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Blood
Pharm II 2
38
Pharmacology
Graduate
09/29/2012

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Term
Aspirin
Definition
Antithrombitic, Cox inhibitor- irreversible inhibit TXA2 for PLT activation
Term
Clopidogrel (Plavix)
Definition
Antithrombitic, ADP inhibitor. Pro-drug, activated by CYP2C19. Irreversibly inhibits platelet aggregation, P2Y12 purinergic receptor. genetic testing, interactions are problems
Term
Parsugrel (Effient)
Definition
Antithrombitic, ADP inhibitor-Irreversibly inhibits platelet aggregation, P2Y12 purinergic receptor.
Term
Ticagrelor (Brilinta)
Definition
Antithrombitic, ADP inhibitor- Antithrombitic, ADP inhibitor-Irreversibly inhibits platelet aggregation, P2Y12 purinergic receptor. Noncompetative, allosteric site. ↑ risk hemorrhage
Term
Abciximab (ReoPro)
Definition
Antithrombitic, GP IIb/IIIa inhibitor- prevents fibrinogen from binding. prevents aggregation. Chimerized monoclonal antibody
Term
Eptifibatide (Integrilin)
Definition
Antithrombitic, GP IIb/IIIa inhibitor- reversibly inhibit binding of fibrinogen to GPIIb/IIIa. Less immunogenic, shorter duration Peptide fragment, resembles antibody.
Term
Tirofiban (Aggrastat)
Definition
Antithrombitic, GP IIb/IIIa inhibitor-reversibly inhibit binding of fibrinogen to GPIIb/IIIa. Less immunogenic, shorter duration. Chemical structure mimics binding site
Term
Anticoagulants indication
Definition
DVT, artificial heart valves, atrial fibrillation, prophylactically after surgery
Term
Anticoagulant MOA
Definition
prevent synthesis of functional clotting factors, eliminate activated factors IIa and Xa, directly inhibit activated factor IIa and Xa
Term
Warfarin
Definition
Anticoagulant, oral- rat poison. Compet. inhibit vit K, needed as cofactor for II, VII, IX, X activation.
Term
Heparin
Definition
Anticoagulant- acidic glycosaminoglycan (MW 15000)
Term
Enoxaparin (Lovenox)
Definition
Anticoagulant LMWH
Term
Dalteparin (Fragmin)
Definition
Anticoagulant LMWH
Term
Ardeparin (Normiflo)
Definition
Anticoagulant LMWH
Term
Fondaparinux (Atrixtra)
Definition
Anticoagulant, Small Heparin
Term
Lepirudin (Refludan)
Definition
Anticoagulant- direct inhibitor of thrombin, most potent inhibitor, parenterally
Term
Agatroban
Definition
Anticoagulant- direct inhibitor of thrombin
Term
Bivalirudin (Angiomax)
Definition
Anticoagulant- direct inhibitor of thrombin
Term
Dabigatran Etexilate (Pradaxa)
Definition
Anticoagulant- direct inhibitor of thrombin, Oral DTI, stroke prevention in atrial fibrillation, superior at higher doses. No antidote
Term
Rivaroxaban (Xarelto)
Definition
Anticoagulant- direct inhibitor of thrombin, oral, direct factor Xa inhibitor- prevention of DVT
Term
Heparin MOA
Definition
acts indirectly by binding to antithrombin III producing inhibition of proteolytic activity of thrombin
Term
LMWH MOA
Definition
inhibits factor Xa by ATIII
Term
Protamine Sulfate
Definition
antidote for heparin OD
Term
Streptokinase (Streptase)
Definition
Thrombolytic Agent- derived from group C Beta-hemolytic streptococci; forms complex with plasminogen
Term
Anistreplase (Eminase)
Definition
Thrombolytic Agent- streptokinase activator
Term
Alteplase (Activase)
Definition
Thrombolytic Agent- tissye plasminogen activator (tPA); fibrin selective, for massive pulmonary embolism (6hr onset), acute ischemic stroke (3hr onset)
Term
Reteplase (Retavase)
Definition
Thrombolytic Agent- tissye plasminogen activator (tPA)
Term
Tenecteplase (TNKase)
Definition
Thrombolytic Agent- tissye plasminogen activator (tPA)
Term
Desmoteplase
Definition
Thrombolytic Agent- tissye plasminogen activator (tPA), experimental- bat saliva
Term
Thrombolytic Agent MOA
Definition
dissolves clots by activating the conversion of plasminogen to plasmin- hydrolyzes fibrin
Term
Aminocaproic Acid (Amicar)
Definition
coagulant- plasminogen inhibitor, for hemorrhage and bleeding. AE intravascular thrombosis
Term
Protamine Sulfate
Definition
Coagulant- antagonizes heparin, immediate
Term
Vitamin K
Definition
Coagulant- antidote for warfarin
Term
Iron
Definition
Anti-anemia- for hypochromic mycrocytic anemia
Term
Folic Acid
Definition
Anti-anemia- (B12 + Folate), for megaloblastic anemia
Term
Cyanocobalamin (vit B12)
Definition
anti-anemia- for megaloblastic anemia, treat neurologic dysfunction & peripheral paresthesia
Term
Erythropoietin (Procrit, Epogen)
Definition
anti-anemia- glycoprotein hormone
Term
Hydrokyurea (Hydrea)
Definition
increase fetal hemoglobin; for Sickle Cell disease, Chronic myelogenous leukemia, PV
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