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Plavix Dosage

Generic name: clopidogrel
Drug class: Platelet aggregation inhibitors

Medically reviewed by  A Ras MD.

 

Recommended Adult Dosing

Dosage forms:  TAB: 75 mg, 300 mg

Acute coronary syndrome

[75 mg PO qd]
Start: 300 mg PO x1; Info: give w/ aspirin 75-325 mg PO qd; may use w/ heparin acutely; consider CYP2C19 genotyping; consider holding tx >5 days before surgery

Thrombotic event prevention

[75 mg PO qd]
Info: for pts w/ recent MI, recent stroke, or peripheral arterial dz; consider CYP2C19 genotyping; consider holding tx >5 days before surgery

Renal dosing

[see below]
CrCl >60: no adjustment; CrCl <60: not defined, caution advised
HD/PD: not defined

Hepatic dosing

[no adjustment]

Recommended Peds Dosing

Dosage forms:  TAB: 75 mg, 300 mg

TIA/thromboembolic stroke prevention

[<2 yo]
Dose: 0.2 mg/kg/dose PO qd; Max: 75 mg/day; Info: refer to ACCP guidelines or institution protocols for details on appropriate use
[2 yo and older]
Dose: 1 mg/kg/dose PO qd; Max: 75 mg/day; Info: refer to ACCP guidelines or institution protocols for details on appropriate use

Renal dosing

[not defined]
renal impairment: consider adult renal dosing for guidance
HD/PD: not defined

Hepatic dosing

[not defined]
hepatic impairment: consider adult hepatic dosing for guidance

SRC: NLM .

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