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Tinzaparin sodium

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In July 2008, the company revised the prescribing information to restrict the use of tinzaparin in patients 90 years of age or older. FDA is concerned that the preliminary data from the IRIS study suggests that the increased risk of mortality is not limited only to patients 90 years of age or older.
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Sprigg N, Gray LJ, Bath PM, et al. (2007). "Early recovery and functional outcome are related with causal stroke subtype: data from the tinzaparin in acute ischemic stroke trial".
98: 413:. Healthcare professionals should consider the use of alternative treatments to Innohep when treating elderly patients over 70 years of age with chronic kidney disease and 334: 561: 68: 371: 616: 453:
affect the international normalized ratio (INR), prothrombin time (PT). Anti-factor Xa levels can be measured, and are often used to monitor tinzaparin.
1477: 715: 807: 397:. It was manufactured by Leo pharmaceutical company, who withdrew the product from the US in 2011 due to low sales and a contamination issue. 1591: 590: 962: 758: 1572: 980: 953: 693: 128: 907: 430: 708: 1191: 363: 238: 409:
According to the study Innohep increases the risk of death for elderly patients (i.e., 70 years of age and older) with
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minor metabolisation in liver by desulfation and/or depolymerization; excretion via kidneys in almost unchanged form
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Norfolk and Norwich University Hospital (NHS Trust). Reference number CA3017. 9 June 2006
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Bleeding in overdose. There is occasionally bruising at the site of injection.
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Farmaceutiska Specialiteter i Sverige - the Swedish official drug catalog.
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200 min. for Anti-Xa activity, 257. min for Anti-IIa activity
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Hull, New England Journal of Medicine, 2010 volume 22 page 19
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RCOG March-2010 (Royal college for Obestetric and Gynecology)
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Pedersen P.C. et al. Thromb Res 1991; 61 (5-6): 477-487
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90% for Anti-Xa activity, 67% for Anti-IIa activity)
1558: 1459: 1402: 1329: 1281: 1170: 1158: 1068: 1059: 1029: 1001: 944: 906: 868: 800: 757: 748: 464:will reverse tinzaparin by 85% per package insert. 429:No LMWH, except tinzaparin, is licensed for use in 321: 316: 297: 277: 257: 237: 221: 200: 195: 182: 172: 162: 154: 127: 122: 97: 85: 67: 57: 52: 374:(FDA) for once daily treatment and prophylaxis of 509:Cheer S.M. et al. Drugs 2004; 64 (13): 1479–1502 209: 667:Journal of Stroke and Cerebrovascular Diseases 709: 632:(22)ESHRE April-2011 volume 33 pages 12–13-14 8: 47:, R = H and R = COONa or R = COONa and R = H 21: 1167: 1065: 754: 716: 702: 694: 679:10.1016/j.jstrokecerebrovasdis.2007.02.003 308: 29: 657:at the U.S. National Library of Medicine 622:Therapeutic anticoagulation in pregnancy. 528:European Pharmacopoeia, 6th Edition, 2008 246: 473: 370:worldwide. It has been approved by the 615:: CS1 maint: archived copy as title ( 608: 299: 20: 585: 583: 286: 77: 7: 538:Hull et al. NEJM 1992;326,15:975-982 110: 266: 14: 372:U.S. Food and Drug Administration 1331:Direct thrombin (IIa) inhibitors 759:Glycoprotein IIb/IIIa inhibitors 954:Thromboxane synthase inhibitors 431:gestational hypercoagulability 1: 1192:Low-molecular-weight heparin 1003:Phosphodiesterase inhibitors 916:Acetylsalicylic acid/Aspirin 364:low molecular weight heparin 1652: 317:Chemical and physical data 1586: 1164:(with some II inhibition) 331: 327:6500 g/mol (average) 93:subcutaneous (once daily) 28: 659:Medical Subject Headings 35:n = 1 to 25, R = H or SO 1474:Plasminogen activators 946:Thromboxane inhibitors 870:Prostaglandin analogue 411:chronic kidney disease 1536:serine endopeptidases 1070:Vitamin K antagonists 562:"Drug Shortages List" 1283:Direct Xa inhibitors 1115:Ethyl biscoumacetate 981:Receptor antagonists 641:DVT.org/cardiologist 415:deep vein thrombosis 376:deep vein thrombosis 926:Carbasalate calcium 366:(LMWH) marketed as 25: 16:Pharmaceutical drug 1613:Never