INTRODUCTION
ROSURICA GOLD 20MG is a combination of Aspirin, Clopidogrel and Rosuvastatin which belongs to the group of medicines called Non-Steroidal Anti-Inflammatory Drugs, Antiplatelets and HMG-CoA reductase inhibitors respectively. ROSURICA GOLD 20MG is indicated for the treatment of acute coronary syndrome, myocardial infarction (heart attack), angina (chest pain), or stroke (reduced blood supply to brain leading to brain death) that were caused due to clot or plaque formation in the blood vessels supplying the heart. Acute coronary syndrome is a heart condition caused by plaque rupture or clot formation in the coronary arteries. Symptoms include heart attack, chest pressure or pain while at rest, shortness of breath and sweating.
Clopidogrel is an antiplatelet medicine that blocks the aggregation of platelets (cells that form blood clots) in the blood vessels and aspirin is a non-steroidal anti-inflammatory drug that irreversibly inhibits the activity of certain enzymes involved in the production of platelets. Rosuvastatin is an HMG-CoA reductase inhibitor that helps in reducing the production of bad cholesterol. Collectively they reduce the risk of clot or plaque formation in the blood vessels suppling the heart, leading to an improved cardiac function. Ā Along treatment with ROSURICA GOLD 20MG follow a healthy low-fat diet as advised by doctor to achieve better results.
Avoid drinking alcohol during the therapy, as it could increase the risk of bleeding in the gastrointestinal tract. ROSURICA GOLD 20MG is not recommended for use in patients having severe liver, kidney, or heart disease. Consult your doctor before taking. ROSURICA GOLD 20MG is generally not recommended for use in pregnant or breastfeeding women and in children (below 18 years). Consult your doctor for an alternative therapy. The most common side effects of taking ROSURICA GOLD 20MG are increased bleeding tendency, nausea, indigestion, diarrhea, stomach pain, constipation, muscle pain, dizziness, and headache. Contact your doctor if any of these symptoms worsen.
USES OF ROSURICA GOLD 20MG
- Treats acute coronary syndrome
- Treats myocardial infarction
- Treats angina
- Treats stroke
HOW ROSURICA GOLD 20MG WORKS
ROSURICA GOLD 20MG effectively improves cardiac function and reduces the risk of heart problems, where clopidogrel acts by inhibiting platelet aggregation in the coronary arteries, aspirin acts by blocking the actions of an enzyme called cyclo-oxygenaseĀ 1 which is believed to be responsible for catalyzing the synthesis of platelets and rosuvastatin acts by inhibiting the action of an enzyme called HMG-CoA reductase, which is required to catalyze the formation of cholesterol, thus preventing clot or plaque formation in the coronary arteries leading to an uninterrupted supply of oxygen and blood to the heart.
DIRECTIONS FOR USE
Take ROSURICA GOLD 20MG as advised by your physician. Swallow ROSURICA GOLD 20MG with a glass of water. Do not crush or chew the medicine. Your doctor will decide the correct dose and duration for you depending upon your age, body weight and disease condition.
SIDE EFFECTS OF ROSURICA GOLD 20MG
COMMON
- Increased bleeding or bruising
- Indigestion, diarrhea, stomach pain, nausea, constipation
- Bleeding in the gut
- Diabetes (high blood glucose)
- Dizziness and headache
- Muscle cramps or pain
- Weakness or lack of energy
- Epistaxis (bleeding from the nose)
UNCOMMON
- Runny nose
- Skin rash, itching, or skin reactions
- Breathing difficulty
- Stomach ulcer, vomiting
- Excessive gas in stomach or intestine
- Tingling or numbness sensation
RARE
- Signs of decreased platelet count (easy bleeding or bruising)
- Enlarged breasts in men (gynecomastia)
- Vertigo (spinning sensation)
- Lupus-like disease syndrome (including rash, joint disorders, and effects on blood cells)
- Aplastic anemia
- Intracranial hemorrhage (bleeding in the brain)
Stop taking ROSURICA GOLD 20MG and contact your doctor immediately if you experience any of the following side effects:
- Severe allergic reactions (such as skin rash, itching, swelling of the face, lips, throat and neck, difficulty in breathing or swallowing)
- Thrombotic Thrombocytopenic PurpuraĀ (a blood disorder that causes blood clots in capillaries throughoutĀ the body)
- Severe skin disorders with fever (Ex. Lyellās syndrome, Steven-Johnsons syndrome, erythema nodosum, erythema multiforme)
- Symptoms of pancreatitis (such as moderate to severe abdominal pain, nausea, vomiting, fever, rapid heart rate)
- Jaundice (yellowing of eyes, skin, and urine with fever)
- Rhabdomyolysis (muscle rupture)
- Unusual bleeding (such as blood in vomit or urine, coughing up blood, black stools, purple spots under the skin)
- Flu-like symptoms (fever, cough, sore throat, headache and extreme tiredness)
- Breathing difficulties (Ex. bronchospasm, asthma attack)
- Hemorrhagic vasculitis (inflammation of the blood vessels with bleeding)
- Abnormal heavy or prolonged menstrual periods
HOW TO MANAGE SIDE EFFECTS
Nausea and vomiting:
Try to take ROSURICA GOLD 20MG with or just after a meal or a snack. Stick to simple meals. Avoid eating rich or spicy food. Consult your doctor if the symptom did not improve.
