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Expansia (Clopidogrel)

Expansia is a thienopyridine that is 4,5,6,7-tetrahydrothieno[3,2-c]pyridine in which the hydrogen attached to the nitrogen is replaced by an o-chlorobenzyl group, the methylene hydrogen of which is replaced by a methoxycarbonyl group (the S enantiomer). A P2Y12 receptor antagonist, it is used to inhibit blood clots and prevent heart attacks. It has a role as a platelet aggregation inhibitor, an anticoagulant and a P2Y12 receptor antagonist. It is a thienopyridine, a member of monochlorobenzenes and a methyl ester. It derives from a ticlopidine.

Other names for this medication:
Clopidogrel, Plavix, Anclog, Anlet, Antiplar, Artevil, Clavix, Clopicard, Clopilet, Clopivas, Deplatt, Diloxol, Duoplavin, Expansia, Farcet, Globel, Grepid, Iscover, Karum, Klopidogrel, Nabratin, Narutis, Nefazan, Noklot, Pidocar, Pidogrel, Pladex, Plagerine, Planor, Tisten, Troken, Trombex, Vaclo, Zyllt,

Similar Products:
Quiet, Rosil, Immunovir, Midol, Venla, Selecom, Topigen, Barambo, Esmolol, Sendoxan, Inmed, Trioday, Accupain, Dulane, Lexamil, Tussamag, Zoprazide, Metronid, Gimalxina, Lucen, Ropark, Trichex, Pantosec, Bactricid, Paroxetine, Korandil, Boues, Gabapentina, Berifen, Spironolakton, Orva, Epitec, Novotrim, Glynase, Rexan, Prolifen, Pidocar, Venlaxor, Atacor, Caduet, Purinase, Wellbutrin, Fulgram, Tadora,

Expansia is used alone or together with aspirin to lessen the chance of a heart attack or stroke. It is given to patients who have already had a heart attack, severe chest pain, or a stroke, or to patients with other circulation problems that could cause a stroke or heart attack.

A heart attack or stroke may occur when a blood vessel is blocked by a blood clot. Expansia is a platelet inhibitor. It reduces the chance that a harmful blood clot will form by preventing platelets from clumping together in the blood. Expansia may also increase the chance of serious bleeding in some people.

This medicine is available only with your doctor's prescription.

This product is available in the following dosage forms:

  • Tablet

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This suggests that each retrosplenial area may play some distinct functional roles in memory and learning processes such as spatial behavioral learning. Kinetics of low and high dose granulocyte/macrophage colony stimulating factor mobilization of peripheral blood stem cells.

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Preoperative evaluators were volume index, depth of myometrial invasion (as assessed by magnetic resonance imaging), serum CA 125 level, histologic type, and histologic grade. Based on a recent report, this review will focus on the associations between carotid atherosclerosis and stroke subtypes. Even though torsions on a cryptorchid testicle are rare, we should not ignore them. In the era of personalized medicine, the possibility to reduce cardiovascular risk before or soon after birth and intervene on risk factors during childhood is appealing and promising for the future.

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Effect of hypothermic storage of kidney slices on membrane ATPases and electrolyte transport. During stress and nutrient limitation, slow growing and senescent cells in such communities retain vital processes by maintaining plasma membrane integrity and retaining the ability to generate transmembrane electrochemical gradients.

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Continuous ovine fetal hemorrhage: sensitivity of plasma and urine arginine vasopressin response. The prevalence of lifetime alcoholism in 267 outpatients enrolled in the Stanley Foundation Bipolar Network was evaluated by using the Structured Clinical Interview for DSM-IV.

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Measurements of sound wave intensity and images of the cavitation region indicated that particles induced additional cavitation bubbles near the ultrasonic source, which resulted in less turbulence reaching the membrane surface and subsequently less effective control of fouling. Colon carcinoma--classification into right and left sided cancer or according to colonic subsite?--Analysis of 29,568 patients. When homozygous in zygotes, mutant alleles at the peak locus in linkage group V of Neurospora crassa initiate aberrant asci that are nonlinear, in contrast to the linear asci characteristic of wild type.

