Grujel-A Tablet is a combination of two antiplatelet medicines or blood thinner used to reduce the formation of harmful blood clots in blood vessels. This helps to prevent a heart attack or stroke in people with heart disease. Grujel-A Tablet should be taken with food regularly at a fixed time each day. You should take it regularly at evenly spaced intervals as per the schedule prescribed by your doctor. Taking it at the same time every day will help you remember to take it. The dose and duration of treatment will depend on what you are being treated for. Do not stop taking it until you have finished the complete course, even when you feel better. Lifestyle changes like low-fat diet, exercise and not smoking may help this medicine to work better. Abdominal pain, indigestion, bruising, and nosebleeds are some common side effects of this medicine. This medicine increases your risk of bleeding, so it is important to be careful while shaving, cutting nails and using sharp objects. Usually, it is advisable to avoid alcohol intake while taking this medicine. Before taking this medicine, tell your doctor if you have any liver or kidney disease. You must tell your doctor if you are pregnant, planning pregnancy or breastfeeding. You should also let your healthcare team know all other medicines you are taking as they may affect, or be affected by this medicine.

• Bruise
• Diarrhea
• Gastrointestinal bleeding
• Increased bleeding tendency
• Nosebleeds

If you miss a dose of Grujel-A Tablet, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and go back to your regular schedule. Do not double the dose.

Habit Forming::No|Therapeutic Class::BLOOD RELATED

• Q. Q. Why have I been prescribed Grujel-A Tablet??
  Ans: You may have been prescribed Grujel-A Tablet if you had a heart attack, were treated with stents in your coronary arteries, or had coronary artery bypass graft surgery (CABG).
• Q. Q. Is Grujel-A Tablet a blood thinner??
  Ans: Yes, Grujel-A Tablet is a type of blood thinner. It works by preventing platelets (type of blood cells) from sticking together and forming clots. This action of Grujel-A Tablet helps in preventing conditions like heart attack or stroke in people with heart disease, who have recently suffered a heart attack or severe heart-related chest pain (unstable angina).
• Q. Q. How long do I need to take Grujel-A Tablet after stent insertion??
  Ans: Your doctor will suggest the exact duration for which you may have to take Grujel-A Tablet. The duration will be decided after considering various factors like the illness you are being treated for, type of stent inserted, any episodes of bleeding experienced by you during treatment, etc. Usually, Grujel-A Tablet is prescribed for a minimum duration of 1 year. However, it is advised to follow your doctor's advice precisely to get maximum benefit of Grujel-A Tablet. Do not stop the medication on your own, consult your doctor first. Sudden discontinuation may increase the chances of clot formation in the stent, heart attack and can even lead to death.
• Q. Q. Can I drink alcohol while taking Grujel-A Tablet??
  Ans: It is not advised to take alcohol while taking Grujel-A Tablet, as alcohol may increase your chance of stomach bleeding. As a result, you may vomit blood (which may be bright red blood or black/dark brown like coffee grounds) or you may have bloody or black tarry stools. Discuss with your doctor if you are not sure.
• Q. Q. What is the most important information I need to know about Grujel-A Tablet??
  Ans: Grujel-A Tablet may cause serious or life-threatening bleeding. Moreover, you may bruise easily and it may take longer than usual for bleeding to stop even if you have a minor injury like a small cut while shaving. Get emergency medical help if you notice excessive or prolonged bleeding. You should inform your doctor if you notice black tarry stools or if there is blood in the urine. Be vigilant on any signs of stroke such as sudden numbness or weakness (one side or both sides of the body), difficulty walking, mental confusion, slurred speech, dizziness and any unexplained headache. Contact your doctor immediately if you develop any such signs of stroke as stroke is an uncommon side effect of Grujel-A Tablet and needs urgent medical attention as it can otherwise be fatal.
• Q. Q. Do I need to stop Grujel-A Tablet before surgery??
  Ans: Your doctor will decide whether you need to stop taking Grujel-A Tablet before any surgery or treatment or not. Usually, if a surgery or treatment is planned beforehand, the doctor may stop Grujel-A Tablet a few days (usually 7 days) before the surgery or treatment owing to the increased risk of bleeding during the procedure. You should not stop taking Grujel-A Tablet on your own without discussing it with your doctor.
• Q. Q. Who should not take Grujel-A Tablet??
  Ans: Grujel-A Tablet is not recommended for people who are allergic to it or any of its ingredients. Do not take Grujel-A Tablet if you have or ever had severe liver disease, stomach ulcers, bleeding in the brain (stroke or a transient ischemic attack, also known as TIA), or if you have a bleeding disorder known as hemophilia (disease in which blood does not clot normally). Additionally, avoid taking Grujel-A Tablet if you are trying to get pregnant, already pregnant, or breastfeeding.
• Q. Q. What if I forget to take a dose of Grujel-A Tablet??
  Ans: If you forget to take a dose of Grujel-A Tablet, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and take the next scheduled dose. Do not double the dose to make up for the missed one as this may increase the chances of developing side effects.
• Q. Q. What should I avoid while taking Grujel-A Tablet??
  Ans: Avoid activities that may increase your chances of bleeding. Be extra careful while shaving or brushing your teeth to prevent bleeding. Also, you should avoid taking painkillers, but if you need to take one like ibuprofen for joint pain, headache, backache, etc. then consult your doctor first. This is because taking pain killers with Grujel-A Tablet may increase your chances of developing a stomach ulcer and bleeding. Refrain from taking excessive alcohol with Grujel-A Tablet as it can irritate your stomach and lead to a stomach ulcer as well.

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