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Prasugrel is used in patients with recent heart attack, unstable angina and also patients who undergo angioplasty. Prasugrel helps prevent serious problems such as heart attacks, strokes, blood clots in stents.

Contact your paediatrician regarding the use of prasugrel in children. Do not start or stop this medication without consulting your health care professional. Take prasugrel exactly as prescribed by your health care professional.

If you notice any of the symptoms listed below or any other symptoms which seem severe/persistent contact your doctor immediately. Vomiting Visual changes Stomach area (abdominal) pain Purplish spots called purpura on the skin or mucous membranes (such as on the mouth) due to bleeding under the skin Paleness Nausea Low amount of urine, or urine that is pink-tinged or has blood in it Headache, speech changes, confusion, coma, stroke, or seizure Fever Feeling tired or weak Fast heart rate or feeling short of breath Diarrhea A yellowish color of the skin or eyes

Some medicines that may interact with this prasugrel: blood thinners (such as warfarin, enoxaparin) certain antidepressants (such as SSRIs such as fluoxetine, SNRIs such as venlafaxine) tipranavir Inform your doctor if you are allergic to the formulation of this medication or any other medication in any other form. Inform your doctor about any other medication you may be taking in any other form.

In case of overdose, call your local poison control center at 1-800-222-1222. If the victim has collapsed or is not breathing, call local emergency services at 911.

Prasugrel can cause significant, sometimes fatal, bleeding. Additional risk factors for bleeding include: body weight less than 60 kg propensity to bleed (e.g. recent trauma, recent surgery, recent/recurrent GI bleeding, active peptic ulcer disease, or severe hepatic impairment medications that increase the risk of bleeding (e.g. oral anticoagulants, fibrinolytic agents, chronic use of NSAIDS) Do not use prasugrel with active pathological bleeding or a history of transient ischemic attack or stroke Tell your doctor if you currently have or have had a condition that causes you to bleed more easily than normal Prasugrel is not recommended in patients 75 years of age and older, because of the increased risk of fatal and intracranial bleeding and uncertain benefit. If the potential benefit outweighs the risk the physician may prescribe prasugrel Consult your health care professional before taking prasugrel Patients likely to undergo urgent coronary artery bypass graft surgery should not be started on a course with prasugrel. If possible, discontinue prasugrel at least 7 days prior to any surgery. While you are taking prasugrel, you will be prone to probably bruising and bleeding more easily than usual, bleed for longer than usual, and have nosebleeds. However, if you observe any of the following symptoms, call your doctor immediately: unexplained bleeding (severe, long-lasting, or uncontrollable) pink/brown urine red/black tarry stools vomit that is bloody/looks like coffee grounds coughing up blood/blood clots unexplained bruises that get larger Consult your health care professional before starting on a course with prasugrel.

Do not double doses to make up for a missed dose. Consult your health care professional about your missed dose.

Ask your doctor or pharmacist for more information.

Store at room temperature between 59-86 degrees F / 15- 30 degrees C, away from heat and moisture.

If you conceive whilst on a course with this medication inform your doctor immediately. If you need to undergo any kind of surgery, inform your doctor you are taking this medicine. Inform your doctor if you are pregnant, breast feeding or planning to conceive. Do not treat yourself with OTC medication whilst on a course with this medication, without consulting with your health care professional. Avoid alcohol and alcohol containing beverages whilst on a course with this medication. Inform your doctor if you have or have ever had : stroke/transient ischemic attack stomach ulcers intestinal ulcers recent trauma recent surgery liver disease kidney disease just had a coronary artery bypass surgery (CABG) or are going in for CABG bleeding disorder