Brilinta® Tablets for Acute Coronary Syndrome

Ticagrelor is an oral antiplatelet used to help prevent clot-related events after certain heart problems. It is taken with a maintenance dose of aspirin and prescribed for adults with acute coronary syndrome or a prior heart attack. This page helps you compare options, understand safe use, and see access choices with US shipping from Canada, including options if you are paying without insurance.

What Ticagrelor Is and How It Works

Ticagrelor belongs to a class called P2Y12 platelet inhibitors. Ticagrelor tablets reduce platelets sticking together by reversibly blocking the P2Y12 receptor, which helps lower the chance of heart attack or stroke when used as directed with low-dose aspirin. The brand version is Brilinta®, and the active ingredient is the same as in the generic.

Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.

People often start this therapy in the hospital after an acute event, then continue under outpatient care. Learn more about the condition in our guides to Acute Coronary Syndrome and Myocardial Infarction, and compare P2Y12 options in Brilinta® Vs Plavix. For background on naming, see Ticagrelor Brand Name.

Who It’s For

This medicine is indicated to reduce the risk of cardiovascular death, myocardial infarction, and stroke in adults with acute coronary syndrome or a history of heart attack. It is used with a daily low-dose aspirin as directed by a prescriber. It is not for people with active bleeding, a history of intracranial hemorrhage, or severe liver impairment. People with a tendency to bleed, recent surgery, or those taking other blood thinners should be evaluated carefully by a clinician before starting therapy.

Dosage and Usage

Label-based regimens commonly start with a one-time loading dose, followed by twice-daily maintenance dosing. Your prescriber will set the schedule based on indication and timing after the event. For long-term risk reduction beyond the first year post-myocardial infarction, lower maintenance dosing may be used. Avoid higher than recommended aspirin doses with this therapy, because doing so can reduce effectiveness.

Swallow tablets whole with water, with or without food, at the same times each day. If you have difficulty swallowing, your clinician can review the official label instructions for crushing and administering. As part of shared care, carry a list of all medicines and supplements and inform dentists and surgeons before procedures. Some patients continue on ticagrelor 60mg tablets for extended secondary prevention if advised by their prescriber.

Strengths and Forms

This treatment is available as film-coated oral tablets in commonly used strengths. Availability can vary by supplier and stock.

• Ticagrelor 90mg tablets for initial maintenance after ACS as directed
• 60 mg tablets often used for extended therapy after the first year, if appropriate

Packaging and tablet color may differ by manufacturer. Your dispensing pharmacy will supply information that matches the product you receive.

Missed Dose and Timing

If you miss a dose, take the next dose at the regular time. Do not double up to make up for a missed dose. Consistent timing supports steady platelet inhibition. Use a reminder app or a pill organizer to help maintain your schedule and avoid interruptions that could reduce protection.

Storage and Travel Basics

Keep tablets in the original container with the label, tightly closed, and store at typical room conditions away from excess moisture and direct light. Keep out of reach of children and pets. When traveling, carry your medicine in hand luggage along with a copy of your prescription and an updated medication list. Security screening does not harm tablets. Pack extra doses in case plans change. Our partners use temperature-controlled handling when required.

Benefits

This antiplatelet class helps lower the chance of new clot-related events when combined with low-dose aspirin. Compared with some older agents, reversible binding allows quicker offset after stopping, which can be relevant for procedures when clinically managed. Twice-daily dosing and clear label guidance support routine use in both early and extended secondary prevention settings.

Side Effects and Safety

• Shortness of breath or cough-like sensation
• Bleeding, easy bruising, nosebleeds
• Headache or dizziness
• Nausea, diarrhea, or stomach discomfort
• Skin rash or itching

Serious effects can include major bleeding and, rarely, intracranial hemorrhage. Seek urgent care for signs of significant bleeding, black stools, coughing blood, or sudden severe headache. This medicine may increase uric acid and can worsen gout in some people. Heart rhythm issues such as pauses can occur; clinicians may monitor if you have conduction disease. Review our overview in Your Guide To Brilinta and lifestyle pointers in Foods To Avoid. Always follow official labeling and your prescriber’s advice.

