Reviparin sodium

{{Short description|Pharmaceutical drug}}

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| CAS_number = 9005-49-6

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| UNII = 5R0L1D739E

| ATC_prefix = B01

| ATC_suffix = AB08

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| DrugBank = DB09259

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| KEGG = D03337

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Reviparin is an antithrombotic and belongs to the group of low molecular weight heparins (LMWH).

Medical uses

  • Prevention of blood clots
  • Prophylaxis of perioperative thromboembolism{{cite journal |vauthors=Kakkar VV, Cohen AT, Mohamed MS |title=Patients at risk of venous thromboembolism--clinical results with reviparin |journal=Thromb. Res. |volume=81 |issue=2 Suppl |pages=S39–45 |year=1996 |pmid=8822126 |doi=10.1016/0049-3848(95)00228-6 }}{{cite journal |vauthors=Lassen MR, Backs S, Borris LC, Kaltoft-Sørenson M, Coff-Ganes H, Jeppesen E |title=Deep-vein thrombosis prophylaxis in orthopedic surgery: hip surgery |journal=Semin. Thromb. Hemost. |volume=25 Suppl 3 |pages=79–82 |year=1999 |pmid=10549720 }}
  • Treatment of DVT with or without pulmonary embolism (PE){{cite journal |vauthors=Gore M, Kelkar P, Rege N, Ross C |title=Reviparin sodium clivarine: a review of its therapeutic use |journal=J Indian Med Assoc |volume=102 |issue=10 |pages=589–90, 592 | date=October 2004 |pmid=15887830 }}
  • Prophylaxis of acute thrombotic events after percutaneous transluminal coronary angioplasty (PTCA){{cite journal |vauthors=Preisack MB, Karsch KR |title=Experimental and early clinical experience with reviparin-sodium for prevention of restenosis after percutaneous transluminal coronary angioplasty |journal=Blood Coagul. Fibrinolysis |volume=4 Suppl 1 |pages=S55–8; discussion S59–60 | date=December 1993 |pmid=8180331 }}{{cite journal |vauthors=Karsch KR, Preisack MB, Baildon R, Eschenfelder V, Foley D, Garcia EJ, Kaltenbach M, Meisner C, Selbmann HK, Serruys PW, Shiu MF, Sujatta M, Bonan R |title=Low molecular weight heparin (reviparin) in percutaneous transluminal coronary angioplasty. Results of a randomized, double-blind, unfractionated heparin and placebo-controlled, multicenter trial (REDUCE trial). Reduction of Restenosis After PTCA, Early Administration of Reviparin in a Double-Blind Unfractionated Heparin and Placebo-Controlled Evaluation |journal=J. Am. Coll. Cardiol. |volume=28 |issue=6 |pages=1437–43 | date=November 1996 |pmid=8917255 |doi= 10.1016/s0735-1097(96)00343-9|hdl=1765/55740 |url=http://repub.eur.nl/pub/55740 |hdl-access=free }}

Chemistry

Reviparin is a low molecular weight heparin obtained by nitrous acid depolymerization of heparin extracted from porcine intestinal mucosa. Its structure is characterized, for the most part, by a group of 2-O-sulfo-α-lidopyranosuronic acid. The average molecular weight is about 3900 daltons.

References

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