How does Brilinta differ from clopidogrel or prasugrel?

All three are P2Y12 inhibitors that reduce platelet activation. Ticagrelor is a reversible inhibitor with a twice-daily schedule, while clopidogrel and prasugrel are prodrugs with once-daily dosing. Choice depends on your clinical scenario, bleeding risk, and any contraindications. Your prescriber considers factors like prior stroke, age, weight, and concurrent treatments. Do not switch therapies without consulting your healthcare professional and reviewing the official label guidance for each option.

Can I take aspirin with this medicine?

Yes, this treatment is typically used with a daily low-dose aspirin unless aspirin is contraindicated. Higher maintenance doses of aspirin may reduce the effectiveness of ticagrelor. Follow your prescriber’s instructions on the exact aspirin amount and timing. Tell your clinician if you experience unusual bruising, stomach pain, or bleeding. Do not start or stop any medications without advice from your healthcare professional.

What if I have shortness of breath after starting?

Some people experience shortness of breath early in therapy. It is often mild and may improve with continued use, but new, severe, or worsening symptoms require medical attention. Contact your clinician promptly to assess the cause and decide whether to continue, adjust therapy, or investigate other conditions. Seek emergency care if you have severe breathing trouble or signs of allergic reaction.

Do I need to stop before surgery or dental procedures?

Always tell your surgeon or dentist you use this antiplatelet. Your prescriber may provide individualized timing on when to pause and restart based on the procedure and your risk of clotting. Never discontinue on your own, as sudden interruption can increase the risk of a heart attack or stroke, particularly after stent placement. Get clear instructions from your healthcare professional well in advance of planned procedures.

Can the tablets be crushed?

If you cannot swallow tablets, certain labels allow crushing and mixing with water for immediate administration, then rinsing the glass and drinking the rinse. Confirm this method with your prescriber and review the Medication Guide. Do not split or alter tablets unless your clinician says it is appropriate. Keep dosing consistent and avoid missing scheduled doses.

What should I do if I bleed more easily?

Minor bruising or nosebleeds can occur on antiplatelet therapy. Use soft toothbrushes, shave with an electric razor, and limit alcohol that might increase bleeding. Call your clinician if bleeding is persistent or heavy. Seek immediate care for severe or uncontrollable bleeding, black stools, or signs of stroke. Do not stop the medicine unless your prescriber instructs you to do so.

Is this medicine safe for people with liver problems?

People with severe liver impairment should not use ticagrelor due to increased bleeding risk and altered metabolism. Mild impairment requires caution and clinician oversight. Provide your healthcare professional with your full medical history, including any liver disease, hepatitis, or abnormal liver tests. Your prescriber will determine whether this therapy is appropriate or if another option better matches your health status.

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Brilinta

Brilinta® Tablets for Acute Coronary Syndrome

Acute Coronary Syndrome, Myocardial Infarction, Stroke

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What Brilinta Is and How It Works

Brilinta is a prescription antiplatelet medicine used with low-dose aspirin to lower the chance of heart attack, stroke, or cardiovascular death after acute coronary syndrome. Your clinician may prescribe Brilinta 90 mg after a recent heart event. YouDrugstore is a licensed Canadian pharmacy in Manitoba. Pharmacists review prescriptions before dispensing. We provide US shipping from Canada, with options that can help if you pay without insurance.

How it works: Brilinta® contains ticagrelor, a P2Y12 platelet receptor antagonist. It helps prevent platelets from sticking together and forming clots. This effect supports stents and reduces the risk of new ischemic events when used with daily aspirin. It begins working soon after the first dose and maintains platelet inhibition with regular use.

Who It’s For

This medicine is indicated to reduce the risk of cardiovascular death, myocardial infarction, and stroke in adults with acute coronary syndrome or a history of myocardial infarction. It is used alongside low-dose aspirin unless aspirin is contraindicated.

Do not use the treatment if you have active pathological bleeding or a history of intracranial hemorrhage. People with severe liver impairment should avoid ticagrelor. Discuss bleeding risks with your healthcare professional before starting therapy, especially if you have a bleeding disorder or recent surgery.

