Medication info

ITIKA Tablet 90mg (Ticagrelor)

Prescription medicationExpired
Ingredient · strength
Ticagrelor›Strength being verified
Manufacturer / importer
IntroBioPharma Co., Ltd.
Appearance
Yellow, round, biconvex, film-coated tablet
Packaging
60 tablets (10 tablets/PTP*6)
Approval status
Expired

MFDS item code 201800934 · Approved 2018.02.26

This product's status changed to Expired on 2023.02.26. It may no longer be sold, so consult a doctor or pharmacist before taking it.

Summary

Main use
Prevention of thrombotic cardiovascular events in patients with acute coronary syndrome or a history of myocardial infarction
Who uses it
Adults · Children
Adult dosage
Patients taking this medicine should also receive a maintenance dose of aspirin (75 ∼ 150mg), unless specifically contraindicated. This medicine should not be used concomitantly with other ADP receptor inhibitors (ticlopidine, clopidogrel, prasugrel). Acute coronary syndrome: Administer an initial dose of 180mg, followed by 90mg twice daily. Treatment for 12 months is recommended unless discontinuation of this medicine is clinically necessary. Patients with a history of myocardial infarction (occurring at least 1 year previously) who are at high risk of atherothrombotic cardiovascular events: Administer 60mg twice daily. Patients who took 90mg of this medicine or another ADP receptor inhibitor (ticlopidine, clopidogrel, prasugrel) during the first year after myocardial infarction may continue treatment with 60mg of this medicine. Treatment with this medicine may also be initiated in patients within 2 years after myocardial infarction or within 1 year after discontinuing a previous ADP receptor inhibitor (ticlopidine, clopidogrel, prasugrel). The safety and efficacy of this medicine were evaluated at 3 years of follow-up. This medicine is administered orally and may be taken with or without food. For patients who have difficulty swallowing tablets, crush this medicine into a fine powder, disperse it in half a glass of water, and drink it immediately. Rinse the glass used for administration with half a glass of water and drink the rinse. This mixture may also be administered through a nasogastric tube (CH8 or larger); it is important to flush the nasogastric tube with water after administration. When switching from another antiplatelet agent to this medicine, start this medicine 24 hours after the last dose of the previous medicine. If a dose is missed, take only 1 tablet (the next scheduled dose) at the next scheduled dosing time. No dose adjustment is necessary in patients with renal impairment. Since information on the use of this medicine in patients receiving renal dialysis is unavailable, its use is not recommended in these patients. No dose adjustment is necessary in patients with mild hepatic impairment. This medicine has not been studied in patients with severe hepatic impairment, and experience with its use in patients with moderate hepatic impairment is limited.
Children's dosage
The safety and efficacy of this medicine have not been established in pediatric patients under 18 years of age.

Ingredients

Manufacturer
IntroBioPharma Co., Ltd.

Efficacy & effects

Prevention of thrombotic cardiovascular events in patients with acute coronary syndrome or a history of myocardial infarction

  • Thrombotic cardiovascular events
  • death due to cardiovascular issues
  • myocardial infarction
  • stroke
  • acute coronary syndrome
View approved original text

When used with aspirin, it helps reduce the incidence of thrombotic cardiovascular events, that is, death due to cardiovascular issues, myocardial infarction, and stroke. It is especially useful for patients with acute coronary syndrome and high-risk patients with a history of myocardial infarction for more than a year. This drug is effective in protecting cardiovascular health and preventing recurrence. Hence, it is used in the prevention and management of these cardiovascular diseases.

