Aztogold 10 Capsule 10'S

Introduction About AZTOGOLD 10 CAPSULE

AZTOGOLD 10 CAPSULE is a combination medicine used in the management of heart
attack. It is commonly prescribed for patients with percutaneous coronary
intervention (PCI) and myocardial infarction to reduce the risks of further
heart attacks.

Take AZTOGOLD 10 CAPSULE with food, ideally at the same time every day, to
maintain consistency and enhance its effectiveness. Follow your doctor's
prescribed dosage and schedule, and do not discontinue use without medical
advice, even if you feel better. Lifestyle modifications, such as following a
low-fat diet, regular exercise, and avoiding smoking, can significantly boost
the effectiveness of this medication.

Avoid drinking alcohol while taking AZTOGOLD 10 CAPSULE, as it could increase
the risk of bleeding in the gastrointestinal tract.

Before starting AZTOGOLD 10 CAPSULE, inform your doctor if you have a history of
liver or kidney disease. If you are pregnant, planning to conceive, or
breastfeeding, consult your doctor before use. Additionally, disclose all other
medications you are taking to avoid potential drug interactions.

The most common side effects of taking AZTOGOLD 10 CAPSULE are abdominal pain,
indigestion, bruising, and nosebleeds. Since this medication increases the risk
of bleeding, take extra precautions while shaving, trimming nails, or handling
sharp objects. Seek immediate medical attention if you notice symptoms like
muscle pain or weakness, yellowing of the skin, or dark urine. Avoid consuming
alcohol while on this medication, as it may amplify side effects.

Uses Of AZTOGOLD 10 CAPSULE

• Heart Attack

Benefits of AZTOGOLD 10 CAPSULE in heart attack:

• AZTOGOLD 10 CAPSULE is a powerful medication designed to lower the risk of heart attacks by combining antiplatelet and cholesterol-lowering agents.
• It prevents blood clots by stopping platelets from sticking together, ensuring smooth blood flow and reducing the risk of blockages in arteries.
• Additionally, it lowers LDL (bad cholesterol) and triglycerides while boosting HDL (good cholesterol), promoting better cardiovascular health.
• By reducing the chances for atherosclerosis (hardening of arteries) and reducing the recurrence of heart attacks, this medication offers comprehensive heart protection. When combined with a healthy lifestyle, such as a low-fat diet, regular exercise, and avoiding smoking, AZTOGOLD 10 CAPSULE significantly enhances heart health.

How AZTOGOLD 10 CAPSULE Works

AZTOGOLD 10 CAPSULE contains a combination of three medicines, namely aspirin,
atorvastatin, and clopidogrel which works synergistically to reduce the risk of
cardiovascular events like heart attacks and strokes by targeting different
aspects of blood clotting and cholesterol management:

Aspirin and Clopidogrel are antiplatelet medicines that prevents platelets from
sticking together, further reducing the risk of clot formation and enhancing
blood flow in the arteries. By reducing platelet clumping, this medicine helps
maintain smooth blood flow and prevents clots in blood vessels.

Atorvastatin is a statin that inhibits HMG-CoA reductase, the enzyme involved in
cholesterol synthesis in the liver. It lowers LDL (bad cholesterol) and
triglycerides while increasing HDL (good cholesterol), which reduces plaque
buildup in arteries (atherosclerosis) and improves blood vessel health.

Together, this medicine offers comprehensive cardiovascular protection by
reducing clot formation, improving lipid profiles, and reducing  the risk for
narrowing of blood vessels, significantly lowering the risk of heart attacks and
strokes.

How to use AZTOGOLD 10 CAPSULE

AZTOGOLD 10 CAPSULE should be taken exactly as prescribed by your doctor for
o

It is best to take this medicine with food to avoid stomach discomfort.

Take it at the same time every day to ensure consistent blood levels and maximum
effectiveness.

Swallow the medicine whole with water; do not crush or chew it.

Follow your doctor’s recommended dosage schedule, and do not skip doses or stop
the medication without consulting your healthcare provider.

For best results, combine this medication with a healthy lifestyle, including a
low-fat diet, regular exercise, and avoiding smoking. Always consult your doctor
if you have any questions about its use.

Missed dosage instructions for AZTOGOLD 10 CAPSULE:

If you miss a dose of AZTOGOLD 10 CAPSULE, take it as soon as you remember.
However, if it is almost time for your next dose, skip the missed dose and
resume your regular schedule. Do not double up on doses to make up for the
missed one, as this may increase the risk of side effects. To avoid missing
doses in the future, try taking the medication at the same time every day and
consider setting reminders. If you are unsure about what to do, consult your
doctor or pharmacist for advice.

