Tigemac 90 Mg Tablet (10 Tab)

TIGEMAC 90 MG TABLET (10 TAB) is an antiplatelet medication manufactured by Macleods Pharmaceuticals Ltd..

Name

• Brand Name: Tigemac 90 Tablet
• Common Name: Ticagrelor (90 mg)

Composition

Tigemac 90 Tablet contains Ticagrelor at a strength of 90 mg as its active ingredient. Ticagrelor is an antiplatelet agent that functions as a P2Y12 receptor antagonist. It works by preventing platelets from sticking together and forming harmful blood clots in blood vessels, thus promoting smooth blood flow.

Uses

Tigemac 90 Tablet is primarily used to prevent serious cardiovascular events such as heart attacks and strokes. It is prescribed for individuals with heart disease, particularly those who have recently experienced a heart attack, severe heart-related chest pain (unstable angina), or have undergone heart stenting (percutaneous coronary intervention - PCI). It also helps to reduce the risk of cardiovascular death and stent thrombosis.

Dosage and Administration

Tigemac 90 Tablet should be taken exactly as prescribed by a doctor. It can be taken with or without food, ideally at the same time each day for optimal results. The tablets should be swallowed whole with a glass of water and not chewed or crushed. In cases of difficulty swallowing, the tablet can be crushed and mixed with water for immediate consumption. It is crucial not to stop taking this medication abruptly without consulting a doctor, as this can increase the risk of another heart attack or stroke.

Side Effects

Common side effects of Tigemac 90 Tablet include:

• Bleeding (can lead to prolonged bleeding time if injured)
• Breathlessness or dyspnoea (shortness of breath)
• Headache
• Dizziness
• Nausea and/or vomiting
• Diarrhea or indigestion
• Rash
• Chest tightness
• Nosebleeds
• Gout
• Low blood pressure

Serious side effects, though rare, may include severe allergic reactions, heart failure, liver problems, or significant bleeding. If side effects persist or worsen, medical attention should be sought.

Precautions

• Bleeding Risk: Tigemac 90 Tablet increases the tendency to bleed easily. Caution is advised for individuals with a history of bleeding problems (e.g., stomach ulcers, intracranial hemorrhage).
• Liver Disease: Not recommended for individuals with severe liver issues; caution and dose adjustment may be necessary for those with liver problems.
• Pregnancy and Breastfeeding: Generally not recommended during pregnancy or breastfeeding unless deemed necessary by a doctor.
• Alcohol: Alcohol consumption may amplify side effects like dizziness and fatigue and may increase the risk of bleeding.
• Surgery/Dental Treatment: Inform your doctor or dentist if you are taking Tigemac 90 Tablet before any scheduled surgery or dental procedures, as temporary discontinuation may be required.
• Drug Interactions: Inform your doctor about all medications, supplements, and herbal remedies being taken, especially other anticoagulants like heparin or warfarin, as interactions can occur.
• Allergies: Do not take if allergic to ticagrelor or any other components of the tablet.

Storage

Store Tigemac 90 Tablet in a cool and dry place, away from direct sunlight and moisture, and out of the sight and reach of children. The recommended storage temperature is below 30°C (10ºC to 25ºC).

Here are some frequently asked questions about TIGEMAC 90 MG TABLET, along with concise and accurate answers:

What is TIGEMAC 90 MG Tablet used for?

TIGEMAC 90 MG Tablet is primarily used to prevent serious cardiovascular events such as heart attacks (myocardial infarction) and strokes. It is prescribed to individuals who have acute coronary syndrome or a history of heart attack, and it also helps prevent blood clots in patients with coronary artery disease, including those who have undergone heart stenting procedures.

How does TIGEMAC 90 MG Tablet work?

TIGEMAC 90 MG Tablet contains ticagrelor, which is an antiplatelet medication. It works by blocking a specific receptor (P2Y12) on platelets, thereby preventing them from sticking together and forming harmful blood clots in the arteries. This action helps to maintain smooth blood flow and reduces the risk of heart attacks and strokes.

What is the usual dosage of TIGEMAC 90 MG Tablet?

The dosage of TIGEMAC 90 MG Tablet is determined by your doctor based on your specific medical condition and response to treatment. It is typically taken once daily, with or without food. The tablet should be swallowed whole with a glass of water and not chewed or crushed. In some cases, if swallowing is difficult, it can be crushed and mixed with water for immediate consumption. It is crucial to follow your doctor's instructions and not alter the dosage without their advice.

What are the possible side effects of TIGEMAC 90 MG Tablet?

Common side effects include bleeding (which may cause cuts to bleed for longer), shortness of breath (dyspnoea), headache, dizziness, nausea, and diarrhea. Most of these side effects are usually temporary and may improve as your body adjusts to the medication. If bleeding persists or if shortness of breath worsens or does not go away, you should inform your doctor.

Is TIGEMAC 90 MG Tablet safe during pregnancy or breastfeeding?

Pregnancy: TIGEMAC 90 MG Tablet may be unsafe to use during pregnancy, and caution is advised. Limited human studies and animal research suggest potential harm to the developing baby. You should consult your doctor, who will assess the benefits and risks before prescribing this medication. Women of childbearing potential should use appropriate contraceptive measures to avoid pregnancy while taking this medicine. Breastfeeding: TIGEMAC 90 MG Tablet is generally not recommended during breastfeeding as information on its safety is limited, and components of the medicine may pass into breast milk in small amounts. It's important to seek advice from your doctor, who can provide guidance based on your specific circumstances.

Can TIGEMAC 90 MG Tablet be taken with other medications?

TIGEMAC 90 MG Tablet can interact with several other medications. Taking it with other blood thinners (like aspirin in high doses, warfarin, or heparin) or certain nonsteroidal anti-inflammatory drugs (NSAIDs) can significantly increase the risk of bleeding. It may also interact with certain antivirals (e.g., ritonavir, atazanavir), opioids (e.g., morphine), statins (e.g., simvastatin), and certain antifungals or antibiotics (e.g., ketoconazole, clarithromycin). Always inform your doctor about all prescription, over-the-counter, herbal, and dietary supplements you are taking to prevent potential drug interactions.

What precautions should be taken while on TIGEMAC 90 MG Tablet?

Due to the increased risk of bleeding, be careful when performing activities that could lead to injury, such as shaving or using sharp objects. Inform your doctor or surgeon that you are taking this medication before any planned surgery or dental treatment, as it may need to be temporarily stopped (often 5 days prior) to prevent excessive bleeding. Caution is also advised if you have liver disease, bleeding disorders, a history of stroke due to bleeding, or certain lung conditions like asthma or COPD. Avoid alcohol consumption as it can increase the risk of side effects like dizziness and bleeding.

What happens if a dose of TIGEMAC 90 MG Tablet is missed?

If you forget to take a dose, take it as soon as you remember. However, if it is almost time for your next scheduled 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. It's important not to alter your dosage without consulting your doctor first.

How should TIGEMAC 90 MG Tablet be stored?

TIGEMAC 90 MG Tablet should be stored in a cool and dry place, away from direct sunlight. Keep it out of the sight and reach of children and pets. The medicine is typically stored below 30°C.

Is it safe to stop taking TIGEMAC 90 MG Tablet if I feel better?

No, you should not stop taking TIGEMAC 90 MG Tablet without consulting your doctor, even if you feel well. Abruptly stopping this medication can significantly increase your risk of another heart attack or stroke, especially for patients who have had a stent placed. Your doctor will advise on the appropriate duration of treatment.