Ef'-fee-ent
Prasugrel hydrochloride
Consumer Medicine Information
What is in this leaflet
This leaflet answers some common questions about Effient.
It does not contain all the available information.
It does not take the place of talking to your doctor or pharmacist.
The information in this leaflet was last updated on the date shown on the final page. More recent information on this medicine may be available. Make sure you speak to your pharmacist, nurse or doctor to obtain the most up to date information on this medicine. You can also download the most up to date leaflet from www.lilly.com.au. The updated leaflet may contain important information about this medicine and its use that you should be aware of.
All medicines have risks and benefits. Your doctor or pharmacist has weighed the risks of you taking this medicine against the benefits they expect it will have for you.
Always follow the instructions that your doctor or pharmacist give you about Effient.
If you have any concerns about taking this medicine, ask your doctor or pharmacist.
Keep this leaflet with the medicine.
You may need to read it again.
What Effient is used for
Effient is used to prevent blood cells from clotting.
It contains the active ingredient, prasugrel.
It is used by people who have had a PCI (percutaneous coronary intervention) because of unstable angina or a heart attack.
PCI is a procedure where a balloon-tipped tube is used to open a blocked artery, with or without a stent being placed in the artery.
Effient belongs to the group of medicines called antiplatelet agents.
It works by reducing the ability of blood cells to clot. By preventing blood cells from clumping, it reduces the chances of blood clots forming (a process called thrombosis), thereby decreasing or even stopping blood supply to the heart muscle.
Effient is always taken with aspirin.
Ask your doctor if you have any questions about why this medicine has been prescribed for you.
Your doctor may have prescribed this medicine for another use. If you want more information, ask your doctor.
This medicine is available only with a doctor's prescription.
Before you take Effient
When you must not take it
Do not take Effient if you have an allergy to Effient or any of the ingredients listed at the end of this leaflet:
Symptoms of an allergic reaction may include:
shortness of breath
wheezing or difficulty breathing
swelling of the face, lips, tongue or other parts of the body
rash
itching.
If you are not sure if you have an allergy to Effient, check with your doctor.
Do not take Effient if you have had any of the following medical conditions:
bleeding caused by a stomach ulcer
bleeding inside your head
stroke
transient ischaemic attack (TIA) which resulted in a temporary paralysis, numbness, speech difficulty or other symptoms affecting your nervous system which happened suddenly and disappeared within 24 hours
severe liver disease
Do not take Effient if:
the packaging is torn or shows signs of tampering (or the tablets do not look quite right)
the expiry date on the pack has passed.
If you take this medicine after the expiry date has passed, it may not work as well.
Do not give this medicine to children.
There is no experience with the use of this medicine in children.
Before you start to take it
Tell your doctor if:
you have any allergies to any other medicines including those you have previously taken to prevent your blood from clotting, or any other substances such as foods, preservatives or dyes
you are already taking aspirin
you are pregnant or plan to become pregnant
Your doctor will discuss the possible risks and benefits of taking this medicine during pregnancy.
you are breast-feeding or plan to breast-feed
Effient is not recommended while you are breast-feeding. It is not known whether it passes into breast-milk.
you have or have had any of the following medical conditions:
bleeding disorders or blood clotting problems
a tendency to bleed as a result of a recent trauma, recent surgery (including dental surgery), recent or recurrent gastrointestinal bleeding, active peptic ulcer disease
a history of kidney or liver problems
a history of stroke or TIA
weigh less than 60 kg
are more than 75 years old
a history of tumours or cancer
you are planning to have surgery (including dental procedures).
If you have not told your doctor or pharmacist about any of the above, tell them before you start taking Effient.
Taking other medicines
Tell your doctor or pharmacist if you are taking any other medicines, including medicines you buy without a prescription from a pharmacy, supermarket or health food shop.
You will be prescribed aspirin at a low dose with Effient. Aspirin works together with Effient.
Some medicines and Effient may interfere with each other. These are:
medicines that "thin the blood" such as warfarin and heparin.
There are others so please check with your doctor or pharmacist
non steroidal anti-inflammatory drugs (NSAIDs) - medicines used to treat arthritis, period pain, aches and pain
fibrinolytics - a group of medicines used to dissolve a blood clot that has formed in an artery or a vein
some medicines used to treat HIV (e.g. efavirenz).
some medicines used to treat cancer (e.g. cyclophosphamide).
These medicines may be affected by Effient or may affect how well it works. You may need different amounts of your medicine or you may need to take different medicines.
Your doctor or pharmacist can tell you what to do if you are taking any of these medicines. They also have a more complete list of medicines to be careful with or avoid while taking Effient.
Ask your doctor or pharmacist if you are not sure if you are taking any of these medicines.
How to take Effient
Take this medicine only as prescribed by your doctor and follow his/her directions carefully.
These may differ from the information contained in this leaflet.
How much to take
Your doctor will tell you how many tablets to take each day.
