CADIPROUS, which contains the active substance prasugrel, belongs to a group of medicines called anti-platelet agents. Platelets are very small cell particles that circulate in the blood. When a blood vessel is damaged, platelets clump together to form a blood clot (thrombus). Therefore, platelets are essential to help stop bleeding. If clots form within a hardened blood vessel such as an artery they can be very dangerous as they can cut off the blood supply, causing a heart attack (myocardial infarction), stroke or death. Clots in arteries supplying blood to the heart may also reduce the blood supply, causing unstable angina (a severe chest pain).
CADIPROUS inhibits the clumping of platelets and so reduces the chance of a blood clot forming.
You have been prescribed CADIPROUS because you have already had a heart attack or unstable angina and you have been treated with a procedure to open blocked arteries in the heart. You may also have had one or more stents placed to keep open a blocked or narrowed artery supplying blood to the heart. CADIPROUS reduces the chances of you having a further heart attack or stroke or of dying from one of these atherothrombotic events. Your doctor will also give you acetylsalicylic acid (e.g. aspirin), another anti-platelet agent.
BEFORE YOU TAKE CADIPROUS
Do not take CADIPROUS
– If you are allergic (hypersensitive) to prasugrel or any of the other ingredients of CADIPROUS. An allergic reaction may be recognised as a rash, itching, a swollen face, swollen lips or shortness of breath. If this has happened to you, tell your doctor immediately.
– If you have a medical condition that is currently causing bleeding, such as bleeding from your stomach or intestines.
– If you have ever had a stroke or a transient ischaemic attack (TIA).
– If you have severe liver disease.
Warnings and precautions
You should tell your doctor before taking CADIPROUS if any of the situations mentioned below apply to you:
• If you have an increased risk of bleeding such as:
– age of 75 years or older. Your doctor should prescribe a daily dose of 5 mg as there is a greater risk of bleeding in patients older than 75 years
– a recent serious injury
– recent surgery (including some dental procedures)
– recent or recurrent bleeding from the stomach or intestines (e.g. a stomach ulcer or colon polyps)
– body weight of less than 60 kg. Your doctor should prescribe a daily dose of 5 mg of CADIPROUS if you weigh less than 60 kg
– renal (kidney) disease or moderate liver problems
– taking certain types of medicines (see ‘Taking other medicines’ below)
– planned surgery (including some dental procedures) in the next seven days. Your doctor may wish you to stop taking CADIPROUS temporarily due to the increased risk of bleeding
• If you have had allergic reactions (hypersensitivity) to clopidogrel or any other anti-platelet agent please tell your doctor before starting treatment with CADIPROUS. If you then take CADIPROUS and experience allergic reactions that may be recognised as a rash, itching, a swollen face, swollen lips or shortness of breath you need to tell your doctor immediately.
• While you are taking CADIPROUS:
You should tell your doctor immediately if you develop a medical condition called Thrombotic Thrombocytopenic Purpura (or TTP) that includes fever and bruising under the skin that may appear as red pinpoint dots, with or without unexplained extreme tiredness, confusion, yellowing of the skin or eyes (jaundice) (see section 4 ‘Possible side effects’).
Children and adolescents
CADIPROUS should not be used in children and adolescents below 18 years of age.
Other medicines and CADIPROUS
Tell your doctor if you are taking, have recently taken or might take any other medicines, including medicines obtained without a prescription, dietary supplements and herbal remedies. It is particularly important to tell your doctor if you are being treated with clopidogrel (an anti-platelet agent), warfarin (an anti-coagulant), or “non steroidal anti inflammatory drugs” for pain and fever (such as ibuprofen, naproxen, etoricoxib). If given together with CADIPROUS these medicines may increase the risk of bleeding
Only take other medicines while you are on CADIPROUS if your doctor tells you that you can.
Pregnancy and breast-feeding
Tell your doctor if you become pregnant or are trying to become pregnant while you are taking CADIPROUS. You should use CADIPROUS only after discussing with your doctor the potential benefits and any potential risks to your unborn child.
If you are breast-feeding, ask your doctor or pharmacist for advice before taking any medicine.
Driving and using machines
CADIPROUS is unlikely to affect your ability to drive or use machines.
CADIPROUS contains lactose.
If you have been told by a doctor that you have intolerance to some sugars, contact your doctor before taking this medicine
HOW TO TAKE CADIPROUS
Always take CADIPROUS exactly as your doctor has told you. You should check with your doctor or pharmacist if you are not sure.
The usual dose of CADIPROUS is 10 mg per day. You will start the treatment with a single dose of 60 mg.
If you weigh less than 60 kg or are more than 75 years of age, the dose is 5 mg CADIPROUS per day.
Your doctor will also tell you to take acetylsalicylic acid- (s)he will tell you the exact dose to take (usually between 75 mg and 325 mg daily).
