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MOVI-COX ®
MOVI-COX ®

... impairment (i.e. in patients with a creatinine clearance of greater than 25 ml/min). As with other NSAIDs, occasional elevations of serum transaminases or other parameters of liver function have been reported. In most cases these have been small and transient increases above the normal range. If the ...
Pharmacokinetics and dosage adjustment in patients with hepatic
Pharmacokinetics and dosage adjustment in patients with hepatic

... of the hepatic elimination mechanisms and the unbound drug fraction in blood or plasma The intrinsic clearance will be reduced to a degree determined by the functional status of the liver and the specific metabolic pathway(s) involved in the elimination of the drug Because the unbound fraction of dr ...
Ontwikkeling en validatie van een hoge druk
Ontwikkeling en validatie van een hoge druk

... • Maintenance dose: 2 x 2 mg/kg or 2 x 100 mg  Child A and B cirrhosis (Child C: no data) • Loading dose idem • Maintenance dose: 2 x 2 mg/kg or 2 x 100 mg ...
Stroke Prevention in Atrial Fibrillation (SPAF): Pocket Reference
Stroke Prevention in Atrial Fibrillation (SPAF): Pocket Reference

... pronounce warfarin’s effects, are malnourished, debilitated, have heart failure, acutely ill or had recent surgery ...
AHA Science Advisory
AHA Science Advisory

... randomized clinical trials to conclusively demonstrate their superior safety. For patients who do not tolerate these simple interventions or who require long-term or high-dose therapy, the issues become more complex. Long-term or high-dose therapy with aspirin and other NSAIDs is associated with inc ...
Hydrogen Bonding: The Last Mystery in Drug Design?
Hydrogen Bonding: The Last Mystery in Drug Design?

... interacts with Gly216 is reduced to –CH2–, affinity decreases only by a factor of 4 [32]. Sometimes, it seems that exact shape similarity is more important for affinity than the formation of hydrogen bonds. 2,4-Difluorotoluene, sterically mimicking thymine, is a striking example. Although this analo ...
QA163_3_SSRIsandGIbleeding
QA163_3_SSRIsandGIbleeding

... NSAID: OR 9.1; 95% CI: 4.8-17.3 in non-users of acid suppressors versus OR 1.1; 95% CI: 0.3-3.4 in current users of acid suppressors. In context, this would mean that for every 2000 patients receiving an SRI only, or every 250 patients receiving an SRI with an NSAID, without GI protection, one patie ...
HiDAC (High Dose Cytarabine) for AML
HiDAC (High Dose Cytarabine) for AML

... Administration: ...
Journal about antidepressant drugs U.N 42904891 Date:18
Journal about antidepressant drugs U.N 42904891 Date:18

... Have a family or personal history of successful treatment with MAOIs ...
alprolix - Biogen Canada
alprolix - Biogen Canada

... thromboembolic complications (e.g., pulmonary embolism, venous thrombosis, and arterial thrombosis). Due to the potential risk for thromboembolic complications, monitor patients on ALPROLIX for early signs of vascular thrombotic events. Hepatic/Biliary/Pancreas Specific studies of ALPROLIX in patien ...
Prescription Must contain all of the following Except : name of
Prescription Must contain all of the following Except : name of

... c- A and B d- None of the above 121- Intraosseus injection (IO) refers to injection into the: a- Bone marrow* b- Superficial skin layer c- Muscle mass d- Pleural fluid 122- The generic name of Cotrimozazole is: a- Bactrim b- Ultracef c- Comazole d- None of the above* 123- The recommended dose of par ...
Vaginitis Presentation
Vaginitis Presentation

... longer than 7 days, therapy should be resumed by starting with the lowest dosage level. Pregnancy: Teratogenic Effects, category B. Nursing Mothers Pediatric Use ...
Production Information
Production Information

... for the current episode of pain. Back pain was the most common reason for pain (57%). Laxative use within the two weeks prior to enrolment was reported by 71% of patients and by 84% percent within 6 months prior to enrolment. Primary end-point: Response to study drug in Studies 04 and 05 Efficacy an ...
Class Update: Sodium-glucose Cotransporter 2 (SGLT2) Inhibitors
Class Update: Sodium-glucose Cotransporter 2 (SGLT2) Inhibitors

