Product image of Kogrel (Clopidogrel) supplied by GNH India

Kogrel

Active Ingredient:
Clopidogrel
Origin:
EU

Kogrel (Clopidogrel)

Clopidogrel, the active ingredient in Kogrel, is an antiplatelet agent presented as an oral tablet for oral use. It is employed to reduce atherothrombotic events in patients who have experienced myocardial infarction, stroke, or have established peripheral arterial disease.
GNH India supplies Kogrel as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Sandoz D.O.O.

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Indications & Clinical Uses

  • Kogrel, a P2Y12 receptor antagonist, is used in several cardiovascular conditions to inhibit platelet aggregation.
  • Recent myocardial infarction: lowers risk of recurrent heart attacks and cardiovascular death.
  • Ischemic stroke: reduces chance of subsequent stroke events.
  • Peripheral arterial disease: helps prevent limb‑related atherothrombotic complications.
  • Acute coronary syndrome: provides early antiplatelet protection.
  • Post‑percutaneous coronary intervention (PCI): maintains vessel patency and reduces stent thrombosis.

How It Works

  • Clopidogrel is a pro‑drug that, after hepatic conversion, irreversibly binds to the P2Y12 ADP receptor on platelet surfaces. This blockade prevents ADP‑mediated activation of the glycoprotein GPIIb/IIIa complex, thereby inhibiting platelet shape change, granule release, and aggregation, which are essential steps in thrombus formation.

Side Effects

Adverse reactions to clopidogrel may vary in frequency and severity.

Common Side Effects

  • Bleeding gums
  • Easy bruising
  • Nausea
  • Diarrhea

Serious or Rare Side Effects

  • Severe intracranial or gastrointestinal bleeding
  • Thrombotic thrombocytopenic purpura
  • Anaphylactic or severe allergic reactions
  • Elevated liver enzymes or hepatic dysfunction

Precautions & Warnings

  • Before prescribing Kogrel, clinicians should evaluate patient‑specific risk factors and monitor for potential complications.
  • Assess bleeding risk: review history of ulcers, surgery or coagulopathy.
  • Monitor platelet function: consider laboratory testing in high‑risk individuals.
  • Avoid use in active pathological bleeding: discontinue if significant bleeding occurs.
  • Caution in hepatic impairment: adjust therapy based on liver function.
  • Store at below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Clopidogrel may interact with several drug classes, altering bleeding risk or antiplatelet efficacy.

Major Interactions (Avoid)

  • Concurrent oral anticoagulants (warfarin, DOACs): markedly increased bleeding risk.
  • NSAIDs (ibuprofen, naproxen): heightened gastrointestinal bleeding.
  • Proton pump inhibitors (omeprazole): possible reduction in clopidogrel activation.

Moderate Interactions (Monitor Closely)

  • CYP2C19 inhibitors (fluoxetine, fluconazole): may raise clopidogrel plasma levels.
  • CYP2C19 inducers (rifampin, carbamazepine): may diminish antiplatelet effect.
  • SSRIs (sertraline, fluoxetine): additive bleeding tendency.

Frequently Asked Questions

Kogrel contains clopidogrel, an antiplatelet medication prescribed to lower the risk of atherothrombotic events such as heart attacks, ischemic strokes, and complications of peripheral arterial disease. It is also used after acute coronary syndrome and following percutaneous coronary intervention to keep blood vessels open.

Clopidogrel is converted in the liver to an active metabolite that irreversibly blocks the P2Y12 ADP receptor on platelets. This inhibition prevents platelet activation and aggregation, key steps in clot formation, thereby reducing the likelihood of arterial thrombosis.

The appropriate dose of Kogrel is determined by a qualified prescriber based on the patient’s clinical condition, renal and hepatic function, and concomitant therapies. Patients should follow the dosing instructions provided by their healthcare professional and the product label.

The safety of clopidogrel in pregnancy and lactation has not been definitively established. It should only be used if the potential benefit justifies the potential risk to the fetus or infant, and the decision must be made by the prescribing clinician.

To request Kogrel, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details and any necessary import documentation.

Kogrel (clopidogrel) belongs to the thienopyridine class and provides irreversible P2Y12 inhibition, similar to prasugrel and ticagrelor. Compared with aspirin, it offers a different mechanism and may be preferred when aspirin alone is insufficient, though individual risk‑benefit profiles guide selection.

Kogrel tablets should be stored at temperatures below 25 °C, in their original packaging, and protected from moisture and direct sunlight. Do not store in a bathroom or near heat sources to maintain product stability.

Kogrel is taken orally, usually with a glass of water. It can be taken with or without food, but patients should follow the specific instructions given by their prescriber to ensure consistent absorption.

The most serious risks include severe or life‑threatening bleeding, such as intracranial hemorrhage or gastrointestinal bleeding, and rare hematologic disorders like thrombotic thrombocytopenic purpura. Patients should seek immediate medical attention if they notice unusual bruising, blood in stool or urine, or severe headache.

Kogrel is contraindicated in patients with active pathological bleeding, known hypersensitivity to clopidogrel or any component of the formulation, and those who have severe hepatic impairment. It should also be used with caution in individuals with a history of stroke or intracranial hemorrhage.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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