Lepirudin

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Synthetic, direct thrombin inhibitor (see below hirudin).

Indication
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Heparin-induced thrombocytopenia, other thromboembolic diseases.

Pregnancy/nursing period
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No application recommended!

Dosage and method of use
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Refludan: Initial 0.4 mg/kg bw i.v. as a bolus, then 0.15 mg/kg bw/hour as a continuous infusion over 2-10 days.

Undesirable effects
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Frequent bleeding. Rare allergic skin reactions, localized to the injection site.

Contraindication
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Hypersensitivity to lepirudine, hirudines or other ingredients. Do not administer in cases of acute bleeding or increased bleeding tendency, advanced kidney function impairment, age over 65 years, pregnancy, lactation.

Preparations
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Refludan

Note(s)
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Safety for children has not been proven.

Literature
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  1. Lewis BE et al (2007) Direct thrombin inhibition during percutaneous coronary intervention in patients with heparin-induced thrombocytopenia. Expert Rev Cardiovasc Ther 5: 57-68

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Last updated on: 29.10.2020