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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


Price:  $79.00
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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 groups known as anticoagulants. A question appears: what is the function of an anticoagulant? The action of anticoagulants is discontinuing coagulation; it means that it stops blood from clotting. But it is not able to diminish the size of the blood clots which have been already developed. It is necessary to notice that this drug has other functions too. The most significant purpose of heparin is to struggle against invading bacteria and other foreign substances.
This product 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 common disaccharide unit consists of a 2-O-sulfatediduronic acid and 6-O-sulfated, N-sulfated glucosamine, IdoA(2S)-GlcNS(6S). For example, this makes up 85% of heparins from beef lung and about 75% of those from porcine intestinal mucosa.
The main sugars which occur in this drug 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.
The sugars enumerated above are present in decreasing amounts, as a regular in the order (2) > (1) > (4) > (3) > (5). Heparin is strongly acidic because of its content of covalently linked sulfate and carboxylic acid classes.

Mechanism of action of heparin
It has been already mentioned that this product stops blood from clotting. How does it act? It neutralizes thrombin. In order to neutralize thrombin this medication binds itself to the coagulation enzyme and antithrobin. The activated antithrombin inactivates thrombin and other proteases involved in blood clotting. So, wee understand that antithrombin suppresses coagulation by neutralizing proteins that are involved in the coagulation cascade.

Administration of Heparin
Heparin is administrated in case of dialysis, during extracorporeal circulation ardiopulmonary bypass for heart surgery.
This product is administrated to treat patients with following diseases:
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 aspects. The dose is depends on the coagulation test results. These tests must be performed enough often. The determination of coagulation time henges on some aspects. If heparin is used by continous intravenous infusion, the coagulation tests must be done approximately every 4 hours in the early stages of treatment. If the medicine is administered periodically by intravenous injection, coagulation tests have to be done before every injection during the early stages of treatment.
In case of deep vein Thrombosis – Prophylaxis common the recommended dosage is 5000 units subcutaneously each 8 to 12 hours.
Usual dose for anticoagulation during pregnancy is 5000 units under the skin each 12 hours.
Usual adult dose for thrombotic disorder is100 units/mL every 6 to 8 hours for PVC catheters and peripheral heparin locks. But when stagnant blood is observed in catheter after it was utilized for medicine or blood administration, it is necessary to add flushes. The dosage for babies who have got thrombotic disorder is 10 units every 6 to 8 hours. Child dose in case mentioned above is 100 units/mL every 6 to 8 hours. Additional flushes should be given when stagnant blood is noticed in catheter, after catheter is used for medication or blood administration.
If a person suffers of a severe pulmonary embolism, the initial dose can be an IV bolus of 10,000 units that are followed by 1500 units per hour.

Probable undesirable consequences of heparin
Heparin, as any medicine may lead to undesirable effects. Many persons using this medication do not have serious negative consequences. Some general adverse consequences of this medicine are following: swelling at injection site, bone ache, easily broken bones. Ache 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 undesirable consequences: signs of severe bleeding, including unusual ache, swelling, discomfort, long-term bleeding from cuts, continous nosebleeds, unusually heavy and prolonged menstrual periods, unusual easy bruising, dark urine, black stools, severe headache, unusual dizziness.
Serious allergic symptoms were registered rarely, but sometimes they may be caused. If you use this product and observe such reactions as rash, itching, swelling, serious dizziness, difficult breathing and others, call your prescriber.
There are such negative reactions that are caused in case of long-term Heparin administration; others can be results of a systematic administration of this product. For example, osteoporosis may be caused by long-term administration of high doses of heparin, cutaneous necrosis has been noticed after systemic using; inhibition of aldosterone synthesis, delayed transient alopecia, priapism, and rebound hyperlipemia on discontinuation of this preparation have also been noticed.
Important elevations of aminotransferase levels have occurred in a high percentage of patients and healthy people that have received this drug.

Coumadin and Heparin
Coumadin and Heparin are anticoagulants, so they both stop blood from clotting. They are used to treat such diseases as embolism and thrombosis. Even though they sound similar, coumadin and heparin have got a lot of differences. As for adninstrating them, coumadin is taken orally, heparin is utilizedin a form of injection. Coumadin should not be used by pregnant women, heparin can be utilized during pregnancy. They both may lead to excessive bleeding which may be life-threatening.

Heparin recall
Firstly, let metion what medication recalls are. Medication recalls are such actions which are perfomed in order to remove some drugs from the market.
As for Heparin, the most of recalls were in 2008 due to side effects of heparin that was produced in China.
But there were no any recalls related to heparin which was manufactured by B. Braun Medical Inc. B.Braun manufacturer advices to stop heparin utilizing and contact your pharmacist, if any negative effects are noticed.

Heparin-induced thrombocytopenia
Heparin-induced thrombocytopenia (HIT) is a form of thrombocytopenia which was developed as a result of 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 reaction than HIT type 2. HIT type 2 can be a life-threatening aspect. In order to be sure that a person has HIT, he must do specific laboratory tests.

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