WebMar 20, 2024 · For patients who have HIT/HITTS undergoing PCI: 0.75 mg/kg IV as a bolus dose, followed immediately by 1.75 mg/kg/hr IV for the duration of the procedure. For ongoing treatment post procedure: The infusion may be continued following PCI/PTCA for up to 4 hours post procedure at the discretion of the physician. WebSep 11, 2024 · Extracorporeal membrane oxygenation (ECMO) can provide respiratory and cardiac support to patients in reversible devastated conditions. Heparin is the mainstay for anticoagulation during ECMO. Bivalirudin, a direct thrombin blocker, may represent an effective alternative for patients suffering from heparin-induced thrombocytopenia (HIT). …
BIVALIRUDIN Pfizer
WebMay 10, 2024 · Argatroban and Bivalirudin (Angiomax®) o There is no FDA-approved reversal agent for Argatroban or Bivalirudin o Reversal agent is likely not needed if 3 – 5 half-lives have elapsed o Argatroban half-life 40 - 50 minutes o Bivalirudin half-life 25 minutes, extended up to 3.5 hour in patients on dialysis o WebJun 13, 2005 · Generic Name. Bivalirudin. DrugBank Accession Number. DB00006. Background. Bivalirudin is a synthetic 20 residue peptide (thrombin inhibitor) which reversibly inhibits thrombin. Once bound to the active site, thrombin cannot activate fibrinogen into fibrin, the crucial step in the formation of thrombus. It is administered … maisy drives the bus
Bivalirudin: pharmacology and clinical applications - PubMed
WebView history. 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. WebFeb 19, 2024 · Bivalirudin was also approved in the United States in 2000, but received an indication for use as an anticoagulant in patients with or at risk of HIT undergoing … Bivalirudin (Bivalitroban ), sold under the brand names Angiomax and Angiox and manufactured by The Medicines Company, is a direct thrombin inhibitor (DTI). Chemically, it is a synthetic congener of the naturally occurring drug hirudin, found in the saliva of the medicinal leech Hirudo medicinalis. … See more US (United States) • Bivalirudin is indicated for use as an anticoagulant in patients with unstable angina undergoing percutaneous transluminal coronary angioplasty (PTCA). • Bivalirudin … See more Bivalirudin is intended for IV use only and is supplied as a sterile, lyophilized product in single-use, glass vials. After reconstitution, each vial delivers 250 mg of bivalirudin. See more The U.S. Food and Drug Administration (FDA) granted pediatric exclusivity for bivalirudin, based on studies submitted in response to a written request by the FDA to investigate the use of bivalirudin in pediatric patients aged birth to 16-years old. See more • Heparin More Effective Than Bivalirudin in Treating Patients During PCI - Diagnostic and interventional cardiology magazine See more Chemistry Bivalirudin is a 20 amino acid long peptide with the sequence D-Phe-Pro-Arg-Pro-Gly-Gly-Gly-Gly-Asn-Gly-Asp-Phe-Glu-Glu-Ile-Pro-Glu-Glu … See more Bivalirudin is contraindicated in patients with active major bleeding and hypersensitivity to bivalirudin or its components. (In the EU bivalirudin is also contraindicated in patients with an increased risk of bleeding due to hemostasis … See more Bivalirudin is supported by 7 major randomized trials. These trials include REPLACE-2 (Randomized Evaluation of PCI Linking Angiomax to Reduced Clinical Events-2), BAT … See more maisy end credits