Avas Gold 20 Cap belongs to a class of medication called 'cardiovascular drugs' used to prevent heart attack and stroke. It also lowers bad cholesterol and triglyceride (TG) levels. Heart attack refers to blocked blood flow to the heart due to blockage of arteries. The blockage is mostly a build-up of cholesterol, fat, and other substances that form a plaque in the arteries which feed the heart (coronary arteries). A stroke occurs due to blocked blood flow to the brain.

Avas Gold 20 Cap is a combination of two blood thinners (Acetylsalicylic acid, Clopidogrel) and one lipid-lowering agent (Atorvastatin). Acetylsalicylic acid and Clopidogrel work by inhibiting platelets (blood cells) from sticking together. Thereby, it prevents the formation of blood clots. Atorvastatin belongs to the class of lipid-lowering medicines called statins that works by inhibiting the HMG-CoA reductase enzyme in the body that is essential to make cholesterol, thereby decreasing the production of LDL (bad cholesterol) by the liver. Thus, it reduces the risk of stroke or heart attack by reducing the brain's excess cholesterol deposition and the heart's major blood vessels.

Take Avas Gold 20 Cap as prescribed by your doctor. You are advised to take Avas Gold 20 Cap for as long as your doctor has prescribed it for you based on your medical condition. Some people may experience indigestion, nausea, headache, diarrhea, constipation, increased bleeding tendency, nose bleeding, blood in the urine, back pain, muscle pain, or joint pain. Most of these side effects of Avas Gold 20 Cap do not require medical attention and gradually resolve over time. However, if the side effects persist, please consult your doctor.

If you are allergic to Avas Gold 20 Cap or any other medicines, please tell your doctor. Avoid using Avas Gold 20 Cap if you are pregnant or breastfeeding woman and consult a doctor before taking Avas Gold 20 Cap . If you are about to undergo any surgery, inform your doctor that you are taking Avas Gold 20 Cap as it should be stopped a minimum of 1 week before surgery as Avas Gold 20 Cap may increase the risk of bleeding. Avoid taking Avas Gold 20 Cap if you have severe liver disease, including abnormal liver enzyme tests. You are recommended to maintain a time gap of 2 hours between taking Avas Gold 20 Cap and antacids containing magnesium or aluminum as taking these medicines simultaneously may reduce the absorption of Avas Gold 20 Cap .

Avas Gold 20 Cap is a combination of three drugs: Acetylsalicylic acid, Clopidogrel, and Atorvastatin used to prevent heart attack and stroke. Acetylsalicylic acid and Clopidogrel work by reducing blood clot formation by preventing platelets (blood cells) from sticking together. Atorvastatin belongs to the class of lipid-lowering medicines called statins that inhibits the HMG-CoA reductase enzyme in the body that is essential to make cholesterol. Thereby, it decreases the production of LDL (bad cholesterol) by the liver. Also, it reduces the risk of stroke or heart attack by reducing the excess cholesterol deposition in the major blood vessels of the brain and heart. 

• Indigestion
• Nausea
• Headache
• Drowsiness
• Runny Nose
• Diarrhea
• Constipation
• Increased bleeding tendency
• Nose bleed
• Blood in the urine
• Back pain
• Muscle pain
• Joint pain

If you are allergic to Avas Gold 20 Cap or any other medicines, please tell your doctor. If you have hypothyroidism (underactive thyroid gland), muscle problems, severe respiratory failure, asthma, high blood pressure, gout, stomach ulcer, bleeding disorders, liver, kidney, or heart problems, inform your doctor before taking Avas Gold 20 Cap . Avoid using Avas Gold 20 Cap if you are a pregnant or breastfeeding woman and consult a doctor before taking Avas Gold 20 Cap . If you are about to undergo any surgery, inform your doctor that you are carrying Avas Gold 20 Cap as it should be stopped a minimum of 2 weeks before surgery as Avas Gold 20 Cap may increase the risk of bleeding. Maintain a low-fat diet along with Avas Gold 20 Cap for effective results. Avoid taking Avas Gold 20 Cap if you have severe liver disease, including abnormal liver enzyme tests. You are recommended to maintain a time gap of 2 hours between taking Avas Gold 20 Cap and antacids containing magnesium or aluminum as taking these medicines simultaneously may reduce the absorption of Avas Gold 20 Cap . You are advised to be careful while using sharp objects, cutting nails, shaving, or engaging in contact sports such as wrestling or football as Avas Gold 20 Cap may increase bleeding risk. 

