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Ticlopidine belongs to the class of medications called platelet aggregation inhibitors or antiplatelets. It works by preventing certain types of blood cells, called platelets, from sticking together to form a blood clot.
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Ticlopidine belongs to the class of medications called platelet aggregation inhibitors or antiplatelets. It works by preventing certain types of blood cells, called platelets, from sticking together to form a blood clot. It is used to reduce the risk of Stroke for people who have had a stroke or have particular risk factors for stroke. It is generally used to reduce the risk of stroke for people who cannot tolerate or are allergic to acetylsalicylic acid (Asa) or have failed treatment with ASA.
Dom Ticlopidine may be available under multiple brand names and/or in several different forms. Any specific brand name of Dom Ticlopidine may not be available in all of the forms or approved for all of the conditions discussed here. As well, some forms of Dom Ticlopidine may not be used for all of the conditions discussed here.
Your doctor may have suggested Dom Ticlopidine for conditions other than those listed in these drug information articles. If you have not discussed this with your doctor or are not sure why you are taking Dom Ticlopidine, speak to your doctor. Do not stop taking Dom Ticlopidine without consulting your doctor.
Do not give Dom Ticlopidine to anyone else, even if they have the same symptoms as you do. It can be harmful for people to take Dom Ticlopidine if their doctor has not prescribed it.
The usual recommended adult dose of ticlopidine is 250 mg twice daily.
Ticlopidine should always be taken with food or just after a meal to avoid stomach upset.
Many things can affect the dose of medication that a person needs, such as body weight, other medical conditions, and other medications. If your doctor has recommended a dose different from the one given here, do not change the way that you are taking the medication without consulting your doctor.
It is important to take Dom Ticlopidine exactly as prescribed by your doctor. If you miss a dose, take it as soon as possible and continue with your regular schedule. If it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you are not sure what to do after missing a dose, contact your doctor or pharmacist for advice.
Store Dom Ticlopidine at room temperature, protect it from light and moisture, and keep it out of the reach of children.
Do not dispose of medications in wastewater (e.g. down the sink or in the toilet) or in household garbage. Ask your pharmacist how to dispose of medications that are no longer needed or have expired.
Many medications can cause side effects. A side effect is an unwanted response to a medication when it is taken in normal doses. Side effects can be mild or severe, temporary or permanent.
The side effects listed below are not experienced by everyone who takes Dom Ticlopidine. If you are concerned about side effects, discuss the risks and benefits of Dom Ticlopidine with your doctor.
The following side effects have been reported by at least 1% of people taking Dom Ticlopidine. Many of these side effects can be managed, and some may go away on their own over time.
Contact your doctor if you experience these side effects and they are severe or bothersome. Your pharmacist may be able to advise you on managing side effects.
Although most of the side effects listed below don't happen very often, they could lead to serious problems if you do not check with your doctor or seek medical attention.
Check with your doctor as soon as possible if any of the following side effects occur:
Stop taking the medication and seek immediate medical attention if any of the following occur:
Some people may experience side effects other than those listed. Check with your doctor if you notice any symptom that worries you while you are taking Dom Ticlopidine.
Each white to off-white, film-coated, oval tablet, debossed with "93" on one side and "154" on the other, contains ticlopidine 250 mg. Nonmedicinal ingredients: butylated hydroxyanisole, microcrystalline cellulose, starch, povidone, stearic acid, magnesium stearate, hydroxypropyl methylcellulose, titanium dioxide, and polyethylene glycol.
Do not take ticlopidine if you:
There may be an interaction between ticlopidine and any of the following:
If you are taking any of these medications, speak with your doctor or pharmacist. Depending on your specific circumstances, your doctor may want you to:
An interaction between two medications does not always mean that you must stop taking one of them. Speak to your doctor about how any drug interactions are being managed or should be managed.
Medications other than those listed above may interact with Dom Ticlopidine. Tell your doctor or prescriber about all prescription, over-the-counter (non-prescription), and herbal medications that you are taking. Also tell them about any supplements you take. Since caffeine, alcohol, the Nicotine from cigarettes, or street drugs can affect the action of many medications, you should let your prescriber know if you use them.
Before you begin taking a medication, be sure to inform your doctor of any medication conditions or Allergies you may have, any medications you are taking, whether you are pregnant or breast-feeding, and any other significant facts about your health. These factors may affect how you should take Dom Ticlopidine.
Blood cell problems: A small percentage of people taking ticlopidine develop neutropenia (a lowering of white blood cells that fight infection in the body). Severe neutropenia occurs during the first 3 to 12 weeks of therapy and may develop quickly over a few days. The condition may be life-threatening. It is usually reversible; recovery usually occurs within 1 to 3 weeks after stopping the medication, but may take longer on occasion.
Thrombocytopenia (severe lowering of the platelets that help to clot the blood) is a rare but serious side effect caused by ticlopidine. Thrombocytopenia occurs during the first 3 to 12 weeks of therapy, and recovery usually occurs after the medication is stopped.
Thrombotic thrombocytopenic purpura is a rare condition that may occur while taking ticlopidine and requires immediate medical attention. Signs include thrombocytopenia (unusual bruising or bleeding, gums that bleed more easily), confusion, becoming easily tired, a rapid heartbeat, purplish spots in the skin, and fever.
All people taking ticlopidine need to have lab tests done every 2 weeks, beginning prior to the time you start the medication, until the end of the third month of treatment. This is to make sure no blood cell problems (such as those described above) occur. Your doctor will monitor your lab results regularly, so it is important to get your blood tests done as recommended by your doctor.
Blood clotting: If you take ticlopidine, you may bleed for a longer period of time, or your blood may require more time to clot. Report any signs of unexpected or excessive bleeding (e.g., nosebleeds, excessive bruising, black tarry stools) to your doctor. Other medications (e.g., ASA, Warfarin) can increase the risk of longer blood clotting time, so let your doctor know of all medications you are taking.
Kidney function: If you have severely reduced kidney function, discuss with your doctor how Dom Ticlopidine may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Dom Ticlopidine, and whether any special monitoring is needed.
Liver function: People with severely reduced liver function should not take Dom Ticlopidine. If you have reduced liver function, you should discuss with your doctor how Dom Ticlopidine may affect your medical condition, how your medical condition may affect the dosing and effectiveness of Dom Ticlopidine, and whether any special monitoring is needed.
Surgery: It may be necessary to stop Dom Ticlopidine temporarily if you are scheduled for surgery or are having teeth removed to ensure that you do not lose too much blood. It is important to inform all doctors involved in your care, that you are taking Dom Ticlopidine.
Pregnancy: The medication should not be used during pregnancy. Your doctor should perform a pregnancy test before you start Dom Ticlopidine. While using Dom Ticlopidine, you should consider using more than one form of contraception. If you become pregnant while taking Dom Ticlopidine, contact your doctor immediately.
Breast-feeding: It is not known if ticlopidine passes into breast milk. If you are a breast-feeding mother and are taking ticlopidine, it may affect your baby. Talk to your doctor about whether you should continue breast-feeding.
Children: The safety and effectiveness of taking Dom Ticlopidine have not been established for children.
All material © 1996-2021 MediResource Inc. Terms and conditions of use. The contents herein are for informational purposes only. Always seek the advice of your physician or other qualified health providers with any questions you may have regarding a medical condition.
December 18, 2023
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