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Treatment of tuberculosis in renal disease
Treatment of tuberculosis in renal disease

... on chronic ambulatory peritoneal dialysis (CAPD). There are no randomised controlled trials that provide evidence to guide TB treatment in renal failure. Current treatment guidelines are based on reports from case series, the known pharmacological characteristics of the drugs used, and recommendatio ...
3rd year antidepressant part 22011-09
3rd year antidepressant part 22011-09

... Metabolism: P450 through glucuronide or sulfate conjugation They are enzyme inhibitor  Weak inhibitors < Sertraline, Citalopram  interaction  Strong inhibitors > Fluoxetine, Paroxetine  metabolism of TCA, neuroleptic, some antiarrhythmic, β-blockers. Primarily excreted through kidney; not paro ...
Oral Anticoagulants in Atrial Fibrillation
Oral Anticoagulants in Atrial Fibrillation

...  Antithrombotic drugs, including anticoagulants and antiplatelets are used to help prevent ischemic stroke in patients with non-valvular AF. They also increase the risk of serious bleeding.  Warfarin, a vitamin K antagonist, has been the mainstay of therapy for many years. It is effective in preve ...
Full-Text PDF
Full-Text PDF

... vessel and the obstruction of blood flow through the circulatory system that underlies three major cardiovascular diseases including acute coronary syndrome, stroke and venous thromboembolism [1]. Venous thromboembolism affects millions of people every year and is responsible for hundreds of thousan ...
Herb-drug interactions - Weatherford High School
Herb-drug interactions - Weatherford High School

... volunteers & cardiac patients showed no effect of Asian ginseng on INR, platelet aggregation. Monitor closely. American ginseng (Panax quinquefolius) – RCT in healthy volunteers indicated moderately reduced INR, warfarin levels, AUC(total drug exposure over time). Avoid with warfarin. Many other Asi ...
Limitations of Use
Limitations of Use

... between Addyi and alcohol increases the risk of severe hypotension and syncope. Alcohol use is contraindicated. Before prescribing Addyi, the healthcare provider should assess the likelihood of the patient abstaining from alcohol use. Addyi Risk Evaluation and Mitigation Strategy (REMS) Program. Add ...
LIVALO - Kowa Pharmaceuticals America
LIVALO - Kowa Pharmaceuticals America

... 5.1 Skeletal Muscle Effects Cases of myopathy and rhabdomyolysis with acute renal failure secondary to myoglobinuria have been reported with HMGCoA reductase inhibitors, including LIVALO. These risks can occur at any dose level, but increase in a dose-dependent manner. LIVALO should be prescribed wi ...
Drug use in renal and hepatic disorders.
Drug use in renal and hepatic disorders.

... ECF ( ascites, edema) & ↓↓ muscle mass. •↓↓ plasma protein binding due to impaired albumin production or drug displacement from accumulated substance normally cleared by the liver •↑ Bio avail through ↓↓ first pass metabolism •↓↓ Bioavailability due to malabsorption of fats in cholestatic liver dise ...
BAHAGIAN PERKHIDMATAN FARMASI
BAHAGIAN PERKHIDMATAN FARMASI

... Valganciclovir is contraindicated in patients with known hypersensitivity to valganciclovir ,ganciclovir or to any component of the product. Due to the similarity of the chemical structure of valganciclovir and that of aciclovir and valaciclovir, a cross-hypersensitivity reaction between these drugs ...
Attachment: Product Information Brivaracetam
Attachment: Product Information Brivaracetam

... Brivaracetam is eliminated primarily by metabolism and by excretion in the urine. More than 95% of the dose, including metabolites, is excreted in the urine within 72 hours after intake. Less than 1% of the dose is excreted in faeces and less than 10% of brivaracetam is excreted unchanged in urine. ...
Statins and Macrolide Antibiotics: Defining the Risk
Statins and Macrolide Antibiotics: Defining the Risk

... the risk of adverse outcomes for each statin because of limited sample size. However, CYP3A4 inhibitors such as macrolides increase the plasma concentrations of lovastatin and simvastatin by up to 10-fold while only increasing the concentration of atorvastatin by up to 4-fold. This difference in the ...
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antidotesjbcole1

... (reduced form - GSH) • GSH reduces NAPQI, allowing it to be cleared via the kidneys ...
Intranasal Medication Dosing Chart
Intranasal Medication Dosing Chart

