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Heparin - 5 Vials x 5 ml (5000 IU)

Heparin - 5 Vials x 5 ml (5000 IU)

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 medicine classes known as anticoagulants. A question appears: which is the function of an anticoagulant? The action of anticoagulants is stopping coagulation; it means that anticoagulant stops blood from clotting. But anticoagulant is not able to diminish the size of the blood clots which have been already developed. It is essentially to mention that this medicine has other functions too. The most significant purpose of this product is to fight against invading bacteria and other foreign materials.
This product 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 variably sulfated repeating disaccharide unit. The most common 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 main sugars that occur in this drug 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.
The sugars listed above are present in decreasing amounts, as a regular in the order (2) > (1) > (4) > (3) > (5). This drug is strongly acidic due to its content of covalently linked sulfate and carboxylic acid groups.

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

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

Heparin dosage
The recommended dose of heparin henges on some conditions. The dosage is based on the coagulation test results. These tests should be done enough often. The determination of coagulation time depends on certain conditions. If this drug is administrated by continous intravenous infusion, the coagulation tests should be done approximately each 4 hours in the early stages of treatment. When the medicine is administered intermittently by intravenous injection, coagulation tests have to be performed before each injection during the early stages of treatment.
In case of deep vein Thrombosis – Prophylaxis common the recommended dose is 5000 units subcutaneously every 8 to 12 hours.
Usual dosage for anticoagulation during pregnancy is 5000 units under the skin every 12 hours.
Usual adult dose for thrombotic disorder is100 units/mL each 6 to 8 hours for PVC catheters and peripheral heparin locks. But if stagnant blood is observed in catheter after it was used for medication or blood administration, it is necessary to add flushes. The dose for babies that have got 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 administrated when stagnant blood is noticed in catheter, after catheter is utilized for medication or blood administration.
If a patient has a massive pulmonary embolism, the starting dosage can be an IV bolus of 10,000 units which are followed by 1500 units per hour.

Possible undesirable symptoms of heparin
Heparin, as any drug is able to lead to adverse consequences. A lot of people utilizing this drug do not have got severe side effects. Some general unwanted results of this product are following: swelling at injection site, bone ache, easily broken bones. Pain and lack 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 unwanted effects: signs of severe bleeding, including unusual ache, swelling, discomfort, prolonged 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 symptoms were reported rarely, but sometimes they can be caused. If you use this preparation and notice such reactions as rash, itching, swelling, severe dizziness, difficult breathing and others, call your doctor.
There are such side results that are caused in case of long-term Heparin utilizing; others may be results of a systematic using of this medicine. For example, osteoporosis may be caused by long-term administration of high dosages of this preparation, cutaneous necrosis has been reported after systemic utilizing; suppression of aldosterone synthesis, delayed transient alopecia, priapism, and rebound hyperlipemia on ceasing of this product have also been reported.
Significant increasing of aminotransferase levels have occurred in a high percentage of patients and healthy people who have utilized this drug.

Coumadin and Heparin
Coumadin and Heparin are anticoagulants, so they both stop blood from clotting. They are utilized to cure such diseases as embolism and thrombosis. However they sound similar, coumadin and heparin have got a lot of differences. As for using them, coumadin is utilized orally, heparin is usedin a form of injection. Coumadin should not be taken by pregnant women, heparin can be used during pregnancy. They both may cause excessive bleeding which may be fatal.

Heparin recall
Firstly, let notice what drug recalls are. Drug recalls are such acts which are taken in order to remove some medicines from the market.
As for Heparin, the most of recalls were in 2008 due to adverse effects of heparin which was produced in China.
But there were no any recalls related to heparin that was manufactured by B. Braun Medical Inc. B.Braun manufacturer recommends to discontinue heparin utilizing and consult your prescriber, if any adverse effects are noticed.

Heparin-induced thrombocytopenia
Heparin-induced thrombocytopenia (HIT) is a form of thrombocytopenia that was caused by using of heparin. So, it is a negative reaction that was produced by heparin use. There are two types of heparin-induced thrombocytopenia: type 1 and type 2. HIT type 2 is a more serious negative consequence than HIT type 2. HIT type 2 may be a fatal factor. In order to claim that a person has HIT, he should do certain laboratory tests.

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