contain the active ingredients clopidogrel and aspirin
Consumer Medicine Information
What is in this leaflet?
This leaflet answers some common questions about CLOPIDOGREL/ASPIRIN SANDOZ 75/100 tablets.
It does not contain all of the available information. Some of the information it contains may not apply to you.
It does not take the place of talking to your doctor or pharmacist.
All medicines have benefits and risks. In deciding to give you CLOPIDOGREL/ASPIRIN SANDOZ 75/100, your doctor has weighed
the risks of you taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100 against the expected benefits it will have for you.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Please read this leaflet carefully before you start taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100.
You may need to read it again.
What is CLOPIDOGREL/ ASPIRIN SANDOZ 75/100 used for
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 contains the medicines clopidogrel and aspirin. CLOPIDOGREL/ASPIRIN SANDOZ 75/100 belongs
to a group of medicines called anti-platelet medicines
Platelets are very small blood cells which clump together during blood clotting. By preventing this clumping, anti-platelet
medicines reduce the chances of blood clots forming (a process called thrombosis).
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 is used to prevent blood clots forming in hardened blood vessels (a process known as atherothrombosis)
which can lead to events such as stroke, heart attack or death.
You may have been prescribed CLOPIDOGREL/ASPIRIN SANDOZ 75/100 to help prevent blood clots forming and to reduce the risk
of heart attack, stroke or death, because you have suffered a severe type of chest pain called unstable angina, or had a heart
Your doctor may have prescribed this medicine for another use. If you want more information, ask your doctor.
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 is only available on a doctor's prescription.
Before you take it
When you must not take it
Do not take CLOPIDOGREL/ASPIRIN SANDOZ 75/100 if:
you are allergic to clopidogrel, aspirin, salicylates, anti-inflammatories (Non- Steroidal Anti-Inflammatory Drugs) or any
of the ingredients listed under 'Product Description' at the end of this leaflet.
you have a medical condition that is causing bleeding such as a haemophilia, stomach ulcer or bleeding within your head or
you suffer from severe liver or kidney disease.
you have asthma, rhinitis or nasal polyps.
you are breastfeeding or intend to breastfeed.
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 passes into breast milk and, therefore, there is the possibility that the breastfed baby
may be affected.
the packaging shows signs of tampering.
the expiry date on the pack has passed. If you use this product after the expiry date has passed, it may not work.
Do not take CLOPIDOGREL/ASPIRIN SANDOZ 75/100 to treat any other complaint unless your doctor says it is safe. Do not give
this medicine to anyone else.
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 is not recommended for children as its safety and effectiveness in children have not been
Before you start to take it
You must tell your doctor if:
you have allergies to:
any other medicines
any other substances, such as foods, preservatives or dyes
you are pregnant or intend to become pregnant.
Your doctor will discuss the possible risks and benefits of taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100 during pregnancy.
you are breastfeeding.
You must not breastfeed while taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100.
you are planning to have an operation (including dental surgery) in the next two weeks.
Your doctor will decide whether or not you need to stop CLOPIDOGREL/ASPIRIN SANDOZ 75/100 prior to surgery.
if you have or have had any medical conditions, especially the following:
bleeding disorders or blood clotting problems
any illness or disability that was caused by bleeding, for example impaired sight or vision because of bleeding within the
recent serious injury
recent surgery (including dental surgery)
any form of liver disease
any recent history of stroke
any form of kidney disease
history of stomach ulcers or other problems with your digestive system
inherited diseases causing galactose intolerance
asthma or allergies
allergic to other antiplatelet medicines (such as ticlopidine, prasugrel).
If you have not told your doctor about any of the above, tell him/her before you start taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100.
Some patients may not convert CLOPIDOGREL/ASPIRIN SANDOZ 75/100 to its active form as well as other patients. These patients
may not get the same benefit from CLOPIDOGREL/ASPIRIN SANDOZ 75/100. Your doctor may advise you to go for tests to determine
if CLOPIDOGREL/ASPIRIN SANDOZ 75/100 will adequately work for you. Based on the test results, your doctor may consider alternative
treatments for you.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines including any that you have bought without a prescription
from a pharmacy, supermarket or healthfood shop.
Some medicines and CLOPIDOGREL/ASPIRIN SANDOZ 75/100 may interfere with each other. These include:
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 already contains aspirin. Taking additional aspirin is not recommended. Please check with
your doctor first.
