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Novel Low Molecular Weight Lignins for use as an Anticoagulant
Novel Low Molecular Weight Lignins for use as an Anticoagulant

... anticoagulants have been introduced in the clinic, but these continue to suffer from enhanced bleeding risk. There is a clinical need for a potent anticoagulant which doesn’t demonstrate the wide range of side-effects seen with existing compounds ...
PARENTERAL ANTICOAGULANTS
PARENTERAL ANTICOAGULANTS

... Offers possibility of post-op prophylaxis against DVT with same or better efficacy as preop administration of LMWH  Small but real incidence of wound hematomas (nil if given > 6 hrs post-op); bleeding risk otherwise similar to LMWH  Avoids problems with administration of drug during regional anest ...
1315_Ansell_EB4E2
1315_Ansell_EB4E2

...  Does not bind to a range of cardiovascular, antiepileptic and anesthetic drugs  Stable as a ready-to-use solution for 2 years, refrigerated Laulicht B et al. Circulation. 2012;126:A11395. Laulicht B et al. Small molecule antidote for anticoagulants. Available at: www.perosphere.com/pdf/PER977_AHA ...
Blood Drugs
Blood Drugs

... such diseases are common as well as serious Drugs affect haemostasis and thrombosis in three distinct ways, by affecting: ...
MI-2013
MI-2013

... •Heparin antagonist: protamine sulphate - rapidly neutralizes heparin effects •Heparin, LMWH & fondaparinux are not absorbed orally ...
Coagulation
Coagulation

... (risk depends on both the INR and patient factors) Contraindicated in pregnancy - teratogenic effects, crosses placenta risk foetal haemorrhage Warfarin induced skin necrosis - paradoxical local thrombosis - increased in patients with protein C or S deficiency ...
anticoagulantpresent..
anticoagulantpresent..

... • Furthermore, clopidogrel has a better overall side-effect profile although TTP may also occur with this agent. ...
Final Chapter 20 Ppt
Final Chapter 20 Ppt

...  IV bolus administered followed by a continuous infusion  Contraindicated in clients with creatinine levels above 2.0 mg/dL  Stored in refridgerator and away from light ...
Pathophysiology of Thrombosis
Pathophysiology of Thrombosis

... GP Ia – binds platelets to collagen fibers GP Ib - binds platelets to von Willebrand factor GP IIb/IIIa - binds platelets to von Willebrand factor, and fibrinogen ...
Document
Document

... • Ventricular fibrillation and distension • Coronary vessels emboli ...
Anticoagulants Drugs
Anticoagulants Drugs

... Clinical Use: Prevention and treatment of embolism (i.e., postop or following myocardial infarction), deep vein thrombosis. MOA: Inhibits factor Xa, very little effect on factor IIa; aPPT is not used to measure its anticoagulant activity. Binds less to plasma proteins. Pharmacokinetics: Administrati ...
Rapid Reversal of Anticoagulation in Trauma Patients
Rapid Reversal of Anticoagulation in Trauma Patients

... (LMWH) • • Has 1/3 the molecular weight of heparin. • • Has more antifactor Xa activity than inhibition of ...
1946814726Revised review article greety
1946814726Revised review article greety

... like major bleeding risk, frequent monitoring of INR values, drug-drug, drug-food interactions etc. Three new oral anticoagulants Dabigatran, Rivaroxaban and Apixaban have been approved by US FDA after completing their phase III clinical trials3. ...
coagulation final 2
coagulation final 2

... Heparin: clinical uses • Venous thrombosis ± embolism • Acute coronary syndromes • Arterial thrombosis • Extracorporeal devices (e.g. haemodialysis) ...
4/7/2014 Lab Results Financial disclosure Follow Up Lab Tests
4/7/2014 Lab Results Financial disclosure Follow Up Lab Tests

... Why is This Good News? • Per 2013 ISTH recommendations, there are clinical circumstances in specific patients when measurement of the anticoagulant effect will be required such as: ...
DRUGS AFFECTING CLOT FORMATION
DRUGS AFFECTING CLOT FORMATION

... The most commonly encountered adverse effect of the anticoagulants is bleeding, ranging from ...
File
File

... replenish the factor IX which is stable on storage. c. Plasma or Blood o Fresh frozen plasma is used in coagulation disorders as it provides all clotting factors. o Concentrated of factor VIII or preparation containing factors II,VII,IX,X are also available for specific deficiencies. o Whole blood t ...
Med Chem II - 4-30
Med Chem II - 4-30

... What is the primary mechanism by which protamine sulfate works? A. Binds to ATIII B. Has coagulant activity C. Has anticoagulant activity D. Strongly basic peptide ...
An Update on Reversal Agents for NOACs: Where Are
An Update on Reversal Agents for NOACs: Where Are

... • Efficacy group, n = 47 – Patients with baseline anti-fXa activity ≥ 75 ng/mL (or ≥ 0.5 IU/mL for enoxaparin) – Death = 15% ...
ADRENOCEPTOR AGONIST SYMPATHOMIMETICS
ADRENOCEPTOR AGONIST SYMPATHOMIMETICS

... include urticaria, rash, rhinitis. ...
Drugs for Coagulation disorders - Suny-perfusion
Drugs for Coagulation disorders - Suny-perfusion

... 2. thrombin inhibitors • Unlike the heparins, these drugs bind directly to thrombin. They are all administered IV. ...
ANTICOAGULANT
ANTICOAGULANT

... • the chains of LMWH are not long enough to bind antithrombin and thrombin ...
Anesthesia by Dr. Carman - School of Medicine
Anesthesia by Dr. Carman - School of Medicine

... AMPLIFY AMPLIFY-EXT ...
Savaysa
Savaysa

... stroke. While warfarin is highly effective in reducing the risk of stroke in patients with atrial fibrillation, it increases the risk of bleeding. Savaysa demonstrated significantly less major bleeding compared to warfarin. As with other FDA-approved anti-clotting drugs, bleeding, including life-thr ...
NEW ANTICOAGULANTS
NEW ANTICOAGULANTS

... binding of AT to Xa – the “ultimate LMWH” Pure anti-Xa effect Commonly used to prevent VTE in orthopedic surgery Administered Sub Q Half-life of 13 – 15 hours, so only 1 dose per day. Excreted through kidney (check creatinine clearance…..) ...
< 1 ... 60 61 62 63 64 >

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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