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RM-Ii3201  B DIS SPECIFICATION
RM-Ii3201 B DIS SPECIFICATION

... white Clot Syndrome It has been reported that patients on heparin may develop new thrombus formation in association with thrombocytopenia resulting from irreversible aggregation of platelets induced by heparln, the so-called ‘white dot syndrome.’ The process may lead to severe thrombocmbolic complic ...
Tutorial NSAIDs
Tutorial NSAIDs

...  Locally to prevent or treat post opthalmic inflammation  A topical gel for solar keratosis ...
Bridion (sugammadex)
Bridion (sugammadex)

... Used for adults undergoing general surgery for the reversal of neuromuscular blockade induced by vecuronium or rocuronium Hypersensitivity to sugammadex or any component of the product None Use not recommended with severe renal impairment or dialysisdependent patients Pregnancy: no adequate or well- ...
New Drugs 2016 - Oregon Academy of Family Physicians
New Drugs 2016 - Oregon Academy of Family Physicians

... – 12 months by the Am Coll of Cardiology/Am Heart Asso (ACC/AHA) – 6-12 months by European guidelines – followed by aspirin monotherapy • extended therapy (>12 months) compared with 12‐month therapy – reduction in stent thrombosis (NNT 100‐250) and MI (NNT 50‐125), but increased risk of major bleedi ...
Levocetirizine dihydrochloride
Levocetirizine dihydrochloride

... concentration time curve (AUC) values are about 2-fold greater than those in adults. The mean Cmax was 450 ng/mL achieved at 1.2 hours (Tmax). Total body clearance was 30% greater and elimination half-life was 24% shorter in children than in adults. In a population pharmacokinetics study in children ...
Management of Oral Anticoagulation Therapy: A Review of Principles
Management of Oral Anticoagulation Therapy: A Review of Principles

... Warfarin exerts its anticoagulant effect by interfering with the hepatic synthesis of vitamin Kdependent clotting factors, including factors II, VII, IX and X and the natural anticoagulant proteins C and S. (Figure 5.2) These factors and proteins are biologically inactive without the carboxylation o ...
PDF Article
PDF Article

... The optimal dose of aspirin in vascular diseases remains controversial. Although low aspirin doses (⬍100 mg daily) have potential advantages over higher doses, a recent meta-analysis has shown that in patients at high risk for vascular events, there was a similar reduction of events over a dose rang ...
Pharynx, larynx, trachea
Pharynx, larynx, trachea

... Lansoprazole Pantoprazole Rabeprazole ...
Use of Thromboelastography (TEG) for Detection of New Oral
Use of Thromboelastography (TEG) for Detection of New Oral

... time, Heptest (American Diagnostica, Stamford, Connecticut), prothrombinase-induced clotting time, and chromogenic factor IIa, either do not correlate well with drug levels or are cumbersome and lengthy to perform. The difficulty of managing trauma patients receiving dabigatran was highlighted by Co ...
Oral anticoagulation in atrial fibrillation – Balancing the risk of stroke
Oral anticoagulation in atrial fibrillation – Balancing the risk of stroke

... Events in AF, ASA—acetylsalicylic acid, CAD—coronary artery disease, CrCl—creatinine clearance, CYP—cytochrome P450, DM—diabetes mellitus, GI—gastrointestinal, HF—heart failure, HTN—hypertension, INR—international normalized ratio, LVEF—left ventricular ejection fraction, MI—myocardial infarction, N ...
Clinically significant drug interactions
Clinically significant drug interactions

... metabolism, excretion or actual clinical effect. Nonsteroidal anti-inflammatory drugs, antibiotics and, in particular, rifampin are common precipitant drugs prescribed in primary care practice. Drugs with a narrow therapeutic range or low therapeutic index are more likely to be the objects for serio ...
Digoxin – Loading Dose Guide (Adults)
Digoxin – Loading Dose Guide (Adults)

... Prescribe and administer the loading dose in 2 portions with half of the total dose given as the first portion and the second portion 6 hours later. Write “LOADING Dose” on the prescription Add dose to 50 - 100mL of Sodium chloride 0.9% or glucose 5% Administer using a rate controlled infusion pump ...
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PDF

