{"id":56240,"date":"2024-02-07T05:58:02","date_gmt":"2024-02-07T05:58:02","guid":{"rendered":"https:\/\/medsname.com\/ecopril\/"},"modified":"2026-05-01T10:49:13","modified_gmt":"2026-05-01T10:49:13","slug":"ecopril","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/ecopril\/","title":{"rendered":"Ecopril"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff8e1;border-left:4px solid #f5a623;padding:18px 22px;margin:0 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;font-size:16px;font-weight:700;\">\u26a1 R\u0103spuns rapid \u2014 Ce este Ecopril?<\/h3>\n<p style=\"margin:0;\"><strong>Ecopril<\/strong> sunt comprimate de 75 mg clopidogrel de la un produc\u0103tor certificat WHO-GMP \u2014 antiagregant (antagonist ireversibil al receptorului P2Y12 ADP). Clopidogrel a fost introdus de Sanofi\/BMS \u00een 1997 ca <strong>Plavix<\/strong>. CAPRIE (1996) a stabilit superioritatea fa\u021b\u0103 de aspirin\u0103 \u00een preven\u021bia secundar\u0103 (reducere relativ\u0103 a riscului cu 8,7% fa\u021b\u0103 de aspirin\u0103). CURE \u0219i COMMIT au stabilit terapia antiagregant\u0103 dubl\u0103 (DAPT) \u00een SCA. prodrog activat de CYP2C19 la un metabolit activ care blocheaz\u0103 ireversibil receptorul P2Y12 ADP pe trombocite. Metabolizatorii slabi CYP2C19 (p\u00e2n\u0103 la 30% din popula\u021biile din Asia de Est, ~5% din Europa) au un efect redus al clopidogrelului \u2014 FDA include un avertisment \u00een cutie \u00een acest sens. Dozare: \u00centre\u021binere 75 mg o dat\u0103 pe zi. \u00cenc\u0103rcare SCA 300-600 mg doz\u0103 unic\u0103. Riscul de s\u00e2ngerare similar cu monoterapia cu aspirin\u0103; DAPT dubleaz\u0103 riscul de s\u00e2ngerare. Selectarea anticoagulantului \u0219i antiagregantului se face individualizat \u00een func\u021bie de diagnostic, risc de s\u00e2ngerare, func\u021bia renal\u0103 \u0219i interac\u021biunile medicamentoase. Supravegherea de c\u0103tre un specialist sau medic de familie este standard.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<h2 class=\"wp-block-heading\">Ce este Ecopril?<\/h2>\n<p>Ecopril este comprimate de 75 mg clopidogrel de la un produc\u0103tor certificat WHO-GMP, furnizate \u00een cutii de 30-180 comprimate. Clopidogrel a fost introdus de Sanofi\/BMS \u00een 1997 ca <strong>Plavix<\/strong>. CAPRIE (1996) a stabilit superioritatea fa\u021b\u0103 de aspirin\u0103 \u00een preven\u021bia secundar\u0103 (reducerea riscului relativ cu 8,7% fa\u021b\u0103 de aspirin\u0103). CURE \u0219i COMMIT au stabilit terapia antiagregant\u0103 dual\u0103 (DAPT) \u00een SCA.<\/p>\n<h2 class=\"wp-block-heading\">Cum ac\u021bioneaz\u0103 Clopidogrelul<\/h2>\n<p>Clopidogrelul, un prodrog, este activat de CYP2C19 \u00eentr-un metabolit activ care blocheaz\u0103 ireversibil receptorul P2Y12 ADP pe trombocite. Metabolizatorii slabi de CYP2C19 (p\u00e2n\u0103 la 30% din popula\u021biile din Asia de Est, ~5% din Europa) au un efect redus al clopidogrelului \u2014 FDA include un avertisment \u00een cadru negru pe acest subiect.<\/p>\n<h2 class=\"wp-block-heading\">Utiliz\u0103ri aprobate<\/h2>\n<ul>\n<li><strong>Sindrom coronarian acut<\/strong> \u2014 terapia antiagregant\u0103 dual\u0103 cu aspirin\u0103 (studiile CURE, COMMIT) \u2014 12 luni standard dup\u0103 SCA sau PCI<\/li>\n<li><strong>Preven\u021bie secundar\u0103<\/strong> post-AVC, post-IM, AOP \u2014 alternativ\u0103 la aspirin\u0103 (CAPRIE) sau adi\u021bional<\/li>\n<li><strong>PCI electiv<\/strong> \u2014 DAPT 6-12 luni \u00een func\u021bie de tipul de stent \u0219i riscul de s\u00e2ngerare<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Dozaj<\/h2>\n<p>Doza de \u00eentre\u021binere 75 mg o dat\u0103 pe zi. Doza de \u00eenc\u0103rcare \u00een SCA 300-600 mg o singur\u0103 dat\u0103.