Dosage and Usage

Follow your prescriber’s directions and the official label. Therapy often begins with a loading dose, followed by a twice-daily maintenance schedule. The treatment is used in combination with a daily low-dose aspirin unless directed otherwise. Swallow tablets whole. If you have difficulty swallowing, selected labels allow crushing and mixing with water for immediate use, then rinsing the glass and drinking the rinse to ensure full dose intake.

Take doses at the same times each day. Do not stop this medicine without consulting your prescriber, as stopping can increase the risk of heart attack or stroke, especially soon after a stent procedure.

Strengths and Forms

This therapy is available as film‑coated oral tablets in commonly published strengths used in practice. Availability may vary by manufacturer and region. Many patients begin on brilinta 90mg tablets after an acute event, with a lower strength sometimes used for long‑term continuation under a clinician’s guidance.

Missed Dose and Timing

If you miss a dose, take the next dose at the regular time. Do not take two doses at once. Keeping a daily schedule and using reminders can help you stay on track. If vomiting occurs soon after a dose, contact your prescriber for guidance.

Storage and Travel Basics

Store tablets at room temperature in a dry place, away from excess heat and moisture. Keep the medicine in its original container, out of reach of children and pets. When traveling, bring enough tablets for the full trip plus a few extras, carry a copy of your prescription, and keep the medication in your hand luggage. Use a daily organizer if approved by your prescriber and label guidance. For more on the heart condition treated by this class, see our overview of Acute Coronary Syndrome.

Benefits

When used with low-dose aspirin, this medicine reduces the risk of new clot-related events after acute coronary syndrome. It supports stent patency and can lower the chance of future heart attacks. Twice-daily dosing helps maintain steady platelet inhibition. Many patients appreciate the option to continue therapy long term if their prescriber advises.

Side Effects and Safety

Common: shortness of breath, headache, dizziness, easy bruising
Bleeding-related: nosebleeds, gum bleeding, prolonged bleeding from cuts
Digestive: nausea, diarrhea

Serious effects can include severe bleeding, intracranial hemorrhage, and rare allergic reactions. Shortness of breath may occur early and can be mild or transient for some patients. Seek immediate care for signs of severe bleeding, sudden severe headache, weakness on one side, or fainting. The risk of low blood sugar is not typical for this antiplatelet, but combining with anticoagulants increases bleeding risk. Always review the Medication Guide and speak with your clinician about risks and warning signs.

Drug Interactions and Cautions

Tell your healthcare professional about all medicines and supplements you use. Strong CYP3A4 inhibitors or inducers can affect ticagrelor levels. Combining with anticoagulants, other antiplatelets, or NSAIDs may increase bleeding risk. High-maintenance doses of aspirin may reduce the effectiveness of this therapy; follow label guidance on aspirin dose.

Limit alcohol that can worsen bleeding risk. If surgery or dental work is planned, inform your prescriber well in advance, as you may need individualized instructions. For broader reading on anticoagulant risks, explore Warfarin Side Effects and comparisons such as Pradaxa Vs Eliquis.

What to Expect Over Time

Platelet inhibition starts soon after initiation and continues with regular twice-daily use. Your clinician may monitor for bleeding signs, breathing symptoms, and tolerance. Minor bruising or nosebleeds can occur. Shortness of breath sometimes lessens with continued use. Adherence is important, especially after stent placement. Keep follow-up appointments and report any unusual symptoms promptly.

Compare With Alternatives

Other P2Y12 inhibitors may be considered based on individual risk factors and clinical setting. Your prescriber might compare this treatment with Clopidogrel or Prasugrel. Each option has specific indications, contraindications, and bleeding profiles. The choice depends on your history, concurrent therapies, and clinician judgment.

Pricing and Access

We offer Canadian pharmacy pricing with transparent options. Check the brilinta 90 mg price by starting your order and uploading your prescription. See any current sitewide offers on our Promotions page. Orders Ships from Canada to US, with tracking provided. If you need a refresher on heart-health medicines, explore our Cardiovascular category.