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The result shows that a doubling of the dose may be obtained along the central axis for narrow deep cavities. Since 1981 Princess Margaret Hospital has used initial active surveillance (AS) with delayed treatment at relapse as the preferred management for all patients with clinical stage I nonseminomatous germ cell tumors (NSGCT).

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In the simplified PPI, a single item from the Communication Capacity Scale was substituted for the delirium item of the original. Determination of trans-resveratrol in grapes by pressurised liquid extraction and fast high-performance liquid chromatography. Timing of HAART initiation is the major factor predicting the longevity of B cell responses in vaccinated HIV-1-infected children.

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Metastatic potential of EphA6 is assessed by RNAi in a CaP spontaneous metastasis mouse model. The results obtained for the parotid gland were different from the submandibular. Neutrophils from human immunodeficiency virus (HIV)-negative blood donors, asymptomatic HIV-positive patients, AIDS patients with previous Pneumocystis carinii pneumonia (PCP), and AIDS patients without previous PCP were compared for their ability to activate the respiratory burst, measured as luminol-amplified chemiluminescence.

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Indications and limitations of radiotherapy in malignant pleural mesothelioma. Highly enantioselective hydrolysis of alpha,alpha-disubstituted malononitriles by the strain Rhodococcus sp. In addition, MS/MS fragmentation generated an amino acid sequence corresponding to the sequence of cGnRH-II. In contrast, for EHEC, pedestals are formed independently of Nck, and require translocation of bacterial factors in addition to Tir to trigger actin signaling.

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Time and space issues in ecotoxicology: population models, landscape pattern analysis, and long-range environmental chemistry. The epileptiform findings seem to be related to the ionising radiation.

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Use of starter cultures of lactic acid bacteria and yeasts in the preparation of togwa, a Tanzanian fermented food. The kinetics of superoxide anion production in polymorphonuclear leukocytes of bronchopneumonic calves, as well as superoxide dismutase and lipoprotein lipase activities in the blood plasma of these animals were studied. The diagnosis is very difficult to make because many primary diseases are responsible.

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Early and clear discussion and articulation of preferences about interventions with increasing burdens and diminishing benefits is helpful in identifying the goals of care and planning management for patients who have unremitting terminal illnesses. Mouse and human corneas, including corneas from patients with CSCD, and primary keratocyte cultures were subjected to Western blot analysis, transmission electron microscopy, and immunofluorescence microscopy.

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Indications and performance of EEG-audiometry in children after high risk birth In this work, water was solvent component 1, and various miscible organic cosolvents served as solvent component 2. The results obtained demonstrate the huge potential of Raman imaging for the fast analysis of complete GSR particles and prove its complementary usefulness in the analysis of the stubs used by the well-established SEM-EDX technique.

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In this study we found that the output synapses of bipolar cells also contribute to separate these pathways. Moreover, exposing ST-13 preadipocytes to dexamethasone and insulin induced differentiation, but failed to induce adipogenesis in 3T3-L1. Laparoscopic duodenoduodenostomy in the neonate can be safely and successfully performed with excellent short-term outcome. Computed tomography in children with cystic fibrosis: a new way to reduce radiation dose.

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Drooping shoulder, or inferior subluxation of the glenohumeral joint, must be differentiated from true dislocation of the humeral head. Appendectomy added 15 minutes to the operation time and extended the hospital stay by about one-half day. In the present study, ICC were identified in the jejunum of Bos taurus using polyclonal anti-c-Kit antibodies in immunohistochemical assays. The thinking of schizophrenic patients was confused and fluid, and usually peppered with many idiosyncratic and peculiar words and phrases.

