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IMPORTANT SAFETY INFORMATION

What is the most important information I should know about Effient?

Effient^® (prasugrel) can cause bleeding. If you have unexplained or excessive bleeding while on Effient, contact your doctor right away as some bleeding can be serious, and sometimes fatal. Do not take Effient if you currently have abnormal bleeding, such as stomach or intestinal bleeding, bleeding in your head, or have a history of stroke, or “mini-stroke” (also known as transient ischemic attack or TIA).

Get medical help right away if you suddenly have slurring of speech, weakness or numbness in one part of your body, blurry vision, and/or severe headache. These may be symptoms of a stroke or TIA. If you have a stroke or TIA while taking Effient, your doctor will probably stop your Effient.

Before having any surgery, you should talk to your doctor about stopping Effient. If possible, Effient should be stopped at least 1 week (7 days) before any surgery, as instructed by the doctor who prescribed Effient for you.

You may also have a higher risk of bleeding if you take Effient and you: a) are age 75 or older, b) weigh less than 132 pounds, c) are taking anticoagulants (eg, warfarin) or regular daily use of NSAIDs, d) have had recent trauma, such as an accident or surgery, e) have severe liver problems, or f) have a stomach ulcer.

Do not stop taking Effient without talking to the doctor who prescribes it for you. People who are treated with angioplasty and have a stent, and stop taking Effient too soon, have a higher risk of a blood clot in the stent, having a heart attack, or dying.

What should I tell my doctor before taking Effient?

Tell your doctor about all of your medical conditions, allergies, and medicines you are taking.

What are the possible side effects of Effient?

Bleeding is the most common side effect of Effient.

TTP, a rare but life-threatening condition, has been reported with Effient, sometimes after a short time (less than 2 weeks). Get medical attention right away if you develop the following unexpected symptoms of TTP: fever, weakness, yellowing of the skin or eyes, or if skin becomes very pale or dotted with purple spots.

Serious allergic reactions can happen with Effient, or if you have had a serious allergic reaction to the medicines Plavix^® (clopidogrel) or ticlopidine. Get medical help right away if you get any of these symptoms of a severe allergic reaction: swelling or hives of your face, lips, in or around your mouth, or throat, trouble breathing or swallowing, chest pain or pressure, dizziness or fainting.

Other side effects may occur. For more information, talk to your doctor or pharmacist.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

For more information about Effient, please see the Full Prescribing Information, including Boxed Warning regarding bleeding risk, and Medication Guide.

PGDTCISI03Oct2011.

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Co-pay Card We provide an Effient^® (prasugrel) Co-pay Card so you can save on your Effient prescription. It covers the portion of your co-pay over $25 up to a maximum of $20 for each of your next 11 refills of Effient. This card should be taken along with your prescription to your retail pharmacy. Subject to certain limitations. See Eligibility and Restrictions. When signing up for the Effient Co-pay Card, you may also register for Esstential Habits™, a free program that provides ongoing support about how to maintain your new stent and protect your heart. As a member, you'll learn about: Working with your doctor* and the importance of asking questions and sharing Setting realistic, achievable goals with help from our Goal Tracker Eating healthier with AHA-recommended recipes Finding ways to be more active (always discuss with your doctor first), starting with a free pedometer Yes, I would like to join Esstential Habits™ as well as receive an Effient Co-pay Card. Eligibility Criteria Offer void where prohibited by law. This offer is invalid for patients whose prescription claims for EFFIENT are reimbursed, in whole or in part, by (1) any governmental program, including, without limitation, Medicaid, Medicare, or other federal or state program, such as Champus, the VA, TRICARE, or a state pharmaceutical assistance program, or (2) any third-party payer in the state of Massachusetts. Offer is void in the following state for transaction processing: Massachusetts. Available only in United States and Puerto Rico for residents of the US and PR. Who is eligible to use the Effient Co-pay Card? This offer is not available for patients whose prescription claims for Effient^® (prasugrel) are reimbursed by any governmental program including: Medicaid Medicare Any other federal or state program, such as Champus, the VA, TRICARE, or a state pharmaceutical assistance program Any third-party payer in Massachusetts Available only in United States and Puerto Rico for residents of the United States and Puerto Rico. Please refer to Effient Co-pay Card for complete eligibility restrictions. Other restrictions and limitations may apply. Offer void where prohibited by law. This offer is unavailable for patients who are under the age of 18. Based on the criteria above, are you eligible for the Effient Co-pay Card? Yes No, but I would still like to enroll in the Esstential Habits Program.	In the United States, more than a million people have a heart attack each year.

Effient is indicated to help reduce the risk of a future heart-related event, such as a heart attack or stent clot, in patients who had an acute coronary syndrome (ACS) event that was treated with angioplasty. The loading dose of Effient is 60 mg and the maintenance dose is 10 mg once daily. Effient is available in 5-mg and 10-mg tablets.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about Effient?

What should I tell my doctor before taking Effient?

Tell your doctor about all of your medical conditions, allergies, and medicines you are taking.

What are the possible side effects of Effient?

Bleeding is the most common side effect of Effient.

Other side effects may occur. For more information, talk to your doctor or pharmacist.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch or call 1-800-FDA-1088.

For more information about Effient, please see the Full Prescribing Information, including Boxed Warning regarding bleeding risk, and Medication Guide.

Prescribing Information• Medication Guide • Safety Information and Boxed Warning• Site Map

^®Effient and the Effient logo are registered trademarks of Eli Lilly and Company.
™Esstential Habits and the Esstential Habits logo are trademarks of Eli Lilly and Company.
Plavix^® is a registered trademark of sanofi-aventis Corp.
Trademarks not owned by Daiichi Sankyo, Inc. and/or Lilly USA, LLC are the property of their respective owners.
This site is intended for U.S. residents age 18 and over.
Copyright © 2011 Daiichi Sankyo, Inc. and Lilly USA, LLC. All Rights Reserved. PG71870 10/2011. PGDTCISI03Oct2011.

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about Effient?

What should I tell my doctor before taking Effient?

What are the possible side effects of Effient?

Co-pay Card

Eligibility Criteria

Who is eligible to use the Effient Co-pay Card?

Based on the criteria above, are you eligible for the Effient Co-pay Card?

IMPORTANT SAFETY INFORMATION

What is the most important information I should know about Effient?

What should I tell my doctor before taking Effient?

What are the possible side effects of Effient?