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ST elevation
ST elevation

... Recent evidence indicates that, compared with thrombolytic therapy, primary PCI is associated with reduced morbidity and mortality. Primary PCI is not without limitations ; There is a risk of major bleeding and vascular complications, usually at the femoral artery access site. Acute renal failure c ...
Phenobarbitone Elixir 15mg/5mL
Phenobarbitone Elixir 15mg/5mL

... protocol that included phenobarbitone, results indicated a higher than normal incidence of hepatic carcinoma. Previously some of the patients had been treated with thorotrast, a drug known to cause hepatic carcinomas. When patients who had received thorotrast were included, there was a none signific ...
Elinogrel, an orally and intravenously available ADP
Elinogrel, an orally and intravenously available ADP

... multifactorial mechanisms. Individual risk assessment including platelet function testing (PFT) can help to identify high risk patients, although recent randomized trials to investigate effects of PFT-guided therapy have failed to detect an impact on prognostic outcome. Poor response to standard ant ...
Histones Differentially Modulate the Anticoagulant and
Histones Differentially Modulate the Anticoagulant and

... of each anticoagulant, producing at least 60% inhibition of ETP, and the CAT assay was performed in the presence of increasing concentrations of histones. As shown in Fig. 2A, the effect of histones varied considerably depending on the drug tested. The anticoagulant activity of UFH and enoxaparin wa ...
Expert position paper on the use of proton pump inhibitors in
Expert position paper on the use of proton pump inhibitors in

... stomach into the plasma pool compared with an acidic pH, whereas low pH was associated with warfarin precipitation on the gastric wall mucosa and with slower plasma absorption.33 Proton pump inhibitors may thus accelerate warfarin absorption. Proton pump inhibitors and warfarin are both metabolized ...
AVAPRO (irbesartan) tablets
AVAPRO (irbesartan) tablets

... hypotension, renal failure, and death. When pregnancy is detected, discontinue irbesartan as soon as possible. These adverse outcomes are usually associated with use of these drugs in the second and third trimesters of pregnancy. Most epidemiologic studies examining fetal abnormalities after exposur ...
Prescribing Information
Prescribing Information

... ELMIRON® is a weak anticoagulant (1/15 the activity of heparin). At a daily dose of 300 mg (n = 128), rectal hemorrhage was reported as an adverse event in 6.3% of patients. Bleeding complications of ecchymosis, epistaxis, and gum hemorrhage have been reported (see ADVERSE REACTIONS). Patients under ...
Tylenol (Acetaminophen) Ingestion
Tylenol (Acetaminophen) Ingestion

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Polypharmacy—August 2010
Polypharmacy—August 2010

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Drug Utilization and the Pharmaceutical Pipeline: Correctional
Drug Utilization and the Pharmaceutical Pipeline: Correctional

... • Identify new agents in development and compare them with currently available treatment options by therapeutic class as well as summarize first time generic dates of availability of commonly used agents over the next 24 months. • Assess the impact of new medications and newly approved generic formu ...
CARDIAC- PSYCHOTROPIC DRUG INTERVENTIONS Drug
CARDIAC- PSYCHOTROPIC DRUG INTERVENTIONS Drug

... or nefazodone . Or, a beta blocker that does not employ cytochrome P2D6 metabolism, e.g., metoprolol could be considered. Monitor alpha or beta blocking effects if carvedilol and fluoxetine are administered simultaneously. Clopidogrel/Phenobarbital: (Non specified): There are no data to predict the ...
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Is there a difference between an angiotensin

... trials with 958 000 people with hypertension mainly, but other cardiac conditions were also included in this meta-analysis.3 They concluded that the five major classes of blood pressure (BP)-lowering drugs had a similar effect in reducing coronary heart disease events and strokes for a given reducti ...
product information - Secure Data Warehouse
product information - Secure Data Warehouse

... QT/QTc Interval)) and relevant pre-existing cardiac diseases (i.e. myocardial ischaemia, arrhythmia, congestive heart failure, *cardiomyopathy). (See also PHARMACOLOGY, Non-clinical QT Interval Data). Drug Interactions Concomitant medication with other drugs that possess anticholinergic properties m ...
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Pharmacokinetics Warfarin
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... • The interaction of aspirin and warfarin is due to warfarin being displaced from protein binding sites causing an increased INR. False (It doesn’t displace binding sites) • Low Extraction Drug: Css,u= D/Clint • A chronic alcoholic can be expected to have consistently decreased INR. True • Patients ...
Colistin® - Colistimethate sodium for injection
Colistin® - Colistimethate sodium for injection

... In cystic fibrosis patients, neurological events have been reported in up to 27% of patients. These are generally mild and resolve during or shortly after treatment. Neurotoxicity may be associated with overdose, failure to reduce the dose in patients with renal insufficiency and concomitant use of ...
Anithypertensive_drugs_and_its_classifications
Anithypertensive_drugs_and_its_classifications

... ◦ Peripheral sympatholytic drugs such as alphaadrenoceptor and beta-adrenoceptor antagonists block the influence of norepinephrine at the effector organ (heart or blood vessel) ◦ Ganglionic blockers that block impulse transmission at the sympathetic ganglia ◦ Block sympathetic activity within the br ...
full Prescribing Information
full Prescribing Information

... Mesalamine is known to be substantially excreted by the kidney, and the risk of adverse reactions may be greater in patients with impaired renal function. Evaluate renal function in all patients prior to initiation and periodically while on Asacol HD therapy. Monitor patients with known renal impair ...
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Learn more about IC from Elmiron
Learn more about IC from Elmiron

... ELMIRON® is a weak anticoagulant (1/15 the activity of heparin). At a daily dose of 300 mg (n = 128), rectal hemorrhage was reported as an adverse event in 6.3% of patients. Bleeding complications of ecchymosis, epistaxis, and gum hemorrhage have been reported (see ADVERSE REACTIONS). Patients under ...
SW_QA257.4_LMWH_in_renal_impairment _PROPHYLAXIS _Final
SW_QA257.4_LMWH_in_renal_impairment _PROPHYLAXIS _Final

... compared to 4.1% with UFH (p=0.005), which was a relative risk of 3.21 (95% CI 1.4 to 7.34) (23). In patients with CrCl<30ml/min, the relative risk of major bleeding with enoxaparin compared with UFH was 4.68 (95% CI 1.06 to 20.59) (23). In the post-intervention period the rate of major bleeding did ...
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Nonvalvular Atrial Fibrillation and Stroke

... in this respect must be made on a case-by-case basis. ...
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Transformation of Peptides into Non-Peptides

... designing enzyme inhibitors by mimicking the topography of reaction pathway intermediates [1], medicinal chemists today seek to discover an equivalent strategy for developing molecular replacements for the binding components of both enzyme inhibitors and receptor antagonists and agonists. The hope i ...
Product Monograph
Product Monograph

... Concomitant use of drugs affecting hemostasis may increase the risk of bleeding. These include antiplatelet agents, such as aspirin (ASA), P2Y12 platelet inhibitors, other antithrombotic agents, fibrinolytic therapy and chronic nonsteroidal anti-inflammatory drugs (NSAIDs). Long term concomitant tre ...
eprint_1_30658_130
eprint_1_30658_130

... dysphoric disorder, and bulimia nervosa (only fluoxetine is approved for this last indication). Pharmacokinetics 1- All of the SSRIs are well absorbed after oral administration. 2- Peak levels are seen in approximately 2 to 8 hours on average. 3- Food has little effect on absorption (except with ser ...
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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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