Thombosis Drugs Class/Mechanism Flashcards
Unfractionated heparin
Indirect Thrombin inhibitor
Bind antithrombin, potentiating formation of antithrombin coagulation factor complex (Xa and IIa)
Dalteparin
Indirect thrombin inhibitor
LMWH that inhibits thrombin less effectively than Xa
Enoxaparin
Indirect thrombin inhibitor
LMWH that inhibits thrombin less effectively than Xa
Tinzaparin
Indirect thrombin inhibitor
LMWH that inhibits thrombin less effectively than Xa
Fondaparinux
indirect thrombin inhibitor
Synthetic polysaccharide that binds active site of antithrombin; inhibits Xa
Warfarin
Vitamin K antagonist
Blocks vitamin K dependent gamma carboxylation of factors 2,7,9,10 and proteins C and S (does not effect already synthesized factors.)
Bivalirudin
Direct thrombin inhibitor
Inactivate fibrinogen bound and unbound thrombin
Argatroban
Direct thrombin inhibitor
Inactivate fibrinogen bound and unbound thrombin
Dabigatran
Direct thrombin inhibitor
Inactivate fibrinogen bound and unbound thrombin
Rivaroxaban
Direct Xa inhibitor
Reversibly bind active site of Xa
Apixaban
Direct Xa inhibitor
Reversibly bind active site of Xa
Alteplase
Fibrinolytic
Lyse already formed clots by activating circulating plasminogen
Reteplase
Fibrinolytic
Lyse already formed clots; more clot specific, less systemic activation
Tenecteplase
Fibrinolytic
Lyse already formed clots; more clot specific, less systemic activation
Aspirin
Antiplatelet
irreversibly inhibits platelets, preventing TXA2 formation