Product image of Lacrat (Ticagrelor) supplied by GNH India

Lacrat

Active Ingredient:
Ticagrelor
Origin:
EU

Lacrat (Ticagrelor)

Ticagrelor, the active ingredient in Lacrat, is an antiplatelet agent presented as a tablet for oral use. It inhibits platelet aggregation to reduce the risk of thrombotic cardiovascular events in patients with acute coronary syndrome or a prior myocardial infarction. The drug acts rapidly and provides reversible inhibition of the P2Y12 receptor, allowing for flexible management of antiplatelet therapy.

GNH India supplies Lacrat as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, with a focus on reliable quality and regulatory compliance.

Manufacturer / TM Owner

Medochemie Ltd.

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Indications & Clinical Uses

  • Ticagrelor is used to inhibit platelet aggregation in the P2Y12 receptor pathway.
  • Acute coronary syndrome: reduces cardiovascular death, myocardial infarction and stroke in patients presenting with ACS.
  • History of myocardial infarction: lowers the incidence of recurrent ischemic events in patients after a prior MI.
  • Percutaneous coronary intervention: prevents thrombotic complications associated with PCI procedures.

How It Works

  • Ticagrelor is a reversible antagonist of the platelet P2Y12 ADP receptor. By binding to this receptor, it blocks ADP‑mediated activation of the glycoprotein IIb/IIIa complex, preventing platelet aggregation and thrombus formation without requiring metabolic activation, which results in a rapid onset and offset of antiplatelet effect.

Side Effects

Ticagrelor may cause a range of adverse reactions, some of which are common and others that are serious or rare.

Common Side Effects

  • Dyspnea: shortness of breath often occurring early in therapy.
  • Minor bleeding: bruising, gum bleeding or epistaxis.
  • Headache: mild to moderate intensity.
  • Nausea: occasional gastrointestinal upset.
  • Dizziness: transient light‑headedness.
  • Elevated uric acid: may precipitate gout flares.

Serious or Rare Side Effects

  • Severe bleeding: intracranial or gastrointestinal hemorrhage requiring medical intervention.
  • Thrombocytopenia: marked reduction in platelet count.
  • Allergic reactions: rash, angioedema or anaphylaxis.
  • Hepatic injury: elevated transaminases indicating liver stress.
  • Hypotension: sudden drop in blood pressure, especially with concomitant vasodilators.

Precautions & Warnings

  • Before prescribing Ticagrelor, clinicians should consider several safety measures.
  • Assess bleeding risk: evaluate patient history of hemorrhagic disorders.
  • Avoid in active pathological bleeding: contraindicated in patients with ongoing severe bleeding.
  • Monitor for dyspnea: discontinue if severe or worsening respiratory symptoms occur.
  • Check hepatic function: adjust use in patients with severe liver impairment.
  • Avoid concomitant strong CYP3A4 inhibitors: may increase drug exposure and bleeding risk.
  • Store at ambient temperature: keep in the original container, protect from moisture and light.

Avoid Interactions

Ticagrelor interacts with several drug classes that may alter its efficacy or safety.

Major Interactions (Avoid)

  • Strong CYP3A4 inhibitors (e.g., ketoconazole, clarithromycin): increase plasma levels and bleeding risk.
  • Strong CYP3A4 inducers (e.g., rifampin, carbamazepine): reduce effectiveness, risking thrombotic events.
  • Anticoagulants (e.g., warfarin, direct oral anticoagulants): potentiate bleeding.

Moderate Interactions (Monitor Closely)

  • Aspirin and other NSAIDs: additive antiplatelet effect may raise bleeding potential.
  • Statins metabolized by CYP3A4 (e.g., simvastatin): may increase statin exposure; dose adjustment may be needed.

Frequently Asked Questions

Lacrat contains the antiplatelet agent ticagrelor and is used to reduce the risk of cardiovascular death, myocardial infarction and stroke in patients with acute coronary syndrome or a history of myocardial infarction. It works by preventing platelet aggregation, thereby lowering the chance of clot formation that can block coronary arteries.

Ticagrelor is a reversible antagonist of the platelet P2Y12 ADP receptor. By binding to this receptor, it blocks ADP‑mediated activation of the glycoprotein IIb/IIIa complex, which is essential for platelet aggregation. This inhibition prevents thrombus formation while allowing normal platelet function to return quickly after the drug is stopped.

The dosing regimen for Lacrat is determined by the prescribing clinician based on the patient’s clinical condition, renal function and concomitant therapies. Ticagrelor is typically initiated with a loading dose followed by a maintenance dose, but the exact amount and schedule must be individualized by a qualified healthcare professional.

Safety of ticagrelor in pregnancy and lactation has not been fully established. It should only be used if the potential benefit justifies the potential risk to the fetus or infant. Women who are pregnant, planning to become pregnant, or breastfeeding should discuss the risks and alternatives with their healthcare provider.

To request Lacrat, 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 (including any cold‑chain requirements) and necessary import documentation.

Lacrat (ticagrelor) differs from clopidogrel and prasugrel in that it binds reversibly to the P2Y12 receptor and does not require metabolic activation, leading to a faster onset and offset of action. Clinical trials have shown ticagrelor to provide greater reduction in cardiovascular events, though it may be associated with a higher incidence of dyspnea.

Lacrat tablets should be stored at ambient temperature, below 25 °C, in the original blister pack or container. Protect the product from moisture, direct sunlight and excessive heat to maintain stability and potency throughout its shelf life.

Lacrat is taken orally, usually with a glass of water. The tablet should be swallowed whole and not crushed or chewed. Administration can be with or without food, but patients should follow the prescriber’s instructions regarding timing relative to meals.

The most serious risks include severe or life‑threatening bleeding, such as intracranial hemorrhage or gastrointestinal bleeding, and rare cases of thrombocytopenia or severe allergic reactions. Patients should be monitored for signs of excessive bleeding and advised to seek immediate medical attention if they experience symptoms like sudden weakness, severe headache or unexplained bruising.

Lacrat is contraindicated in patients with active pathological bleeding, a history of intracranial hemorrhage, severe hepatic impairment, or known hypersensitivity to ticagrelor or any of its excipients. It should also be avoided in patients taking strong CYP3A4 inhibitors unless the prescriber determines the benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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