Overdosage instructions for AZTOGOLD 10 CAPSULE:

If you or anyone else accidentally take too much of AZTOGOLD 10 CAPSULE, contact
your doctor immediately or go to a hospital straight away. Overdosage symptoms
of AZTOGOLD 10 CAPSULE includes increased bleeding, confusion, disorientation,
coma, convulsions, vomiting (sometimes with blood), increased body temperature,
low blood sugar levels, tinnitus (ringing in the ears), vertigo (spinning
sensation), sweating, warm extremities with bounding pulses, kidney failure,
increased respiratory rate and hyperventilation.

Side Effects Of AZTOGOLD 10 CAPSULE

Like all medicines, AZTOGOLD 10 CAPSULE may cause certain side effects, although
not everybody gets them

Some of the most common side effects of AZTOGOLD 10 CAPSULE are:

• increased bleeding or bruising

• bleeding from the nose

• indigestion, diarrhea, stomach pain, nausea, constipation

• high blood glucose

• dizziness and headache

• muscle cramps or pain

• joint pain, back pain, swelling of joints

• tingling or prickling sensation in hands or feet

• weight gain

• changes in taste

Stop taking AZTOGOLD 10 CAPSULE and contact your doctor immediately if you
experience any of the following side effects:

• severe allergic reactions (such as skin rash, itching, swelling of the face, lips, throat and neck, difficulty in breathing or swallowing)
• Thrombotic thrombocytopenic purpura (a blood disorder that causes blood clots in capillaries throughout the body)
• hemorrhagic vasculitis (inflammation of the blood vessels with bleeding)
• abnormal heavy or prolonged menstrual periods
• severe skin disorders with fever (Ex. Lyell’s syndrome, Steven-Johnsons syndrome, erythema nodosum, erythema multiforme)
• rhabdomyolysis (muscle rupture with fever), myositis (inflammation of the muscle) or tendinopathy (painful tendons)

How To Manage Side Effects

!### Stomach Pain

1. Take with Food: Always take AZTOGOLD 10 CAPSULE with food to reduce stomach irritation. This can help minimize discomfort and protect your stomach lining.
2. Avoid Spicy or Acidic Foods: Stay away from spicy, fried, or acidic foods, as they can aggravate stomach pain and irritation. Opt for bland, easy-to-digest meals instead.
3. Stay Hydrated: Drink plenty of water throughout the day to support digestion and reduce stomach discomfort.
4. Over-the-Counter Remedies: After consulting your doctor, consider using antacids or proton pump inhibitors (PPIs) to alleviate stomach pain if recommended.
5. Consult Your Doctor: If the pain persists, worsens, or is accomp

Warning & Precautions

!### Pregnancy

Contraindicated- AZTOGOLD 10 CAPSULE is not recommended for use in pregnant women due to potential risks of side effects to the growing baby.

• Women of child-bearing potential should use suitable contrace
• If you become pregnant while on therapy with this medicine, stop taking it and consult your doctor immediately.

!### Breastfeeding

Consult your doctorIt is not known whether Aspirin, Atorvastatin or clopidogrel pass through breast
milk or not. Therefore, consult your doctor before taking AZTOGOLD 10 CAPSULE if
you are breastfeeding.

!### Driving and Using Machines

SafeAZTOGOLD 10 CAPSULE does not impair your ability to drive or operate any
machines. Consult your doctor before taking AZTOGOLD 10 CAPSULE.

!### Alcohol

Consult your doctorAvoid consum
the risk of stomach bleeding and aggravate your existing condition. Consult your
doctor before taking AZTOGOLD 10 CAPSULE.

!### Kidney

Consult your doctorAZTOGOLD 10 CAPSULE is not recommended for use in patients having severe kidney
disease and should be used with caution in patients with kidney impairment.
Consult your doctor before taking this medicine.

!### Liver

Consult your doctorAZTOGOLD 10 CAPSULE is not recommended for use in patients having severe liver
impairment and active liver disease (including persistent elevations of serum
transaminases exceeding three times the upper limit) and should be used with
caution in patients with liver impairment. Consult your doctor before taking
this medicine.

!### Allergy

ContraindicatedDo not take AZTOGOLD 10 CAPSULE if you are allergic to Clopidogrel,
Atorvastatin, Aspirin or Prostaglandin synthetase inhibitors (Ex. naproxen,
ibuprofen, mefenamic acid and indomethacin).

!### Lungs

Use with CautionAZTOGOLD 10 CAPSULE should be used with caution in patients with interstitial
lung disease or other respiratory problems such as hay fever, asthma or chronic
respiratory diseases due to increased risk of bronchospasm and asthma attacks.
Consult your doctor before taking AZTOGOLD 10 CAPSULE.

