Bivalirudin renal or liver clearance
WebClearance is reduced approximately 20% in patients with moderate and severe renal impairment and by 80% in dialysis-dependent patients; Bivalirudin is hemodialyzable and approximately 25% is cleared by hemodialysis. Pharmacodynamics. Coagulation times return to baseline approximately 1 hour following cessation of bivalirudin administration. WebTsu LV and Dager WE. Bivalirudin dosing adjustments for reduced renal function with or without hemodialysis in the management of heparin-induced thrombocytopenia. Ann Pharmacother 2011; 45(10):1185-92. Runyan CL et al. Correlation of bivalirudin dose with creatinine clearance during treatment of heparin-induced thrombocytopenia.
Bivalirudin renal or liver clearance
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WebThe disposition of bivalirudin was studied in PTCA patients with mild, moderate and severe renal impairment. The clearance of bivalirudin was reduced approximately 21% in patients with moderate and severe renal impairment and was reduced approximately 70% in dialysis-dependent patients [see Clinical Pharmacology (12.3)]. WebFeb 1, 2024 · The elimination half-life of bivalirudin is 20 to 30 min in the presence of normal renal function while with renal dysfunction, half-life …
Webbivalirudin on liver and kidney function in patients subjected to these procedures. This study compared the effects of bi-valirudin and UFH on liver/renal function in patients … WebMar 1, 2024 · The total body clearance of bivalirudin in PTCA patients with normal renal function is 3.4 mL/min/kg. Metabolism. ... Total body clearance was similar for PTCA …
WebBivalirudin is administered via continuous intravenous infusion, is removed by a combination of proteolytic cleavage by thrombin and renal clearance mechanisms, and can inhibit both soluble and clot-bound thrombin. ... Bivalirudin concentration may be affected by drug interactions, liver, and renal disease. WebMay 1, 2024 · Unlike argatroban, bivalirudin is not Food and Drug Administration (FDA)-approved for HIT but is commonly used off-label with a recommended initial dose 0.15 to 0.2 mg/kg/h in patients with normal …
Webend-stage renal disease undergoing PCI who received monotherapy with either bivalirudin or unfractionated heparin (UFH) (n=71675). In hospital bleeding and mortality were compared and adjusted using the CathPCI Registry logistic regression models with generalized estimating equations with UFH as the reference. Bivalirudin was used in …
WebOct 17, 2024 · As patients transition between dialysis modalities, and from the intra- to the inter-dialytic period, medications with a narrow therapeutic index that are cleared in … north arlington police departmentWebBivalirudin is administered via continuous intravenous infusion, is removed by a combination of proteolytic cleavage by thrombin and renal clearance mechanisms, and … how to replace a toilet flange on wood floorWebbivalirudin: [ bi-val´ĭroo-din ] an inhibitor of the clot-promoting activity of thrombin , used in conjunction with aspirin as an anticoagulant in patients with unstable angina pectoris who … how to replace a tire valve stemWebAlthough its clearance is largely organ independent (blood proteases), the kidneys provide approximately 20% of its clearance necessitating dose adjustments with moderate renal insufficiency and its molecular properties facilitate clearance with hemodialysis. 5 Unlike the heparin–antithrombin III complex, bivalirudin exerts its effect by ... how to replace a toilet bowlWebweight heparin and patients with impaired renal function will either have a contraindication to medications or need to have doses adjusted based on creatinine clearance. For example a patient with a creatinine clearance < 30 mL/min would not be a candidate for fondaparinux, but the LMWHs may be used if the dose is adjusted. north arlington school calendarWeb2.2 Dose Adjustment in Renal Impairment Bolus Dose No reduction in the bolus dose is needed for any degree of renal impairment. Maintenance Infusion In patients with creatinine clearance less than 30 mL/min (by Cockcroft Gault equation), reduce the infusion rate to 1 mg/kg/h. Monitor anticoagulant status in patients with renal impairment. how to replace a toilet flange cast ironWebBivalirudin is administered via continuous intravenous infusion, is removed by a combination of proteolytic cleavage by thrombin and renal clearance mechanisms, and … how to replace a tire pressure sensor