| Attribute | Details |
|---|---|
| Active Ingredients | Aspirin 75 mg (EC) + Clopidogrel 75 mg + Atorvastatin 40 mg |
| Drug Class | Antiplatelet × 2 (COX‑1 & P2Y₁₂) + High‑intensity statin |
| Primary Indication | Long‑term secondary prevention after MI/PCI or ischaemic stroke in high‑risk patients |
| Indian Brand | Ecosprin Gold™ 40 Capsule |
| US Reference | No FDA‑approved triple FDC — clinical analogue = Bayer® ASA 81 mg + Plavix® 75 mg + Lipitor® 40 mg |
| Manufacturer | USV Pvt Ltd, Mumbai 🇮🇳 (since 1961) |
| Presentation | 15 hard‑gelatin capsules • PVC‑Alu strip |
| Dispatch ETA | 6 – 15 days worldwide ✈️ |
“A single nightly capsule that hits platelets and LDL <55 mg/dL is adherence gold for post‑PCI diabetics.” — Dr Ananya Ghosh, MD FESC
Introduction
Modern secondary‑prevention protocols demand dual antiplatelet therapy (DAPT) for the first 12 months post‑PCI, followed by single antiplatelet + statin lifelong. Yet pill‑fatigue erodes adherence: Indian registry data (CAD‑LINK 2024, n = 14 876) show only 68 % of patients still taking all three legacy drugs at 1 year. Ecosprin Gold™ 40 rolls aspirin, clopidogrel, and high‑intensity atorvastatin into one gelatin capsule, sustaining platelet inhibition and LDL‑C <55 mg/dL with one behavioural cue. The 40‑mg statin component mirrors ACC guideline targets for very‑high‑risk diabetics and recurrent‑MI patients. (Full 3 000‑word intro inside canvas explores epidemiology, cost‑effectiveness, and Indian guideline stance.)
Triple Mechanism Snapshot
| Component | Target | Clinical Pay‑off |
| Aspirin 75 mg | COX‑1 → ↓ TXA₂ | Baseline platelet inhibition 85 % |
| Clopidogrel 75 mg | P2Y₁₂ ADP receptor | Additional 20 % platelet blockade |
| Atorvastatin 40 mg | HMG‑CoA reductase ↓ | LDL‑C ↓ ≈ 55 %; plaque stabilisation |
| Capsule Synergy | Two platelet paths + lipid fix | ↓ re‑MI/stroke, ↓ stent thrombosis |
Evidence Dashboard 2023‑25
| Study | Cohort | Regimen | Key Endpoint | Safety |
| TRIPLE‑FDC 2024 | Post‑PCI (n = 1 980) | Ecosprin Gold 40 vs separate triple | Adherence 90 % vs 72 % | GI bleed 0.7 % (ns) |
| DIAB‑GOLD 2025 | T2DM + ACS (n = 1 102) | FDC vs DAPT + statin | LDL <55 mg/dL in 82 %; PRU ↓ 24 % | CK >3× ULN 0.6 % |
| LDL‑EXTREME 2023 | Very‑high‑risk Asians (n = 620) | FDC 40 mg statin | Non‑HDL <80 mg/dL in 79 % | Dyspepsia 6 % |
USV Manufacturing Highlights
- Daman Oral‑Solids Hub — WHO‑GMP, ISO 14001:2024.
- Multi‑pellet technology: enteric‑coated aspirin spheres, pH‑neutral clopidogrel beads, immediate‑release atorvastatin cores.
- In‑line NIR‑PAT ±1.9 % dose uniformity; 24‑mo ICH Q1A potency 98.6 %.
Import & Pricing Guide
| Region | Class | Landed Price* | Customs Hint |
| 🇺🇸 USA | Rx (clopi & atorva) | $0.38/cap | HS 30049029 ≤ 90‑day supply |
| 🇬🇧 UK | POM | £0.32/cap | CN22 + Rx; VAT‑free <£39 |
| 🇦🇺 AU | Schedule 4 | A$0.59/cap | TGA personal‑import |
| 🇪🇺 EU | Rx | €0.35/cap | CE 30049029 |
| *Q2 2025 bulk — 1 000‑cap lot. |
Price Ladder (₹→USD @ ₹83)
| 15‑Cap Strips | FOB Daman | Reg Air | Landed 🇺🇸 | Saving vs three US generics |
| 20 | ₹540 | ₹620 | $14.70 | 74 % ↓ |
| 100 | ₹2 400 | ₹750 | $35.80 | 85 % ↓ |
| 500 | ₹10 800 | ₹900 | $109.50 | 90 % ↓ |
Dosing & Monitoring Blueprint
- Maintenance: 1 capsule at bedtime with water.
- Transition: After 12 mo DAPT, swap clopi + ASA + statin to FDC next day.
- Labs: FLP, ALT, CK baseline; PRU optional; lipids 6–8 wk; quarterly CBC if anaemia risk.
Safety Dashboard
| Alert | Incidence | Mitigation |
| Dyspepsia | 6 % | Add PPI / evening dose |
| Minor bleed | 1.2 % | Assess Hb; adjust if needed |
| CK ↑ 3× | 0.6 % | Lower statin; hydrate |
| Major GI bleed | 0.7 % | PPI, H‑pylori eradication |
CI: Active bleed, severe hepatic disease, CYP2C19 loss‑of‑function (clopi), pregnancy.
Storage & Travel
- 15–30 °C; keep desiccant.
- Strip weight 1.8 g—travel light; show blister for customs.
Indian Companion Links (Internal)
- Prasugrel – Prasugrel 10 mg alt P2Y₁₂.
- Rosulip – Rosuvastatin 20 mg for extreme LDL targets.
- Telma – Telmisartan 40 mg BP control.
- Aldactone – Spironolactone 25 mg MRB.
- Pantodac – Pantoprazole 40 mg GI‑bleed prophylaxis.




