Buy clopidogrel birmingham

Clopidogrel brand names

Gently swirl the catheter-tip syringe to mix the tablet and the water. New England Journal of Medicine, 3597: 677-687. The absorption of omeprazole takes place in the small intestine and is usually completed within 3 to 6 hours. The systemic of omeprazole after repeated dose is about 60%. Before a needle biopsy, an intravenous IV line may be put into a vein in your arm. You may be given a sedative to help you relax. You will be awake during the biopsy.

Clopidogrel drug interactions

Lovenox is usually given every day until your bleeding condition improves. Follow all directions on your prescription label. Do not use this medicine in larger or smaller amounts or for longer than recommended. Toren P, Parkinson A. The proton pump inhibitor, omeprazole, but not lansoprazole or pantoprazole, is a metabolism-dependent inhibitor of CYP2C19: implications for coadministration with clopidogrel. If you get a stent, you will probably take plus another antiplatelet such as Plavix. If you get a drug-eluting stent, you will probably take both of these medicines for at least one year. If you get a bare metal stent, you will take both medicines for at least one month but maybe up to one year. Then, you will likely take daily long-term. If you have a high risk of bleeding, your doctor may shorten the time you take these medicines. You can work with your doctor to decide how long you will take both of these medicines.

Highlights for clopidogrel

ATPase in the gastric parietal cell. The S- and R-isomers of omeprazole are protonated and converted in the acidic compartment of the parietal cell forming the active inhibitor, the achiral sulphenamide. By acting specifically on the proton pump, esomeprazole blocks the final step in acid production, thus reducing gastric acidity. This effect is dose-related up to a daily dose of 20 to 40 mg and leads to inhibition of gastric acid secretion. Levomilnacipran is used to treat depression. It works by helping to restore the balance of certain natural substances serotonin and norepinephrine in the brain. Levomilnacipran belongs to a class of drugs known as serotonin-norepinephrine reuptake inhibitors SNRIs. It may improve your mood, sleep, and appetite and may help restore your interest in daily living.

Betzold, C M Galactagogues

In most people, over-the-counter pain medicines are enough to decrease discomfort. Bleeding at the puncture site. Severe allergic reactions rash; hives; itching; difficulty breathing or swallowing; tightness in the chest; swelling of the mouth, face, lips, throat, or tongue; unusual hoarseness; bloody or black, tarry stools; change in the amount of urine produced; coughing up blood; dark urine; fever, chills, or persistent sore throat; pain, swelling, or new drainage at wound sites; pink or red urine; red, swollen, blistered, or peeling skin; stiff, sore, hot, or painful joints; symptoms of anemia eg, unusual paleness, severe or persistent headache, shortness of breath, fast heartbeat, chest pain, unusual tiredness or weakness; symptoms of bleeding in the brain eg, sudden, severe headache; one-sided weakness; vision problems; slurred speech; confusion; symptoms of low blood pressure eg, fainting, dizziness or light-headedness; unexplained swelling; unusual or prolonged bruising or bleeding eg, abnormal menstrual periods, frequent nosebleeds, unusual bleeding from the gums, vaginal bleeding; vomit that looks like coffee grounds; yellowing of the skin or eyes.



Indications and usage of clopidogrel

Real men are always in the mood. If you have trouble swallowing a whole capsule, you can open the capsule and take the contents in applesauce. See the "" at the end of this Medication Guide for instructions on how to take Dexilant capsules with applesauce. Clotting isn't always a bad thing: When you cut yourself, it's what seals your wound and keeps you from losing too much blood. Blood thinners prevent clotting. So, even tiny cuts or will bleed a lot more if you take these drugs. It is unknown if this drug passes into breast milk. However, similar drugs pass into breast milk and are unlikely to harm a nursing infant. Consult your doctor before breast- feeding. The inhibitory effect of omeprazole occurs within 1 hour after oral administration. The maximum effect occurs within 2 hours. The duration of inhibition is up to 72 hours. When omeprazole is stopped, baseline stomach acid secretory activity returns after 3 to 5 days. The inhibitory effect of omeprazole on acid secretion will plateau after 4 days of repeated daily dosing. For an open biopsy, your doctor will tell you how soon before surgery to stop eating and drinking. Follow the instructions exactly about when to stop eating and drinking, or your surgery may be canceled. If your doctor has instructed you to take your medicines on the day of surgery, please do so using only a sip of water. You can eat your regular diet after the procedure. You may need to stay overnight in the hospital after an open biopsy is done.