Dosage and Administration

Adult dosage

Patients taking this medicine should also receive a maintenance dose of aspirin (75 ∼ 150mg), unless specifically contraindicated. This medicine should not be used concomitantly with other ADP receptor inhibitors (ticlopidine, clopidogrel, prasugrel). Acute coronary syndrome: Administer an initial dose of 180mg, followed by 90mg twice daily. Treatment for 12 months is recommended unless discontinuation of this medicine is clinically necessary. Patients with a history of myocardial infarction (occurring at least 1 year previously) who are at high risk of atherothrombotic cardiovascular events: Administer 60mg twice daily. Patients who took 90mg of this medicine or another ADP receptor inhibitor (ticlopidine, clopidogrel, prasugrel) during the first year after myocardial infarction may continue treatment with 60mg of this medicine. Treatment with this medicine may also be initiated in patients within 2 years after myocardial infarction or within 1 year after discontinuing a previous ADP receptor inhibitor (ticlopidine, clopidogrel, prasugrel). The safety and efficacy of this medicine were evaluated at 3 years of follow-up. This medicine is administered orally and may be taken with or without food. For patients who have difficulty swallowing tablets, crush this medicine into a fine powder, disperse it in half a glass of water, and drink it immediately. Rinse the glass used for administration with half a glass of water and drink the rinse. This mixture may also be administered through a nasogastric tube (CH8 or larger); it is important to flush the nasogastric tube with water after administration. When switching from another antiplatelet agent to this medicine, start this medicine 24 hours after the last dose of the previous medicine. If a dose is missed, take only 1 tablet (the next scheduled dose) at the next scheduled dosing time. No dose adjustment is necessary in patients with renal impairment. Since information on the use of this medicine in patients receiving renal dialysis is unavailable, its use is not recommended in these patients. No dose adjustment is necessary in patients with mild hepatic impairment. This medicine has not been studied in patients with severe hepatic impairment, and experience with its use in patients with moderate hepatic impairment is limited.

Children's dosage

The safety and efficacy of this medicine have not been established in pediatric patients under 18 years of age.

Precautions

This drug prevents blood from clotting to avoid thrombus formation. However, it can cause severe bleeding, so it should not be used in patients with bleeding or a history of intracranial hemorrhage. If surgery is planned, this medication should be discontinued at least 7 days prior, and if bleeding symptoms occur, consult a doctor immediately. Additionally, patients who are allergic to this drug or have severely impaired liver function should also not be administered this medication. Patients at high risk of bleeding or who are taking other drugs that may cause bleeding should use this medication cautiously. In particular, patients who have recently experienced trauma or surgery, those with blood coagulation disorders, or those who have had gastrointestinal bleeding require care. During treatment with this drug, symptoms of bleeding or side effects such as shortness of breath may frequently occur, and if any unusual symptoms appear, medical staff should be informed immediately. Patients with asthma or chronic obstructive pulmonary disease should be particularly careful as shortness of breath may worsen. Elderly patients, those with impaired kidney function, or with a history of hyperuricemia or gout should regularly check kidney function and uric acid levels while taking this medication. Furthermore, this drug may interact with other medications, so inform your doctor or pharmacist of any other medications you are taking. Pregnant or breastfeeding women are advised to avoid using this drug, and women of childbearing age should take appropriate contraceptive measures to avoid pregnancy. The safety and efficacy of this drug in pediatric patients or those under 18 years of age have not been established and it is not recommended. In case of overdose, the risk of bleeding increases, therefore appropriate medical treatment should be sought immediately and it is critical not to discontinue this medication arbitrarily. Keep this medication out of the reach of children and store it in its original container to maintain its quality. Dizziness or confusion may occur while taking this medication, so care is required when driving or operating machinery.

