Brilinta 90 Dosage/Direction for Use

In patients with Acute Coronary Syndromes, BRILINTA treatment should be initiated with a single 180 mg loading dose (two tablets of 90 mg) and then continued at 90 mg twice daily. Treatment is recommended for at least 12 months unless discontinuation of BRILINTA is clinically indicated (see Pharmacology: Pharmacodynamics under Actions). After one year, patients with MI initiated on 90 mg may continue treatment with 60 mg without interruption if they have a high risk of an atherothrombotic event.
Patients taking BRILINTA should also take a daily low maintenance dose of acetylsalicylic acid (ASA) of 75-150 mg, unless specifically contraindicated. An initial loading dose of ASA is recommended for patients with ACS (see Pharmacology: Pharmacodynamics under Actions).
Missed dose: Lapses in therapy should be avoided. A patient who misses a dose of BRILINTA should take their next dose at its scheduled time.
Switching: Physicians who desire to switch patients, with a prior ACS event to BRILINTA, should administer the first 90 mg dose of BRILINTA 24 hours following the last dose of other antiplatelet medication (see Pharmacology: Pharmacodynamics under Actions).
Premature discontinuation: Premature discontinuation with any antiplatelet therapy, including BRILINTA, could result in an increased risk of cardiovascular (CV) death, myocardial infarction (MI), or stroke due to the patient's underlying disease (see Precautions).
Administration: For oral use. BRILINTA can be taken with or without food. For patients who are unable to swallow the tablet(s) whole, BRILINTA tablets can be crushed to a fine powder and mixed in half a glass of water and drunk immediately. The glass should be rinsed with a further half glass of water and the contents drunk. The mixture can also be administered via a nasogastric tube (CH8 or greater). It is important to flush the nasogastric tube through with water after administration of the mixture.
Special Populations: Paediatric patients: Safety and efficacy in children below the age of 18 have not been established (see Pharmacology: Pharmacodynamics under Actions).
Elderly patients: No dose adjustment is required.
Patients with renal impairment: No dose adjustment is necessary for patients with renal impairment (see Pharmacology: Pharmacokinetics under Actions).
Patients with hepatic impairment: No dose adjustment is necessary for patients with mild hepatic impairment. BRILINTA has not been studied in patients with severe hepatic impairment and there is limited information on treatment of patients with moderate hepatic impairment (see Contraindications, Precautions, and Pharmacology: Pharmacokinetics under Actions).