Diarrhea:
Drink lots of fluids, such as water or fruit juices to keep yourself hydrated. Avoid taking any medicine on your own for treating diarrhea. Consult your doctor if the symptom did not improve.
Headache: Ā
Rest and relax. Drink plenty of fluids such as water or electrolytes. Apply a pain-relieving balm on the head if required. Do not consume too much of alcohol. Consult your doctor if the symptom did not improve.
Dizziness:
Try to rest and relax. Get enough sleep. Avoid driving or operating any tools or machines while you are feeling dizzy. Do not consume too much of alcohol, as it can aggravate your dizziness. Consult your doctor if the symptom did not improve.
Constipation:
Eat fiber rich foods such as fresh fruits, vegetables and cereals and drink plenty of water. Try to exercise more regularly. Consult your doctor if the symptom did not improve on its own.
Stomach pain:
Rest and relax. Eat and drink slowly or try to have smaller and frequent meals. Keep a heat pad on your stomach. Do not self-treat on your own and consult your doctor if the symptom did not improve on its own.
WARNING & PRECAUTIONS
PREGNANCY
ROSURICA GOLD 20 MG is not recommended for use in pregnant women. However, consult your doctor before taking ROSURICA GOLD 20 MG. Women of child-bearing potential should use suitable contraceptive method to avoid pregnancy while taking ROSURICA GOLD 20 MG.
BREASTFEEDING
ROSURICA GOLD 20MG is not recommended for use in breastfeeding women. Consult your doctor before taking ROSURICA GOLD 20MG.
DRIVING AND USING MACHINES
ROSURICA GOLD 20MG does not affect your ability to drive or operate machines. However, if you experience dizziness during treatment with ROSURICA GOLD 20MG, do not drive or operate any machines. Consult your doctor before taking ROSURICA GOLD 20 MG.
ALCOHOL
Avoid consumption of alcohol while taking ROSURICA GOLD 20 MG as it may increase the risk of stomach bleeding and aggravate your existing condition.
KIDNEY
ROSURICA GOLD 20MG is not recommended for use in patients having moderate-to-severe kidney disease and ROSURICA GOLD 20MG should be used with caution in patients with kidney problems. Consult your doctor before taking ROSURICA GOLD 20MG.
LIVER
ROSURICA GOLD 20MG is not recommended for use in patients having severe liver disease and active liver disease (including persistent elevations of serum transaminases exceeding three times the upper limit) and ROSURICA GOLD 20MG should be used with caution in patients with history of liver disease. Consult your doctor before taking ROSURICA GOLD 20 MG.
ALLERGY
Do not take ROSURICA GOLD 20MG if you are allergic to Clopidogrel, Rosuvastatin, Aspirin or prostaglandin synthetase inhibitors (Ex. naproxen, ibuprofen, mefenamic acid, and indomethacin).
LUNGS
ROSURICA GOLD 20MG should be used with caution in patients with interstitial lung disease or severe respiratory failure. Consult your doctor before taking ROSURICA GOLD 20 MG.
