Platelet and Coagulation Inhibition Pharm Flashcards
Warfarin
Vitamin K epoxide reductase inhibitor
Unfractionated heparin
Enhances antithrombin III mediated inhibition of thrombin and FXa
Enoxaparin, Dalteparin
LMWH (heparin, but more specific for FXa and less for thromin
Fondaparinux
Synthetic Pentasaccharide, bind and selectively inhibit FXa
Rivaroxaban, Apixaban
Direct factor Xa inhibitors
Dabigatran
Direct thrombin inhibitor
Argatroban
Direct thrombin inhibitor
Lepirudin
Direct thrombin inhibitor
Aspirin
Irreversible COX inhibitor (COX1>COX2) leads to less TXA2
Clopidogrel, Prasugrel, Ticlopidine
Irreversible P2Y12 (ADP-R) Blockers leading to less expression of GPIIb/IIIa receptor
Ticagrelor
Reversible P2Y12 inhibitor
Vorapaxar
Protease-activated receptor inhibitor (PAR-1) this is the thrombin receptor
Dypyridamole
Phosphodiesterase inhibitors leading to an increase in cAMP
Reversal Agent for Heparin
Protamine Sulfate
Altepase
fibrin specific fibrinolytic
Reteplase
Truncated t-PA, less fibrin specific but cheaper
Tenecteplase
Mutated t-PA, more specific
Streptokinase
Streptococci derived substance that binds plasminogen and forms an active enzyme complex without proteolytically cleaving plasminogen
Reversal agent for fibrinolytics?
epsilon- aminocaproic acid
Which crosses placenta and is teratogenic- heparin or warfarin?
Warfarin
How much of warfarin is bound in plasma?
99%
Administered for HIT?
Argatroban and Lepierudin
Can cause TTP?
Clopidogrel
Can cause SOB?
Ticagrelor
Can cause Hypotension
Abciximab
Aciximab, Eptifibatide, tirofiban
Glycoprotein IIb/IIIa inhibitors