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Diuretics and Synthetic Hypoglycemic Drugs
Diuretics and Synthetic Hypoglycemic Drugs

... heart attack, and an even higher risk of death from all cardiovascular diseases.  The FDA issued an alert on May 21, 2007.  In 2009 the study found that there was no increase in cardiovascular hospitalisation or death with rosiglitazone compared to metformin plus sulfonylurea, but the rate of hear ...
H. Antifungal agents
H. Antifungal agents

... Polyene membrane disrupters 1- Nystatin: - A tetraene agent that used topically. - No oral absorption, so used orally for mouth and GIT infections. 2- Amphotericin B: - Heptaene derivative with low enough toxicity for I.V use, but still toxic drug used with caution. - It does not cross BBB, so used ...
Review: misoprostol, double dose H2 receptor antagonists, and
Review: misoprostol, double dose H2 receptor antagonists, and

... Traditional NSAIDs cause endoscopic ulcers in up to 40% of patients who have long term exposure, but only 15% of the ulcers ever clinically manifest, with an annual incidence of serious complications of approximately 1.5%.1 Older patients ( > 65 y) and those with past peptic ulcer or comorbid condit ...
CHF Drugs
CHF Drugs

... and thrombosis -  fibrinolysis Wide & safe dosing: 2.5-40 mg/day Orally active & well absorbed ...
Dosage and Administration Dorixina Relax
Dosage and Administration Dorixina Relax

... Caution should be used when administering to patients with a history of digestive diseases like gastroduodenal peptic ulcer or gastritis and in patients treated with anticoagulants. Although no case with the administration of Lysine Clonixinate has been reported, it is known that NSAIDs inhibit the ...
Slajd 1 - Zakład Farmakologii Klinicznej w Poznaniu
Slajd 1 - Zakład Farmakologii Klinicznej w Poznaniu

... LIPID-LOWERING THERAPY ...
Atrial Fibrillation - Kaiser Permanente Provider
Atrial Fibrillation - Kaiser Permanente Provider

... an option in patients without cardiomyopathy but requires electrocardiographic monitoring for six hours after administration. Chemical cardioversion should be successful in 24 hours or less. After cardioversion, discharge to outpatient follow-up can usually be accomplished promptly in low risk patie ...
HIV treatment
HIV treatment

... and lastly a relatively new class, HIV fusion inhibitors. •HAART (Highly active antiretroviral therapy) is a combination therapy often used in the treatment of HIV, which is made up of a 3 or 4 drugs, usually 2 nucleoside reverse transcriptase inhibitors with a non-nucleoside reverse transcriptase i ...
Cardiac Tamponade Caused by Drug Interaction: A
Cardiac Tamponade Caused by Drug Interaction: A

... Amiodarone and Warfarin The well-known interaction between amiodarone and warfarin results in the prolongation of the prothrombin time and introduces a risk of bleeding;4 – 6 these effects have been attributed in part to interference with the hepatic degradation of warfarin.7 Amiodarone is often pre ...
Drug Interactions
Drug Interactions

... The renal excretion of active drug can also be affected by concurrent drug therapy.  The renal excretion of certain drugs that are weak acids or weak bases may be influenced by other drugs that affect urinary pH.  This is due to changes in ionization of the drug, under Ionization of Weak Acids and ...
15-2-7to10抗真菌病毒抗结核2
15-2-7to10抗真菌病毒抗结核2

... They are also useful in the treatment of intrinsically amphotericin-resistant organisms such as P boydii(波氏假霉样真菌). ...
`drug`.
`drug`.