<\/p>\n<h2 class=\"wp-block-heading\">Riscul de s\u00e2ngerare \u0219i monitorizare<\/h2>\n<p>Risc de s\u00e2ngerare similar cu monoterapia cu aspirin\u0103; DAPT dubleaz\u0103 riscul de s\u00e2ngerare.<\/p>\n<p><strong>Nu este necesar\u0103 monitorizarea de rutin\u0103 a s\u00e2ngelui.<\/strong> Genotiparea CYP2C19 nu este standard, dar poate fi utilizat\u0103 dup\u0103 un eveniment major de break-through (tromboz\u0103 de stent sub tratament) pentru a confirma statutul de metabolizator slab \u00eenainte de a trece la prasugrel sau ticagrelor.<\/p>\n<h2 class=\"wp-block-heading\">Efecte Secundare<\/h2>\n<ul>\n<li>S\u00e2ngerare (similar cu aspirin\u0103 \u00een monoterapie)<\/li>\n<li>Tulbur\u0103ri gastrointestinale, diaree<\/li>\n<li>Erup\u021bie cutanat\u0103<\/li>\n<li>Purpur\u0103 trombotic\u0103 trombocitopenic\u0103 (foarte rar\u0103)<\/li>\n<li>Efect redus la metabolizatorii slabi de CYP2C19<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contraindica\u021bii<\/h2>\n<ul>\n<li>Hemoragie patologic\u0103 activ\u0103<\/li>\n<li>Insuficien\u021b\u0103 hepatic\u0103 sever\u0103<\/li>\n<li>Hipersensibilitate cunoscut\u0103<\/li>\n<li>Utilizarea concomitent\u0103 a inhibitorilor de pomp\u0103 de protoni \u2014 omeprazolul \u0219i esomeprazolul reduc specific activarea clopidogrelului; utiliza\u021bi pantoprazol sau rabeprazol \u00een schimb<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<ul>\n<li><strong>Omeprazol, esomeprazol \u2014 CRITIC.<\/strong> Reduce activarea CYP2C19 a clopidogrelului \u0219i diminueaz\u0103 efectul antiagregant plaquetar. Trece\u021bi la pantoprazol sau rabeprazol.<\/li>\n<li><strong>Al\u021bi inhibitori CYP2C19<\/strong> (fluconazol, fluvoxamin\u0103) \u2014 reduc efectul clopidogrelului.<\/li>\n<li><strong>AINS, ISRS, anticoagulante<\/strong> \u2014 risc crescut de s\u00e2ngerare.<\/li>\n<li><strong>Repaglinide<\/strong> \u2014 clopidogrelul cre\u0219te nivelurile de repaglinid\u0103 (CYP2C8).<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Depozitare<\/h2>\n<p>P\u0103stra\u021bi Ecopril la temperaturi sub 25\u00b0C. Depozita\u021bi \u00een afara accesului copiilor.<\/p>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">Am nevoie de analize de s\u00e2nge \u00een timpul tratamentului cu Ecopril?<\/h3>\n<p>Nu sunt necesare analize de s\u00e2nge de rutin\u0103 pentru evaluarea eficacit\u0103\u021bii. Screeningul de s\u0103n\u0103tate general\u0103 conform indica\u021biilor clinice.<\/p>\n<h3 class=\"wp-block-heading\">Ce trebuie s\u0103 fac dac\u0103 m\u0103 tai \u00een timp ce iau Ecopril?<\/h3>\n<p>Aplica\u021bi presiune direct\u0103 ferm\u0103 timp de 15-20 de minute f\u0103r\u0103 a verifica. Majoritatea t\u0103ieturilor minore se opresc \u00een mod normal; s\u00e2nger\u0103rile care continu\u0103 &gt;20 de minute sau care str\u0103bat mai multe pansamente necesit\u0103 evaluare medical\u0103 urgent\u0103. Raporta\u021bi orice scaun negru sau s\u00e2ngeros, s\u00e2ngerare rectal\u0103 ro\u0219ie aprins\u0103, hematurie, v\u00e2n\u0103t\u0103i neexplicate, s\u00e2nger\u0103ri nazale &gt;15 minute sau s\u00e2nger\u0103ri menstruale mult mai abundente dec\u00e2t de obicei.<\/p>\n<h3 class=\"wp-block-heading\">Pot lua Ecopril \u00een timpul sarcinii?<\/h3>\n<p>Consulta\u021bi-v\u0103 cu medicul; datele despre clopidogrel \u00een sarcin\u0103 sunt limitate; discuta\u021bi riscurile.<\/p>\n<h3 class=\"wp-block-heading\">Ce fac dac\u0103 am nevoie de opera\u021bie?<\/h3>\n<p>Anun\u021ba\u021bi echipa chirurgical\u0103 cu mult timp \u00eenainte. Decizia de continuare\/\u00eentrerupere a antiagregantelor depinde de procedur\u0103 \u0219i de riscul de tromboz\u0103; nu \u00eentrerupe\u021bi f\u0103r\u0103 consult specializat dup\u0103 stent\u0103ri recente.<\/p>\n<h3 class=\"wp-block-heading\">Unde pot cump\u0103ra Ecopril online?