!### Heart Disease

Consult your doctorAZTOGOLD 10 CAPSULE is not recommended for use in patients with recent ischemic
stroke and should be used with caution in patients with high blood pressure.
Therefore, consult your doctor before taking it.

!### Use In Pediatrics

ContraindicatedAZTOGOLD 10 CAPSULE is generally not recommended for use in children and
adolescents (under 18 years of age). Consult your child’s doctor for advice.

!### Use In Geriatrics

Use with CautionAZTOGOLD 10 CAPSULE should be used with caution in elderly patients (aged 70
years or above) because of increased risk of gastro-intestinal bleeding and
perforation when used for prolonged duration (if prolonged therapy is essential,
patients should be reviewed regularly). Consult your doctor before taking
AZTOGOLD 10 CAPSULE.

Others

AZTOGOLD 10 CAPSULE is not recommended for use if you:

• have active or recurrent pe
• have bleeding disorders (Ex. bleeding in the brain, hemophilia or others)
• have thrombocytopenia (decreased platelet count)
• have gout
• have menorrhagia (abnormally heavy bleeding during menstruation)

Before taking AZTOGOLD 10 CAPSULE, inform your doctor if you:

• have an underactive thyroid gland
• have family history of hereditary muscular disorders
• have family history of muscle problems following management with cholesterol-lowering medicines
• upcoming planned surgery (including dental surgery)
• dehydration problem
• diabetes
• are alcoholic

Safety Advice

Quick tips:

• Always take AZTOGOLD 10 CAPSULE with food to minimize stomach irritation.
• Take it at the same time every day to maintain consistent levels in your body.
• Stay away from alcohol, as it can increase the risk of side effects like bleeding and liver damage.
• Use caution while shaving or handling sharp objects, as the medicine increases bleeding risk.
• Inform your doctor if you experience unusual symptoms like muscle pain, yellowing of the skin, or black stools.

Diet Tips and Lifestyle Advice While Taking AZTOGOLD 10 CAPSULE:Follow a Heart-Healthy Diet:

• Include fresh fruits, vegetables, whole grains, lean proteins, and healthy fats like those found in nuts, seeds, and fish.
• Avoid foods high in saturated fats, trans fats, and cholesterol to support cholesterol reduction.

Limit Salt Intake:

• Reduce sodium consum

Stay Hydrated:

• Drink plenty of water throughout the day to support overall health and digestion.

Avoid Alcohol and Smoking:

• Alcohol can increase the risk of side effects like bleeding, and smoking worsens cardiovascular health. Quit smoking and limit or avoid alcohol entirely.

Exercise Regularly:

• Engage in moderate physical activities such as walking, swimming, or cycling for at least 30 minutes a day, five times a week, to strengthen the heart and maintain a healthy weight.

Maintain a Healthy Weight:

• Aim for a balanced calorie intake to manage weight and reduce stress on the heart.

Manage Stress:

• Practice relaxation techniques like yoga, meditation, or deep breathing to lower stress levels and improve heart health.

Monitor Your Health:

• Keep an eye on your cholesterol levels, blood pressure, and any unusual symptoms. Schedule regular check-ups with your doctor.

Interactions

A. Drug-Drug interactions:

Before taking AZTOGOLD 10 CAPSULE inform to your doctor, if you are taking any
of these medicines:

• other anticoagulants (used for blood thinning) Ex. warfarin, coumarin, heparin, phenindione
• other cholesterol-lowering medicines (Ex. clofibrate, gemfibrozil, fenofibrate, ezetimibe, colestipol)
• other non-steroidal anti-inflammatory drugs (Ex. ibuprofen, indomethacin)
• medicines used to manage HIV infection (Ex. glecaprevir/pibrentasvir, delavirdine, ritonavir with lopinavir and/or atazanavir or sofosbuvir with velpatasvir and voxilaprevir)
• st. john's wort (herbal medicine), selective serotonin reuptake inhibitors (used to manage depression) Ex. fluoxetine, sertraline, paroxetine or fluvoxamine
• medicines used to manage stomach ulcers such as antacids (Ex. aluminium hydroxide, magnesium hydroxide) and proton-pump inhibitors (Ex. omeprazole or esomeprazole)
• other medicines used during percutaneous coronary intervention (Ex. abciximab, e
• antibiotics (used to manage bacterial infections) such as macrolides (Ex. azithromycin, telithromycin, erythromycin, roxithromycin, and clarithromycin) or fusidic acid
• medicines used to manage epilepsy (Ex. phenytoin, valproic acid, stiripentol)
• medicines used to manage diabetes (Ex. insulin, glipizide, glimepiride)
• ciclosporin or tacrolimus (used to manage graft rejection or manage auto-immune disease)
• azole antifungal agents (used to manage fungal infection) Ex. clotrimazole, fluconazole
• methotrexate (used to manage cancer or other auto-immune diseases)
• lithium (used to manage mental illness)
• corticosteroids (used to manage pain and inflammation) Ex. prednisolone, dexamethasone
• acetazolamide (used to manage or manage altitude sickness)
• mifepristone (used to manage pregnancy)
• metoclopramide (used to manage vomiting)
• deferasirox (used to manage iron overload)
• zafirlukst (used to manage asthmatic symptoms)
• digoxin, amiodarone and verapamil (used to manage abnormal heart rhythm)
• angiotensin-converting enzyme (ACE) inhibitors such as captopril, enalapril and diuretics such as hydrochlorothiazide (used to manage high blood pressure)
• rifampin (used to manage tuberculosis)
• colchicine, probenecid or sulfinpyrazone (used to manage gout)

