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What you need to know about bleeding with BRILINTA

BRILINTA is used to lower your chance of having another heart attack or dying from a heart attack or stroke, but BRILINTA (and similar antiplatelet drugs) can cause bleeding that can be serious and sometimes lead to death. In cases of serious bleeding, such as internal bleeding, the bleeding may result in the need for blood transfusions or surgery. While you take BRILINTA:

  • You may bruise and bleed more easily
  • You are more likely to have nosebleeds
  • It will take longer than usual for any bleeding to stop

Call your doctor right away if you experience any of these symptoms of bleeding while taking BRILINTA:

  • Severe bleeding or uncontrollable bleeding
  • Pink, red, or brown urine
  • Vomit that is bloody or looks like coffee grounds
  • Red or black stool, or
  • If you cough up blood or blood clots

Do not stop taking BRILINTA without talking to the doctor who prescribes it for you. People who are treated with a stent, and stop taking BRILINTA too soon, have a higher risk of getting a blood clot in the stent, having a heart attack, or dying. If you stop BRILINTA because of bleeding, or for other reasons, your risk of a heart attack or stroke may increase.

Your doctor may instruct you to stop taking BRILINTA 5 days before surgery. This will help to decrease your risk of bleeding with your surgery or procedure. Your doctor should tell you when to start taking BRILINTA again, as soon as possible after surgery.

These are not all the possible side effects of BRILINTA. For more information, ask your doctor or pharmacist or click on the Medication Guide. You can also click on the Prescribing Information.

Here are some things you can do to help reduce the risk of bruising and bleeding while taking BRILINTA: 

  • Shave with an electric razor to avoid minor cuts
  • Use an emery board instead of clippers for nail care
  • Brush your teeth with a soft-bristled toothbrush to avoid bleeding gums
  • Add moisture to dry air, especially in the winter. This can help keep nostrils moist to avoid nosebleeds
  • Do not blow your nose hard
  • Practice extra caution to avoid bumps and bruises
  • Avoid activities where you can get hurt
  • Get plenty of rest
  • Drink plenty of fluids, eat a healthy diet, and exercise to help avoid constipation. Ask your doctor for a stool softener or laxative if you need one