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Antiplatelet (blood thinner)

Clopidogrel: uses, side effects & precautions

Also known as Plavix, Clopilet, Iscover.

This information is for general guidance only and does not constitute medical advice. Always consult a qualified healthcare professional for personal medical concerns. In an emergency, call your local emergency number.

What it is used for

  • Preventing blood clots after a heart attack or stroke
  • Preventing clots after a stent procedure
  • Reducing clot risk in peripheral artery disease
  • Reducing risk in acute coronary syndrome

How it works

Clopidogrel makes platelets (the cells that help blood clot) less sticky, so they are less likely to clump together and form a dangerous clot in narrowed or treated arteries.

How it is taken

Taken by mouth as a tablet, usually once a day with or without food. Take it exactly as your doctor or pharmacist directs and follow the label. Do not stop without medical advice, especially after a stent, as stopping early can lead to a serious clot; tell any dentist or surgeon that you take it before procedures.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Easier bruising
  • Nosebleeds or bleeding gums
  • Longer bleeding from minor cuts
  • Diarrhoea or stomach upset
  • Rash or itching

Serious effects — get help

  • Heavy, unusual, or uncontrolled bleeding
  • Black or bloody stools, or vomiting blood or material that looks like coffee grounds
  • Coughing up blood or blood in the urine
  • Signs of a rare but serious blood disorder such as unusual bruising, fever, weakness, or yellowing of the skin
  • Signs of a serious allergic reaction

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Other blood thinners and antiplatelets such as warfarin, aspirin, or DOACs (higher bleeding risk)
  • Some stomach-acid medicines such as omeprazole and esomeprazole (may reduce effect)
  • Non-steroidal anti-inflammatory drugs such as ibuprofen
  • Certain antidepressants (SSRIs/SNRIs)
  • Some antifungal medicines

Who should take care

  • Tell every clinician, dentist, and surgeon that you take it before any procedure
  • Tell your clinician about stomach ulcers or recent bleeding
  • Do not stop suddenly after a stent without medical advice
  • Discuss pregnancy or breastfeeding with your doctor
  • Report any unusual or prolonged bleeding

Frequently asked questions

Why must I not stop clopidogrel after a stent?
Stopping too early greatly raises the risk of a clot forming in the stent, which can cause a heart attack. Only stop on the advice of the cardiologist who manages your care.
What should I do before surgery or dental work?
Always tell the surgeon or dentist in advance. They will decide, with your cardiologist, whether and how to manage the medicine around the procedure.
Can I take it with aspirin?
Sometimes both are prescribed together after certain heart procedures, but only under medical direction because the bleeding risk is higher. Do not combine blood thinners on your own.
Are some heartburn medicines a problem?
Certain acid-reducing medicines such as omeprazole may lessen clopidogrel's effect. Ask your pharmacist before using one.
Is Clopidogrel safe to take?
For most people it is safe when taken exactly as a doctor or pharmacist advises and as printed on the label. Tell your clinician about your other medicines and health conditions, and seek urgent care for any serious reaction.

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