B. Drug - Food interaction:

During management with AZTOGOLD 10 CAPSULE, do not take more than one or two
small glasses of grapefruit juice per day because large quantities of grapefruit
juice can alter the effects of this medicine.

Synopsis

Drug	:	Aspirin, Clopidogrel, Atorvastatin
Pharmacological Category	:	Antiplatelets, HMG-CoA reductase inhibitors
Therapeutic Indication	:	Heart Attack
Dosage Forms	:	Tablet, Capsule

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FAQs About AZTOGOLD 10 CAPSULE

Q: What is AZTOGOLD 10 CAPSULE used for?

A: AZTOGOLD 10 CAPSULE is a combination medicine used to reduce the risk of
heart attacks and strokes. It works by thinning the blood to prevent clots and
lowering cholesterol levels to improve heart health. It is commonly prescribed
for individuals with a history of cardiovascular events or those at high risk of
developing such conditions.

Q: How should I take AZTOGOLD 10 CAPSULE?

A: Take AZTOGOLD 10 CAPSULE as directed by your doctor. It is typically taken
once daily with food to reduce stomach irritation. Swallow the capsule whole
with water and take it at the same time each day for the best results. Do not
skip doses or stop taking the medicine without consulting your doctor.

Q: What are the common side effects of AZTOGOLD 10 CAPSULE?

A: Common side effects include stomach pain, indigestion, bruising, and
nosebleeds. In rare cases, muscle pain, weakness, or yellowing of the skin may
occur. If you experience any unusual or severe symptoms, consult your doctor
immediately.

Q: Can I take AZTOGOLD 10 CAPSULE during pregnancy?

A: AZTOGOLD 10 CAPSULE is not generally recommended during pregnancy unless your
doctor determines it is essential. Limited human studies are available, but

are pregnant, planning pregnancy, or breastfeeding before starting this
medication.

Q: What should I do if I miss a dose of AZTOGOLD 10 CAPSULE?

A: If you miss a dose, take it as soon as you remember. If it is close to the
time for your next dose, skip the missed dose and continue with your regular
schedule. Do not take a double dose to make up for the missed one.

Q: Can I consume alcohol while taking AZTOGOLD 10 CAPSULE?

A: It is advisable to avoid alcohol while taking AZTOGOLD 10 CAPSULE, as it can
increase the risk of side effects like stomach irritation and bleeding.
Additionally, alcohol can interfere with cholesterol management and reduce the
effectiveness of the medication.

Q: What precautions should I take while using AZTOGOLD 10 CAPSULE?

A: Use caution while performing activities that may cause injuries, as this
medicine increases the risk of bleeding. Avoid over-the-counter NSAIDs like
ibuprofen unless prescribed. Inform your doctor about any other medications you
are taking to prevent interactions. Regularly monitor your cholesterol levels
and report any unusual symptoms to your doctor.

Q: How long do I need to take AZTOGOLD 10 CAPSULE?

A: AZTOGOLD 10 CAPSULE is often prescribed as part of a long-term treatment plan
for cardiovascular health. Your doctor will determine the duration based on your
condition. Do not stop taking the medication without medical advice, even if you
feel better.

Q: Are there any dietary restrictions while taking AZTOGOLD 10 CAPSULE?

A: Yes, follow a heart-healthy diet for the best results. Avoid foods high in
saturated fats, trans fats, and cholesterol. Incorporate fresh fruits,
vegetables, whole grains, and lean proteins. Reduce sodium intake and quit
smoking to improve overall heart health.

Q: Can AZTOGOLD 10 CAPSULE interact with other medications?

A: Yes, AZTOGOLD 10 CAPSULE may interact with blood thinners, NSAIDs, and
certain antibiotics, increasing the risk of side effects. Inform your doctor
about all medications, supplements, or herbal products you are taking to avoid
adverse interactions.

Useful Diagnostic Tests

• Cardiac Risk Profile
• Lipid Profile