<\/h3>\n<p>Pute\u021bi cump\u0103ra Ecopril (clopidogrel 75 mg, 30-180 comprimate) de la MedsBase cu ambalaj discret \u0219i livrare la nivel mondial.<\/p>\n<h2 class=\"wp-block-heading\">Medicamente cardio-vasculare conexe<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/ambrican\/\">Ambrican \u2014 Ambrisentan 5 mg (ERA pentru HAP)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/coq-forte\/\">Coq Forte \u2014 CoQ10 + licopen + seleniu + omega-3<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/ecosprin\/\">Ecosprin \u2014 Aspirin\u0103 75\/150 mg (antiagregant plachetar)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/ivabrad\/\">Ivabrad \u2014 Ivabradin\u0103 7,5 mg<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/lonitab\/\">Lonitab \u2014 Minoxidil 5 mg (vasodilatator oral)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/rioci-1\/\">Rioci 1 \u2014 Riociguat 1 mg (stimulator sGC pentru HAP)<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/high-blood-pressure-medication\/\"><strong>R\u0103sfoi\u021bi toate medicamentele pentru hipertensiune arterial\u0103<\/strong><\/a><\/li>\n<\/ul>\n<div style=\"background:#fff3f3;border-left:4px solid #d9534f;padding:16px 20px;margin:24px 0;border-radius:4px;\"><strong>\u2695 Dezaprobare medical\u0103.<\/strong> Aceast\u0103 pagin\u0103 are scop informativ \u0219i nu \u00eenlocuie\u0219te sfatul medical al unui medic calificat. Hipertensiunea, insuficien\u021ba cardiac\u0103 \u0219i aritmiile necesit\u0103 diagnostic, monitorizare \u0219i individualizarea dozei de c\u0103tre un medic \u2014 utiliza\u021bi \u00eentotdeauna beta-blocante sub \u00eendrumare medical\u0103.<\/div>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>Afec\u021biuni cronice<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/metomac\/\">Metomac<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/olmesar\/\">Olmesar<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/amlode\/\">Amlode<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/glynase\/\">Glynase<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/isentress\/\">Isentress<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Ecopril este clopidogrel 75 mg comprimate \u2014 antagonist ireversibil al receptorului P2Y12 ADP. Ini\u021bial comercializat sub numele Plavix (Sanofi\/BMS 1997). Superior aspirinei \u00een preven\u021bia secundar\u0103 (CAPRIE 1996); partener standard \u00een terapia antiagregant\u0103 dubl\u0103 (DAPT) dup\u0103 SCA \u0219i PCI (CURE 2001). Prodrog activat de CYP2C19 \u2014 metabolizatorii slabi (p\u00e2n\u0103 la 30% din popula\u021biile din Asia de Est, 5% din Europa) au un efect redus. Evita\u021bi terapia concomitent\u0103 cu omeprazol\/esomeprazol (reduce activarea); utiliza\u021bi \u00een schimb pantoprazol sau rabeprazol.<\/p>","protected":false},"featured_media":56241,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3342,3260,3356],"product_tag":[4081,4082],"class_list":{"0":"post-56240","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-general-health","9":"product_cat-heart-blood-pressure","10":"product_cat-high-blood-pressure-medication","11":"product_tag-clopidogrel","12":"product_tag-ecopril","14":"first","15":"instock","16":"shipping-taxable","17":"purchasable","18":"product-type-variable","19":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/56240","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=56240"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/56241"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=56240"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=56240"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=56240"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=56240"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}