Store at room temperature and avoid extreme heat or moisture. If crossing time zones, adjust dosing times gradually in consultation with your doctor. Carry enough supply for the entire trip and a few extra days. Check local customs regulations for carrying prescription medicines.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within 30 minutes to 2 hours after taking it.
A: No, you should not stop without consulting your doctor. Stopping suddenly can increase your risk of heart attack or blood clots.
A: If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.
A: Avoid NSAIDs like ibuprofen or naproxen as they can increase bleeding risk. Consult your doctor before taking any new medicine.
🤔 Common Patient Concerns
🔄 Substitutes for axcer 90mg tablet
View AllAlternative brands with exact same active ingredient:
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Ticasave TabletEris Lifesciences Ltd ₹142.80 87.9% CHEAPER
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ticapol tabletMedipol Pharmaceuticals India Pvt Ltd ₹170.00 85.6% CHEAPER
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tikacad 90 tabletCadila Pharmaceuticals Ltd ₹186.00 84.3% CHEAPER
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Ticamine 90mg TabletShinto Organics (P) Limited ₹207.19 82.5% CHEAPER
-
ticagat tabletNatco Pharma Ltd ₹239.00 79.8% CHEAPER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: Ticagrelor is a blood thinner.
Fact: Ticagrelor is an antiplatelet medicine, not a traditional blood thinner like warfarin. It prevents platelets from clumping together. - Myth: I can stop taking Ticagrelor once I feel better.
Fact: Stopping Ticagrelor suddenly can increase your risk of heart attack or blood clots. Always consult your doctor before stopping. - Myth: Ticagrelor can be taken with any painkiller.
Fact: NSAIDs like ibuprofen can increase bleeding risk. Always check with your doctor before taking any new medicine.
🔄 Alternative Options
Generic Alternatives
- Ticagrelor
Brand Alternatives
- Axcer 90mg Tablet
- Brilinta