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Slide 1
Slide 1

... Mechanism unknown, but may include: Interaction with other chemotherapeutic agents  Antibody-dependent cell-mediated cytotoxicity  Downregulation/inhibition of ERBB2 signalling ...
Pain Anticoagulation Guidelines
Pain Anticoagulation Guidelines

... Aspirin also influences coagulation through non-TXA2- mediated effects, including dosedependent inhibition of platelet function, suppression of plasma coagulation, and enhancement of fibrinolysis.39,50-61 Secondary hemostasis and thrombus stability is also impaired, due to aspirin’s acetylation of f ...
Ticagrelor for patients with acute coronary syndrome
Ticagrelor for patients with acute coronary syndrome

... urinary and vaginal bleeding. GI side effects also included nausea, vomiting, diarrhoea and abdominal pain. Dyspnoea: in the PLATO study, 11.8% of patients reported dyspnoea with ticagrelor, and approximately 1% withdrew from ticagrelor as a result. Most reported symptoms of dyspnoea were mild to mo ...
New Drug Update
New Drug Update

...  Inhibits cyclin-dependent kinase (CDK) 4 and 6  CDK 4 and 6 are downstream signaling pathways that lead to cell multiplication. Inhibiting this pathways prevents cells from moving for G1 into S phase of the cell cycle ...
Product Monograph
Product Monograph

... ELMIRON® was evaluated for the treatment of interstitial cystitis in two placebo-controlled, randomized clinical trials. Approximately equal numbers of patients received either placebo or ELMIRON® 100 mg three times a day over a three-month double-blind period. Overall clinical evaluation was based ...
Full Prescribing Information
Full Prescribing Information

... rolapitant crosses the blood brain barrier and occupies brain NK1 receptors. A dose-dependent increase in mean NK1 receptor occupancy was observed in the dose range from 4.5 mg to 180 mg of rolapitant. At the 180 mg dose of rolapitant, the mean NK1 receptor occupancy was 73% in the striatum at 120 h ...
ANNE ARUNDEL MEDICAL CENTER
ANNE ARUNDEL MEDICAL CENTER

... The diluted solution is used by the pharmacy to draw up the bolus dose for nursing. Never administer nesiritide directly from the vial. ...
Angiotensin Receptor Blockers - Advantages of the
Angiotensin Receptor Blockers - Advantages of the

... adverse reactions, well tolerated side effect profile and cost effectiveness. A growing realization is their beneficial pleotropic effects. Antihypertensive agents are widely used to reduce the risk of cardiovascular events partly beyond that of blood pressure-lowering. The RAAS, and its primary med ...
NSTEMI standing orders
NSTEMI standing orders

... Prasugrel (at the time of PCI) 60 mg po x 1 (loading dose),c then 10 mg/d po. Do not use prasugrel in patients with active pathological bleeding or a history of TIA or stroke. In patients ≥75 years of age, prasugrel is generally not recommended because of the increased risk of fatal and intracranial ...
1 Objectives Diuretic Agents 1. Review the physiology of sodium
1 Objectives Diuretic Agents 1. Review the physiology of sodium

... Explain the mechanism of action of b-lactam antibiotics. Describe the pharmacokinetic properties of penicillins. Discuss primary therapeutic indications for penicillin G. Describe the repository penicillins. Explain the major side effects of penicillins. Describe the indications for broad-spectrum p ...
Inhibitors of transglutaminase 2: A therapeutic option in
Inhibitors of transglutaminase 2: A therapeutic option in

... TG2 changes its conformation during activation significantly: Two domains are shifted away and the active site is exposed.[2] ...
Chemical Teratogenesis
Chemical Teratogenesis

... • drug or other foreign substance • reactive metabolite • conjugate or oxidise • excretion ...
Review Pharmacodynamic and pharmacokinetic interactions
Review Pharmacodynamic and pharmacokinetic interactions

... spurred various pre-clinical and in vitro investigations on a series of other herbal remedies. In this review, pharmacokinetic and pharmacodynamic studies that have been conducted for some of more important or widely used phytopharmaceuticals are critically evaluated. Furthermore, various drug inter ...
- ISpatula
- ISpatula

... Less gastric bleeding and ulceration than ASA (S.E: dyspepsia, heartburn, Nausea, anorexia, epigastric pain) Ibuprofen effect on platelet aggregation, unlike that of ASA, is reversible within 24 hours. Caution: avoid using alcohol or warfarin+ ibuprofen  prolongation of prothrombin time ...
OTC analgesics
OTC analgesics

