Eptifibatide

DEA Class; Rx

Common Brand Names; Integrilin

  • Antiplatelet Agents, Cardiovascular; 
  • Glycoprotein IIb/IIIa Inhibitors

Intravenous platelet aggregation, glycoprotein IIb/IIIa inhibitor
Used for the treatment of patients undergoing percutaneous coronary intervention (PCI) and acute coronary syndromes managed medically or with PCI
Associated with bleeding and hypotension

Indicated for the adjunctive treatment of patients undergoing percutaneous coronary intervention (PCI), including those undergoing coronary stenting, to prevent cardiac ischemic complications (e.g., myocardial infarction prophylaxis).

For the treatment of patients with acute coronary syndrome (unstable angina or acute myocardial infarction, NSTEMI), including patients who are to be managed medically, and for those undergoing percutaneous coronary intervention (PCI).
For the treatment of patients with acute myocardial infarction, STEMI undergoing percutaneous coronary intervention (PCI).

Hypersensitivity

History of internal bleeding, intracranial hemorrhage or neoplasm, CVA, thrombocytopenia

AV malformation or aneurysm, aortic dissection, severe HTN, acute pericarditis

Other parenteral glycoprotein IIb/IIIa inhibitors

  • Bleeding (8%)
  • Hypotension (7%)
  • Thrombocytopenia (2.3%)
  • Injection site reaction
  • Hypersensitivity
  • Intracranial hemorrhage
  • Pulmonary hemorrhage
  • Thrombocytopenia
  • GI hemorrhage
  • Immune-mediated thrombocytopenia (thought to be caused by antibodies that react with GP IIb/IIIa complex)

Available data on use in pregnant women from published literature and pharmacovigilance database are insufficient to establish a drug-associated risk of major birth defects, miscarriage or adverse maternal or fetal outcomes

Untreated myocardial infarction can be fatal to pregnant woman and fetus

There are no available data on presence of drug in human milk, effects on breastfed infant, or on milk production; as drug is a peptide, it is likely to be destroyed in infant’s gastrointestinal tract and not absorbed orally by the breastfed infant

Adults

180 mcg/kg (Max: 22.6 mg) IV bolus and 2 mcg/kg/minute (Max: 15 mg/hour) continuous IV infusion.

Geriatric

180 mcg/kg (Max: 22.6 mg) IV bolus and 2 mcg/kg/minute (Max: 15 mg/hour) continuous IV infusion.

Adolescents

Safety and efficacy have not been established.

Children

Safety and efficacy have not been established.

Infants

Safety and efficacy have not been established.

Neonates

Safety and efficacy have not been established.

Eptifibatide

injection solution

  • 2mg/mL
  • 0.75mg/mL

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