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ticlopidine - oral, Ticlid (cont.)

PRECAUTIONS: Before taking this medication, tell your doctor or pharmacist if you are allergic to it; or to other thienopyridines (such as clopidogrel); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.This medication should not be used if you have certain medical conditions. Before using this medicine, consult your doctor or pharmacist if you have: history of blood or immune disorders (thrombotic thrombocytopenic purpura, aplastic anemia, agranulocytosis, neutropenia), serious/active bleeding (e.g., bleeding stomach ulcers), severe liver disease.Before using this medication, tell your doctor or pharmacist your medical history, especially of: liver or kidney problems, bleeding/blood clotting disorders, conditions that put you at risk of bleeding (e.g., stomach ulcers), high cholesterol or triglyceride levels.This drug may make you dizzy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages.Before having surgery, tell your doctor or dentist that you are taking this medication.While you are taking this medication, it may take longer than usual for bleeding to stop if you have a cut or injury. Use caution with sharp objects like safety razors or nail cutters and avoid activities such as contact sports to lower the chance of getting cut, bruised, or injured.Older adults may be at greater risk for bleeding while using this drug.This medication should be used only when clearly needed during pregnancy. Discuss the risks and benefits with your doctor.It is unknown if this drug passes into breast milk, but it may have undesirable effects on a nursing infant. Consult your doctor before breast-feeding.

DRUG INTERACTIONS: See also the How To Use section.Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop or change the dosage of any medicine before checking with them first.This drug should not be used with the following medication because very serious interactions may occur: mifepristone.If you are currently using the medication listed above, tell your doctor or pharmacist before starting ticlopidine.Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use, especially of: other antiplatelet drugs (e.g., cilostazol, clopidogrel), cimetidine, digoxin, phenytoin, theophylline, tipranavir, tizanidine.Other drugs like this medication that affect blood clotting may increase your risk of bleeding. Examples are "blood thinners" (anticoagulants such as enoxaparin, heparin, warfarin). Follow your doctor's instructions carefully and continue your medications as directed. Tell your doctor immediately if you notice unusual bleeding. Consult your doctor or pharmacist for more details.For certain conditions, you may be instructed by your doctor to take ticlopidine together with aspirin. Follow your doctor's instructions and continue aspirin as directed. If you are not currently taking aspirin, consult your doctor before starting it for any medical condition. Check the labels on all your medicines because they may contain aspirin or aspirin-like NSAIDs (e.g., ibuprofen, naproxen) that can increase the risk of bleeding. Ask your pharmacist about the safe use of those products.This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.



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