Retrieved 8 December 2016

Since selective serotonin reuptake inhibitors SSRIs and serotonin norepinephrine reuptake inhibitors SNRIs affect platelet activation, the concomitant administration of SSRIs and SNRIs with clopidogrel may increase the risk of bleeding. ATPase pumps. These pumps are stimulated in the presence of food to aid in digestion. For this reason, patients should be advised to take omeprazole with a glass of water on an empty stomach. Additionally, most sources recommend that after taking omeprazole, at least 30 minutes should be allowed to elapse before eating at least 60 minutes for immediate-release omeprazole plus sodium bicarbonate products, such as Zegerid though some sources say that with delayed-release forms of omeprazole, waiting before eating after taking the medication is not necessary. British Journal of Clinical Pharmacology. Keep Clopidogrel tablets and all medicines out of the reach of children. Contact your doctor or health care provider right away if any of these apply to you. Frequent or severe that is not responding to medicine and lifestyle changes. Dexlansoprazole is the major circulating component in plasma regardless of CYP2C19 metabolizer status. In CYP2C19 intermediate and extensive metabolizers, the major plasma metabolites are 5-hydroxy dexlansoprazole and its glucuronide conjugate, while in CYP2C19 poor metabolizers dexlansoprazole sulfone is the major plasma metabolite. The combination of Plavix with non-steroidal anti-inflammatory drugs may cause risk of stomach and intestinal bleeding the same as high concentration of Plavix increase concentration of Coumadin if they are used concurrently and lead to excessive bleeding. acticin



Complete the What is a document?

Rates of spontaneous and elective abortions, preterm deliveries, gestational age at delivery, and mean birth weight were similar among the groups. Male infertility. Early research suggests that taking fenugreek seed oil drops by mouth three times daily for 4 months improves sperm count in men with a low concentration of sperm. But taking the other parts of the fenugreek seed does not seem to have this effect. Morange PE, Alessi MC, Bonnet JL. Comparison of omeprazole and pantoprazole influence on a high 150-mg clopidogrel maintenance dose the PACA Proton Pump Inhibitors And Clopidogrel Association prospective randomized study. Other tests, such as tests, may be done before your breast biopsy. Read the Patient Information Leaflet if available from your before you start using dalteparin and each time you get a refill. If you have any questions, ask your doctor or pharmacist. Omeprazole is completely metabolized by the system, mainly in the liver. Administer the mixture immediately into the mouth. Do not save the water and granule mixture for later use. generic doxazosin order uk doxazosin



Important information

Side effects may go away after you take the medicine for a while. Injection was studied in a placebo-controlled trial. McColl, Kenneth EL 2009. "Effect of proton pump inhibitors on vitamins and iron". The American journal of gastroenterology. Swafford S, Berens P. Effect of fenugreek on breast milk production. Thienopyridines inhibit platelet aggregation for the lifetime of the platelet 7 to 10 days. In rare cases a special test of your bone tissue frozen section is done while you are having an open biopsy. The bone taken for a frozen section is quickly frozen, thinly sliced, and looked at under a microscope. If cells are seen, your surgeon may take out some more of the bone during the procedure. Drink plenty of fluids as directed by your doctor to prevent and tell your doctor right away if you have a change in the amount of urine. Do not break or cut Dexilant SoluTab. Drugs that depend on an acidic stomach environment such as or may be poorly absorbed, whereas acid-labile antibiotics such as which is a very strong CYP3A4 inhibitor may be absorbed to a greater extent than normal due to the more alkaline environment of the stomach. Clopidogrel tablets USP 75 mg are available as pink colored, round, biconvex, film coated tablets debossed with "CI" on one side and plain on other side. Older adults may be more sensitive to the side effects of this drug, especially stomach bleeding and problems. More evidence is needed to rate fenugreek for these uses. Gently swirl the syringe in order to keep granules from settling. NSAIDs such as ibuprofen, naproxen, or aspirin.