You may take CADIPROUS with or without food. Take your dose at around the same time every day. Do not break or crush the tablet.
It is important that you tell your doctor, dentist and pharmacist, that you are taking CADIPROUS.
If you take more CADIPROUS than you should
Contact your doctor or hospital straight away, as you may be at risk of excessive bleeding. You should show the doctor your pack of CADIPROUS.
If you forget to take CADIPROUS
If you miss your scheduled daily dose, take CADIPROUS when you remember. If you forget your dose for an entire day, just resume taking CADIPROUS at its usual dose the next day. Do not take two doses in one day. For the 14, 28, 56 84 and 98 tablet pack sizes, you can check the day on which you last took a tablet of CADIPROUS by referring to the calendar printed on the blister.
If you stop taking CADIPROUS
Do not stop taking CADIPROUS without consulting your doctor; if you stop taking CADIPROUS too soon, your risk of a heart attack may be higher.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
POSSIBLE SIDE EFFECTS
Like all medicines, CADIPROUS can cause side effects, although not everybody gets them.
Contact your doctor immediately if you notice any of the following:
• Sudden numbness or weakness of the arm, leg or face, especially if only on one side of the body
• sudden confusion, difficulty speaking or understanding others
• sudden difficulty in walking or loss of balance or co-ordination
• sudden dizziness or sudden severe headache with no known cause
All of the above may be signs of a stroke. Stroke is an uncommon side effect of CADIPROUS in patients who have never had a stroke or transient ischaemic attack (TIA).
Also contact your doctor immediately if you notice any of the following:
• fever and bruising under the skin that may appear as red pinpoint dots, with or without unexplained extreme tiredness, confusion, yellowing of the skin or eyes (jaundice).
• A rash, itching, or a swollen face, swollen lips/tongue, or shortness of breath. These may be signs of a severe allergic reaction (see section 2 ‘What you need to know before you take CADIPROUS’)
Tell your doctor promptly if you notice any of the following:
• Blood in your urine
• Bleeding from your rectum, blood in your stools or black stools
• Uncontrollable bleeding, for example from a cut
All of the above may be signs of bleeding, the most common side effect with CADIPROUS. Although uncommon, severe bleeding can be life-threatening.
Common side effects
• Bleeding in the stomach or bowels
• Bleeding from a needle puncture site
• Nose bleeds
• Skin rash
• Small red bruises on the skin (ecchymoses)
• Blood in urine
• Haematoma (bleeding under the skin at the site of an injection, or into a muscle, causing swelling)
• Low haemoglobin or red blood cell count (anaemia)
Uncommon side effects
• Allergic reaction (rash, itching, swollen lips/tongue, or shortness of breath)
• Spontaneous bleeding from the eye, rectum, gums or in the abdomen around the internal organs
• Bleeding after surgery
• Coughing up blood
• Blood in stools
Rare side effects
• Low blood platelet count
• Subcutaneous haematoma (bleeding under the skin causing a swelling)
HOW TO STORE CADIPROUS
Keep out of the sight and reach of children.
Do not use CADIPROUS after the expiry date, which is stated on the blister and carton after EXP. The expiry date refers to the last day of that month.
Store in the original package to protect from air and moisture
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. These measures will help to protect the environment.
What CADIPROUS contains
– The active substance is prasugrel.
CADIPROUS 10 mg: Each tablet contains 10 mg of prasugrel (as hydrochloride).
CADIPROUS 5 mg: Each tablet contains 5 mg of prasugrel (as hydrochloride).
– The other ingredients are microcrystalline cellulose, mannitol (E421), croscarmellose sodium, hypromellose (E464) magnesium stearate, lactose monohydrate, titanium dioxide (E171), triacetin (E1518), iron oxide red (10 mg tablets only) (E172), iron oxide yellow (E172) and talc.
What CADIPROUS looks like and contents of the pack
CADIPROUS 10 mg: The tablets are beige and double-arrow shaped, debossed on both the sides
CADIPROUS 5 mg: The tablets are yellow and double-arrow-shaped, debossed on both the sides
CADIPROUS is available in packs of 14, 28, 30, 56, 84, 90 and 98 tablets.
Not all pack sizes may be marketed.
If you are a distributor, please inquire with us about product , importing and/or marketing our products in your country or region. If you are a consumer, don’t hesitate to contact us about more information for this product.
The most common markets for this product include the following state . Please inquire with us if your state is not listed:
North India : Jammu & Kashmir ,Himachal Pradesh,Uttar Pradesh ,Uttaranchal , Punjab ,Haryana.
South India : Kerala, Karnataka ,Tamil Nadu,Andhra Pradesh.
East India : Assam ,Manipur, Meghalaya,West Bengal ,Orissa,Sikkim ,Mizoram, Tripura
West India : Goa ,Gujarat ,Rajasthan ,Maharashtra
Central India : Madhya Pradesh, Chattisgarh