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We propose that sSC is the main candidate for the source of the excitatory synaptic inputs to dSC among the subcortical regions. We identified a malignant lymphoma infiltrating the lung, liver, kidney, mesenteric lymph nodes, and eye as the cause of death in a male West Indian manatee (Trichechus manatus). The developed concept for a Trusted Third Party Dispatcher allows mapping single process steps as well as individual requirements and characteristics of particular studies to workflows, which in turn can be combined to model complex Trusted Third Party processes. The average cost per case was Pound Sterling606 for a case with salmonella, Pound Sterling315 for campylobacter, Pound Sterling164 for rotavirus and Pound Sterling176 for SRSV.

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Tumor necrosis factor-alpha inhibitors are widely used agents in the treatment of immune disorders such as rheumatoid arthritis and inflammatory bowel disease. The objective of this study was to identify potential predictive risk factors for intra- and postoperative complications in patients who underwent laparoscopic sigmoid resection due to diverticular disease. Spontaneous Regression of Pulmonary Lymphoepithelioma-Like Carcinoma.

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Nitric oxide (NO) is synthesized from L-arginine by at least three isoforms of NO synthase enzyme (NOS). Compounds incorporating a sugar moiety as well as a pyrazolyl ring in their structure displayed the highest antimicrobial activity.

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An iterative, multimodal process is essential to successful development of acceptable Web-based tools for self-management in chronic obstructive pulmonary disease. At discharge from the hospital, the mean daily dose of cyclosporine needed to maintain trough cyclosporine blood levels of 150 to 400 ng/ml was 4.5 mg/kg/day for the patients who received norfloxacin compared with 7.4 mg/kg/day for patients who did not receive the antibiotic. Models of chronic hypoxic pulmonary hypertension rat were duplicated by intermittent hypoxia. They may prove useful in the clinical management of cytomegalovirus retinitis in patients with acquired immunodeficiency syndrome.

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Coupling Infusion and Gyration for the Nanoscale Assembly of Functional Polymer Nanofibers Integrated with Genetically Engineered Proteins. Functional disability associated with major neurologic disorders. Surgical treatment of major ptosis by frontal suspension with temporal aponeurosis

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Primary epiploic appendagitis: diagnosis, management, and natural course of the disease. A self-administered anonymous questionnaire was used to survey patients attending outpatient clinics of the MidCentral Regional Cancer Treatment Service. A large number of mouse models of diabetes have been identified and their kidney disease characterized to various degrees.

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Markers of periodontal diseases and sensitivity to taromentine in patients with aggressive periodontitis The results suggest that adequate sedation with Dex during the nighttime can reduce the incidence of AF in cardiovascular surgery patients after extubation. Emergence of drug-resistant tuberculosis makes the discovery of new targets for antimycobacterial drugs critical. This aberrant behavior of ESCs might play a role in the formation of ectopic endometrial implants in adenomyosis. Sweet pepper ferredoxin-like protein ( pflp) gene as a novel selection marker for orchid transformation.

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Growth hormone-releasing hormone stimulates the secretion of interleukin 17 from human peripheral blood mononuclear cells in vitro. Overexpression of mfn2 also induced cytochrome c release to the cytoplasm by enhancing Bax translocation from the cytoplasm to the mitochondrial membrane. It became particularly evident that the observed changes of functional status in the operators were due to fatigue caused by occupational factors and professional peculiarities.

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Guidelines and recommendations for invasive testing in HIV-positive women in the SA setting are lacking. Senescence marker protein 30 is up-regulated in kainate-induced hippocampal damage through ERK-mediated astrocytosis. However, proper diagnosis using venom extracts is severely affected by molecular cross-reactivity. This article, which is admittedly controversial, attempts to raise many issues that surround this area. Rhabdomyosarcoma (RMS) is the most common type of soft tissue sarcoma in children and can be divided into two main subtypes: embryonal and alveolar RMS.

