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Reviparin

Introduction

Overview

Overview

Reviparin is an antithrombotic and belongs to the group of low molecular weight heparins.

Pharmacodynamic

Pharmacodynamic

Reviparin is a low molecular weight heparin (LMWH) obtained by nitrous acid depolymerization of heparin extracted from porcine intestinal mucosa. Its structure is characterized, for the most part, by a group of 2-O-sulfo-Ξ±-lidopyranosuronic acid. The average molecular weight is about 3900 daltons.

Indications

Indications

  • Prophylaxis of deep vein thrombosis (DVT)
  • Prophylaxis of perioperative thromboembolism[1][2]
  • Treatment of DVT with or without pulmonary embolism (PE)[3]
  • Prophylaxis of acute thrombotic events after percutaneous transluminal coronary angioplasty (PTCA)[4][5]
References

References

  1. ↑ Kakkar VV, Cohen AT, Mohamed MS (1996). “Patients at risk of venous thromboembolism–clinical results with reviparin”. Thromb. Res. 81 (2 Suppl): S39–45. PMIDΒ 8822126. |access-date= requires |url= (help)
  2. ↑ Lassen MR, Backs S, Borris LC, Kaltoft-SΓΈrenson M, Coff-Ganes H, Jeppesen E (1999). “Deep-vein thrombosis prophylaxis in orthopedic surgery: hip surgery”. Semin. Thromb. Hemost. 25 Suppl 3: 79–82. PMIDΒ 10549720. |access-date= requires |url= (help)
  3. ↑ Gore M, Kelkar P, Rege N, Ross C (October 2004). “Reviparin sodium clivarine: a review of its therapeutic use”. J Indian Med Assoc. 102 (10): 589–90, 592. PMIDΒ 15887830. |access-date= requires |url= (help)
  4. ↑ Preisack MB, Karsch KR (December 1993). “Experimental and early clinical experience with reviparin-sodium for prevention of restenosis after percutaneous transluminal coronary angioplasty”. Blood Coagul. Fibrinolysis. 4 Suppl 1: S55–8, discussion S59–60. PMIDΒ 8180331. |access-date= requires |url= (help)
  5. ↑ Karsch KR, Preisack MB, Baildon R, Eschenfelder V, Foley D, Garcia EJ, Kaltenbach M, Meisner C, Selbmann HK, Serruys PW, Shiu MF, Sujatta M, Bonan R (November 1996). “Low molecular weight heparin (reviparin) in percutaneous transluminal coronary angioplasty. Results of a randomized, double-blind, unfractionated heparin and placebo-controlled, multicenter trial (REDUCE trial). Reduction of Restenosis After PTCA, Early Administration of Reviparin in a Double-Blind Unfractionated Heparin and Placebo-Controlled Evaluation”. J. Am. Coll. Cardiol. 28 (6): 1437–43. doi:10.1016/s0735-1097(96)00343-9. PMIDΒ 8917255. Retrieved 2014-09-18.
External links
  • reviparin at the US National Library of Medicine Medical Subject Headings (MeSH)
  • Yusuf S, Mehta SR, Xie C; et al. (2005). “Effects of reviparin, a low-molecular-weight heparin, on mortality, reinfarction, and strokes in patients with acute myocardial infarction presenting with ST-segment elevation”. JAMA. 293 (4): 427–35. doi:10.1001/jama.293.4.427. PMIDΒ 15671427.

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]