PRILOSEC was taken alone

Sharma RD, Sarkar A, Hazra DK, and et al. Use of fenugreek seed powder in the management of non-insulin dependent diabetes mellitus. Irritation, bruising, and pain at the injection site may occur. If any of these effects persist or worsen, tell your doctor or promptly. The American Journal of Medicine. Prevent the artery wall from collapsing or closing off again restenosis. IIIa complex, thereby inhibiting platelet aggregation. This action is irreversible. Consequently, platelets exposed to clopidogrel's active metabolite are affected for the remainder of their lifespan about 7 to 10 days. Platelet aggregation induced by agonists other than ADP is also inhibited by blocking the amplification of platelet activation by released ADP. Rivaroxaban is a direct factor Xa inhibitor. It works by blocking the formation of blood clots. Major bleeds were cerebral bleeds or non-cerebral bleeds thought to have caused death or that required transfusion. PDF. World Health Organization. If you miss a dose of Dexilant, take it as soon as you remember. If it is almost time for your next dose, do not take the missed dose. Take your next dose at your regular time. Do not take 2 doses at the same time to make up for the missed dose. Advise patients to immediately report and seek care for diarrhea that does not improve. Disclaimer: Every effort has been made to ensure that the information provided is accurate, up-to-date and complete, but no guarantee is made to that effect. In addition, the drug information contained herein may be time sensitive and should not be utilized as a reference resource beyond the date hereof. This material does not endorse drugs, diagnose patients, or recommend therapy. AstraZeneca Pharmaceuticals LP Wilmington, DE 19850. Enlarged breast lobules adenosis which are small round lumps that sometimes can be felt. venta de cipro online en argentina cipro



Use of clopidogrel

When these combinations are prescribed by your doctor, you will require closer monitoring to minimize your risk of bleeding. Keep all medical and laboratory appointments. Other adverse events not observed with Nexium, but occurring with omeprazole can be found in the omeprazole package insert, ADVERSE REACTIONS section. Consult your healthcare professional before taking or discontinuing any drug or commencing any course of treatment. Omeprazole acts as an inhibitor of CYP2C19. This medication may cause vaccines to not work as well. Live vaccines may cause serious problems such as infection if given while you are using this medication. PPI therapy appropriate to the condition being treated. In a single-arm, open-label, multi-center trial, 104 pediatric patients 12 to 17 years of age with symptomatic non-erosive GERD were treated with Dexilant 30 mg capsules once daily, for 4 weeks to evaluate safety and effectiveness. Patients had a documented history of GERD symptoms for at least three months prior to screening, reported heartburn on at least 3 out of 7 days during screening, and had no esophageal erosions as confirmed by endoscopy. The median age was 15 years, with females accounting for 70% of the patients. During the 4 week treatment period, the median percentage of 24 hour heartburn free periods was 47%. FDA pregnancy category B. Lovenox is not expected to harm an unborn baby. However, some forms of this medication contain a preservative that may be harmful to a newborn. Tell your doctor if you are pregnant or plan to become pregnant during treatment. If you use Lovenox during pregnancy, make sure your doctor knows if you have a mechanical heart valve. Dexlansoprazole is supplied for oral administration as a dual delayed-release formulation in capsules and orally disintegrating tablets. Side Effects List Clopidogrel side effects by likelihood and severity. When possible, interrupt therapy with Plavix for five days prior to such surgery. Resume Plavix as soon as hemostasis is achieved. Store at room temperature between 68-77 degrees F 20-25 degrees C away from light and moisture. not store in the bathroom. Keep all medicines away from children and pets. Parkinson's disease. Research suggests that taking fenugreek seed extract Indus Biotech Private Limited, Pune twice daily for 6 months does not improve symptoms in people with Parkinson's disease. Resveratrol has been hypothesized to be responsible for low rates of heart disease in the French population compared to other populations, in spite of the fact that they have many risk factors including a high fat diet, smoking and consumption of high amounts of coffee. All of these are known contributors of high cholesterol, high blood pressure, stroke and heart attacks. In theory, this benefit in the French population is due to the consumption of moderate amounts of red wine, which is a source resveratrol. Other ingredients in wine or other factors may contribute to longevity seen in the French. buy now avana pills online



