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Clopidogrel is a once-daily antiplatelet medicine used to prevent heart attacks and strokes, offered here as 75mg tablets under the Clopidogrel and Plavix names.
Clopidogrel
75mg
Clopidogrel 75mg tablets in packs of 30 to 360, an antiplatelet medicine taken once a day to lower the risk of further heart attacks and strokes.
Clopidogrel is a 75mg antiplatelet tablet, and most people who reach for it are in one of four spots. They have had a heart attack. They have had an ischaemic stroke, the kind caused by a blocked vessel rather than a bleed. They have had a TIA, a mini-stroke whose symptoms pass within a day. Or they have peripheral arterial disease, where narrowed leg arteries cause cramping pain on walking. With a freshly fitted stent it is usually paired with aspirin for a period, so a clot does not build up inside the stent.
Platelets are the small blood fragments that pile onto a damaged artery wall and stick together. Clopidogrel blocks one of the signals that makes them stick, so a fatty plaque finds it harder to collect a plug. Unlike warfarin, it leaves the clotting proteins alone, and it cannot dissolve a clot that has already formed. One tablet a day is the routine, at any hour you can repeat, food or no food. Once the tablets stop, protection fades over the following days as fresh platelets replace the treated ones.
Cuts that ooze a little longer, unexplained bruises, nosebleeds and bleeding gums are the early signs that clotting is slower. Indigestion, stomach pain, loose stools and rashes turn up as well. Some bleeds need urgent help: bleeding that will not stop, black tarry stools, vomit like coffee grounds, blood in the urine or a cough that brings up blood. Sudden severe headache with confusion, slurred speech or weakness down one side can mean bleeding in or around the brain, and a spreading rash or swelling of the lips and face points to a rare allergic reaction.
Say you reach for ibuprofen or naproxen for a bad back: both irritate the stomach lining on top of clopidogrel's effect. Aspirin, warfarin, heparin and other antiplatelets add to the bleeding risk directly. For reflux, omeprazole and esomeprazole slow the liver enzyme that activates clopidogrel and can weaken it, while famotidine does not. Frequent heavy drinking only adds to the stomach irritation.
Clopidogrel and Plavix are both 75mg tablets, one a day. The first carries the medicine's own name, the second is a brand, and each tablet holds clopidogrel bisulfate. Seventy-five milligrams is the long-term preventive strength, so there is no higher or lower dose to choose, and only the pack name differs. Both sit in the Heart & Blood Pressure range.
Clopidogrel can be ordered online with delivery to Hong Kong. The range here is Clopidogrel (75mg tablets) and Plavix (75mg tablets). Tracked courier delivery to Hong Kong takes 5 to 9 business days and comes with online tracking.
Each of the two clopidogrel products has its own price per pack, shown on its page in HKD or your selected currency; larger packs usually cost less per unit.
PockDose does not ask you to upload a prescription when you order clopidogrel. See the ordering FAQ for details.
Iscover and Plavix are brand names of clopidogrel, which is also sold as Clopilet, Clopitab, Deplatt, Noklot and Pidogrel. Here, clopidogrel can be bought online as generic Plavix and clopidogrel tablets. These are generics, not the original brand.
Omeprazole and esomeprazole are the two acid reducers best avoided, because they interfere with how the body activates clopidogrel and can weaken it. Famotidine does not have that effect, so it is the usual alternative for heartburn while you take the tablets.
They are the same medicine under two names: clopidogrel is the ingredient name, Plavix is the brand name, and both come as 75mg tablets taken once a day. The choice between them comes down to the name on the pack rather than the strength.
Both are antiplatelets, but they block different steps in the clumping process, which is why they are sometimes taken together, especially after a stent. Aspirin also eases pain and lowers fever; clopidogrel does neither.
The medicine itself leaves the blood within about a day, but its effect lingers. Clopidogrel alters platelets for the rest of their life, and platelets live roughly a week to ten days, so cuts and bruises can take longer than usual to settle for several days after your last tablet.