Drug-Drug Interaction: Avas Gold 20 Cap may have interaction with other medicines used to lower bad cholesterol (gemfibrozil, fenofibrate, ezetimibe), immunosuppressants (ciclosporin, tacrolimus), blood thinners (warfarin, heparin, phenindione), antibiotics (clarithromycin, telithromycin, erythromycin, fusidic acid, rifampicin), antifungals (voriconazole, fluconazole),  anticancer drug (methotrexate, paclitaxel), antiviral drugs (ritonavir, lopinavir, atazanavir, darunavir, indinavir), water tablets (furosemide), heart-related medicines (digoxin, amiodarone, verapamil), antimanic drug (lithium), anticonvulsants (valproate, phenytoin, carbamazepine), pain killer (ibuprofen), antidiabetic drug (glibenclamide), antacids (esomeprazole, omeprazole), antidepressants (sertraline, paroxetine, moclobemide), gout medicine (probenecid), medicines used to treat glaucoma (acetazolamide).

Drug-Food Interaction: Avas Gold 20 Cap may interact with grapefruit juice. Therefore, it is recommended to avoid the consumption of grapefruit juice with Avas Gold 20 Cap . This combination may increase the risk of liver damage and a serious condition known as rhabdomyolysis (muscle tissue breakdown). Also, avoid foods rich in high cholesterol or fats as it may reduce the effectiveness of Avas Gold 20 Cap .  Avoid alcohol consumption with Avas Gold 20 Cap as it may increase the risk of liver problems or stomach bleeding. Avas Gold 20 Cap may also interact with St. John’s wort (herbal supplement for depression).

Drug-Disease Interaction: If you have hypothyroidism (underactive thyroid gland), muscle problems, severe respiratory failure, asthma, high blood pressure, gout, stomach ulcer, bleeding disorders, liver, kidney, or heart problems, inform your doctor before taking Avas Gold 20 Cap .

• GEMFIBROZIL
• FENOFIBRATE
• EZETIMIBE
• CICLOSPORIN
• TACROLIMUS
• WARFARIN
• HEPARIN
• PHENINDIONE
• CLARITHROMYCIN
• TELITHROMYCIN
• ERYTHROMYCIN
• FUSIDIC ACID
• RIFAMPICIN
• VORICONAZOLE
• FLUCONAZOLE
• METHOTREXATE
• PACLITAXEL
• RITONAVIR
• LOPINAVIR
• ATAZANAVIR
• DARUNAVIR
• INDINAVIR
• FUROSEMIDE
• DIGOXIN
• AMIODARONE
• VERAPAMIL
• LITHIUM
• VALPROATE
• PHENYTOIN
• CARBAMAZEPINE
• IBUPROFEN
• GLIBENCLAMIDE
• ESOMEPRAZOLE
• OMEPRAZOLE
• SERTRALINE
• PAROXETINE
• MOCLOBEMIDE
• PROBENECID
• ACETAZOLAMIDE

• Maintain a low-fat diet. Limit your intake of dairy products made with whole milk and red meat. Prefer skim milk and fat-free or low-fat dairy products.
• Eat a healthy diet that includes fruits, vegetables, fish, poultry, whole grains, nuts and cut down beverages, processed and sugary foods.
• Do regular exercises such as swimming, cycling, walking or dancing and focus on losing weight as obesity also raises bad cholesterol and lowers good cholesterol.
• Avoid smoking and alcohol intake.

• Regular lipid profile test is recommended to monitor your cholesterol levels, including LDL (bad cholesterol) and Triglycerides (TG). 
• If any chest pain and left-hand pain immediately contact your doctor, it may be a sign of a heart attack. 
• Avoid intake foods that contain saturated fatty acid.  
• Prefer intake of food containing oils like polyunsaturated fatty acid (PUFA), monounsaturated fatty acid (MUFA), and omega 3 fatty acid.  

Heart attack: It refers to blocked blood flow to the heart due to blockage of arteries. The blockage is most often a build-up of fat, cholesterol, and other substances, which form a plaque in the arteries that feed the heart (coronary arteries). A heart attack's symptoms include discomfort in the chest or upper areas of the body, shortness of breath, or lightheadedness.

Stroke: It occurs due to blocked blood flow to the brain. Symptoms of stroke include arm weakness and speech difficulty. Heart attack or stroke may occur due to high cholesterol, high blood pressure, diabetes, obesity, smoking, family history, or lack of physical activity.