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 already contains clopidogrel. Taking additional clopidogrel is not recommended. Please check
with your doctor first.
medicines that "thin the blood".
The most common examples of these include heparins and warfarin. There are others so please check with your doctor.
non-steroidal anti- inflammatory drugs (NSAIDs) - medicines used to treat arthritis, period pain, aches and pains such as
steroids e.g. hydrocortisone.
some gout medicines.
some antidepressant medicines.
antiretrovirals e.g. tenofovir.
methotrexate - a medicine used to treat cancer or arthritis.
acetazolamide - a medicine used to treat glaucoma.
phenytoin and valproic acid - medicines used to treat epilepsy.
tolbutamide, repaglinide and chlorpropamide- medicines used to treat diabetes.
tamoxifen and paclitaxel - medicines used to treat breast cancer.
levothyroxine - a medicine used to treat low thyroid activity.
fluvastatin - a medicine used to lower cholesterol.
ACE inhibitors or angiotensin receptor antagonists plus a thiazide diuretic.
These medicines are used to treat high blood pressure. In some cases the medicines may be used together to treat other cardiovascular
medicines used to prevent gastric reflux - proton pump inhibitors (e.g. omeprazole).
These medicines may be affected by CLOPIDOGREL/ASPIRIN SANDOZ 75/100 or affect how well CLOPIDOGREL/ASPIRIN SANDOZ 75/100
Your doctor may need to change the amount of your medicines, or you may need to take different medicines.
If you are unsure about any medicine you are taking you should check with your doctor or pharmacist. They will have more information
on medicines to be careful with or avoid while taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100.
The consumption of alcohol may affect how well CLOPIDOGREL/ASPIRIN SANDOZ 75/100 works; it may increase blood loss and stomach
irritation. Please ask your doctor for more information.
How to take it
How to take it
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 is to be used under medical supervision only.
Your doctor will tell you how many tablets to take each day. Take CLOPIDOGREL/ASPIRIN SANDOZ 75/100 only as prescribed by
your doctor and follow his or her directions carefully. They may differ from the information contained in this leaflet.
The usual dose of CLOPIDOGREL/ASPIRIN SANDOZ 75/100 is one tablet daily.
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 contains 75 mg clopidogrel and 100 mg aspirin
You may receive a starting dose of 300 mg clopidogrel, then one CLOPIDOGREL/ASPIRIN SANDOZ 75/100 tablet daily. Take CLOPIDOGREL/ASPIRIN
SANDOZ 75/100 during or immediately after a meal. You should swallow the tablet with a glass of water.
Take CLOPIDOGREL/ASPIRIN SANDOZ 75/100 at about the same time each day. Taking your tablet at the same time each day will
have the best effect. It will also help you to remember when to take it.
You should take CLOPIDOGREL/ASPIRIN SANDOZ 75/100 for as long as your doctor continues to prescribe it.
Should your doctor require you to take higher doses of aspirin you will be switched to separate tablets and no longer take
CLOPIDOGREL/ASPIRIN SANDOZ 75/100.
If you forget to take it
If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the dose you missed and
take your next dose when you are meant to.
If you are not sure what to do, ask your doctor or pharmacist.
If you have trouble remembering to take your medicine, ask your pharmacist for some hints.
If you take too much (overdose)
Immediately telephone your doctor or the Poisons Information Centre (Australia telephone 13 11 26), or go to the Emergency
Department at your nearest hospital, if you think that you or anyone else may have taken too much CLOPIDOGREL/ASPIRIN SANDOZ
75/100. Do this even if there are no signs of discomfort or poisoning. You may need urgent medical attention.
While you are taking it
Things you must do
take CLOPIDOGREL/ASPIRIN SANDOZ 75/100 exactly as your doctor has prescribed, and have any blood tests promptly if your doctor
tell your doctor if you become pregnant while taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100.
tell your doctor if you decide to breastfeed your baby. Your doctor may want to discuss this and change your medicine.
tell your doctor that you are taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100 if you are about to start on any new medicine.
tell all your doctors, dentists, nurses and pharmacists that you are taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100.
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 may increase the risk of bleeding during an operation or some dental work. Therefore, treatment
may need to be stopped before surgery. Your doctor will decide whether to stop CLOPIDOGREL/ASPIRIN SANDOZ 75/100 and if so,
how long before surgery or dental work.
ask your doctor whether there are any activities you should avoid while taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100, for example
Sometimes after an injury bleeding may occur inside your body without you knowing about it.
tell your doctor immediately if you are injured while taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100.
