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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 is a member of the drug groups known as anticoagulants. A question appears: which is the function of an anticoagulant? The function of anticoagulants is stopping coagulation; in other words, it stops blood from clotting. But anticoagulant is not able to diminish the volume of the blood clots that have been already developed. It is essentially to mention that heparin has other functions too. The most important goal of this medicine is to struggle against invading bacteria and other foreign materials.
This medication is administrated by injection into a vein or under the skin (subcutaneously). It must not be injected into a muscle.

Structure of Heparin
Heparin is composed 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, it makes up 85% of heparins from beef lung and about 75% of those from porcine intestinal mucosa.
The main sugars which occur in this medicine 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 enumerated above are present in decreasing amounts, usually in the order (2) > (1) > (4) > (3) > (5). This product 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 product stops blood from clotting. How does it work? It inactivates thrombin. In order to inactivate thrombin heparin links itself to the coagulation enzyme and antithrobin. The activated antithrombin neutralizes thrombin and other proteases involved in blood clotting. So, wee see that antithrombin suppresses 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 medication is used to cure people with following illnesses:
peripheral occlusive disease;
thromboprophylaxis;
acute coronary syndrome;
atrial fibrillation;
deep-vein thrombosis and pulmonary embolism.

Heparin dosage
The prescribed dosage of heparin depends on some conditions. The dose is henges on the coagulation test results. These tests must be done enough often. The determination of coagulation time depends on certain aspects. When this medication is administrated by continous intravenous infusion, the coagulation tests have to be done approximately every four hours in the early stages of treatment. If heparin is administered periodically by intravenous injection, coagulation tests should be done before each injection during the early stages of treatment.
In case of deep vein Thrombosis – Prophylaxis common the prescribed dose is 5000 units subcutaneously every 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 observed in catheter after it was utilized for medicine or blood administration, it is necessary to add flushes. The dosage for infants that suffer of thrombotic disorder is 10 units every 6 to 8 hours. Child dose in this case is 100 units/mL every 6 to 8 hours. Additional flushes should be administrated when stagnant blood is observed in catheter, after catheter is utilized for medication or blood administration.
If a person suffers of a severe pulmonary embolism, the initial dose may be an IV bolus of 10,000 units that are followed by 1500 units per hour.

Probable side results of heparin
Heparin, as every medication may lead to undesirable symptoms. Many persons utilizing this product do not have got serious undesirable symptoms. Some common adverse consequences of this drug are following: swelling at injection site, bone pain, 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 lead to some other unwanted symptoms: signs of serious bleeding, including unusual pain, swelling, discomfort, prolonged bleeding from cuts, persistent nosebleeds, unusually heavy and prolonged menstrual periods, unusual easy bruising, dark urine, black stools, serious headache, unusual dizziness.
Severe allergic symptoms were reported rarely, but sometimes they can be caused. If you utilize this medicine and notice such symptoms as rash, itching, swelling, serious dizziness, difficult breathing and others, call your doctor.
There are such side consequences which are caused in case of long-term Heparin using; others may be results of a systematic utilizing of this medication. For example, osteoporosis can be caused by long-term using of high doses of this medicine, cutaneous necrosis has been noticed after systemic using; inhibition of aldosterone synthesis, delayed transient alopecia, priapism, and rebound hyperlipemia on discontinuation of this medicine have also been noticed.
Important elevations of aminotransferase grades have occurred in a high percentage of patients and healthy people who have administrated this preparation.

Coumadin and Heparin
Coumadin and Heparin are anticoagulants, so they both stop blood from clotting. They are used to treat such conditions as embolism and thrombosis. However they sound similar, coumadin and heparin have many differences. As for using them, coumadin is administrated orally, heparin is administratedin a form of injection. Coumadin should not be used during pregnancy, heparin can be used by pregnant women. They both can lead to excessive bleeding which may be life-threatening.

Heparin recall
Firstly, let metion what drug recalls are. Medication recalls are such acts that are perfomed in order to remove some medicines from the market.
As for Heparin, the most of recalls were in 2008 as a result of undesirable consequences of heparin that was manufactured in China.
But there were no any recalls related to heparin that was manufactured by B. Braun Medical Inc. B.Braun manufacturer advices to stop heparin use and call your pharmacist, if any negative symptoms are noticed.

Heparin-induced thrombocytopenia
Heparin-induced thrombocytopenia (HIT) is a form of thrombocytopenia that was developed as a result of utilizing of heparin. So, it is a side effect that was produced by heparin use. There are two types of Hit: type 1 and type 2. HIT type 2 is a more severe negative reaction than HIT type 2. HIT type 2 can be a fatal factor. In order to be sure that a person has HIT, he must do certain laboratory tests.

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