Clopidogrel side effects

Clopidogrel bisulfate which is the molar equivalent of 300 mg of Clopidogrel base. About 80% of an orally given dose is excreted as metabolites in the urine, and the remainder is found in the feces, primarily originating from bile secretion. You may have a large bandage or a compression device on your groin or arm at the catheter insertion site to prevent bleeding. You will likely stay one night in the hospital. Exercise regularly to help increase your blood flow. Walking is a good low-impact exercise. Talk to your healthcare provider about the best exercise plan for you. The area may be injected with a numbing medication under your skin. If a closed biopsy is done, you may go home shortly after the procedure. If you got a sedative, you may need to stay longer and have someone drive you home. Your doctor numbs your skin with a shot of numbing medicine where the biopsy needle will be inserted. Once the area is numb, a small cut is made in the skin. With a special X-ray to guide the needle, it is put into the suspicious area. Usually, more than one sample is taken through the same cut. You must lie still while the biopsy is done. Omeprazole is an inhibitor of CYP2C19 enzyme.



Clopidogrel forms and strengths

Symptoms of a overdose are vomiting, feeling exhausted or shortness of breath, and signs of blood in your stools or vomit, diarrhea, rush, itching. In case of serious manifestation of these adverse reactions call your doctor immediately. PRILOSEC can have other serious side effects. Dr. Duke's Phytochemical and Ethnobotanical Databases. Tell your doctor about all the medicines you take, including prescription and over-the-counter medicines, vitamins, and herbal supplements. Dexilant may affect how other medicines work, and other medicines may affect how Dexilant works. Especially tell your doctor if you take methotrexate Otrexup, Rasuvo, Trexall. Al-Jenoobi FI, Ahad A, Mahrous GM, Al-Mohizea AM, AlKharfy KM, Al-Suwayeh SA. Effects of fenugreek, garden cress, and black seed on theophylline pharmacokinetics in beagle dogs. Omeprazole has a high plasma protein binding rate 95% indicating that little amount of drug is transferred to the during breast milk formation. Monitor INR and prothrombin time. Dose adjustment of warfarin may be needed to maintain target INR range. See prescribing information for warfarin. Faeste CK, Namork E, Lindvik H. Allergenicity and antigenicity of fenugreek Trigonella foenum-graecum proteins in foods. Your doctor will tell you how soon before the procedure to stop eating and drinking. Follow the instructions exactly about when to stop eating and drinking, or your surgery may be canceled. If your doctor has instructed you to take your medicines on the day of surgery, please do so using only a sip of water. Prilosec omeprazole US prescribing information. Retrieved 29 March 2016. CYP2C19 is involved in the formation of both the active metabolite and the 2-oxo-clopidogrel intermediate metabolite. Clopidogrel active metabolite pharmacokinetics and antiplatelet effects, as measured by ex vivo platelet aggregation assays, differ according to CYP2C19 genotype. Patients who are homozygous for nonfunctional alleles of the CYP2C19 gene are termed "CYP2C19 poor metabolizers". Plavix clopidogrel bisulfate is a thienopyridine class inhibitor of P2Y 12 ADP platelet receptors. 1st pharmacy store pyrantel generic



NCCLS, Wayne, PA, January 2000

Protein binding is approximately 95%. PRILOSEC in pregnant women. Izzo, AA; Ernst, E 2009. "Interactions between herbal medicines and prescribed drugs: an updated systematic review". Drugs. Take this medication by with or without food as directed by your doctor, usually once daily. Take this medication regularly to get the most benefit from it. To help you remember, take it at the same time each day. Any number of things, some physical and some psychological. This medication may cause bleeding. Daily use of alcohol while using this medicine may increase your risk for stomach bleeding. Limit beverages. Ask your doctor or pharmacist about how much alcohol you may safely drink. Electronic Code of Federal Regulations. Title 21. Part 182 -- Substances Generally Recognized As Safe. Neeraja A and Pajyalakshmi P. Hypoglycemic effect of processed fenugreek seeds in humans. All treated patients received aspirin. All treated patients received aspirin. CI is 95% for Overall row only. Methylprednisolone may also be used with other medications in hormone disorders. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same times each day. This drug may make you dizzy or drowsy. not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Avoid beverages. Nor can they break up clots. But they do keep blood from getting thicker and forming new clots. They can also slow the growth of existing ones. Kochhar, A. and Nagi, M. Effect of supplementation of traditional medicinal plants on blood glucose in non-insulin-dependent diabetics: a pilot study. eglo.info lamivudine