HEART DISEASE
ROSURICA GOLD 20MG is not recommended for use in patients with recent ischemic stroke. Consult your doctor before taking ROSURICA GOLD 20MG.
OTHERS
ROSURICA GOLD 20MG is not recommended for use if you:
- Have or had any repeated or unexplained muscle pains
- Have family history of hereditary muscular disorders
- Have family history of muscle problems following treatment with cholesterol-lowering medicines
- Have an underactive thyroid gland
- Have gastrointestinal problems (such as peptic ulcer, or bleeding in the gut)
- Have bleeding disorders (Ex. bleeding in the brain, hemophilia, or others)
- Have thrombocytopenia (decreased platelet count)
- Have gout
- Have lactose intolerance
- Have diabetes
- Have dehydration
- Have menorrhagia (abnormally heavy bleeding during menstruation)
- Are alcoholic
Before taking ROSURICA GOLD 20MG, inform your doctor if you have:
- Upcoming planned surgery (including dental surgery)
Use in pediatrics:
ROSURICA GOLD 20MG is strictly not recommended for use in children under 6 years of age and generally not recommended for use in children and adolescents (under 18 years of age) unless prescribed by your physician due to increased risk of bleeding. Consult your doctor before taking ROSURICA GOLD 20MG.
Use in geriatrics:
ROSURICA GOLD 20MG should be used with caution in elderly patients (aged 70 years or above) because of increased risk of gastro-intestinal bleeding and perforation when used for prolonged duration (if prolonged therapy is essential, patients should be reviewed regularly). Consult your doctor before taking ROSURICA GOLD 20MG.
INTERACTIONS
A. Drug-Drug interactions:
Before taking ROSURICA GOLD 20MG inform to your doctor, if you are taking any of these medicines:
- Other anticoagulants (used for blood thinning) Ex. warfarin, coumarin, heparin, phenindione
- Other cholesterol-lowering medicines (Ex. clofibrate, gemfibrozil, fenofibrate, ezetimibe)
- Other non-steroidal anti-inflammatory drugs (Ex. ibuprofen, paracetamol)
- Medicines used to treat HIV infection (Ex. ritonavir with lopinavir and/or atazanavir or sofosbuvir with velpatasvir and voxilaprevir)
- Selective serotonin reuptake inhibitors (used to treat depression) Ex. fluoxetine, sertraline, paroxetine, or fluvoxamine
- Medicines used to treat stomach ulcers such as antacids (Ex. aluminium hydroxide, magnesium hydroxide) and proton-pump inhibitors (Ex. omeprazole or esomeprazole)
- Medicines used during percutaneous coronary intervention (Ex. abciximab, eptifibatide, and tirofiban)
- Antibiotics (used to treat bacterial infections) such as macrolides (Ex. azithromycin, erythromycin, roxithromycin, and clarithromycin) or fusidic acid
- Medicines used to treat epilepsy (Ex. phenytoin, valproic acid)
- Medicines used to treat diabetes (Ex. insulin, glipizide, glimepiride)
- Ciclosporin or tacrolimus (used to prevent graft rejection or treat auto-immune disease)
- Nicotinic acid (used to treat vitamin b3 deficiency)
- Azole antifungal agents (used to treat fungal infection) Ex. clotrimazole, fluconazole
- Methotrexate (used to treat cancer or other auto-immune diseases)
- Digoxin (used to treat abnormal heart rate)
- Darolutamide (used to treat prostate cancer)
- Regorafenib (used to treat colon or rectal cancer)
- Probenecid or sulfinpyrazone (used to treat gout)
- Dipyridamole (an antiplatelet medicine)
- Lithium (used to treat metal illness)
- Corticosteroids (used to treat pain and inflammation) Ex. prednisolone, dexamethasone
- Acetazolamide (used to treat or prevent altitude sickness)
- Mifepristone (abortion pill)
- Metoclopramide (used to treat vomiting)
Overdosage:
If you or anyone else take too much of ROSURICA GOLD 20MG, contact your doctor immediately or go to a hospital straight away. Overdosage symptoms of ROSURICA GOLD 20MG might include increased bleeding, confusion, disorientation, coma, convulsions, vomiting, tinnitus (ringing in the ears), vertigo (spinning sensation), sweating, warm extremities with bounding pulses, increased respiratory rate and hyperventilation.
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