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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 discontinuing coagulation; it means that it stops blood from clotting. But anticoagulant can't diminish the volume of the blood clots which exist. It is essentially to mention that this product has other functions too. The most significant purpose of this medicine is to struggle against invading bacteria and other foreign substances.
This medicine is administrated 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 common disaccharide unit is composed 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.
These sugars are present in decreasing amounts, usually in the order (2) > (1) > (4) > (3) > (5). Heparin is strongly acidic due to its content of covalently linked sulfate and carboxylic acid groups.

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

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

Heparin dosage
The recommended dose of heparin depends upon some factors. The dose is henges on the coagulation test results. These tests should be done enough frequently. The determination of coagulation time henges on certain conditions. If this medication is used by continous intravenous infusion, the coagulation tests must be done approximately every 4 hours in the early stages of treatment. If the preparation is used periodically by intravenous injection, coagulation tests are to be performed before each injection during the early stages of treatment.
In case of deep vein Thrombosis – Prophylaxis usual the recommended dosage is 5000 units subcutaneously each 8 to 12 hours.
Usual dosage for anticoagulation in case of pregnancy is 5000 units subcutaneously each 12 hours.
Usual adult dosage for thrombotic disorder is100 units/mL each 6 to 8 hours for PVC catheters and peripheral heparin locks. But if stagnant blood is noticed in catheter after it was utilized for drug or blood administration, it is necessary to add flushes. The dose for babies who have got thrombotic disorder is 10 units every 6 to 8 hours. Child dosage in this case is 100 units/mL every 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 suffers of 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 negative effects of heparin
Heparin, as any drug may lead to side reactions. A lot of people administrating this drug do not have got serious adverse results. Some general negative symptoms of this drug 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 can lead to some other unwanted results: signs of serious bleeding, including unusual ache, swelling, discomfort, prolonged bleeding from cuts, continous nosebleeds, unusually heavy and prolonged menstrual periods, unusual easy bruising, dark urine, black stools, serious headache, unusual dizziness.
Severe allergic reactions were registered rarely, but sometimes they can occur. If you use this preparation and observe such reactions as rash, itching, swelling, serious dizziness, difficult breathing and others, consult your pharmacist.
There are such undesirable symptoms that are caused in case of long-term Heparin using; others may be results of a systematic administration of this medication. For example, osteoporosis may be caused by long-term administration of high dosages of heparin, cutaneous necrosis has been noticed after systemic using; suppression of aldosterone synthesis, delayed transient alopecia, priapism, and rebound hyperlipemia on ceasing of this medication have also been reported.
Important elevations of aminotransferase levels have occurred in a high percentage of patients and healthy persons that have received 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. Even though they sound similar, coumadin and heparin have many differences. As for using them, coumadin is taken orally, heparin is utilizedin a form of injection. Coumadin must not be used during pregnancy, heparin can be administrated by pregnant women. Coumadin and heparin may lead to excessive bleeding that can be life-threatening.

Heparin recall
Firstly, let metion what medicine recalls are. Drug recalls are such actions which are made in order to remove some medications from the market.
As for Heparin, the most of recalls were in 2008 as a result of unwanted effects of heparin which was manufactured in China.
But there were no any recalls related to heparin that was manufactured by B. Braun Medical Inc. B.Braun producer recommends to stop heparin utilizing and call your pharmacist, if any negative results occur.

Heparin-induced thrombocytopenia
Heparin-induced thrombocytopenia (HIT) is a form of thrombocytopenia which was developed as a result of administration of heparin. Thus, it is a undesirable reaction that was produced by heparin use. There are two types of Hit: type 1 and type 2. HIT type 2 is a more serious undesirable consequence than HIT type 2. HIT type 2 may be a fatal factor. In order to confirm that a person has HIT, he should perform certain laboratory tests.

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