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Formulas

Clopidogrel 5 mg/mL Oral Syrup

FDA-approved generic
Dose form
Oral Syrup
Active ingredients
Clopidogrel Bisulfate

Clopidogrel 5 mg/mL Oral Syrup is a concentrated liquid formulation designed for oral administration. It contains active ingredients and sweeteners, providing a palatable and easy-to-administer dosage form. This formulation is particularly beneficial for pediatric patients or individuals who have difficulty swallowing tablets or capsules.

Clopidogrel is primarily used to prevent blood clots in patients with cardiovascular conditions such as recent heart attack, stroke, or diagnosed peripheral artery disease. It is also utilized in patients with acute coronary syndrome to reduce the risk of further cardiovascular events.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
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Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Clopidogrel Bisulfate
Oral Syrup
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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Clopidogrel 5 mg/mL Oral Syrup is a liquid formulation of the antiplatelet medication clopidogrel, designed to inhibit platelet aggregation and reduce the risk of blood clot formation. This medication is essential in preventing thrombotic events such as stroke, myocardial infarction, and other cardiovascular complications in patients with a history of these conditions.

This concentrated liquid formulation contains active clopidogrel and sweeteners, providing a palatable and easy-to-administer dosage form. It is particularly beneficial for pediatric patients or individuals who have difficulty swallowing tablets or capsules, ensuring that they receive the necessary antiplatelet therapy without the challenges associated with solid oral dosage forms.

For prescribers, Clopidogrel Oral Syrup offers flexibility in dosing, allowing for precise dose adjustments tailored to individual patient needs. This is especially important in pediatric care, where dosing often depends on the child's weight and specific medical condition. The liquid form facilitates accurate measurement and administration, potentially improving adherence to the medication regimen.

Patients taking Clopidogrel Oral Syrup should adhere strictly to the prescribed dosing schedule and consult their healthcare provider with any concerns or if they experience side effects such as unusual bleeding or bruising. The pleasant taste of the syrup may enhance compliance, but it's important for patients to understand the significance of consistent use in preventing serious cardiovascular events.

If you have any questions, reach out to us.

Drug Interactions

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Clopidogrel 5 mg/mL Oral Syrup is a liquid formulation designed to provide an alternative to tablets or capsules, particularly for pediatric patients or those who have difficulty swallowing. Clopidogrel is an antiplatelet medication used to prevent blood clots in patients with certain cardiovascular conditions, such as recent myocardial infarction, stroke, or established peripheral arterial disease. It works by inhibiting platelet aggregation, thereby reducing the risk of thrombotic events.

When considering the use of Clopidogrel 5 mg/mL Oral Syrup, it is important to be aware of potential drug interactions that may affect its efficacy or increase the risk of adverse effects. Clopidogrel is metabolized to its active form by the cytochrome P450 enzyme CYP2C19. Therefore, drugs that inhibit or induce CYP2C19 can alter the effectiveness of clopidogrel. Strong CYP2C19 inhibitors, such as omeprazole and esomeprazole, can significantly reduce the antiplatelet activity of clopidogrel, potentially increasing the risk of cardiovascular events. Alternative proton pump inhibitors, such as pantoprazole, may be considered as they have a lesser effect on CYP2C19.

Other medications that may interact with clopidogrel include anticoagulants like warfarin, direct oral anticoagulants (DOACs), and nonsteroidal anti-inflammatory drugs (NSAIDs). The concurrent use of these medications with clopidogrel can increase the risk of bleeding. It is crucial for prescribers to carefully assess the risk-benefit ratio when co-administering these drugs and to monitor patients closely for signs of bleeding.

Additionally, certain selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) may also increase bleeding risk when used with clopidogrel. Patients should be advised to report any unusual bleeding or bruising to their healthcare provider promptly. Furthermore, the use of clopidogrel with other medications that affect platelet function, such as aspirin, should be approached with caution and under the guidance of a healthcare professional.

Patients and prescribers should also be aware of the potential interaction between clopidogrel and grapefruit juice, which can inhibit CYP3A4 and potentially affect the metabolism of clopidogrel. While the clinical significance of this interaction is not fully established, it is generally advisable to avoid or limit grapefruit juice consumption during clopidogrel therapy.

For patients with genetic polymorphisms affecting CYP2C19 activity, such as poor metabolizers, the effectiveness of clopidogrel may be reduced. Genetic testing may be considered to guide therapy in certain cases, particularly if there is a history of recurrent thrombotic events despite clopidogrel therapy.

In summary, while Clopidogrel 5 mg/mL Oral Syrup offers a convenient and palatable option for patients requiring antiplatelet therapy, careful consideration of potential drug interactions is essential to ensure safe and appropriate use. Patients and prescribers should maintain open communication and report any concerns or adverse effects. If you have any questions, please reach out to us.