Side effects

  • Hemorrhage
  • dyspnea
  • tumor hemorrhage
  • blood disease hemorrhage
  • hyperuricemia
  • gout
  • confusion
  • dizziness
  • syncope
  • headache
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  • intracranial hemorrhage
  • ocular hemorrhage
  • vertigo
  • ear hemorrhage
  • hypotension
  • respiratory hemorrhage
  • gastrointestinal hemorrhage
  • diarrhea
  • nausea
  • dyspepsia
  • constipation
  • retroperitoneal hemorrhage
  • skin hemorrhage
  • rash
  • pruritus
  • muscle hemorrhage
  • urinary tract hemorrhage
  • genital hemorrhage
  • elevated blood creatinine
  • post-procedural hemorrhage
  • traumatic hemorrhage
  • vascular edema
  • chest pain
  • cough
  • pulmonary hemorrhage
  • pharyngitis
  • upper respiratory infection
  • asthma
  • pleural effusion
  • bronchitis
  • pneumothorax
  • pneumonia
  • pulmonary edema
  • asthenia
  • anaphylactic shock
  • epistaxis
  • hemoptysis
  • hematoma
  • hemorrhagic stroke
  • spinal canal stenosis
  • dementia
  • migraine
  • paralysis
  • gait abnormalities
  • abdominal pain
  • rectal bleeding
  • anal bleeding
  • appendicitis
  • tendonitis
  • bursitis
  • rhabdomyolysis
  • hepatitis
  • snoring
  • aneurysm
  • heart failure
  • cardiac arrhythmia
  • palpitations
  • ventricular tachycardia
  • arrhythmia
  • ventricular fibrillation
  • cardiac arrest
  • ventricular fibrillation
  • urinary tract infection
  • nephrolithiasis
  • cerebral ischemia
  • venous stenosis
  • cerebral infarction
  • arterial stenosis
  • angina pectoris
  • coronary thrombosis
  • myocardial ischemia
  • fungal infection
  • anemia
  • vestibular disorder
  • malignant male genital neoplasm
  • chemical poisoning
  • pharyngitis
  • upper respiratory infection
  • phlegm disease
  • rhinitis
  • throat irritation
  • urticaria
  • increased sweating
  • hypokalemia
  • hypocalcemia
  • hyperkalemia
  • hypomagnesemia
  • elevated AST
  • elevated ALT
  • insomnia
  • anxiety
  • palpitations
  • bradycardia
  • atrial fibrillation
  • conjunctival hyperemia
  • polyuria
  • acute renal failure
  • orthostatic hypotension
  • cyanosis
  • atrial fibrillation
  • myocardial infarction
  • decreased blood iron
  • tinnitus
  • ear pain
  • lymphadenopathy
  • eosinophilia
  • sexual dysfunction
  • benign prostatic hyperplasia
  • ovarian cyst
  • amenorrhea
  • vaginitis
  • loss of taste
  • abnormal olfaction
  • elevated TSH
  • hypothyroidism
  • injection site reaction
  • injection site pain
  • concussion
  • intervertebral disc disease
  • non-drug allergy
  • septal deviation
  • surgical site reaction
  • fever
  • asthenia
  • leg pain
  • edema
  • fatigue
  • pain
  • facial edema
  • chills
  • temperature sensation change
  • sensory impairment
  • chest burning
  • decreased appetite
  • unspecified gastrointestinal disorder
  • vomiting
  • gastroesophageal reflux
  • periodontitis
  • dry mouth
  • gastritis
  • gastric ulcer
  • abdominal distension
  • gingivitis
  • dental caries
  • low back pain
  • myalgia
  • skeletal pain
  • arthralgia
  • muscle rigidity
  • fracture
  • arthritis
  • muscle weakness
  • urticaria
  • increased sweating
  • hypokalemia
  • hypocalcemia
  • unspecified lipid metabolism disorder
  • hyperkalemia
  • hypomagnesemia
  • insomnia
  • anxiety
  • memory impairment
  • erectile dysfunction
  • restlessness
  • palpitations
  • bradycardia
  • atrial fibrillation
  • palpitations
  • conjunctival hyperemia

Not everyone experiences these, and they can vary from person to person.

Storage

This drug may be sensitive to air or moisture, so it must be stored in a sealed container. The recommended storage temperature is room temperature between 1 degree and 30 degrees Celsius. This will help maintain the effectiveness of the drug for a longer period.

Appearance and packaging

Appearance

Yellow, round, biconvex, film-coated tablet

Package unit

60 tablets (10 tablets/PTP*6)

Same-ingredient medicines

Even with the same ingredient, strength, dosage form and how it is taken can differ.

Even with the same ingredient, the dose and directions can differ by strength and dosage form. Talk to a doctor or pharmacist before switching from a medication you are already taking.

Questions about this medicine

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This drug information is based on data provided by the Korea Ministry of Food and Drug Safety.
Consult a doctor or pharmacist for accurate dosage, administration, and usage instructions.