... neuropathy) between different treatments for type 2 diabetes mellitus (T2DM).12 Evidence‐based recommendations in new clinical practice guidelines from  the American Diabetes Association (ADA), Institute for Clinical Systems Improvement (ICIS), and the National Institute for Health and Care Excellen ...
Polyenes (nystatin, amphotericin B)
Polyenes (nystatin, amphotericin B)

... capsules is improved with food while the solution is best absorbed on an empty stomach. c. Tissue, pus, and bronchial secretion concentrations are generally higher than plasma levels. CSF and ocular levels are low. d. Itraconazole is primarily metabolized in the liver by CYP3A4 and also inhibits thi ...
Prevention of stroke and systemic embolization in atrial fibrillation: a
Prevention of stroke and systemic embolization in atrial fibrillation: a

... concomitant use of Drugs that promote bleeding or excess alcohol. The score allows clinicians to cal‑ culate an individual patient risk of major bleed‑ ing ranging from about 1% (score, 0–1) to 12.5% (score, 5) (TABLE 2 ). The HAS‑BLED schema is sim‑ pler to remember and easier to use than other mor ...
2nd T. 6th L. Updated - Home - KSU Faculty Member websites
2nd T. 6th L. Updated - Home - KSU Faculty Member websites

... "housekeeping" COX-1 isoenzyme found in the GIT, kidneys, and platelets  Coxibs selectively bind to and block the active site of the COX-2 enzyme much more effectively than that of COX-1  Coxibs have analgesic, antipyretic, and anti-inflammatory effects similar to those of nonselective NSAIDs but ...


... failure'21. In treatment of hypertension for over 16 years and heart failure for over 10 years, information has accumulated not only on ACE inhibitors as a therapeutic class but also on a number of individual drugs. Many more have been studied in pre-clinical and early clinical research (up to 70 co ...
Word version of Full Report
Word version of Full Report

... protease) enables the conversion of fibrinogen into fibrin during the coagulation cascade, its inhibition prevents the development of thrombus. Dabigatran also inhibits free thrombin, fibrin-bound thrombin and thrombin-induced platelet aggregation.3 ...
Protein Binding Drug-Drug Interaction between Warfarin and
Protein Binding Drug-Drug Interaction between Warfarin and

... clinically important when the displaced medication is a narrow therapeutic index drug. There has been concern that inhibition of warfarin protein binding could affect the anticoagulant activity of the drug. By decreasing protein binding of warfarin, tizoxanide increased the plasma concentrations of ...
Nonsteroidal Anti- Inflammatory Drugs analgesic, anti
Nonsteroidal Anti- Inflammatory Drugs analgesic, anti

... analgesics such as morphine  anti-inflammatory - these drugs are used to treat inflammatory diseases and injuries, and with larger doses - rheumatoid disorders ...
Clindamycin Basics Clinical Pharmacology
Clindamycin Basics Clinical Pharmacology

... Oral: 600 mg 1 hour before procedure with no follow-up dose needed I.M., I.V.: 600 mg within 30 minutes before procedure. Intramuscular injections should be avoided in patients who are receiving anticoagulant therapy. In these circumstances, orally administered regimens should be given whenever poss ...
nhse_qa43_7_final - Specialist Pharmacy Service
nhse_qa43_7_final - Specialist Pharmacy Service

... guaranteed and the daily dose of oestrogen may need to be increased (8). The maximum dose of ethinylestradiol that should be used is uncertain. Guillebaud recommends a dose of 80 - 90 micrograms daily, the FSRH suggest a maximum of 70 micrograms daily and NICE guidance states it can be increased to ...
PREFACE-2
PREFACE-2

... hypertensive patients with unilateral or bilateral renal artery stenosis, increases in blood urea nitrogen and serum creatinine may occur. In such patients, renal function should be monitored during the first few weeks of therapy. Evaluation of the hypertensive patient should always include assessme ...
MODULE VII
MODULE VII

... Is used as a analgesic Is used as a anti-inflammatory agent Is used as a antipyretic But can cause stomach damage Is used to prevent coronary heart disease (CHD) via platelet aggregation In what other cases should aspirin NOT be used? ...
< 1 ... 29 30 31 32 33 34 35 36 37 ... 65 >

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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