Sprinkle intact granules on applesauce

Not getting a sample of the abnormal tissue. This drug may rarely cause serious rarely fatal bleeding from the stomach or intestines. Swedish Medical Birth Registry, covering approximately 99% of pregnancies, from 1995 to 99, reported on 955 infants 824 exposed during the first trimester with 39 of these exposed beyond first trimester, and 131 exposed after the first trimester whose mothers used omeprazole during pregnancy. The number of infants exposed in utero to omeprazole that had any malformation, low birth weight, low Apgar score, or hospitalization was similar to the number observed in this population. The number of infants born with ventricular septal defects and the number of stillborn infants was slightly higher in the omeprazole-exposed infants than the expected number in this population. Normal lung cells are present in the sputum sample. Check with your pharmacist about how to dispose of unused medicine. Promise quick results or miracle cures.



Clopidogrel ingredients

ANA may be positive and elevated serological test results may take longer to resolve than clinical manifestations. Cancer cells are present. Preventing and treating blood clots in certain patients. It is also used to reduce the risk of stroke and serious blood clots in certain patients with atrial fibrillation. Omeprazole is also available as an oral suspension of enteric-coated beads in the UK as an unlicensed product. Oral suspensions are predominantly used for children, but can also be used by those with difficulty swallowing or those using a feeding tube. Take this medication by mouth as directed by your doctor, usually with food or milk. Follow your dosing instructions carefully. The dosage and length of treatment are based on your medical condition and response to treatment. Different dosing schedules exist for this medication. If you are not taking the same dose each day or if you take this medication every other day, it may help to mark your calendar with a reminder. Consult your doctor or pharmacist if you have any questions. Yoshikawa, M. Medicinal foodstuffs. XVII. Fenugreek seed. 3: structures of new furostanol-type steroid saponins, trigoneosides Xa, Xb, XIb, XIIa, XIIb, and XIIIa, from the seeds of Egyptian Trigonellafoenum-graecum L. Chem Pharm. SSRIs and serotonin norepinephrine reuptake inhibitors SNRIs. Ask your doctor or pharmacist for a list of SSRI or SNRI medicines if you are not sure. It weakens your immune system's response to various diseases to reduce symptoms such as swelling and allergic-type reactions. Vacuum-assisted core biopsy. This is done with a probe that uses a gentle vacuum to remove a small sample of breast tissue. The single small cut doesn't require and leaves a very small scar. Place 1 tablespoon of applesauce into a clean bowl. The safety of Dexilant capsules were evaluated in 4548 adult patients in controlled and single-arm clinical trials, including 863 patients treated for at least six months and 203 patients treated for one year. Patients ranged in age from 18 to 90 years median age 48 years with 54% female, 85% Caucasian, 8% Black, 4% Asian, and 3% other races. Six randomized controlled clinical trials were conducted for the treatment of EE, maintenance of healed EE, and symptomatic GERD, which included 896 patients on placebo, 455 patients on Dexilant 30 mg capsules, 2218 patients on Dexilant 60 mg capsules, and 1363 patients on lansoprazole 30 mg once daily. NCCLS, Wayne, PA, January 2000. Clopidogrel must be changed to an active form in your body so that it can treat your condition. Some people do not change clopidogrel to its active form in the body as well as other people. Because the medication does not work as well in these people, they may be at a higher risk of having a heart attack or stroke. There are tests available to identify people who have trouble changing clopidogrel to an active form. Talk to your doctor about whether you should be tested. If you are found to have difficulty converting clopidogrel to its active form, your doctor may change your dose of clopidogrel or tell you not to take clopidogrel. buy casodex birmingham