Drug Interactions and Cautions

Using this therapy with anticoagulants, other antiplatelets, or chronic NSAIDs can raise bleeding risk. Avoid strong CYP3A inhibitors or inducers, which can change medicine levels. Limit simvastatin or lovastatin doses to label-recommended amounts when taken together. Monitor digoxin if prescribed concurrently. Tell your clinician about all prescription and over-the-counter products, vitamins, and herbal supplements. Do not stop or start interacting medicines without medical guidance.

What to Expect Over Time

Many people begin treatment around the time of a heart event, then continue to lower the chance of another episode. You may notice minor bruising. Some experience transient breathlessness that resolves or is manageable. Regular follow-up helps review bleeding risk, adherence, and any procedure plans. Keep aspirin within the recommended daily range unless your prescriber advises otherwise. Most people take this therapy for months to years, depending on their risk profile and history.

Compare With Alternatives

Other oral P2Y12 inhibitors are available. Your prescriber may consider individual bleeding risk, age, procedure needs, and prior events when choosing among options. Two common alternatives are:

• Clopidogrel: a once-daily prodrug widely used for coronary and cerebrovascular indications.
• Prasugrel: used in certain ACS patients after PCI, with specific age and weight considerations.

For overview context, see our comparison in Acute Coronary and browse related medicines in the Cardiovascular category.

Pricing and Access

Canadian-sourced options can help manage cash-pay spending. If you are comparing the ticagrelor price, check current availability and generics alongside the brand. Use the product page to review supply, dispensing country, and tablet strengths. For origin details, see Canada. We provide transparent checkout and encrypted payment handling. Ships from Canada to US with prescription validation.

Savings tip: compare generic and brand listings, consider larger fills when appropriate, and align refills with your prescriber’s follow-up schedule. If you are seeking coupons or seasonal offers, visit our site’s promotions page for current notices at Promotions.

Availability and Substitutions

Supply can vary by manufacturer and lot. If your specific strength or brand is not in stock, a licensed pharmacist may coordinate with your prescriber to discuss a suitable alternative or a short-term partial fill. If you are specifically seeking ticagrelor from Canada, note that packaging and tablet markings may differ from U.S. products while containing the same active ingredient, as permitted by your prescription.

Patient Suitability and Cost-Saving Tips

This treatment may be suitable for adults after an ACS event or prior MI who need ongoing antiplatelet therapy with aspirin. It may not be suitable if you have a history of brain bleeding, active bleeding, severe liver disease, or an allergy to any component. If you bruise easily or take interacting medicines, discuss your situation with a healthcare professional before starting.

To stretch your budget, ask your prescriber about multi-month supplies when clinically appropriate, and set refill reminders to avoid gaps. Keep your medication list updated to reduce duplications that add costs. If cash-pay is required, compare generic and brand options and discuss therapeutic duration so you can plan visits and refills around your schedule.

Questions to Ask Your Clinician

• How long should I stay on this therapy based on my history?
• What aspirin dose should I pair with it, and for how long?
• What are my personal bleeding risks and warning signs to watch?
• Do any of my current medicines or supplements raise interaction concerns?
• If I need surgery or dental work, when should I stop and restart?
• Would a different P2Y12 inhibitor be safer or easier for me?
• Can I use a multi-month prescription to simplify refills?

Authoritative Sources

AstraZeneca Brilinta Prescribing Information

FDA DailyMed: Ticagrelor

Health Canada DPD: Ticagrelor

Ready to get started? You can order ticagrelor online with prescription review, secure checkout, and prompt, express shipping with US delivery from Canada. This content is informational and does not replace guidance from your healthcare professional.