Availability and Substitutions

Supply may vary by manufacturer. If a specific package is unavailable, your prescriber may recommend a suitable alternative or a different strength. Some patients use generic ticagrelor when appropriate; see our listing for Ticagrelor to review options. For cost questions, ask about brilinta 90 mg Canadian pricing during checkout.

Patient Suitability and Cost-Saving Tips

Good candidates are adults with acute coronary syndrome or a prior myocardial infarction who can take low-dose aspirin. People with active bleeding or a history of intracranial hemorrhage should not use this therapy. Those with moderate to severe liver impairment require careful evaluation. If costs are a concern, consider longer refill intervals when appropriate, set refill reminders, and review any available manufacturer programs with your prescriber.

For budgeting, compare pharmacy options and look at the ticagrelor 90 mg cash price against other choices your clinician might recommend. Explore related conditions such as Myocardial Infarction to understand long‑term care. For stroke prevention topics and risk reduction, see our brief overview of Stroke. We use encrypted checkout to protect your information.

Questions to Ask Your Clinician

Therapy goals: What outcomes should I expect with this antiplatelet?
Aspirin plan: What aspirin dose should I take with it daily?
Bleeding risk: What symptoms require urgent medical attention?
Procedures: How far in advance should I inform you about surgery?
Other medicines: Which drugs or supplements should I avoid?
Duration: How long might I stay on this therapy after my event?

Authoritative Sources

FDA Prescribing Information

AstraZeneca Brilinta Prescribing Guide

Health Canada DPD

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View All FAQs

How does Brilinta differ from clopidogrel or prasugrel?
All three are P2Y12 inhibitors that reduce platelet activation. Ticagrelor is a reversible inhibitor with a twice-daily schedule, while clopidogrel and prasugrel are prodrugs with once-daily dosing. Choice depends on your clinical scenario, bleeding risk, and any contraindications. Your prescriber considers factors like prior stroke, age, weight, and concurrent treatments. Do not switch therapies without consulting your healthcare professional and reviewing the official label guidance for each option.
Can I take aspirin with this medicine?
Yes, this treatment is typically used with a daily low-dose aspirin unless aspirin is contraindicated. Higher maintenance doses of aspirin may reduce the effectiveness of ticagrelor. Follow your prescriber’s instructions on the exact aspirin amount and timing. Tell your clinician if you experience unusual bruising, stomach pain, or bleeding. Do not start or stop any medications without advice from your healthcare professional.
What if I have shortness of breath after starting?
Some people experience shortness of breath early in therapy. It is often mild and may improve with continued use, but new, severe, or worsening symptoms require medical attention. Contact your clinician promptly to assess the cause and decide whether to continue, adjust therapy, or investigate other conditions. Seek emergency care if you have severe breathing trouble or signs of allergic reaction.
Do I need to stop before surgery or dental procedures?
Always tell your surgeon or dentist you use this antiplatelet. Your prescriber may provide individualized timing on when to pause and restart based on the procedure and your risk of clotting. Never discontinue on your own, as sudden interruption can increase the risk of a heart attack or stroke, particularly after stent placement. Get clear instructions from your healthcare professional well in advance of planned procedures.
Can the tablets be crushed?
If you cannot swallow tablets, certain labels allow crushing and mixing with water for immediate administration, then rinsing the glass and drinking the rinse. Confirm this method with your prescriber and review the Medication Guide. Do not split or alter tablets unless your clinician says it is appropriate. Keep dosing consistent and avoid missing scheduled doses.
What should I do if I bleed more easily?
Minor bruising or nosebleeds can occur on antiplatelet therapy. Use soft toothbrushes, shave with an electric razor, and limit alcohol that might increase bleeding. Call your clinician if bleeding is persistent or heavy. Seek immediate care for severe or uncontrollable bleeding, black stools, or signs of stroke. Do not stop the medicine unless your prescriber instructs you to do so.
Is this medicine safe for people with liver problems?
People with severe liver impairment should not use ticagrelor due to increased bleeding risk and altered metabolism. Mild impairment requires caution and clinician oversight. Provide your healthcare professional with your full medical history, including any liver disease, hepatitis, or abnormal liver tests. Your prescriber will determine whether this therapy is appropriate or if another option better matches your health status.