Clopidogrel Apotex (previously Clopidogrel Mylan Pharma)

clopidogrel

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This is a summary of the European public assessment report (EPAR) for Clopidogrel Apotex. It explains how the Committee for Medicinal Products for Human Use (CHMP) assessed the medicine to reach its opinion in favour of granting a marketing authorisation and its recommendations on the conditions of use for Clopidogrel Apotex.

What is Clopidogrel Apotex?

Clopidogrel Apotex is a medicine that contains the active substance clopidogrel. It is available as tablets (75 mg).

Clopidogrel Apotex is a ‘generic medicine’. This means that Clopidogrel Apotex is similar to a ‘reference medicine’ already authorised in the European Union (EU) called Plavix. 

What is Clopidogrel Apotex used for?

Clopidogrel Apotex is used in adults to prevent atherothrombotic events (problems caused by blood clots and hardening of the arteries). Clopidogrel Apotex can be given to the following groups of patients:

  • patients who have recently had a myocardial infarction (heart attack). Clopidogrel Apotex can be started between a few days and 35 days after the attack;
  • patients who have had a recent ischaemic stroke (stroke caused by failure of the blood supply to part of the brain). Clopidogrel Apotex can be started between seven days and six months after the stroke;
  • patients with peripheral arterial disease (problems with blood flow in the arteries);
  • a condition known as ‘acute coronary syndrome’, when it should be given with aspirin (another medicine that prevents blood clots). Acute coronary syndrome is a group of heart problems that include heart attacks and unstable angina (a severe type of chest pain). Some of these patients may have had a stent (a short tube) placed in an artery to prevent it from closing up;
  • atrial fibrillation (irregular rapid contractions of the upper chambers of the heart), when it should be given with aspirin. It is used in those patients who have at least one risk factor for vascular events such as a heart attack or stroke, cannot take vitamin-K antagonists (other medicines that prevent blood clots) and are at low risk of bleeding.

The medicine can only be obtained with a prescription.

How is Clopidogrel Apotex used?

The standard dose of Clopidogrel Apotex is one 75-mg tablet once a day, taken with or without food.

How does Clopidogrel Apotex work?

The active substance in Clopidogrel Apotex, clopidogrel, is an inhibitor of platelet aggregation. This means that it helps to prevent blood clots from forming. When the blood clots, this is due to special cells in the blood called platelets aggregating (sticking together). Clopidogrel stops the platelets aggregating by blocking a substance called ADP from attaching to a special receptor on their surface. This stops the platelets becoming ‘sticky’, reducing the risk of a blood clot forming and helping to prevent another heart attack or stroke.

How has Clopidogrel Apotex been studied?

Because Clopidogrel Apotex is a generic medicine, studies have been limited to tests to determine that it is bioequivalent to the reference medicine, Plavix. Two medicines are bioequivalent when they produce the same levels of the active substance in the body.

What are the benefit and risk of Apotex?

Because Clopidogrel Apotex is a generic medicine and is bioequivalent to the reference medicine, its benefit and risk are taken as being the same as those of the reference medicine.

Why has Clopidogrel Apotex been approved?

The CHMP concluded that, in accordance with EU requirements, Clopidogrel Apotex has been shown to have comparable quality and to be bioequivalent to Plavix. Therefore, the CHMP’s view was that, as for Plavix, the benefit outweighs the identified risk. The Committee recommended that Clopidogrel Apotex be given marketing authorisation.

Other information about Apotex

The European Commission granted a marketing authorisation valid throughout the EU for Clopidogrel Mylan Pharma on 16 October 2009. The name of the medicine was changed to Clopidogrel Apotex on 20 January 2010.

For more information about treatment with Clopidogrel Apotex, read the package leaflet (also part of the EPAR) or contact your doctor or pharmacist.

