Product image of Kogavant (Ticagrelor) supplied by GNH India

Kogavant

Active Ingredient:
Ticagrelor
Origin:
EU

Kogavant (Ticagrelor)

Ticagrelor, the active ingredient in Kogavant, is a P2Y12 receptor antagonist presented as an oral tablet for oral use. It works by inhibiting platelet aggregation and is used to reduce thrombotic cardiovascular events in patients with acute coronary syndrome and to prevent stent thrombosis following percutaneous coronary intervention.

GNH India supplies Kogavant as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, adhering to EU quality standards and providing reliable global distribution. The product is sourced from EU‑approved manufacturers and meets stringent regulatory requirements.

Manufacturer / TM Owner

Gedeon Richter România S.A.

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Indications & Clinical Uses

Ticagrelor is an antiplatelet agent used in the management of atherosclerotic cardiovascular disease.

  • Acute coronary syndrome: Reduces the risk of cardiovascular death, myocardial infarction, and stroke.
  • Post‑percutaneous coronary intervention (PCI) with stent placement: Prevents stent thrombosis.
  • Secondary prevention after myocardial infarction: Lowers incidence of recurrent ischemic events.

How It Works

  • Ticagrelor is a reversible, direct‑acting antagonist of the P2Y12 ADP receptor on platelets. By binding to this receptor it blocks ADP‑mediated activation, preventing fibrinogen binding to the GPIIb/IIIa complex and thereby inhibiting platelet aggregation, which reduces thrombus formation in arterial circulation.

Side Effects

Ticagrelor may be associated with a range of adverse reactions, which are categorized by frequency and severity.

Common Side Effects

  • Dyspnea: Shortness of breath, often mild to moderate.
  • Bleeding: Gum, nose, bruising, or gastrointestinal bleeding.
  • Headache: Mild to moderate intensity.
  • Nausea: Occasional upset stomach.

Serious or Rare Side Effects

  • Severe bleeding: Intracranial hemorrhage or life‑threatening hemorrhage.
  • Hypersensitivity reactions: Rash, angioedema, or anaphylaxis.
  • Elevated liver enzymes: Significant increase in transaminases.

Precautions & Warnings

When prescribing ticagrelor, clinicians should consider several precautionary measures to ensure patient safety.

  • Assess bleeding risk: Evaluate history of hemorrhage or anticoagulant use.
  • Monitor hepatic function: Check liver enzymes before and during therapy.
  • Caution in renal impairment: Dose adjustment may be required in severe cases.
  • Avoid in patients with active pathological bleeding: Discontinue if bleeding occurs.
  • Drug interactions: Review concomitant medications that affect CYP3A4.
  • Store at ambient temperature: Keep below 25 °C in the original packaging, protected from moisture.

Avoid Interactions

Ticagrelor can interact with other medicines, influencing its antiplatelet effect or safety profile.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): May increase ticagrelor exposure and bleeding risk.
  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): May reduce efficacy, increasing thrombotic risk.

Moderate Interactions (Monitor Closely)

  • Anticoagulants (e.g., warfarin, DOACs): Additive bleeding risk; monitor coagulation parameters.
  • NSAIDs or aspirin: Heightened bleeding tendency; assess necessity.
  • Statins metabolized by CYP3A4 (e.g., simvastatin): May increase statin levels; consider dose adjustment.

Frequently Asked Questions

Kogavant, containing the active ingredient ticagrelor, is prescribed to reduce thrombotic cardiovascular events in patients with acute coronary syndrome and to prevent stent thrombosis after percutaneous coronary intervention. It is part of the antiplatelet therapy regimen aimed at lowering the risk of heart attack, stroke, and related complications.

Ticagrelor works by reversibly binding to the P2Y12 ADP receptor on platelets. This blocks ADP‑mediated platelet activation, preventing fibrinogen from linking platelets together, which in turn inhibits platelet aggregation and reduces the formation of arterial clots that can cause heart attacks or strokes.

The specific dose of Kogavant is determined by the prescribing clinician based on the individual patient's clinical condition, renal and hepatic function, and concomitant medications. Healthcare professionals follow local prescribing guidelines and adjust the regimen as needed for safety and efficacy.

Safety data for ticagrelor in pregnancy and lactation are limited. The drug should only be used if the potential benefit justifies the potential risk to the fetus or infant. Clinicians typically avoid prescribing Kogavant to pregnant or nursing women unless no suitable alternatives exist.

To order Kogavant, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams across international markets, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Kogavant (ticagrelor) differs from clopidogrel, another P2Y12 inhibitor, by providing more rapid and consistent platelet inhibition without requiring metabolic activation. This can result in a quicker onset of action and potentially greater efficacy, though both agents share similar bleeding risk profiles.

Kogavant tablets should be stored at ambient temperature, preferably below 25 °C. Keep them in the original blister pack or container, protect from moisture and direct sunlight, and ensure they are out of reach of children.

Kogavant is taken orally as a tablet. Patients should swallow the tablet whole with water, with or without food, as directed by their healthcare provider. The exact timing relative to meals may be specified by the prescriber.

The most serious risks include severe or life‑threatening bleeding such as intracranial hemorrhage, hypersensitivity reactions like rash or anaphylaxis, and significant elevations in liver enzymes. Patients should seek immediate medical attention if they experience unusual bleeding, breathing difficulties, or signs of an allergic reaction.

Kogavant should be avoided in patients with active pathological bleeding, a history of intracranial hemorrhage, severe hepatic impairment, or known hypersensitivity to ticagrelor or any of its excipients. Caution is also advised for individuals on strong CYP3A4 inhibitors or those with uncontrolled hypertension.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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