Ecopril
Ecopril is clopidogrel 75 mg tablets — irreversible P2Y12 ADP receptor antagonist. Originally Plavix (Sanofi/BMS 1997). Superior to aspirin for secondary prevention (CAPRIE 1996); standard DAPT partner after ACS and PCI (CURE 2001). Prodrug activated by CYP2C19 — poor metabolisers (up to 30% of East Asians, 5% Europeans) have reduced effect. Avoid omeprazole/esomeprazole co-therapy (blunt activation); use pantoprazole or rabeprazole instead.
✓ Medically reviewed by Morgan Ellis — Pharmacy Researcher · 8 years experience · Last reviewed: May 2026
⚡ Quick Answer — What is Ecopril?
Ecopril is 75 mg clopidogrel tablets from a WHO-GMP certified manufacturer — antiplatelet (irreversible P2Y12 ADP receptor antagonist). Clopidogrel was introduced by Sanofi/BMS in 1997 as Plavix. CAPRIE (1996) established superiority over aspirin for secondary prevention (8.7% relative risk reduction vs aspirin). CURE and COMMIT established dual antiplatelet therapy (DAPT) in ACS. prodrug activated by CYP2C19 to an active metabolite that irreversibly blocks the P2Y12 ADP receptor on platelets. CYP2C19 poor metabolisers (up to 30% of East Asian populations, ~5% of European) have reduced clopidogrel effect — the FDA carries a boxed warning on this. Dosing: Maintenance 75 mg once daily. ACS loading 300-600 mg single dose. Bleeding risk similar to aspirin monotherapy; DAPT doubles bleeding risk. Anticoagulant and antiplatelet selection is individualised to diagnosis, bleeding risk, renal function, and drug interactions. Specialist or family-physician supervision is standard.
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What Is Ecopril?
Ecopril is 75 mg clopidogrel tablets from a WHO-GMP certified manufacturer, supplied in 30-180 tablets. Clopidogrel was introduced by Sanofi/BMS in 1997 as Plavix. CAPRIE (1996) established superiority over aspirin for secondary prevention (8.7% relative risk reduction vs aspirin). CURE and COMMIT established dual antiplatelet therapy (DAPT) in ACS.
How Clopidogrel Works
Clopidogrel prodrug activated by CYP2C19 to an active metabolite that irreversibly blocks the P2Y12 ADP receptor on platelets. CYP2C19 poor metabolisers (up to 30% of East Asian populations, ~5% of European) have reduced clopidogrel effect — the FDA carries a boxed warning on this.
Approved Uses
- Acute coronary syndrome — dual antiplatelet therapy with aspirin (CURE, COMMIT trials) — 12 months standard after ACS or PCI
- Secondary prevention post-stroke, post-MI, PAD — aspirin alternative (CAPRIE) or add-on
- Elective PCI — DAPT 6-12 months depending on stent type and bleeding risk
Dosage
Maintenance 75 mg once daily. ACS loading 300-600 mg single dose.
Bleeding Risk and Monitoring
Bleeding risk similar to aspirin monotherapy; DAPT doubles bleeding risk.
No routine blood monitoring required. CYP2C19 genotyping is not standard but may be used after a major breakthrough event (stent thrombosis on treatment) to confirm poor-metaboliser status before switching to prasugrel or ticagrelor.
Side Effects
- Bleeding (similar to aspirin in monotherapy)
- GI upset, diarrhoea
- Rash
- Thrombotic thrombocytopenic purpura (very rare)
- Reduced effect in CYP2C19 poor metabolisers
Contraindications
- Active pathological bleeding
- Severe hepatic impairment
- Known hypersensitivity
- Concurrent use of proton pump inhibitors — omeprazole and esomeprazole specifically reduce clopidogrel activation; use pantoprazole or rabeprazole instead
Drug Interactions
- Omeprazole, esomeprazole — CRITICAL. Reduce CYP2C19 activation of clopidogrel and blunt antiplatelet effect. Switch to pantoprazole or rabeprazole.
- Other CYP2C19 inhibitors (fluconazole, fluvoxamine) — reduce clopidogrel effect.
- NSAIDs, SSRIs, anticoagulants — additive bleeding risk.
- Repaglinide — clopidogrel raises repaglinide levels (CYP2C8).
Storage
Store Ecopril below 25°C. Keep out of reach of children.
Frequently Asked Questions
Do I need blood tests on Ecopril?
No routine blood tests for efficacy. General health screening as clinically indicated.
What should I do if I cut myself while on Ecopril?
Apply firm direct pressure for 15-20 minutes without checking. Most minor cuts stop normally; bleeding that continues >20 minutes or bleeds through multiple dressings warrants urgent medical review. Report any black or bloody stools, bright red rectal bleeding, haematuria, unexplained bruising, nosebleeds >15 minutes, or menstrual bleeding much heavier than usual.
Can I take Ecopril in pregnancy?
Discuss with your clinician; clopidogrel data in pregnancy are limited; discuss risks.
What if I need surgery?
Inform the surgical team well in advance. Antiplatelet continuation/holding decision depends on procedure and thrombosis risk; do not stop without specialist input after recent stents.
Where can I buy Ecopril online?
You can buy Ecopril (clopidogrel 75 mg, 30-180 tablets) from MedsBase with discreet packaging and worldwide shipping.
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| Strength | 75 mg |
|---|---|
| Quantity | 30 Tablet/s, 60 Tablet/s, 90 Tablet/s, 180 Tablet/s |
Ecopril
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