Uses / Indications: Before taking Ecosprin-AV 75 Capsule, it's crucial to consult with your doctor to understand the potential interactions and warnings. This will help you avoid any adverse effects and ensure safe use. Here's a comprehensive list of interactions and warnings:

## Interactions and Warnings

- Drug Interactions
- Warfarin and Other Blood Thinners: Taking Ecosprin-AV 75 with these medications can increase the risk of bleeding.
- Hepatitis Medicines: Avoid using hepatitis medicines like Glecaprevir/Pibrentasvir with Ecosprin-AV 75.
- Niacin, Cyclosporine, Clarithromycin, Itraconazole, Tacrolimus, and Ezetimibe: These drugs may increase the risk of muscle damage and other serious side effects.
- Blood Pressure Medicines (e.g., Amlodipine, Ramipril, Lisinopril): Using these drugs with Ecosprin-AV 75 can enhance side effects.
- Painkillers: Avoid using other painkillers as they may increase the risk of stomach bleeding.

- Food and Lifestyle Interactions
- Take with Food: Always take Ecosprin-AV 75 with food to avoid stomach irritation.
- Caffeine: Limit caffeine intake as it may increase the risk of side effects.
- Alcohol: Avoid consuming alcohol as it can have severe effects on your health.
- Smoking and High-Fat Diet: Lifestyle changes like quitting smoking and adopting a low-fat diet can help this medicine work better.

- Medical Conditions and Warnings
- Liver Disease: This medicine is contraindicated in patients with liver diseases.
- Bleeding Disorders: People with bleeding disorders should avoid using Ecosprin-AV 75.
- Diabetes: If you have diabetes, consult your doctor before using this medicine.
- Kidney Disease: Inform your doctor if you have kidney disease or are undergoing dialysis.
- Pregnancy: Pregnant or planning-to-be-pregnant women should not take this drug without medical advice.

Product composition:
• Atorvastatin(10.0 Mg) Aspirin / Acetyl Salicylic Acid(75.0 Mg)

Pregnancy interaction:
• Ecosprin-AV 75 Capsule contains aspirin and atorvastatin, primarily used for cardiovascular health to prevent blood clots, heart attacks, and strokes. Its use during pregnancy requires careful consideration due to potential risks.
  
  - Safety in Pregnancy: Generally, Ecosprin-AV 75 is considered unsafe during pregnancy, especially without medical supervision. Aspirin can increase bleeding risks and cause complications in pregnancy, particularly in the third trimester, so it should typically be avoided unless specifically prescribed by a doctor for a critical condition.
  
  - Purpose During Pregnancy: When prescribed during pregnancy, it is often for special cases such as recurrent pregnancy loss or complications detected by fetal Doppler studies. In these scenarios, low-dose aspirin (like the 75 mg dose) may help improve blood flow to the placenta and reduce pregnancy risks, but only under strict medical guidance.
  
  - Medical Supervision: It is crucial to only take Ecosprin-AV 75 under direct doctor supervision during pregnancy. Doctors weigh the benefits against risks before prescribing, and regular monitoring is needed to check for any side effects or complications such as unusual bleeding or allergic reactions.
  
  - Importance of Following Dosage: Taking the medication exactly as prescribed is essential since misuse can lead to serious side effects including bleeding, stomach issues, or harm to the fetus.
  
  - Avoid Self-Medication: Pregnant women should never self-medicate with Ecosprin-AV 75 because unintended exposure can be harmful, and any symptoms of side effects require immediate medical attention.
  
  In summary, Ecosprin-AV 75 Capsule is not routinely safe during pregnancy and should only be used when a healthcare provider determines it is necessary for specific pregnancy-related issues, with careful monitoring throughout.

Expert advice:
• - Take with food to minimize stomach upset and indigestion; swallowing the capsule whole with a glass of water is recommended without crushing or chewing.
  
  - Follow dosage strictly as prescribed by your doctor, taking the capsule at evenly spaced intervals and at the same time daily to maintain consistent blood levels.
  
  - Do not stop treatment prematurely even if you feel better, as completing the full prescribed course is essential for preventing cardiovascular events.
  