... Prior to using a nasal medication, inspect the nostril for significant amounts of blood or mucous discharge. Presence of these will limit medication absorption. Suctioning the nasal passage prior to delivery and/or alternated delivery options should be considered. ...
AL Chemistry Group Project (TAS)
AL Chemistry Group Project (TAS)

... Gefitinib is absorbed slowly after oral administration with mean bioavailability of 60%.Elimination is by metabolism (primarily CYP3A4) and excretion in feces. The elimination half-life is about 48 hours. Daily oral administration of gefitinib to cancer patients resulted in a 2-fold accumulation com ...
Pharmacology 19c – Epilepsy and Anticonvulsants
Pharmacology 19c – Epilepsy and Anticonvulsants

... - Metabolised by hepatic glucuronidation (no phase 1 metabolism). Side effects Main one is rash, others are less common and include headache, blood dyscrasia, ataxia, diplopia and dizziness, sedation, insomnia, mood disturbance. It also has a number of drug interactions • Lamotigrine does not inhibi ...
ROZEREM Tablet
ROZEREM Tablet

... In the first trial, ROZEREM 16 mg once daily or placebo was administered to 99 healthy volunteer subjects for 4 weeks. This study evaluated thyroid axis, adrenal axis and reproductive axis. No clinically significant endocrinopathies were demonstrated in this study. However, the study was limited in ...
chapter 2 - Eastbourne, Hailsham and Seaford CCG
chapter 2 - Eastbourne, Hailsham and Seaford CCG

... 1. Propranolol is included for the management of conditions such as thyrotoxicosis, migraine and anxiety only. Standard formulations should be used first line. For patients where compliance might be a problem, the modified release (M/R) formulation may be considered. 2. Labetalol may be used for the ...
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... gentian, goldenseal, etc), Valerian, Saw Palmetto Cappuzzo K. Consultant Pharmacist 2006;11:911-915 ...
Anticoagulation-Warfarin - National Medical Research Council
Anticoagulation-Warfarin - National Medical Research Council

... venous and arterial thrombosis and embolism. Whilst the benefits of treatment have been clearly documented, the high risk/benefit profile of oral anticoagulants is a major impediment to initiation of therapy. Warfarin has a narrow therapeutic index, with bleeding as its most serious complication. Wa ...
Easily distinguished on the shelf
Easily distinguished on the shelf

... WARNINGS Patients treated with parenteral aminoglycosides should be under close clinical observation because of the potential ototoxicity and nephrotoxicity associated with their use. Safety for treatment periods which are longer than 14 days has not been established. Neurotoxicity, manifested as ve ...
Stroke Prevention in Atrial Fibrillation: Focus on Latin America
Stroke Prevention in Atrial Fibrillation: Focus on Latin America

... The use of oral anticoagulants as a prophylactic treatment for those at increased risk of thromboembolism is key for the prevention of stroke in patients with AF.9 Vitamin K antagonists (VKAs), including warfarin, remain one of the most widely used approaches for stroke prevention in non-valvular AF ...
SHEET L.12 SLIDE 4(Strategies to reduce medication
SHEET L.12 SLIDE 4(Strategies to reduce medication

...  What's the relationship between medical errors and preventable adverse drug events? Preventable adverse drug event is harm resulting from a medication error.  Strategies to prevent medication errors: I should have an accurate patient information and drug information.  High alert medications: All ...
Herb-drug interactions
Herb-drug interactions

... volunteers & cardiac patients showed no effect of Asian ginseng on INR, platelet aggregation. Monitor closely. American ginseng (Panax quinquefolius) – RCT in healthy volunteers indicated moderately reduced INR, warfarin levels, AUC. Avoid with warfarin. Many other Asian herbs with known platelet ag ...
AZOPT ® Suspension
AZOPT ® Suspension

... such as ketoconazole, itraconazole, clotrimazole, ritonavair and troleandomycin, will inhibit the metabolism of brinzolamide by CYP3A4. Caution is advised if CYP3A4 inhibitors are given concomitantly. Brinzolamide is not an inhibitor of cytochrome P-450 isozymes. Concomitant use of salicylates (e.g. ...
irbesartan
irbesartan

... death has occurred in some studies of patients with heart failure, and although such deaths may have reflected the natural history of the underlying heart failure, caution is recommended when treating such patients with irbesartan. At this time, experience is limited with irbesartan in the treatment ...
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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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