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Brilinta

Brilinta Prescription
Generic Name: ticagrelor (tye KA grel or)
Brand Names: Brilinta
Brilinta (ticagrelor) is used to lower your risk of having a stroke or serious heart problems after you have had a heart attack. Includes Brilinta side effects, interactions and indications.
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Brilinta Drug Information:

Brilinta (ticagrelor) prevents platelets in your blood from sticking together to form an unwanted blood clot that could block an artery. Brilinta is used together with Aspirin to lower your risk of having a stroke, serious heart problems, or death after you've had a heart attack or severe chest pain (angina). It is also used to prevent blood clots in people that have had a stent placed in their heart. Brilinta may also be used for purposes not listed in this medication guide. You should not use Brilinta if you have any active bleeding (including a bleeding stomach ulcer), or a history of bleeding in the brain. Do not use this medicine just before heart bypass surgery (coronary artery bypass graft, or CABG). Learn more

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Brilinta Medicare Coverage

Brilinta Medicare Overview

Does Medicare cover Brilinta?

Yes

100% of Medicare Part D and Medicare Advantage plans cover this drug.
How much is my Brilinta co-pay with Medicare?

It depends. Which coverage stage are you in? Click on a tab below…

CO-PAY RANGE

$42 – $423

In the Deductible co-pay stage, you are responsible for the full cost of your prescriptions. Your Medicare deductible cannot exceed $360 in 2016.

Ways to Save on Brilinta

Here are some ways that may lower the cost of your brilinta prescription.

  • Instead of Medicare, Use a USA Rx Coupon

    If your Medicare co-pay is higher, you can save money by using a USARx coupon instead.

Brilinta Side Effects

Note: This document contains side effect information about ticagrelor. Some of the dosage forms listed on this page may not apply to the brand name Brilinta.

In Summary

Common side effects of Brilinta include: dyspnea. See below for a comprehensive list of adverse effects.

For the Consumer

Applies to ticagrelor: oral tablet

Warning

Oral route (Tablet)

Ticagrelor, can cause significant, sometimes fatal, bleeding. Do not use in patients with active pathological bleeding or history of intracranial hemorrhage. Do not start in patients undergoing urgent CABG. If possible, manage bleeding without discontinuing ticagrelor. Stopping ticagrelor increases the risk of subsequent cardiovascular events. Maintenance doses of aspirin above 100 mg reduce the effectiveness of ticagrelor and should be avoided.

Along with its needed effects, ticagrelor (the active ingredient contained in Brilinta) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor immediately if any of the following side effects occur while taking ticagrelor:

More common

  • Difficult or labored breathing
  • tightness in the chest

Less common

  • Blurred vision
  • chest pain or discomfort
  • confusion
  • dizziness
  • dizziness, faintness, or lightheadedness when getting up suddenly from a lying or sitting position
  • fainting
  • fast or irregular heartbeat
  • headache
  • lightheadedness, dizziness, or fainting
  • loss of consciousness
  • nervousness
  • pounding in the ears
  • slow or fast heartbeat
  • sweating
  • unusual tiredness or weakness

Incidence not known

  • Bleeding gums
  • bruising
  • coughing up blood
  • difficulty with swallowing
  • headache, sudden and severe
  • increased menstrual flow or vaginal bleeding
  • large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
  • nausea or vomiting
  • nosebleeds
  • paralysis
  • prolonged bleeding from cuts
  • rash
  • red or black, tarry stools
  • red or dark brown urine
  • weakness

Some side effects of ticagrelor may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Less common

  • Back pain
  • cough
  • diarrhea

Rare

  • Swelling of the breasts or breast soreness in both females and males

For Healthcare Professionals

Applies to ticagrelor: oral tablet

General

The most commonly reported side effects were bleeding and dyspnea.

Hematologic

Very common (10% or more): Bleeding (12%)

In the PLATO study (PLATelet Inhibition and Patient Outcomes, n= 18,624), 9235 patients were treated with ticagrelor 90 mg orally twice a day. Patients were evaluated for non-CABG related major or minor bleeds compared to clopidogrel (n=9186). A minor bleed required medical intervention to stop or treat bleeding, whereas a major bleed included any of the following: fatal, intracranial, intrapericardial with cardiac tamponade, hypovolemic shock or severe hypotension requiring intervention, significantly disabling (e.g., intraocular with permanent vision loss), a decrease in hemoglobin of at least 3 g/dL (or a fall in hematocrit of at least 9%), or a transfusion of 2 or more units. A major bleed that was fatal/life-threatening was any of the events described as a major bleed plus a decrease in hemoglobin of more than 5 g/dL, a fall in hematocrit of at least 15%, or a transfusion of 4 or more units. A fatal bleed was a bleeding event that directly led to death within 7 days. For ticagrelor, the incidence of major and minor bleeds was 7.7% (clopidogrel 6.2%). These findings are broken down as followed: Major bleed (3.9%) major bleed fatal/life threatening (1.9%), fatal (0.2%), and intracranial hemorrhage fatal/life threatening (0.3%). Approximately half of the non-CABG major bleeding events occurred in the first 30 days.

