Product image of Nastilox (Clopidogrel) supplied by GNH India

Nastilox

Active Ingredient:
Clopidogrel
Origin:
EU

Nastilox (Clopidogrel)

Clopidogrel, the active ingredient in Nastilox, is a P2Y12 receptor antagonist (antiplatelet agent) presented as an oral tablet for oral use. It helps prevent atherothrombotic events in patients who have experienced a recent myocardial infarction, stroke, or who have established peripheral arterial disease, and it is also used after acute coronary syndrome and percutaneous coronary intervention.
GNH India supplies Nastilox as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Pharmakern Portugal – Produtos Farmacêuticos, Sociedade Unipessoal, Lda.

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Indications & Clinical Uses

Clopidogrel acts on platelet aggregation pathways to reduce thrombotic risk in cardiovascular disease.

  • Acute coronary syndrome: lowers the chance of recurrent myocardial infarction or death.
  • Post‑percutaneous coronary intervention (PCI): provides antiplatelet protection to prevent stent thrombosis.
  • Established peripheral arterial disease, recent myocardial infarction or stroke: reduces incidence of atherothrombotic events.

How It Works

  • Clopidogrel is an irreversible inhibitor of the platelet P2Y12 ADP receptor. By binding covalently to this receptor, it blocks ADP‑mediated activation of the GPIIb/IIIa complex, thereby preventing platelet shape change, granule release, and aggregation, which are essential steps in thrombus formation.

Side Effects

Clopidogrel may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Bleeding gums
  • Easy bruising
  • Nausea
  • Diarrhea
  • Headache
  • Rash

Serious or Rare Side Effects

  • Severe bleeding (intracranial or gastrointestinal)
  • Thrombotic thrombocytopenic purpura (TTP)
  • Allergic reactions such as angioedema or anaphylaxis
  • Hepatotoxicity
  • Neutropenia

Precautions & Warnings

Before prescribing or dispensing clopidogrel, clinicians should consider several safety measures.

  • Assess bleeding risk: review patient history of hemorrhage or coagulopathy.
  • Monitor platelet function: consider laboratory testing in patients with liver disease.
  • Avoid use in active pathological bleeding: discontinue if significant bleeding occurs.
  • Caution in surgery or invasive procedures: stop according to procedural guidelines.
  • Store at ambient temperature below 25°C: keep in the original pack, protect from moisture.

Avoid Interactions

Clopidogrel interacts with several drug classes that can modify its antiplatelet effect or increase bleeding risk.

Major Interactions (Avoid)

  • Oral anticoagulants (warfarin, DOACs): heightened risk of major bleeding.
  • Non‑steroidal anti‑inflammatory drugs (NSAIDs, aspirin): additive hemorrhagic effect.
  • Proton pump inhibitors (omeprazole, esomeprazole): may reduce clopidogrel activation.

Moderate Interactions (Monitor Closely)

  • CYP2C19 inhibitors (fluoxetine, fluvoxamine): may increase clopidogrel plasma levels.
  • CYP2C19 inducers (rifampin, carbamazepine): may reduce antiplatelet efficacy.
  • Statins (atorvastatin, simvastatin): potential pharmacokinetic interaction requiring monitoring.

Frequently Asked Questions

Nastilox contains clopidogrel, an antiplatelet medication indicated to reduce the risk of atherothrombotic events in patients who have had a recent myocardial infarction, ischemic stroke, or who have established peripheral arterial disease. It is also prescribed after acute coronary syndrome and following percutaneous coronary intervention to prevent stent thrombosis.

Clopidogrel irreversibly blocks the platelet P2Y12 ADP receptor. By preventing ADP from activating this receptor, the drug inhibits the downstream signaling that leads to platelet shape change, granule release, and aggregation, thereby reducing the formation of arterial clots.

The specific dose of clopidogrel is determined by the prescribing clinician based on the patient’s clinical condition and risk profile. In many practice settings, a common maintenance dose is 75 mg taken once daily, but the exact regimen should always follow the prescriber’s order.

Safety data for clopidogrel during pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and under close medical supervision.

To order Nastilox, 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 the necessary import documentation.

Both clopidogrel and aspirin inhibit platelet aggregation but target different pathways. Aspirin irreversibly acetylates cyclooxygenase‑1, reducing thromboxane A2 production, whereas clopidogrel blocks the P2Y12 ADP receptor. Clopidogrel often provides more consistent platelet inhibition in patients who are aspirin‑resistant or require dual antiplatelet therapy after stenting.

Nastilox tablets should be stored at ambient temperature below 25 °C, in the original container, and protected from moisture and direct sunlight. Keep the product out of reach of children and do not use it after the expiry date printed on the packaging.

Nastilox is taken orally with a full glass of water. It can be swallowed with or without food, but patients should follow the dosing schedule prescribed by their healthcare provider and avoid crushing or chewing the tablet unless specifically instructed.

The most serious risks include severe or uncontrolled bleeding such as intracranial hemorrhage, gastrointestinal bleeding, and rare events like thrombotic thrombocytopenic purpura (TTP). Patients should seek immediate medical attention if they notice unusual bruising, blood in stool or urine, severe headache, or signs of an allergic reaction.

Nastilox should be avoided in individuals with active pathological bleeding, a known hypersensitivity to clopidogrel or any of its excipients, and in patients with severe liver disease that impairs drug metabolism. It is also contraindicated in those who have experienced a recent major surgery unless a physician advises otherwise.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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