... The drug must fit into the Binding Site and shape complementarity is an important feature of a drug molecule. Competitive enzyme inhibitors often bear a resemblance to the substrate, as they bind to the same Active Site. This is also true for some receptor antagonists, but not all. The strength of a ...
Gero-Rehab Course
Gero-Rehab Course

... slowly over 1 to 2 minutes through peripheral I.V. * Expect to administer another parenteral anticoagulant, such as heparin or enoxaparin, with oral warfarin for at least 3 days, or until desired response occurs, ...
Pharmacological Management of Type 2 Diabetes (excluding insulin
Pharmacological Management of Type 2 Diabetes (excluding insulin

... haematuria. Pioglitazone should be used with caution in elderly patients as the risk of bladder cancer increases with age -Pioglitazone should not be used in people who are at higher risk of fracture Pioglitazone-specialist -May be preferable if the person has marked recommendation insulin insensiti ...
Local New Medicine Treatment Protocol Template
Local New Medicine Treatment Protocol Template

...  Patients should be counselled on the symptoms and signs of bleeding prior to discharge from BGH and an information leaflet supplied. This is particularly important for the at risk patient groups highlighted above  Monitor eGFR in patients with renal impairment  Rivaroxaban is a black triangle ne ...
Cardiovascular Drugs
Cardiovascular Drugs

... 1-Amiodarone inhibits the activity of two cytochrome P450 enzymes, CYP2D6 and CYP2C9. As a consequence, it reduce the metabolism of certain drugs e.g. anticoagulants. The anticoagulant effects of warfarin is significantly increased when amiodarone is added. 2-Flecainide concentrations increase by an ...
Document
Document

... Clopidogrel – “Boxed Warning” Effectiveness is dependent on activation to an active metabolite via CYP2C19. Poor metabolizers of CYP2C19 treated with Clopidogrel at recommended doses exhibit higher cardiovascular (CV) event rates following acute coronary syndrome (ACS) or undergoing percutaneous co ...
Slide 1
Slide 1

... Delafuente J. Understanding and preventing drug interactions in elderly patients. Critical Reviews in Oncology/Hematology 2003; 48: 133-143. Gurwitz J, Field T, et al. Incidence and Preventability of Adverse Drug Events Among Older Persons in the ...
CYP2D6 - PGXL Laboratories
CYP2D6 - PGXL Laboratories

... converted to an active metabolite by CYP2C19 • Active metabolite is what elicits the desired antiplatelet response • ~ 30% of patients have deficiency in CYP2C19 ...
acetaminophen (paracetamol)
acetaminophen (paracetamol)

... Acetaminophen is analgesic and anti-pyretic drug, with some anti-inflammatory activity. Human toxicity Initial adverse effects of poisoning may be non-specific (nausea or vomiting) or absent. Clinical signs include e.g. hepatic necrosis, metabolic acidosis; renal tubular necrosis; myocardial damage; ...
anadrol®-50 - Meda Pharmaceuticals
anadrol®-50 - Meda Pharmaceuticals

... Liver cell tumors are also reported. Most often these tumors are benign and androgendependent, but fatal malignant tumors have been reported. Withdrawal of drug often results in regression or cessation of progression of the tumor. However, hepatic tumors associated with androgens or anabolic steroid ...
Appendix C: First-Line Antidepressants
Appendix C: First-Line Antidepressants

... Note: SSRIs can be associated with prolonged corrected QT interval. This can lead to Torsades de Pointes (a rare cardiac arrhythmia), especially at higher doses and if taking multiple QT interval prolonging medications. Risk factors for QT prolongation syndrome include: low ventricular ejections fra ...
Warfarin Therapy in Haemodialysis patients. doc
Warfarin Therapy in Haemodialysis patients. doc

... To manage warfarin therapy in haemodialysis patients - in conjunction with routine hemodialysis, without need to visit community clinics (avoiding multiple blood tests) - Maintain safe anticoagulation with initiating appropriate changes during at risk periods (eg surgery, interventions) - Reduce ble ...
Heart Failure
Heart Failure

... • agonists dobutamine as also dopamine provide relief in CHF but their long term use increases mortality ...
Antimalarial Drugs
Antimalarial Drugs

... Pharmacokinetics Absorption  Rapid and complete upon oral admin Distribution  Reaches max plasma concentration within 3 hours  Widely distributed in the tissue  Extensive plasma protein binding Metabolism  Hepatic metabolism Excretion  Long plasma half life (due to high Vd level) o 3-5 days o ...
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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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