Classes
DEA Class; Rx
Common Brand Names; Integrilin
- Antiplatelet Agents, Cardiovascular;
- Glycoprotein IIb/IIIa Inhibitors
Description
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
Indications
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).
Contraindications
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
Adverse Effects
- 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)
Warnings
—
Pregnancy and Lactation
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
Maximum Dosage
180 mcg/kg (Max: 22.6 mg) IV bolus and 2 mcg/kg/minute (Max: 15 mg/hour) continuous IV infusion.
180 mcg/kg (Max: 22.6 mg) IV bolus and 2 mcg/kg/minute (Max: 15 mg/hour) continuous IV infusion.
Safety and efficacy have not been established.
Safety and efficacy have not been established.
Safety and efficacy have not been established.
Safety and efficacy have not been established.
How supplied
Eptifibatide
injection solution
- 2mg/mL
- 0.75mg/mL