Ticagrelor

Blood thinner (antiplatelet)
PRESCRIPTION ONLY IN INDIA

Ticagrelor is a blood thinner (antiplatelet) found in 3 medicines sold in India, such as Brilinta 90, Axcer 90, Brilinta 60. Below: what it is for, how it works, how to take it, side effects, interactions and pregnancy advice.

What it is used for

Prevents clots after a heart attack or stent, usually with low-dose aspirin.

How it works

A stronger antiplatelet used with aspirin after a heart attack or stent.

How to take it

Usually 90 mg twice a day. Do not stop early without your heart doctor.

Common side effects

  • Breathlessness (usually mild)
  • Bruising
  • Nosebleeds

Get medical help straight away if

  • Serious bleeding
  • Fainting
  • Blood in stool or urine

Be careful

Increases bleeding risk; can cause breathlessness. Do not stop without your cardiologist.

Other medicines and interactions

Keep aspirin at 75 to 150 mg. Clarithromycin, ketoconazole and ritonavir must be avoided. Raises simvastatin levels.

Pregnancy and breastfeeding

Not recommended in pregnancy or while breastfeeding.

Brands of Ticagrelor (3)

Axcer 90Brilinta 60Brilinta 90

Common questions

What is Ticagrelor used for?

Prevents clots after a heart attack or stent, usually with low-dose aspirin.

How does Ticagrelor work?

A stronger antiplatelet used with aspirin after a heart attack or stent.

How should I take Ticagrelor?

Usually 90 mg twice a day. Do not stop early without your heart doctor.

What are the side effects of Ticagrelor?

Common: Breathlessness (usually mild), bruising, nosebleeds. Get help straight away for: Serious bleeding, fainting, blood in stool or urine.

Does Ticagrelor interact with other medicines?

Keep aspirin at 75 to 150 mg. Clarithromycin, ketoconazole and ritonavir must be avoided. Raises simvastatin levels.

Is Ticagrelor safe in pregnancy and breastfeeding?

Not recommended in pregnancy or while breastfeeding.

Does Ticagrelor need a prescription in India?

Yes. In India it is a prescription (Schedule H) medicine, so a pharmacist should sell it only with a doctor's prescription.

Which brands contain Ticagrelor?

Axcer 90, Brilinta 60, Brilinta 90.

Sources and further reading

NHS (UK National Health Service) and MedlinePlus (US National Library of Medicine) are free, reviewed medicine guides. Brand names and doses there may differ from India.

Last reviewed 31 October 2026. Written by Satya Babu from standard prescribing information.

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For information only, not medical advice. This page is a plain-language summary written from standard prescribing information and the public guides linked below. Brands sometimes change their formula, so always check the composition printed on the pack. Doses here are typical adult doses; yours may differ. Do not start, stop or change a medicine without your doctor or pharmacist, and keep all medicines away from children. In an emergency, call 112 (India) or your local emergency number.