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Anticoagulants & Fibrinolytic Agents
PHAR450
19
Pharmacology
Undergraduate 4
04/01/2014

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Term
Advate
Helixate
Kogenate
Recombinate
Definition
Human derived or recombinant FVIII concentrates
Used in the treatment of Hemophilia A
Formation of antibodies limit their utility
Term
BeneFix
Definition
Human derived or recombinant IX concentrate
Used in the treatment of Hemophilia B
Formation of antibodies limit their utility
Term
Cryoprecipitate
Definition
Blood product containing concentrated fibrinogen and other clotting factors
Used in the treatment of fibrinogen disorders
Term
DDAVP (desmopressin)
Definition
Acts via vasopressin V2 receptors to increase cAMP and promote vWF release
Used in the treatment of von Willebrand disease (vWD)
Term
Humate-P
Alphanate SD/HT
Definition
Lyophilized concentrate of purified vWF and FVIII that also contains fibrinogen and albumin
Used in the treatment of von Willebrand disease when DDAVP is inadequate
Term
Herparin
Definition
Glycosaminoglycan
Augment rate of anti-thrombin inactivation of thromin & other clotting factors
Used in the treatment of anti-thrombin deficiency
LMW is more selective for Xa than IIa
Adverse effects include bleeding, allergic reactions, thrombocytopenia
Term
Warfarin
Definition
Inhibits the enzyme Vitamin K epoxyde reductase and reduces liver content of vitamin K (essential for gamma-carboxylation and activation of clotting factors)
Slow onset, long half-life, many food-drug interactions
Narrow therapeutic window
Term
Rivaroxaban
Apixaban
Edoxaban
Betrixaban
Definition
Oral direct factor Xa inhibitors
Anticoagulants
Rapid onset, short half-life
No direct antidotes
Term
Dabigatran
Ximelagatran
Definition
Oral direct factor IIa inhibitors
Anticoagulants
Rapid onset, short half-life
No direct antidotes
Term
Aspirin
Definition
Irreversible cyclooxygenase inhibitor
Antithrombotic (anti-platelet) agent
Term
Clopidogrel (Plavix)
Prasugrel (Efficent)
Ticagrelor (Brilinta)
Ticlopidine (Ticlid)
Definition
Adenosine diphosphate 9ADP) receptor inhibitors
Antithrombotic (anti-platelet) agent
Prasugrel > clopidogrel
Term
Cilostazol (Pletal)
Definition
Phosphodiesterase inhibitor
Antithrombotic (anti-platelet) agent
Inhibits cAMP breakdown by PDE3A in platelets
Term
Abciximab (ReoPro)
Eptifibatide (Integrilin)
Tirofiban (Aggrastat)
Definition
Glycoprotein IIB/IIIA inhibitors
Antithrombotic (anti-platelet) agent
Antibodies react with glycoprotein on platelets & antagonize their binding to collagen at sites of vascular damage
Term
Dipyridamole (Persantine)
Definition
Adenosine reuptake inhibitor
Antithrombotic (anti-platelet) agent
Increases circulating adenosine which binds to adenosine receptors and inhibits platelet aggregation by increases platelet cAMP synthesis
Term
Picotamide
Terutoban
Definition
Thromboxane receptor antagonists
Term
Urokinase (uPA, Abbokinase)
Definition
Profibrinolytic agent
Human enzyme synthesized in the kidney
Directly converts plasminogen to plasmin
High antigenicity
Term
Streptokinase
Definition
Profibrinolytic agent
Protein synthezied by Streptococci
Activates with an activator of plasminogen to yield plasmin
High antigenicity
Term
Tissue plasminogen activator (tPA)
Definition
Profibrinolytic agent
Initially isolated from melanoma tumour cell line
Directly promotes the conversion of plaminogen to plasmin
Selective for fibrin-bound plasminogen
Low antigenicity
Term
Alteplase
Definition
Profibrinolytic agents
Recombinant tissue plasminogen activator
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