... 2- Data partners retrieve query 3- Data partners review and run query against ...
Antidepressants in Hepatic Failure Antidepressants in Renal Failure
Antidepressants in Hepatic Failure Antidepressants in Renal Failure

... This information has been developed by the authors and department listed above at The Ohio State University Medical Center and is intended for use only within the institution. The information is not meant to be applied rigidly and followed in all cases. Professional judgment must remain central to t ...
NSAIDs
NSAIDs

...  Interactions possible and dangerous, but some are rather dubious, allowing many of them to be safe enough for OTC use  Most interaction effects are on NSAIDs. This allows for increased safety in the presence of P450 interactions due to the wide therapeutic range of many NSAIDs  It would be inter ...
IKOREL® - Product Information
IKOREL® - Product Information

... nicorandil and the sympathetic-adrenergic system or neurohumoural mechanism. Indirect activation of the adrenergic system and the renin-angiotensin system may occur as a result of excessive vasodilation or reduction in blood pressure, but only at doses higher than the therapeutic recommended dosage. ...
ENZYMES
ENZYMES

... Drugs may also act as false substrates, where the drug molecule undergoes chemical transformation to form an abnormal product that subverts the normal metabolic pathway. An example is the anticancer drug fluorouracil, which replaces uracil as an intermediate in purine biosynthesis but cannot be conv ...
aocpmr.org
aocpmr.org

... • No benefit for preventing venous thrombosis (DVT, PE) Clopidogrel (Plavix) • ADP Receptor Inhibition → Decrease Platelet Aggregation • Similar spectrum of use as aspirin Warfarin (Coumadin) • Inhibits Epoxide Reductase in liver • Prevents recycling of Vit. K • Prevents gamma glutamination of facto ...
Review of Oral Medications for Optometrists with the assistance of
Review of Oral Medications for Optometrists with the assistance of

... and maximum daily doses will be discussed, which are prerequisites before prescribing oral pharmaceutical agents. Course Objectives  To review adverse/allergic reactions to oral medications  To review the FDA Pregnancy Categories for medications  To discuss renal impairment and its impact on pres ...
File
File

... reuptake inhibitors are generally preferred. These drugs appear to be as effective as tricyclic antidepressants and cause less toxicity. A possible disadvantage of fluoxetine PROZAC, SARAFEM is the long elimination half-life, especially of its active metabolite. Paroxetine PAXIL is more sedating tha ...
Drugs for Dementia
Drugs for Dementia

... Inducers of CYP3A4 (including carbamazepine, phenytoin, and rifampicin) may lower donepezil levels. Smoking tobacco increases the clearance of rivastigmine. The risk of adverse effects, including bradycardia, may be increased if an acetylcholinesterase inhibitor is given with amiodarone or other ant ...
Reviewing the reality: why we need to change * Peter J. Lin Introduction
Reviewing the reality: why we need to change * Peter J. Lin Introduction

... favour of forming blood clots. Hence, our role is to restore that balance by using anticoagulants. What anticoagulant strategies are available to prevent clot formation and to restore the haemostatic balance? One approach has been the use of heparins (unfractionated and low-molecular-weight heparins ...
PHARMACOLOGY – Simplified, not Mystified
PHARMACOLOGY – Simplified, not Mystified

... The liver, drugs and the cytochrome P450 system (CYP450) • Family of isoenzymes that metabolize drugs--CYP • CYP3A4—40-60% of total hepatic and extrahepatic enzymes; the extrahepatic enzymes are located primarily along the brush border of the small intestine • Drugs/foods can be either inducers or ...
Reducing the risk
Reducing the risk

... one of her patients. Mr G had been an inpatient at the local hospital, where he had been anticoagulated with warfarin. After discharge, he had become unwell and been readmitted to the hospital. Unfortunately, he had died from a subdural haematoma, secondary to a grossly elevated INR. There had been ...
3. Antiproliferative and antimetabolic drugs
3. Antiproliferative and antimetabolic drugs

... • Pharmacological effects • a selective, noncompetitive, and reversible inhibitor of inosine monophosphate dehydrogenase (IMPDH, 次黄嘌呤单核苷磷酸脱氢酶) , which is an important enzyme in the de novo pathway of guanine nucleotide (鸟嘌呤苷酸) synthesis and B and T lymphocytes are highly dependent on this pathway fo ...
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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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