It may take longer than usual to stop bleeding while you are taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100.
tell your doctor immediately if you notice any of the following:
abnormal bruising or bleeding
abnormal nose bleeds
bloody or black bowel motions
red or purple blotches on your skin
swelling of the face, lips, mouth, tongue or throat which may cause difficulty swallowing or breathing (see also 'Side effects'
Do not suddenly stop taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100 without telling your doctor.
Things to be careful of
Be careful driving or operating machinery until you know how CLOPIDOGREL/ASPIRIN SANDOZ 75/100 affects you.
As with other medicines, CLOPIDOGREL/ASPIRIN SANDOZ 75/100 may cause faintness or dizziness in some people. Make sure you
know how you react to CLOPIDOGREL/ASPIRIN SANDOZ 75/100 before you drive a car or operate machinery, or do anything else that
could be dangerous if you are faint or dizzy. If this occurs, do not drive. If you drink alcohol, faintness or dizziness may
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking CLOPIDOGREL/ASPIRIN SANDOZ
Like other medicines CLOPIDOGREL/ASPIRIN SANDOZ 75/100 can cause some side effects. Most are likely to be minor and temporary.
However, some may be serious and need medical attention.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice any of the following and they worry you:
pain or stiffness in the joints
ringing in the ears
things taste different.
Tell your doctor immediately if you notice any of the following:
bloody or black bowel motions
diarrhoea with blood, mucus, stomach pain and fever
abdominal or stomach pain
vomiting of blood or vomit that looks like coffee grounds
coughing up blood
blood in the urine
blood in the eyes
unusually heavy bleeding or oozing from cuts or wounds
bleeding (including nose bleeds) or bruising more easily than normal
unusually heavy or unexpected menstrual bleeding
breast enlargement in men
numbness (paralysis) or problems with co-ordination
nausea or vomiting
faintness or dizziness
light-headedness or blurred vision
slurred speech or other difficulty in speaking
headache (severe and continuing)
confusion or hallucinations
fever or other signs of infection, such as a sore throat
rash or hives
chills, sweating or clammy skin
fever, muscle weakness, loss of appetite and fatigue
anaemia (being tired and looking pale)
red or purple spots visible through your skin
itching, inflamed, cracking or red skin
tightness of the chest, wheezing, coughing or difficulty breathing
yellowing of the skin or the whites of the eyes, pale stools and dark urine with vomiting and stomach pain
swelling of the face, lips, mouth, tongue or throat which may cause difficulty in swallowing or breathing.
These could be more serious side effects - you may need urgent medical attention.
Other side effects not listed above may also occur in some patients. Tell your doctor if you notice any other effects.
Do not be alarmed by this list of side effects. Most people do not experience any of them.
After taking it
Keep your tablets in the blister pack until it is time to take them.
If you take your tablets out of the box or blister pack they will not keep well.
Keep CLOPIDOGREL/ASPIRIN SANDOZ 75/100 in a cool, dry place where the temperature stays below 30°C.
Heat and dampness can destroy some medicines. Do not leave CLOPIDOGREL/ASPIRIN SANDOZ 75/100 in the car on hot days.
Do not store CLOPIDOGREL/ASPIRIN SANDOZ 75/100 or any other medication in the bathroom or near a sink.
Keep CLOPIDOGREL/ASPIRIN SANDOZ 75/100 where children cannot reach it.
A locked cupboard at least one-and-a-half metres above the ground is a good place to store medicines.
If your doctor tells you to stop taking CLOPIDOGREL/ASPIRIN SANDOZ 75/100, ask your pharmacist what to do with any tablets
that are left over taking.
What it looks like
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 is available as:
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 75mg/100mg tablets:
Mottled purple, oval, biconvex tablets debossed with 'CL7' on one side and 'S1' on the other.
AUST R 219057
Supplied in a box containing 2, 4, 7, 14, 28, and 30 tablets.
Not all pack sizes may be marketed.
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 75mg/100mg: clopidogrel 75 mg, aspirin 100 mg
Pigment blend PB-200001 PURPLE (109346)
CLOPIDOGREL/ASPIRIN SANDOZ 75/100 is supplied in Australia by:
Sandoz Pty Ltd
54 Waterloo Road
Macquarie Park NSW 2113
This leaflet was prepared in