Effient is available as a 5 and 10 mg tablet. It is usual for your doctor to start you on a single dose of six 10 mg tablets and then continue with a 10 mg or 5 mg once daily dose. Your doctor will also prescribe a daily dose of aspirin to take with this medicine.
When to take it
You should swallow the tablets with a glass of water.
The tablets can be taken before or after meals.
Do not break the tablet in half. Talk to your doctor or pharmacist if you have trouble swallowing tablets.
Take it at the same time each day.
Taking your tablets at the same time will have the best effect. It will also help you to remember when to take it.
How long to take it
Continue taking Effient for as long as your doctor recommends.
If you forget to take it
If it is almost time for your next dose, skip the dose you missed and take your next dose when you are meant to. Otherwise, take it as soon as you remember, then go back to taking your tablets as you would normally.
Do not take a double dose to make up for the dose you have missed.
This may increase the chance of you getting an unwanted side effect.
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 if you think that you or anyone else may have taken too much Effient. Do this even if there are no signs of discomfort or poisoning.
You may need urgent attention.
While you are taking Effient
Things you must do
Take it every day exactly as your doctor has prescribed.
If you become pregnant while you are taking it, tell your doctor.
If you decide to breast-feed your baby, tell your doctor.
Your doctor may want to discuss this and change your medicine.
If you are about to start taking any new medicines, tell your doctor and pharmacist that you are taking Effient.
Tell all doctors, dentists and pharmacists who are treating you that you are taking Effient.
Tell your doctor, dentist or pharmacist that you are taking Effient before you have any surgery.
It 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 Effient and if so, for how long.
Ask your doctor whether there are any activities you should avoid while taking this medicine, for example, certain sports.
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 this medicine.
It may take longer than usual to stop bleeding while you are taking Effient.
Tell your doctor immediately if you notice the return of any of the symptoms you had before starting Effient.
Things you must not do
Do not give this medicine to anyone else, even if they have the same condition as you.
Do not stop taking this medicine without informing your doctor as it may increase the chance of a heart attack or stroke or a blood clot forming.
Things to be careful of
Be careful driving or operating machinery until you know how it affects you.
Make sure you know how you react to it before you drive a car, operate machinery or do anything else that could be dangerous if you are dizzy or light-headed. If this does occur, do not drive.
If you drink alcohol, faintness or dizziness may be worse.
Side effects
Tell your doctor or pharmacist as soon as possible if you do not feel well while you are taking Effient.
It helps most people, but it may have unwanted side effects in a few people. All medicines can have side effects. Sometimes they are serious, most of the time they are not. You may need medical treatment if you get some of the side effects.
Ask your doctor or pharmacist to answer any questions you may have.
Tell your doctor if you notice any of the following:
rash
nose bleeds
cuts that take longer than usual to stop bleeding
bleeding gums.
Tell your doctor immediately, or go to Accident and Emergency if you notice any of the following:
signs of anaemia (being tired and looking pale)
severe or uncontrollable bleeding, including after surgery
coughing up blood (a sign of bleeding from the stomach)
pink or brown urine
red or black stools
diarrhoea with blood, mucus, stomach pain and fever (a sign of bleeding from the intestine)
unusual bruising (bruises that develop without known cause or grow in size)
red or purple spots visible through your skin
unusually heavy bleeding or bruising from cuts or wounds
blood in the eyes
swelling of the face, lips, mouth, tongue or throat which may cause difficulty in swallowing or breathing .
The above list includes serious side effects. You may need urgent medical attention.
Tell your doctor if you notice any other effects.
Other side effects not listed above may also occur in some people.
Do not be alarmed by this list of possible side effects.
You may not experience any of them.
After using Effient
Storage
Keep your tablets in the blister pack until it is time to take them.
If you take the tablets out of the blister pack, they may not keep well.
Keep them in a cool, dry place where it stays below 30°C. Do not store them, or any other medicine, in a bathroom or near a sink. Do not leave them in the car or on window sills.
Heat and dampness can destroy some medicines.
Keep them where children cannot reach them.
A locked cupboard at least one and a half metres above the ground is a good place to store medicines.
Disposal
If your doctor tells you to stop taking this medicine, or the tablets have passed their expiry date, ask your pharmacist what to do with any tablets left over.
Product description
What it looks like
The 5 mg tablets are yellow, double-arrow shaped, film-coated, unscored, debossed with "5 MG" on one side and "4760" on the other side.
The 10 mg tablets are beige, double-arrow shaped, film-coated, unscored, debossed with "10 MG" on one side and with "4759" on the other side.
A box contains 6 or 28 tablets.
Ingredients
Effient contains either 5 mg or 10 mg of prasugrel (as hydrochloride) as the active ingredient.
It also contains:
Mannitol
Hypromellose
Croscarmellose sodium
Cellulose - microcrystalline
Magnesium stearate
Lactose
Titanium dioxide
Glycerol acetate
Iron oxide yellow CI77492
Iron oxide red CI77491.