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Progressive deformities of the thoracolumbar spine in Down syndrome patients can be treated with fusion and instrumentation with cessation of progression. We demonstrate that point mutations abolishing the tRNA modifying function of MnmE confer synthetic lethality, which stresses the importance of this function in the mRNA decoding process. We report the case of an 81-year-old black man who presented a ciliary body melanoma of the left eye. We used structural equation modeling (SEM) techniques to evaluate the SF-36 and its ability to discriminate between those who reported health problems or reported physician-determined illness and those who did not in a sample from the 1990 National Survey of Functional Health Status (NHS).

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To improve professional decision-making skills, 48 students from the 2013 cohort were introduced to three commonly used medications, through tutor-led 40-min teaching interventions, among six small groups using a structured presentation of evidence-based medicine and ethical considerations. Evaluation of evidence value of glass fragments by likelihood ratio and Bayesian Network approaches. Studies in the last decade suggest that microwave energy may have a unique ability to influence chemical processes. Medical cost analysis of family psychoeducation for schizophrenia Two authors independently assessed methodological quality and extracted data using a data collection form.

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Methods used to develop CDRs include expert opinion, multivariate models, point scores, and classification and regression trees Desirable CDRs are valid (make accurate predictions of risk), relevant (have been shown to improve patient-oriented outcomes), are easy to use at the point of care, are acceptable (with good face validity and transparency of recommendations), and are situated in the clinical context. Proteomics of cryoprotective dehydration in Megaphorura arctica Tullberg 1876 (Onychiuridae: Collembola). There are several examples of the personalized medical approach, which include genotype-based selection of patients for effective cancer therapy, to spare those who would not respond or would suffer undesirable side effects. Infection-triggered regulatory mechanisms override the role of STAT 4 in control of the immune response to influenza virus antigens.

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The NMR longitudinal relaxation times (T1) of the protons in the bulk methylene groups were measured for lipids from cells grown at pH 3.0 and 7.0. Temporal variations in cytokines were observed following the induction of CRAO, both at the retinal mRNA expression and protein levels. Treatment of experimental asthma by long-term gene therapy directed against IL-4 and IL-13.

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Metagenomics comprising construction and screening of metagenomic DNA libraries has proven to be a powerful tool to isolate new enzymes and drugs of industrial importance. The derived protein sequence is extensively similar to those of the flagellins of Rhizobium meliloti, Agrobacterium tumefaciens, Bartonella bacilliformis, and Caulobacter crescentus. On the other hand, the 4-HBA-CoA thioesterases isolated from 4-CBA-degrading Pseudomonas strains did not share significant sequence identity with the FcbC protein, indicating early divergence of the thioesterase-encoding genes. Hyaluronidase activity in gingival crevicular material and in peritoneal exudate leukocytes in dogs.

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Impaired protection against Mycobacterium bovis bacillus Calmette-Guerin infection in IL-15-deficient mice. The aim of this study is to test CNA as a possible biological predictor of biological behavior of GISTs. Higher rates of nitrogen fertilization resulted in increased amino acid concentrations in the tubers.

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An efficient dose for heart failure is simply and safely obtained with perindopril, with a significant improvement in the NYHA functional class and in the radiological cardio-thoracic index. We report a case of erosion of an inflatable penile prosthesis reservoir into the bladder, which evidently occurred during a revision procedure for replacement of a defective pump. Roles of prostaglandin production and mitogen-activated protein kinase activation in hepatocyte growth factor-mediated rat hepatocyte proliferation. CR-3 could benefit a few severely affected patients, but it is necessary to understand the factors that affect absorption of levodopa from sustained-release preparations, as well as the consequences of prolonged elevation of plasma levodopa levels.