1st pharmacy store clopidogrel generic

buy clopidogrel melbourne, shop clopidogrel contraindicaciones, buy clopidogrel new zealand online, buy clopidogrel cheap, brand clopidogrel remedio, clopidogrel where to buy visa, purchase cheap clopidogrel visa canada, price clopidogrel walmart, cost of non-generic clopidogrel, generic clopidogrel in usa, buy clopidogrel pills singapore, clopidogrel where to purchase pharmacy, purchase clopidogrel south africa, purchase clopidogrel review, order clopidogrel store australia, where to order clopidogrel store, canada clopidogrel tablet, buy clopidogrel uae, generic clopidogrel review, cheap clopidogrel alternatives, generic clopidogrel buy, drugs that affect clopidogrel, cheap clopidogrel capsules, generic clopidogrel forums, clopidogrel online pharmacy, purchase clopidogrel pct, brand clopidogrel online australia, price clopidogrel xarope, order clopidogrel instrukcija, price for clopidogrel in canada, clopidogrel price at tesco, rx generic drugs clopidogrel, cheapest clopidogrel with overnight delivery, purchase generic clopidogrel mastercard usa, mail order clopidogrel pharmacy, cost of clopidogrel at kroger, cost for clopidogrel otc, cheap clopidogrel instrukcija, buy brand clopidogrel australia, clopidogrel in singapore, clopidogrel mylan price, cost of clopidogrel in france, buy clopidogrel 10 mg, canada clopidogrel qt, price of clopidogrel in dubai, purchase generic clopidogrel payment europe, order cheap clopidogrel online shop, buy clopidogrel benefits, cheap clopidogrel order mastercard australia, clopidogrel usa price, purchase clopidogrel mastercard, purchase clopidogrel no rx, generic clopidogrel safe for dogs, clopidogrel online payment purchase, purchase now generic clopidogrel otc, money order clopidogrel store europe, clopidogrel buy payment uk, clopidogrel buy pepco, buy cheapest clopidogrel usa, cheap clopidogrel order online uk, price of clopidogrel cream in the philippines, off brand clopidogrel, clopidogrel pills online purchase, cheapest clopidogrel order online, buy now clopidogrel pills online, 1st pharmacy store clopidogrel generic, buy clopidogrel birmingham, venta de clopidogrel online en argentina, generic clopidogrel order uk

Cancer cells are present


Side effects of clopidogrel

In healthy adults, a concomitant administration of a standard high-fat breakfast contained approximately 800 to 1000 total calories, with 50% of calories being derived from fat content delayed the absorption of dexlansoprazole from Dexilant SoluTab 30 mg resulting in a median T max of 6 hours and decreased the C max on average by 38%. The carotid sinus, or carotid bulb, is a widening of a carotid artery at its main branch point. The carotid sinus contains sensors that help regulate blood pressure. The carotid artery pulse can normally be felt in the neck by pressing the fingertips against the side of the windpipe, or trachea. dramamine

Avoid taking Dexilant SoluTab with alcohol

What are the possible side effects of Clopidogrel tablets? You're more likely to get clots you don't need when you don't have the right balance between the kinds of proteins that cause and stop clotting in your blood. Yoshinari, O. and Igarashi, K. Anti-diabetic effect of trigonelline and nicotinic acid, on KK-Ay mice. Potential for increased exposure of digoxin.

Retrieved Dec 1, 2015

Tell your doctor if you are or if you plan to become pregnant. Following reconstitution and administration, discard any unused portion of esomeprazole solution. No one thing causes low libido. The adverse reaction profile in patients 12 to 17 years of age was similar to adults. Sharma RD, Sarkar A, Hazra DK, and et al. Toxicological evaluation of fenugreek seeds: a long term feeding experiment in diabetic patients.

How to take clopidogrel

Following 8 weeks of initial therapy and 16 weeks of maintenance therapy. Reported are the exact confidence limits. Includes patients with at least one post-baseline endoscopy. These drugs may increase the risk of bleeding problems if taken during treatment with dabigatran. Tell any doctor who treats you that you are using Lovenox. If you need surgery or dental work, tell the surgeon or dentist ahead of time that you are using this medication.

Esomeprazole is the S-isomer of omeprazole. Four epidemiological studies compared the frequency of congenital abnormalities among infants born to women who used omeprazole during pregnancy with the frequency of abnormalities among infants of women exposed to H2 receptor antagonists or other controls. Contrast dye is injected into blood vessels, and X-rays are taken of the neck, revealing images of the carotid arteries. A narrowing, or stenosis, and a bulging, or aneurysm, in the carotid artery may be detected by angiography. Resveratrol is available as dietary supplements from red wine extracts, grape seed extracts and Japanese knotweed extracts among others. Most supplements on the market are derived from Japanese knotweed because this plant has one of the highest concentrations of resveratrol found in nature. truvada

Learn more ยป