How Does it Work

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This formulation is particularly beneficial for pediatric patients or adults with dysphagia, ensuring they receive the necessary medication in a form that is easier to ingest. The syrup is carefully crafted to maintain the stability and efficacy of clopidogrel while incorporating sweeteners to enhance its taste, making it more acceptable for patients who may be sensitive to the bitterness of medications.

Clopidogrel is an antiplatelet medication that works by inhibiting the binding of adenosine diphosphate (ADP) to its platelet receptor, which is essential for platelet activation and aggregation. By preventing this binding, clopidogrel effectively reduces the risk of thrombotic events such as heart attacks and strokes in patients with cardiovascular diseases. This mechanism of action is particularly important for individuals who have experienced a recent myocardial infarction, stroke, or have been diagnosed with peripheral arterial disease, as it helps to prevent the formation of new clots and the worsening of existing conditions.

The oral syrup formulation allows for precise dosing, which is crucial in managing the delicate balance required in antiplatelet therapy. The 5 mg/mL concentration provides flexibility in dosing, enabling healthcare providers to tailor the dosage to the specific needs of each patient, ensuring optimal therapeutic outcomes while minimizing the risk of adverse effects. This is particularly important in pediatric populations or in patients with renal or hepatic impairments, where standard dosages may need adjustment.

For prescribers, the use of Clopidogrel 5 mg/mL Oral Syrup can enhance patient compliance, as the liquid form is often more acceptable to patients who have difficulty with solid dosage forms. It also allows for easier administration in a controlled environment, such as hospitals or care facilities, where precise dosing is critical. The syrup can be administered directly or mixed with a small amount of food or drink, providing additional flexibility in administration.

Patients and caregivers should be aware of the importance of adhering to the prescribed dosing schedule and should be instructed on how to measure the syrup accurately using a dosing syringe or cup. It is also important to monitor for any signs of bleeding, a known side effect of clopidogrel, and to report any unusual symptoms to their healthcare provider promptly.

If you have any questions about Clopidogrel 5 mg/mL Oral Syrup or its use in treating specific conditions, please reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist you with any inquiries or concerns you may have regarding this formulation.

Frequently Asked Questions

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What is Clopidogrel 5 mg/mL Oral Syrup?

Clopidogrel 5 mg/mL Oral Syrup is a concentrated liquid formulation containing the active ingredient clopidogrel, along with sweeteners, designed for oral administration. It provides a palatable and easy-to-administer dosage form, particularly useful for patients who have difficulty swallowing tablets or capsules.

Who can benefit from using Clopidogrel Oral Syrup?

This formulation is often used in pediatric patients or individuals who have difficulty swallowing solid dosage forms, such as tablets or capsules. It is also suitable for patients who require precise dosing adjustments.

How should Clopidogrel Oral Syrup be stored?

Clopidogrel Oral Syrup should be stored at room temperature, away from direct sunlight and moisture. It is important to keep the bottle tightly closed when not in use and out of reach of children.

How is the dosage of Clopidogrel Oral Syrup determined?

The dosage of Clopidogrel Oral Syrup is determined by a healthcare professional based on the patient's specific medical condition, age, weight, and response to treatment. It is important to follow the prescribed dosage instructions carefully.

Can Clopidogrel Oral Syrup be mixed with food or drinks?

Clopidogrel Oral Syrup can be taken with or without food. However, it is important to follow the healthcare provider's instructions regarding administration. Mixing with certain foods or drinks may affect the absorption or effectiveness of the medication.

Are there any side effects associated with Clopidogrel Oral Syrup?

As with any medication, Clopidogrel Oral Syrup may cause side effects. Common side effects include bleeding, bruising, and gastrointestinal discomfort. It is important to report any unusual or severe side effects to a healthcare provider promptly.

What should I do if I miss a dose of Clopidogrel Oral Syrup?

If you miss a dose of Clopidogrel Oral Syrup, take it as soon as you remember. If it is almost time for the next dose, skip the missed dose and continue with your regular dosing schedule. Do not double the dose to catch up.

Can Clopidogrel Oral Syrup be used in combination with other medications?

Clopidogrel Oral Syrup may interact with other medications, so it is important to inform your healthcare provider about all the medications you are currently taking. They will determine if any adjustments or monitoring are necessary.

Is Clopidogrel Oral Syrup safe for long-term use?

The safety of long-term use of Clopidogrel Oral Syrup depends on the individual's medical condition and response to treatment. Regular follow-up with a healthcare provider is essential to monitor the effectiveness and safety of the medication.

What should I do in case of an overdose of Clopidogrel Oral Syrup?

In case of an overdose, seek immediate medical attention or contact a poison control center. Symptoms of overdose may include excessive bleeding or bruising. It is important to have the medication packaging available for reference.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Clopidogrel 5 mg/mL Oral Syrup
Oral Syrup
controlled

Take orally

Once daily