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Heparin - 5 Vials x 5 ml (5000 IU)

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Package: 5 Vials x 5 ml (5000 IU)

Usage: Injectable

It is used to stop blood clots forming within the blood vessels


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Brand names: Hep-Pak, Heparin Lock Flush, Hep-Pak CVC, Hep-Lock, Heparin Sodium ADD-Vantage.
Generic Name: heparin (HEP a rin).

Heparin belongs to the medication classes known as anticoagulants. A question appears: what is the action of an anticoagulant? The action of anticoagulants is to prevent coagulation; in other words, anticoagulant stops blood from clotting. But anticoagulant is not able to diminish the volume of the blood clots that exist. It is necessary to notice that this preparation has other functions too. The main purpose of heparin is to struggle against invading bacteria and other foreign compouns.
This medicine is given by injection into a vein or under the skin (subcutaneously). It should not be injected into a muscle.

Structure of Heparin
Heparin consists of a variably sulfated repeating disaccharide unit. The most general disaccharide unit consists of a 2-O-sulfatediduronic acid and 6-O-sulfated, N-sulfated glucosamine, IdoA(2S)-GlcNS(6S). For example, it makes up 85% of heparins from beef lung and about 75% of those from porcine intestinal mucosa.
The major sugars which occur in this medicine are listed below:
α-L-iduronic acid 2-sulfate;
2-deoxy-2¬sulfamino-α-D-glucose 6-sulfate;
β-D-glucuronic acid;
2-acetamido-2-deoxy-α-D¬glucose;
α-L-iduronic acid.
The sugars listed above are present in decreasing amounts, as a regular in the order (2) > (1) > (4) > (3) > (5). This product is strongly acidic because of its content of covalently linked sulfate and carboxylic acid groups.

Mechanism of action of heparin
It has been already noticed that this medication stops blood from clotting. How does it work? It neutralizes thrombin. In order to neutralize thrombin this preparation links itself to the coagulation enzyme and antithrobin. The activated antithrombin inactivates thrombin and other proteases caused blood clotting. So, wee understand that antithrombin suppresses coagulation by neutralizing proteins that take part in the coagulation cascade.

Administration of Heparin
Heparin is recommended in case of dialysis, during extracorporeal circulation ardiopulmonary bypass for heart surgery.
This medicine is used to treat persons with following diseases:
peripheral occlusive disease;
thromboprophylaxis;
acute coronary syndrome;
atrial fibrillation;
deep-vein thrombosis and pulmonary embolism.

Heparin dosage
The prescribed dose of heparin henges on some factors. The dosage is depends on the coagulation test results. These tests must be done very often. The determination of coagulation time depends on specific aspects. If this medication is administrated by continous intravenous infusion, the coagulation tests should be performed approximately each four hours in the early stages of treatment. If the medication is used intermittently by intravenous injection, coagulation tests must be done before every injection during the early stages of treatment.
In case of deep vein Thrombosis – Prophylaxis common the prescribed dose is 5000 units under the skin each 8 to 12 hours.
Usual dose for anticoagulation in case of pregnancy is 5000 units under the skin each 12 hours.
Usual adult dosage for thrombotic disorder is100 units/mL every 6 to 8 hours for PVC catheters and peripheral heparin locks. But when stagnant blood is noticed in catheter after it was utilized for medication or blood administration, it is necessary to add flushes. The dose for infants that have thrombotic disorder is 10 units each 6 to 8 hours. Child dose in case mentioned above is 100 units/mL each 6 to 8 hours. Additional flushes must be given when stagnant blood is observed in catheter, after catheter is utilized for medicine or blood administration.
If a person has got a massive pulmonary embolism, the starting dose may be an IV bolus of 10,000 units which are followed by 1500 units per hour.

Possible negative effects of heparin
Heparin, as every drug is able to lead to adverse reactions. Many patients utilizing heparin do not have got severe unwanted effects. Some common undesirable effects of this drug are following: swelling at injection site, bone ache, easily broken bones. Ache and loss of feeling in the arms and legs, change in color of the arms and legs, chest pain, difficult breathing, confusion, weakness on one side of the body, slurred speech, vision changes.
Heparin can lead to some other negative reactions: signs of severe bleeding, including unusual pain, swelling, discomfort, long-term bleeding from cuts, continous nosebleeds, unusually heavy and long-term menstrual periods, unusual easy bruising, dark urine, black stools, severe headache, unusual dizziness.
Severe allergic reactions were reported rarely, but sometimes they may occur. If you administrate this medicine and observe such reactions as rash, itching, swelling, serious dizziness, difficult breathing and others, call your doctor.
There are such adverse reactions which are caused in case of long-term Heparin using; others may be results of a systematic using of this medication. For example, osteoporosis may be caused by long-term administration of high dosages of this preparation, cutaneous necrosis has been noticed after systemic administration; suppression of aldosterone synthesis, delayed transient alopecia, priapism, and rebound hyperlipemia on discontinuation of heparin have also been reported.
Important increasing of aminotransferase levels have occurred in a high percentage of patients and healthy persons who have administrated this preparation.

Coumadin and Heparin
Coumadin and Heparin are anticoagulants, so they both stop blood from clotting. They are administrated to treat such conditions as embolism and thrombosis. Even though they sound similar, coumadin and heparin have a lot of differences. As for utilizing them, coumadin is administrated orally, heparin is usedin a form of injection. Coumadin must not be taken by pregnant women, heparin may be used during pregnancy. Coumadin and heparin may lead to excessive bleeding which may be life-threatening.

Heparin recall
Firstly, let metion what drug recalls are. Drug recalls are such actions that are taken in order to remove some medications from the market.
As for Heparin, the most of recalls were in 2008 as a result of adverse effects of heparin that was manufactured in China.
But there were no any recalls related to heparin which was prodused by B. Braun Medical Inc. B.Braun manufacturer recommends to stop heparin use and call your prescriber, if any adverse effects are noticed.

Heparin-induced thrombocytopenia
Heparin-induced thrombocytopenia (HIT) is a form of thrombocytopenia that was developed as a result of using of heparin. Thus, it is a side reaction which was produced by heparin use. There are two types of Hit: type 1 and type 2. HIT type 2 is a more serious side effect than HIT type 2. HIT type 2 can be a fatal aspect. In order to be sure that a person has HIT, he should do specific laboratory tests.

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