What do ticlopidine tablets do?
TICLOPIDINE (Ticlid(R)) helps to prevent blood clots. Ticlopidine helps to prevent strokes in patients who have already had a stroke, or those who are at high risk of having a stroke. However, ticlopidine should not used in patients who can take aspirin to prevent a stroke. Ticlopidine is also sometimes used to prevent a heart attack in patients who have already had unstable chest pain or a heart attack. It is also sometimes given with aspirin after certain procedures used to open blocked blood vessels leading to the heart.
What should my health care professional know before I take ticlopidine?
They need to know if you have any of the following conditions:
bleeding disorder currently or history of one (including aplastic anemia, hemophilia, or thrombotic thrombocytopenic purpura [TTP])
high level of cholesterol
an unusual or allergic reaction to ticlopidine, other medicines, foods, dyes, or preservatives
pregnant or trying to get pregnant
How should I take this medicine?
Take ticlopidine tablets by mouth. Follow the directions on the prescription label. Swallow the tablets with a drink of water. Take with food or milk to help absorb ticlopidine into the body and reduce stomach upset. Avoid antacids for 2 hours before and after the dose of ticlopidine. Take your doses at regular intervals. Do not take your medicine more often than directed.
Contact your pediatrician or health care professional regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?
If you miss a dose, take it as soon as you can. If it is almost time for your next dose, take only that dose. Do not take double or extra doses.
What other medicines can interact with ticlopidine?
agents that dissolve blood clots
antiinflammatory agents (NSAIDs such as ibuprofen)
blood thinners such as warfarin
herbal or dietary supplements like feverfew, garlic, ginger, ginkgo biloba, and horse chestnut
prasterone, dehydroepiandrosterone, DHEA supplements
Tell your prescriber or health care professional about all other medicines you are taking, including non-prescription medicines. Also tell your prescriber or health care professional if you are a frequent user of drinks with caffeine or alcohol, if you smoke, or if you use illegal drugs. These may affect the way your medicine works. Check with your health care professional before stopping or starting any of your medicines.
What side effects may I notice from taking ticlopidine?
low blood counts – ticlopidine may decrease the number of white blood cells and/or platelets. You may be at increased risk for infections and bleeding.
Side effects that you should report to your prescriber or health care professional as soon as possible:
signs of infection – fever or chills, cough, sore throat, pain or difficulty passing urine
signs of decreased platelets or bleeding – bruising, pinpoint red spots on the skin, black, tarry stools, blood in the urine, nose bleeds, bleeding gums
dark yellow or brown urine
difficulty breathing or wheezing
joint pain or swelling
ringing in the ears
skin rash or itching (hives)
unusually heavy menstrual bleeding
unusual tiredness or weakness
weakness on a side of the body
yellowing of skin or eyes
Side effects that usually do not require medical attention (report to your prescriber or health care professional if they continue or are bothersome):
stomach pain, bloating, or discomfort