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Newer anticoagulants

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Dear Members, Danaparoid is a mixture of

nonheparin glycosaminoglycans isolated from porcine intestinal mucosa (84%

heparan sulfate, 12% dermatan sulfate, 4% chondroitin sulfate) with a mean mass

of 5500 daltons. Danaparoid is approved in the United States for prophylaxis of

deep venous thrombosis. It also is an effective anticoagulant for patients with

heparin-induced thrombocytopenia and has a low rate of cross-reactivity with

heparin in platelet-activation assays.

Danaparoid mainly promotes

inhibition of factor Xa by antithrombin, but it does not prolong the PT or aPTT

at the recommended dosage. Danaparoid is administered subcutaneously at a fixed

dose for prophylactic use and intravenously at a higher, weight-adjusted dose

for full anticoagulation. Its half-life is about 24 hours. Patients with renal

failure may require monitoring with an anti-factor Xa assay because of a

prolonged half-life of the drug. No antidote is available. Currently, Danaparoid

is no longer available in the United States. Regards,Dr. Vijaya Chaudhari.JR-3,Dept. of Pharmacology,Government Medical College, Nagpur.

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