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While acknowledging the demonstrated health-related benefits of public health interventions, we provide a practical ex-post economic evaluation methodology to assess return on investment as a more simplistic yet effective alternative for public health practitioners versus contemporary analyses of health services researchers. In case that the central parenteral route is precluded, oral therapy with diluted HCl solution may be considered. Women living with metastatic disease are understudied, however, and substantial heterogeneity exists in both the clinical characteristics of metastatic tumors and the physical and psychological experience of patients living with the disease. Thus, the main questions regard the possible consequences of high estrogen levels on tumor volume and the possible effects of D2-agonists on fetal development. Because of the chronic nature of the disease, drugs with a good ratio of effectiveness to tolerability must be used.

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The appropriate membrane fluidity is required for optimum conformation but, once this conformation is established, additional interactions imparted by the various phospholipids give a difference in the patterns of antigenicity. In Study 1, analyses of large free association and extralist cued recall databases indicate that this interpretation is incorrect. Reduction of CD45RA isoform expression and decrease in CD4 and CD8 receptor density in lymphocytes of patients with primary biliary cirrhosis. The aim of the study was to compare the reliability of chorionicity determination in twin pregnancy using different ultrasonographic methods as compared with post-partum placental assessment. The observation that extensive thumb opening is possible combined with the kinetic data suggests that the thumb plays a crucial role in both binding of substrate and release of product from the active site.

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A homologous domain is also present in a subset of human adenovirus E3 membrane glycoproteins. Human dose acyclovir recurrent herpes abnormalities--their importance in the world view during antiquity and the early Middle Ages

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The seric concentration of nitrites remained unchanged after hepatectomy, whereas the content in nitrates and in S-nitrosylated proteins progressively increased in parallel with the NOS activity. Strategic top-down control versus de noltab and tetracycline hcl attentional bias by previous reward history. The scattering cross section is the fundamental measure of the strength of a scattering interaction. Of eight recurrent cases, five were treated with radiotherapy alone and three with combined surgery and radiation.

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These simple epithelial cells and their keratins are nerve-dependent, since denervation eliminated all four keratins and replaced elongated taste cells of the vallate papilla with stratified squamous epithelium. The aim is to reduce the number of parameters while retaining the genotype information relating to disease susceptibility. furoato de mometasona spray dosis de diclofenaco The results suggest that both work environmental and individual characteristics should be taken into account in order to capture sources of stress in modern working life. The method allowed the study of the bacterial colonization of Folsomia candida (Collembola) and the detection of bacteria in both the gut and tissue. The data support the routine use of prehospital capnographic monitoring using target end-tidal carbon dioxide values adapted to the physiological state of the patient in major trauma victims requiring tracheal intubation in the field.

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Collaboration between oncologist and endocrinologist allows for individualized treatment and better control of these adverse events, with few dose interruptions and reductions. In the assay, small amounts of the test sample are injected twice, 1 week apart just beneath the tunica albuginea of the testes of rats. Light-current measurements demonstrate external quantum efficiency per PQD comparable to self-assembled QDs, thus providing a possible route toward individually addressable single QD devices. Because MAPK and PI3-K/PKB pathways are implicated in mediating the mitogenic and metabolic effects of insulin, respectively, it proprotein convertase 1 deficiency symptoms is plausible that mimicry of these pathways by vanadium serves as a mechanism for its insulin-like responses.

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The addition of exercise to adenosine significantly improves the automatic calculation of LVEF by QGS software during Gated SPECT and reduces the need for manual adjustment. The results thus obtained were compared with those by docking zanamivir (Relenza) and oseltamivir (Tamiflu) to the same receptor, respectively. The relative risks for sustaining such an injury appear to be well defined when considering demographic and temporal factors. On the other hand, both cyproheptadine and fluconazole esmalte de gel GR38032F did not affect ir-TRH concentrations of the stomach.

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Comparison of Ticagrelor Versus Prasugrel to Prevent Periprocedural Myonecrosis in Acute Coronary Syndromes. Re-imagining long-term services and supports: towards livable environments, service capacity, and enhanced community integration, choice, and quality of life for seniors. This practical flazol 120 ml to grams and acceptable method of treatment can be specially useful in patients who find it difficult to remember to take divided doses.