Aprotinin

Aprotinin is an antiplasmin agent i.e. haemostatic. Aprotinin is a serine protease inhibitor. Aprotinin is used in acute pancreatitis (infalmmation of pancrease), in the management of sudden bleeding episodes in haemophilias and other bleeding disorders.


Brands
Adult Dose
Dose: 1.66 ug/kg.min
Single Dose: 1.7 (1.66)
Frequency: As recommended.
Route: IV
Instructions: Maintenance, As Required
Neonatal
Paedriatic
Characteristics
. It is of Natural origin and belongs to Polypeptide. It belongs to Trypsin inhibitor pharmacological group on the basis of mechanism of action and also classified in Haemorrhage pharmacological group.The Molecular Weight of Aprotinin is 6511.00. Its pKa is strongly basic.
Contraindications
Aprotinin is contraindicated in conditions like Hypersensitivity.
Effects
The symptomatic adverse reactions produced by Aprotinin are more or less tolerable and if they become severe, they can be treated symptomatically, these include Hypersensitivity reactions.
Indications
Aprotinin is primarily indicated in conditions like Abnormal blood loss prevention, Fat embolism syndrome, Hyperfibrionolytic haemorrhage, Hyperplasminaemia, Liver transplantation, Muscle relaxation (short to intermediate duration), Pancreatic and endotoxic shock, Pancreatitis, Ruptured intracranial aneurysm, Traumatic and haemorrhagic shock.
Interactions
Aprotinin is known to interact with other drugs, the details of drug interactions is as follows:DrugDetailsSeverityOnsetManagementAtracurium (Besylate)DalteparinEnoxaparinHeparin (Na) and Heparin (Cl)Heparin (Na) and Heparin (Cl)Suxamethonium (Cl) These interactions are sometimes beneficial and sometimes may pose threats to life. Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Interfrence
Risks
Drug should not be given to Paediatrics, Pregnant Mothers, and Neonates.If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Storage
IV Inj, IV Inf Store at room temperature, Below 25°C or in refrigerator. Do not Freeze.
Warnings
Aprotinin hypersensitivity should be tested prior to administration. All patients should receive a test dose to assess possible allergic reaction. Those who have had previous therapy with aprotinin should be treated with special caution to avoid a possible anaphylactic reaction. In patients being given a repeat dose of aprotinin, an HÀ-histamine antagonist can be administered before the loading dose. Safe use of aprotinin in children has not been established.
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