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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 drug groups known as anticoagulants. A question appears: what is the action of an anticoagulant? The function of anticoagulants is discontinuing coagulation; it means that it stops blood from clotting. But it can't decrease the size of the blood clots which have been already developed. It is essentially to notice that this drug has other functions too. The main purpose of heparin is to struggle against invading bacteria and other foreign compouns.
This preparation is given by injection into a vein or under the skin (subcutaneously). It must not be injected into a muscle.

Structure of Heparin
Heparin consists of a differently sulfated repeating disaccharide unit. The most usual disaccharide unit consists of a 2-O-sulfatediduronic acid and 6-O-sulfated, N-sulfated glucosamine, IdoA(2S)-GlcNS(6S). For example, this makes up 85% of heparins from beef lung and about 75% of those from porcine intestinal mucosa.
The main sugars that occur in this product are enumerated 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.
These sugars are present in decreasing amounts, as a regular in the order (2) > (1) > (4) > (3) > (5). This medicine is strongly acidic due to its content of covalently linked sulfate and carboxylic acid classes.

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

Administration of Heparin
Heparin is prescribed in case of dialysis, during extracorporeal circulation ardiopulmonary bypass for heart surgery.
This drug is taken to cure persons with following illnesses:
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 dose is henges on the coagulation test results. These tests must be performed enough frequently. The determination of coagulation time depends upon specific factors. When this preparation is used by continous intravenous infusion, the coagulation tests have to be performed approximately every 4 hours in the early stages of treatment. When the medication is administered periodically by intravenous injection, coagulation tests must be done before every injection during the early stages of treatment.
In case of deep vein Thrombosis – Prophylaxis usual the recommended dosage is 5000 units under the skin each 8 to 12 hours.
Usual dose for anticoagulation during pregnancy is 5000 units subcutaneously each 12 hours.
Usual adult dose for thrombotic disorder is100 units/mL every 6 to 8 hours for PVC catheters and peripheral heparin locks. But if stagnant blood is observed in catheter after it was used for medicine or blood administration, it is necessary to add flushes. The dosage for babies that have thrombotic disorder is 10 units each 6 to 8 hours. Child dosage in case mentioned above is 100 units/mL every 6 to 8 hours. Additional flushes must be given when stagnant blood is observed in catheter, after catheter is utilized for medication or blood administration.
If a patient has got a severe pulmonary embolism, the starting dose may be an IV bolus of 10,000 units which are followed by 1500 units per hour.

Potentional unwanted effects of heparin
Heparin, as any medicine is able to cause side effects. A lot of patients administrating heparin do not have serious undesirable consequences. Some common undesirable consequences of this drug are following: swelling at injection site, bone pain, 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 may cause some other adverse symptoms: signs of serious bleeding, including unusual ache, swelling, discomfort, long-term bleeding from cuts, persistent nosebleeds, unusually heavy and long-term menstrual periods, unusual easy bruising, dark urine, black stools, severe headache, unusual dizziness.
Serious allergic symptoms were registered rarely, but sometimes they may occur. If you utilize this drug and observe such consequences as rash, itching, swelling, serious dizziness, difficult breathing and others, consult your prescriber.
There are such adverse results that are caused in case of long-term Heparin administration; others can be results of a systematic administration of heparin. For example, osteoporosis can be caused by long-term administration of high dosages of this medication, cutaneous necrosis has been reported after systemic utilizing; suppression of aldosterone synthesis, delayed transient alopecia, priapism, and rebound hyperlipemia on discontinuation of this medicine have also been reported.
Important increasing of aminotransferase levels have occurred in a high percentage of patients and healthy people that have received this preparation.

Coumadin and Heparin
Coumadin and Heparin are anticoagulants, so they both stop blood from clotting. They are used to cure such diseases as embolism and thrombosis. However they sound similar, coumadin and heparin have got a lot of differences. As for adninstrating them, coumadin is utilized orally, heparin is administratedin a form of injection. Coumadin should not be used by pregnant women, heparin can be used by pregnant women. They both may lead to excessive bleeding that can be life-threatening.

Heparin recall
Firstly, let notice what medication recalls are. Medication recalls are such acts that are taken in order to remove some medications from the market.
As for Heparin, the most of recalls were in 2008 due to unwanted reactions of heparin that was manufactured in China.
But there were no any recalls related to heparin that was prodused by B. Braun Medical Inc. B.Braun producer recommends to stop heparin administration and call your doctor, if any side results occur.

Heparin-induced thrombocytopenia
Heparin-induced thrombocytopenia (HIT) is a form of thrombocytopenia which was caused by utilizing of heparin. Thus, it is a adverse consequence that was caused by heparin administration. There are two types of Hit: type 1 and type 2. HIT type 2 is a more serious undesirable reaction than HIT type 2. HIT type 2 may be a life-threatening aspect. In order to confirm that a person has HIT, he should perform specific laboratory tests.

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