  - Adopt supportive lifestyle changes such as a low-fat diet, regular exercise, and quitting smoking to enhance the medicine's effectiveness.
  
  - Be cautious of bleeding risks since this medicine increases bleeding tendency; avoid activities that may cause injury, be careful while shaving, cutting nails, or handling sharp objects, and avoid contact sports.
  
  - Inform your doctor immediately if you notice symptoms like yellowing of the skin or eyes, dark urine, unexplained muscle pain, or severe abdominal discomfort.
  
  - Disclose all existing health conditions such as liver disease, kidney disease, or bleeding disorders to your healthcare provider before starting this medicine.
  
  - Notify your doctor of all other medications you are taking to avoid harmful drug interactions, especially blood thinners, certain antibiotics, antifungals, and blood pressure medicines.
  
  - Avoid over-the-counter painkillers (like NSAIDs) without consulting your doctor, as they can increase the risk of stomach bleeding when combined with this medication.
  
  - If a dose is missed, take it as soon as you remember unless it is near the time of the next dose; do not double the dose to compensate.
  
  - Watch for overdose symptoms such as ringing in the ears, dizziness, headache, nausea, or vomiting and seek urgent medical attention if these occur.
  
  - Consult your doctor if pregnant, planning pregnancy, or breastfeeding before using this medication, as special precautions may be necessary.

Side Effects:
• Ecosprin-AV 75 Capsule is a combination medicine used to prevent heart attacks and strokes. Like all medicines, it may cause some side effects, which can vary in severity.
  
  Common Side Effects:
  - Headache
  - Nausea
  - Diarrhea
  - Indigestion or heartburn
  - Body pain, including muscle and joint pain
  - Abdominal pain or discomfort
  - Ringing in the ears
  - Nasal or throat inflammation
  - Insomnia (difficulty sleeping)
  - Abnormal liver function signs (may show as tiredness or jaundice)
  - Nosebleeds
  - Vomiting or upset stomach
  
  Serious Side Effects that require medical attention:
  - Vomiting blood or blood in vomit
  - Black or tarry stools
  - Blood in urine
  - Unusual bruising or purple spots on the skin
  - Signs of liver problems such as yellowing of the skin or eyes, dark urine, and fatigue
  - Severe stomach or back pain (possible kidney stones)
  - Muscle pain, cramps, weakness, or fever after taking the medicine
  - Increased or unusual bleeding, including heavy menstrual bleeding
  - Breathing difficulties or worsening asthma symptoms
  - Any unexplained signs of infection or allergic reaction
  
  If you experience any serious side effects, contact your healthcare provider immediately. It is important to take Ecosprin-AV exactly as prescribed and report any unusual symptoms to your doctor.

How to use:
• - Take Ecosprin-AV 75 Capsule exactly as prescribed by your doctor, at the same time each day to maintain consistent levels in your body.
  - Swallow the capsule whole with a glass of water. Do not crush, chew, break, or open the capsule.
  - It is best to take the capsule with food to reduce the risk of stomach upset.
  - If you miss a dose, take it as soon as you remember. If it is almost time for your next scheduled dose, skip the missed dose and continue as usual. Do not double the dose to make up for a missed one.
  - Store the capsules in a cool, dry place below 30°C, away from direct sunlight and out of reach of children and pets.
  - Do not stop taking the medicine without consulting your doctor, even if you feel better.
  - To help the medicine work better, avoid alcohol and maintain a healthy lifestyle with a balanced diet low in saturated fats and regular exercise.
  - Take care to avoid injuries and notify your doctor immediately if you notice unusual bleeding, bruising, yellowing of the skin, muscle pain, or dark urine.
  - Inform your doctor about all other medications you are taking to avoid drug interactions.
  
  These instructions help ensure the safety and effectiveness of Ecosprin-AV 75 Capsule in managing your heart and cholesterol health.

How it works:
• Ecosprin-AV 75 Capsule works by combining two key ingredients that support heart and blood vessel health in different but complementary ways.
  
  - Aspirin: It acts as a blood thinner by stopping tiny blood cells called platelets from sticking together and forming clots. This helps keep your blood flowing smoothly and reduces the chance of heart attacks or strokes caused by blockages.
  
