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Anticoagulants
Anticoagulant Drugs
16
Medical
Professional
02/09/2012

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Term
Heparin
Definition
Increases affinity of Antithrombin for Xa, increasing factor Xa and IIa inactivation. Reduces additional clot formation. Side effects include osteoporosis, bleeding, and heparin induced thrombocytopenia. Protamine reverses effects.
Term
Enoxaprin, Dalteparin, Tinzaparin
Definition
low molecular weight heparins. Fewer side effects, more expensive
Term
Fondaparinux
Definition
synthetic heparin analog. Only inactivates Factor Xa
Term
Lepirudin, Bivalirudin, Desirudin, Argatroban
Definition
Binds to and directly inhibits free thrombin. Leads to less fibrin clot formation
Term
warfarin
Definition
Vitamin K analog. Blocks the synthesis of factors II, VII, IX, X, Protein C, and S. takes approximately 24 hours to take affect, with VII being the first reduced.
Term
Dadigatran
Definition
P450 metabolized prodrug. Direct thrombin inhibitor.
Term
Rivaroxaban
Definition
Factor X inhibitor used for the prevention of DVT
Term
ASA
Definition
COX inhibitor. inhibits thromboxane A2 formation, thus inhibiting platelet activation and aggregation
Term
cilostazol
Definition
phosphodiesterase inhibitor. inhibits the breakdown of cAMP, raising cAMP levels, reducing Ca levels, and reducing Platelet activation
Term
Dipyridamole
Definition
phosphodiesterase inhibitor, inhibts breakdown of cAMP, reducing Ca and platelet activation
Term
Ticlopidine, Clopidogrel, Prasugrel
Definition
ADP inhibitors, blocking platelet aggregation
Term
abciximab, tirofiban, eptifibatide
Definition
GPIIb/IIIa inhibitors, block platelet aggregation
Term
Anagrelide
Definition
directly reduces platelet count by decreasing platelet formation. Takes approximately 1 to 2 weeks to take affect.
Term
streptokinase, urokinase, TPA
Definition
plasminogen activators. Plasmin dissolves preformed clot
Term
aminocaproic acid, tranexamic acid
Definition
inhibits plasminogen activator. no plasmin formation. no clot lysis. promotes clots
Term
estrogen
Definition
mixed effect, increases plasminogen and decreases antithrombin
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