... Less gastric bleeding and ulceration than ASA (S.E: dyspepsia, heartburn, Nausea, anorexia, epigastric pain) Ibuprofen effect on platelet aggregation, unlike that of ASA, is reversible within 24 hours. Caution: avoid using alcohol or warfarin+ ibuprofen  prolongation of prothrombin time ...
Cytochrome P450 Drug Interactions Table
Cytochrome P450 Drug Interactions Table

... amine tricyclics (e.g., nortriptyline, desipramine) if nonresponsive to SSRIs. Are often on multiple other medications (beware of drug interactions). Metabolism is slower; start with lower doses, increase doses slowly. Discontinuing Antidepressant Therapy (10) While antidepressant medications are ge ...
Next Generation Therapeutics for Disorders of Complement
Next Generation Therapeutics for Disorders of Complement

... Can vary PK properties and route of administration Allows different pricing structures for different indications Weekly (depot) formulation Druggability of RA101495 binding site has been used to identify true small molecule inhibitors of C5 ...
SUMMARY OF PRODUCT CHARACTERISTICS 4 CLINICAL
SUMMARY OF PRODUCT CHARACTERISTICS 4 CLINICAL

... administered either in single or divided doses is significantly less irritating to the gastrointestinal tract than aspirin. Some epidemiological studies have suggested that ...
antibiotics - US Elsevier Health Bookshop
antibiotics - US Elsevier Health Bookshop

... bowel activity; avoid constipation. Patient/Family Teaching: Change positions slowly to avoid orthostatic hypotension. Take medication as ordered; do not stop taking or increase dosage. Avoid driving or performing tasks that require mental acuity until response to drug controlled. Extremely importan ...
Tutorial - 5: Cardiovascular Drug Development: ACE inhibitors, Beta
Tutorial - 5: Cardiovascular Drug Development: ACE inhibitors, Beta

... 30. The name of the compound (K) is ___________________________ and it’s a prodrug of ___________________________ which is used for the treatment of hypertension mainly in combination with _____________________diuretics. ...
EKOS ® Acoustic Pulse Thrombolysis ™ Treatment
EKOS ® Acoustic Pulse Thrombolysis ™ Treatment

... vasculature. The EkoSonic™ Endovascular System is CE Marked for the treatment of pulmonary embolism with a ≥50% clot burden in one or both main pulmonary arteries or lobar pulmonary arteries, and evidence of right heart dysfunction based on right heart pressures (mean pulmonary artery pressure ≥25 m ...
Decozol, Oral gel
Decozol, Oral gel

... cisapride may be inhibited by miconazole. These medicines should, therefore, not be used by patients receiving DECOZOL Oral Gel. (see Contraindications). Antagonism between miconazole and amphotericin B has been reported in vitro and in vivo. In studies miconazole and amphotericin combination were a ...
highlights of prescribing information full prescribing
highlights of prescribing information full prescribing

... Benicar is indicated for the treatment of hypertension, to lower blood pressure. Lowering blood pressure reduces the risk of fatal and nonfatal cardiovascular events, primarily strokes and myocardial infarctions. These benefits have been seen in controlled trials of antihypertensive drugs from a wid ...
Avapro - Sanofi Canada
Avapro - Sanofi Canada

... The use of ARBs including AVAPRO, or of ACE inhibitors, with aliskiren-containing drugs is contraindicated in patients with moderate to severe renal impairment (GFR < 60 ml/min/1.73m2). (See CONTRAINDICATIONS and DRUG INTERACTIONS, Dual Blockade of the Renin-Angiotensin-System (RAS) with ARBs, ACE ...
Measure Information Form:
Measure Information Form:

... to be used in those situations where a practice has already adopted a protocol for the management of a selected high-alert medication. Where a practice does not have a protocol in place this should be developed using national guidance e.g. NPSA. We recommend that practices use measures like this one ...
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Discovery and development of direct thrombin inhibitors



Direct thrombin inhibitors (DTIs) are a class of anticoagulant drugs that can be used to prevent and treat embolisms and blood clots caused by various diseases. They inhibit thrombin, a serine protease which affects the coagulation cascade in many ways. DTIs have undergone rapid development since the 90's. With technological advances in genetic engineering the production of recombinant hirudin was made possible which opened the door to this new group of drugs. Before the use of DTIs the therapy and prophylaxis for anticoagulation had stayed the same for over 50 years with the use of heparin derivatives and warfarin which have some well known disadvantages. DTIs are still under development, but the research focus has shifted towards factor Xa inhibitors, or even dual thrombin and fXa inhibitors that have a broader mechanism of action by both inhibiting factor IIa (thrombin) and Xa. A recent review of patents and literature on thrombin inhibitors has demonstrated that the development of allosteric and multi-mechanism inhibitors might lead the way to a more safer anticoagulant.
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