Name Language First published Last updated
Clopidogrel Apotex : EPAR - Summary for the public BG = bălgarski 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public ES = español 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public CS = čeština 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public DA = dansk 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public DE = Deutsch 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public ET = eesti keel 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public EL = elliniká 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public EN = English 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public FR = français 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public IT = italiano 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public LV = latviešu valoda 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public LT = lietuvių kalba 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public HU = magyar 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public MT = Malti 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public NL = Nederlands 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public PL = polski 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public PT = português 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public RO = română 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public SK = slovenčina 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public SL = slovenščina 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public FI = suomi 2010-03-15 2011-12-15
Clopidogrel Apotex : EPAR - Summary for the public SV = svenska 2010-03-15 2011-12-15

This EPAR was last updated on 21/04/2016 .

Authorisation details

Product details

Product details for Clopidogrel Apotex (previously Clopidogrel Mylan Pharma)
NameClopidogrel Apotex (previously Clopidogrel Mylan Pharma)
Agency product numberEMEA/H/C/001189
Active substance

clopidogrel besilate

International non-proprietary name (INN) or common name

clopidogrel

Therapeutic area Peripheral Vascular DiseasesStrokeMyocardial Infarction
Anatomical therapeutic chemical (ATC) code B01AC04
Generic

A generic medicine is a medicine which is similar to a medicine that has already been authorised (the 'reference medicine'). A generic medicine contains the same quantity of active substance(s) as the reference medicine. Generic and reference medicines are used at the same dose to treat the same disease, and they are equally safe and effective.

Publication details

Publication details for Clopidogrel Apotex (previously Clopidogrel Mylan Pharma)
Marketing-authorisation holder

Apotex Europe B.V.

Revision12
Date of issue of marketing authorisation valid throughout the European Union16/10/2009

Contact address:

Apotex Europe B.V.
Darwinweg 20
NL-2333 CR Leiden
The Netherlands

Product information

Product information

29/03/2016  Clopidogrel Apotex (previously Clopidogrel Mylan Pharma) -EMEA/H/C/001189 -N/0026

Name Language First published Last updated
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21
Clopidogrel Apotex : EPAR - Product Information SV = svenska 2009-11-09 2016-04-21

Contents

  • Annex I - Summary of product characteristics
  • Annex IIA - Manufacturing-authorisation holder responsible for batch release
  • Annex IIB - Conditions of the marketing authorisation
  • Annex IIIA - Labelling
  • Annex IIIB - Package leaflet

Please note that the size of the above document can exceed 50 pages.

You are therefore advised to be selective about which sections or pages you wish to print.


Name Language First published Last updated
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10
Clopidogrel Apotex : EPAR - All Authorised presentations SV = svenska 2009-11-09 2010-03-10

Pharmacotherapeutic group

Antithrombotic agents

Therapeutic indication

Prevention of atherothrombotic events.

Clopidogrel is indicated in:

  • adult patients suffering from myocardial infarction (from a few days until less than 35 days), ischaemic stroke (from 7 days until less than 6 months) or established peripheral arterial disease;
  • adult patients suffering from acute coronary syndrome:
    • non-ST-segment-elevation acute coronary syndrome (unstable angina or non-Q-wave myocardial infarction), including patients undergoing a stent placement following percutaneous coronary intervention, in combination with acetylsalicylic acid (ASA);
    • ST-segment-elevation acute myocardial infarction, in combination with ASA in medically treated patients eligible for thrombolytic therapy;
    • prevention of atherothrombotic and thromboembolic events in atrial fibrillation;
      • in adult patients with atrial fibrillation who have at least one risk factor for vascular events, are not suitable for treatment with vitamin-K antagonists and who have a low bleeding risk, clopidogrel is indicated in combination with ASA for the prevention of therothrombotic and thromboembolic events, including stroke.

Assessment History

Changes since initial authorisation of medicine

Name Language First published Last updated
Clopidogrel Apotex : EPAR - Procedural steps taken and scientific information after authorisation SV = svenska 2010-03-10 2016-04-21

Initial marketing-authorisation documents

Authorised

This medicine is approved for use in the European Union

More information on Clopidogrel Apotex