DuoCover® Clopidogrel (clop-id-o(h)-grel) and Aspirin (as-per-in)Consumer Medicine Information What is in this leaflet 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 DuoCover to treat any other complaint unless your doctor says it is safe. Do not give this medicine to anyone else. Before you start to take it If you have any concerns about taking this medicine, ask your You must tell your doctor if: doctor or pharmacist. Before you take it you have allergies to: When you must not take it You should not take DuoCover if: you are allergic to clopidogrel, you are pregnant or intend to aspirin, salicylates, anti- become pregnant. inflammatories (Non-Steroidal Your doctor will discuss the What DuoCover is Anti-Inflammatory Drugs) or possible risks and benefits of any of the ingredients listed taking DuoCover during under 'Product Description' at pregnancy. the end of this leaflet. DuoCover contains the medicines you are breastfeeding. You clopidogrel and aspirin. DuoCover you have a medical condition must not breastfeed while belongs to a group of medicines that is causing bleeding such as taking DuoCover. called anti-platelet medicines. a haemophilia, stomach ulcer or you are planning to have an bleeding within your head or operation (including dental surgery) in the next two weeks. you suffer from severe liver or Your doctor will decide kidney disease. whether or not you need to stop you have asthma, rhinitis or DuoCover prior to surgery. nasal polyps. if you have or have had any you are breastfeeding or intend medical conditions, especially to breastfeed. DuoCover passes the following: additional clopidogrel is not careful with or avoid while taking recommended. Please check DuoCover. with your doctor first. Alcohol Consumption medicines that "thin the blood". The most common The consumption of alcohol may examples of these include affect how well DuoCover works; it heparins and warfarin. There may increase blood loss and are others so please check with stomach irritation. Please ask your your doctor. doctor for more information. non-steroidal anti- inflammatory drugs (NSAIDs) - medicines used to treat arthritis, period pain, aches and How to take it
history of stomach ulcers or otherproblems with your digestive
steroids e.g. Hydrocortisone. How to take it bupropion. DuoCover is to be used under diazepam. medical supervision only. some gout medicines. Your doctor will tell you how many tablets to take each day. Take methotrexate - a medicine used DuoCover only as prescribed by to treat cancer or arthritis. your doctor and follow his or her If you have not told your doctor phenytoin - a medicine used to directions carefully. They may about any of the above, tell him/ treat epilepsy. differ from the information her before you start taking tolbutamide and contained in this leaflet. DuoCover. chlorpropamide- a medicine Some patients may not convert used to treat diabetes. DuoCover to its active form as well tamoxifen - a medicine used to as other patients. These patients treat breast cancer. may not get the same benefit from DuoCover. Your doctor may fluvastatin - a medicine used to advise you to go for tests to lower cholesterol. determine if DuoCover will ACE inhibitors or angiotensin adequately work for you. Based on receptor antagonists plus a the test results, your doctor may thiazide diuretic. These consider alternative treatments for medicines are used to treat high blood pressure. In some cases Take DuoCover at about the same the medicines may be used time each day. Taking your tablet Taking other medicines together to treat other at the same time each day will have cardiovascular diseases. Tell your doctor or pharmacist if the best effect. It will also help you you are taking any other medicines used to prevent to remember when to take it. medicines, including any that you gastric reflux - proton pump buy without a prescription from inhibitors (e.g. omeprazole). your pharmacy, supermarket or health food store. aspirin - DuoCover already
may need to take different medicines. If you forget to take it contains aspirin. Taking If you are unsure about any additional aspirin is not medicine you are taking you recommended. Please check should check with your doctor or with your doctor first. pharmacist. They will have more clopidogrel - DuoCover already information on medicines to be contains clopidogrel. Taking avoid while taking DuoCover, for example certain sports. Ask your doctor or pharmacist to answer any questions you may Tell your doctor if you notice any If you take too much tell your doctor immediately if of the following and they worry (overdose) you are injured while taking Immediately telephone your doctor DuoCover. or the Poisons Information Centre (telephone 13 11 26), or go to the Emergency Department at your nearest hospital, if you think that tell your doctor immediately if you or anyone else may have taken you notice any of the following: too much DuoCover. Do this even Tell your doctor immediately if if there are no signs of discomfort you notice any of the following: or poisoning. You may need urgent medical attention. While you are taking it
swelling of the face, lips, mouth,tongue or throat which may cause
Things you must do take DuoCover exactly as your Do not suddenly stop taking doctor has prescribed, and have DuoCover without telling your any blood tests promptly if your doctor orders them. tell your doctor if you become Things to be careful of pregnant while taking Be careful driving or operating DuoCover. machinery until you know how tell your doctor if you decide to DuoCover affects you. breastfeed your baby. Your doctor may want to discuss this and change your medicine. tell your doctor that you are taking DuoCover if you are about to start on any new medicine. tell all your doctors, dentists, nurses and pharmacists that you are taking DuoCover. DuoCover may increase the risk of bleeding during an operation or some dental work. Therefore, treatment may need Side effects to be stopped before surgery. Your doctor will decide Tell your doctor or pharmacist as whether to stop DuoCover and soon as possible if you do not feel if so, how long before surgery well while you are taking or dental work. DuoCover tablets. ask you doctor whether there are any activities you should Disposal Manufacturer
Bristol-Myers Squibb Australia Pty. Product description What it looks like Other side effects not listed above may also occur in some patients. Tell your doctor if you notice any other effects. Active Ingredients: After taking it Storage Keep your tablets in the blister Other Ingredients: pack until it is time to take them. Keep DuoCover in a cool, dry place where the temperature stays below 25°C. Do not store DuoCover or any other medication in the bathroom or near a sink. Keep DuoCover where children cannot reach it.
Appl Microbiol Biotechnol (2004) 65: 110–118A P P L I E D M I C R O B I A L A N D C E L L P H Y S I O L O G YA. Sajidan . A. Farouk . R. Greiner . P. Jungblut . E.-C. Müller . R. BorrissMolecular and physiological characterisation of a 3-phytasefrom soil bacterium Klebsiella sp. ASR1Received: 11 September 2003 / Revised: 10 November 2003 / Accepted: 21 November 2003 / Published online: 16 J
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