In the PLATO study, when antiplatelet therapy was stopped 5 days prior to CABG, major bleeding occurred in 75% and 79% of patients receiving ticagrelor or clopidogrel, respectively.

Respiratory

During the PLATO study, (PLATelet Inhibition and Patient Outcomes, n= 18,624), dyspnea was reported in 13.8% of ticagrelor-treated patients, it was usually mild to moderate in intensity and often resolved during continued treatment, however, drug discontinuation was required in 0.9% of patients. In the PEGASUS study (n=21,162), 4.3% of patients taking ticagrelor (the active ingredient contained in Brilinta) 60 mg orally twice a day discontinued treatment due to dyspnea compared to 0.7% receiving aspirin alone. In a substudy of PLATO, 199 subjects underwent pulmonary function testing irrespective of whether they reported dyspnea. There was no indication of an adverse effect on pulmonary function assessed after one month or after at least 6 months of chronic treatment.

Very common (10% or more): Dyspnea (14%)

Common (1% to 10%): Epistaxis, cough

Uncommon (0.1% to 1%): Hemoptysis

Cardiovascular

In a Holter substudy of approximately 3000 patients from the PLATelet Inhibition and Patient Outcomes study, (PLATO, n= 18,624), more patients had ventricular pauses 3 seconds or longer with ticagrelor (the active ingredient contained in Brilinta) (6%) than with clopidogrel (3.5%) in the acute phase and 2.2% and 1.6% respectively after 1 month. Patients that were at an increased risk for bradycardic events were excluded from these studies. Patients with congestive heart failure (CHF) who were taking ticagrelor experienced ventricular pauses at a higher rate (9.2%) than those without CHF (5.4).

Common (1% to 10%): Ventricular pauses, cardiovascular death, non-fatal myocardial infarction, non-fatal stroke, bradycardia, cardiac failure, atrial fibrillation, peripheral edema, hypertension, hypotension, syncope, pre-syncope

Uncommon (0.1% to 1%): Non-cardiac chest pain

Postmarketing reports: Atrioventricular block

Renal

During the PLATO study, (PLATelet Inhibition and Patient Outcomes, n= 18,624), serum creatinine levels increased by more than 50% in 7.4% of patients receiving ticagrelor (the active ingredient contained in Brilinta) 90 mg orally. Levels did not continue to increase with ongoing treatment and often decreased with continued therapy. Reversibility occurred upon discontinuation even in those patients with the greatest increase in levels during treatment. Treatment groups did not differ for renal related serious adverse events (e.g. acute renal failure, chronic renal failure, toxic nephropathy, or oliguria).

Common (1% to 10%): Serum creatinine elevations

Musculoskeletal

Common (1% to 10%): Back pain

Rare (0.01% to 0.1%): Hemarthrosis

Hypersensitivity

Postmarketing reports: Hypersensitivity reactions including angioedema

Nervous system

Common (1% to 10%): Dizziness, loss of consciousness

Uncommon (0.1% to 1%): Intracranial hemorrhage, paresthesia, headache

Gastrointestinal

Common (1% to 10%): Abdominal pain, dyspepsia, gastrointestinal hemorrhage, nausea, diarrhea, constipation, vomiting

Uncommon (0.1% to 1%): Retroperitoneal hemorrhage, gastritis, hematemesis, gastrointestinal ulcer hemorrhage, hemorrhoidal hemorrhage, oral hemorrhage

Metabolic

Uncommon (0.1% to 1%): Gout

Rare (0.01% to 0.1%): Hyperuricemia

In the PLATelet Inhibition and Patient Outcomes Study (PLATO, n= 18,624) the serum uric acid levels of patients taking ticagrelor 90 mg orally twice a day increased approximately 0.6 mg/dL from baseline. The difference disappeared within 30 days of stopping treatment. Gout occurred in 0.6% of patients.

Genitourinary

Common (1% to 10%): Urinary tract bleeding

Uncommon (0.1% to 1%): Vaginal bleeding

Dermatologic

Common (1% to 10%): Rash, pruritus, subcutaneous or dermal bleeding, bruising

Ocular

Uncommon (0.1% to 1%): Eye hemorrhage

Other

Common (1% to 10%): Vertigo, post procedural hemorrhage, fatigue, pyrexia

Uncommon (0.1% to 1%): Ear hemorrhage, wound hemorrhage, traumatic hemorrhage

Psychiatric

Rare (0.01% to 0.1%): Confusion

Editorial References and Review

Medically reviewed by USARx EDITORIAL TEAM Last updated on 1/1/2020.

Source: Drugs.com Brilinta (www.drugs.com/brilinta.html).