  - Atorvastatin: This medicine lowers the "bad" cholesterol (LDL) in your blood by blocking an enzyme your body uses to make cholesterol. It also helps raise the "good" cholesterol (HDL). Reducing bad cholesterol slows down the buildup of fatty deposits in your arteries, keeping them clear and healthy.
  
  Together, aspirin prevents harmful clots while atorvastatin controls cholesterol levels, which greatly lowers the risk of heart attacks, strokes, and other cardiovascular problems. It's important to take this medicine exactly as your doctor prescribes to get the best protective effect.

Faq for medicine:
• What is Ecosprin-AV 75 Capsule used for?
  Ecosprin-AV 75 Capsule is used to prevent heart attacks and strokes and to treat high cholesterol and abnormal lipid levels. It helps lower "bad" cholesterol (LDL) and triglycerides while reducing the risk of blood clots that can cause heart problems.
  
  How should I take Ecosprin-AV 75 Capsule?
  Take the capsule exactly as your doctor prescribes, usually with food to avoid stomach upset. Try to take it at the same time every day to remember your dose. Do not stop the medicine without consulting your doctor, even if you feel better.
  
  What are the common side effects of Ecosprin-AV 75 Capsule?
  Common side effects include indigestion, joint pain, muscle pain, and trouble sleeping. Because it increases the risk of bleeding, be careful with activities that may cause cuts or injuries. Report any unusual bleeding, yellowing of skin, severe muscle pain, or dark urine to your doctor.
  
  What should I do if I miss a dose?
  If you miss a dose, take it as soon as you remember. If it is almost time for your next dose, skip the missed one and continue with your regular schedule. Do not take two doses at once to make up for a missed dose.
  
  Are there any important precautions I should know before taking Ecosprin-AV 75 Capsule?
  Tell your doctor if you have liver or kidney disease, bleeding problems, or if you are pregnant, planning to become pregnant, or breastfeeding. Inform your doctor about any other medicines you are taking to avoid dangerous interactions.
  
  Can I take Ecosprin-AV 75 Capsule with other medications or food?
  Ecosprin-AV 75 Capsule may interact with several medicines, including blood thinners, some antibiotics, and blood pressure drugs, increasing risk of side effects or bleeding. Avoid painkillers like NSAIDs unless your doctor says otherwise. Always check with your healthcare provider before combining it with other drugs or supplements.

Medicine interaction:
• When taking Ecosprin-AV 75 Capsule, it is crucial to inform your doctor about all medications, supplements, and foods you consume. This is because interactions between these substances can lead to adverse effects or reduce the effectiveness of the treatment. Here is a list of potential medicine and food interactions related to Ecosprin-AV 75 Capsule:
  
  - Cholestyramine and Colestipol: These bile acid sequestrants can reduce the absorption of certain medications, including statins like atorvastatin in Ecosprin-AV. It is recommended to take these drugs at least 4 hours apart.
  
  - Clofibrate and Fenofibrate: These drugs can increase the risk of muscle damage when taken with statins like atorvastatin.
  
  - Niacin: Combining niacin with atorvastatin can increase the risk of muscle damage and rhabdomyolysis.
  
  - Cyclosporine, Clarithromycin, Itraconazole, Tacrolimus, and Ezetimibe: These medications can increase the risk of muscle damage and other serious side effects when taken with atorvastatin.
  
  - Warfarin: Taking Ecosprin-AV with warfarin can increase the risk of bleeding due to the anticoagulant effects of aspirin.
  
  - Amlodipine and Digoxin: These heart medications can potentially increase side effects when used with Ecosprin-AV.
  
  - Ramipril and Lisinopril: These blood pressure medications may interact with Ecosprin-AV, potentially affecting blood pressure control.
  
  - Painkillers: Avoid taking NSAIDs or other painkillers with Ecosprin-AV, as they can increase the risk of stomach bleeding.
  
  - Caffeine: It is advisable to avoid or limit caffeine intake as it can increase the risk of certain side effects when combined with aspirin.
  
  - Alcohol: Consuming alcohol with Ecosprin-AV can have severe health effects and should be avoided.