to phase III 1461:Thrombolytic drugs 1177:glycosaminoglycans 750:Antiplatelet drugs 737:antiplatelet drugs 419:pulmonary embolism 380:pulmonary embolism 1623: 1622: 1455: 1454: 1325: 1324: 1055: 1054: 568:on 5 October 2016 462:Protamine sulfate 349: 348: 141: 23:Tinzaparin sodium 1643: 1435:Drotrecogin alfa 1415:Antithrombin III 1266:Dermatan sulfate 1239:Oligosaccharides 1168: 1066: 802:ADP receptor/P2Y 755: 718: 711: 704: 695: 690: 625: 620: 614: 606: 604: 602: 593:. Archived from 587: 578: 577: 575: 573: 564:. Archived from 558: 552: 545: 539: 536: 530: 525: 519: 516: 510: 507: 501: 500: 498: 496: 486:nctr-crs.fda.gov 478: 449:Tinzaparin does 425:Use in pregnancy 385:It can be given 345: 344: 337: 312: 301: 290: 270: 250: 213: 187: 146: 139: 136: 114: 81: 33: 26: 24: 1651: 1650: 1646: 1645: 1644: 1642: 1641: 1640: 1626: 1625: 1624: 1619: 1618: 1603:Clinical trials 1582: 1554: 1464: 1451: 1398: 1321: 1277: 1180: 1175: 1163: 1154: 1130:1,3-Indandiones 1072: 1051: 1025: 997: 940: 902: 864: 816:Thienopyridines 805: 796: 744: 725:Antithrombotics 722: 664: 651: 635:e-medicine 2011 629: 628: 607: 600: 598: 597:on 12 June 2010 591:"Archived copy" 589: 588: 581: 571: 569: 560: 559: 555: 546: 542: 537: 533: 526: 522: 517: 513: 508: 504: 494: 492: 480: 479: 475: 470: 459: 447: 439: 427: 403: 362:group. It is a 340: 338: 335:(what is this?) 332: 293: 273: 253: 233: 217: 185: 164:Bioavailability 156:Pharmacokinetic 150: 144: 118: 88: 48: 46: 42: 38: 17: 12: 11: 5: 1649: 1647: 1639: 1638: 1628: 1627: 1621: 1620: 1617: 1616: 1615: 1614: 1611: 1600: 1594: 1588: 1587: 1584: 1583: 1581: 1580: 1575: 1570: 1564: 1562: 1556: 1555: 1553: 1552: 1547: 1542: 1532: 1527: 1522: 1517: 1516: 1515: 1510: 1502: 1501: 1500: 1495: 1490: 1485: 1470: 1468: 1457: 1456: 1453: 1452: 1450: 1449: 1444: 1439: 1438: 1437: 1427: 1422: 1417: 1412: 1406: 1404: 1400: 1399: 1397: 1396: 1391: 1386: 1381: 1376: 1371: 1362: 1361: 1360: 1355: 1350: 1335: 1333: 1327: 1326: 1323: 1322: 1320: 1319: 1314: 1309: 1304: 1299: 1294: 1288: 1286: 1279: 1278: 1276: 1275: 1274: 1273: 1268: 1263: 1253: 1252: 1251: 1246: 1236: 1235: 1234: 1229: 1224: 1219: 1214: 1209: 1204: 1199: 1188: 1186: 1165: 1156: 1155: 1153: 1152: 1146: 1141: 1136: 1127: 1122: 1117: 1112: 1107: 1102: 1092: 1090: 1063: 1061:Anticoagulants 1057: 1056: 1053: 1052: 1050: 1049: 1044: 1039: 1033: 1031: 1027: 1026: 1024: 1023: 1018: 1013: 1007: 1005: 999: 998: 996: 995: 994: 993: 988: 978: 977: 976: 971: 966: 950: 948: 942: 941: 939: 938: 933: 928: 923: 918: 912: 910: 908:COX inhibitors 904: 903: 901: 900: 895: 890: 885: 879: 877: 866: 865: 863: 862: 861: 860: 855: 850: 835: 834: 833: 828: 823: 812: 810: 803: 798: 797: 795: 794: 789: 784: 779: 774: 769: 763: 761: 752: 746: 745: 733:anticoagulants 723: 721: 720: 713: 706: 698: 692: 691: 662: 650: 649:External links 647: 646: 645: 642: 639: 636: 633: 627: 626: 579: 553: 540: 531: 520: 511: 502: 472: 471: 469: 466: 458: 457:Reversal agent 455: 446: 443: 438: 435: 426: 423: 402: 401:Use in elderly 399: 387:subcutaneously 356:antithrombotic 347: 346: 329: 328: 325: 319: 318: 314: 313: 303: 295: 294: 292: 291: 283: 281: 275: 274: 272: 271: 263: 261: 255: 254: 252: 251: 243: 241: 235: 234: 232: 231: 227: 225: 219: 218: 216: 215: 206: 204: 198: 197: 193: 192: 189: 180: 179: 176: 170: 169: 166: 160: 159: 152: 151: 149: 148: 133: 131: 125: 124: 120: 119: 117: 116: 103: 101: 95: 94: 91: 89:administration 83: 82: 75: 65: 64: 61: 55: 54: 50: 49: 44: 40: 36: 34: 15: 13: 10: 9: 6: 4: 3: 2: 1648: 1637: 1634: 1633: 1631: 1612: 1610: 1607: 1606: 1604: 1601: 1598: 1595: 1593: 1590: 1589: 1585: 1579: 1576: 1574: 1571: 1569: 1566: 1565: 1563: 1561: 1560:Non-medicinal 1557: 1551: 1548: 1546: 1543: 1541: 1537: 1533: 1531: 1530:Streptokinase 1528: 1526: 1523: 1521: 1518: 1514: 1511: 1509: 1506: 1505: 1503: 1499: 1496: 1494: 1491: 1489: 1486: 1484: 1481: 1480: 1479: 1475: 1472: 1471: 1469: 1467: 1466:fibrinolytics 1462: 1458: 1448: 1445: 1443: 1440: 1436: 1433: 1432: 1431: 1428: 1426: 1423: 1421: 1418: 1416: 1413: 1411: 1408: 1407: 1405: 1401: 1395: 1392: 1390: 1387: 1385: 1382: 1380: 1377: 1375: 1372: 1370: 1366: 1363: 1359: 1356: 1354: 1351: 1349: 1346: 1345: 1344: 1340: 1337: 1336: 1334: 1332: 1328: 1318: 1315: 1313: 1310: 1308: 1305: 1303: 1300: 1298: 1295: 1293: 1290: 1289: 1287: 1284: 1280: 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790: 788: 785: 783: 780: 778: 775: 773: 770: 768: 765: 764: 762: 760: 756: 753: 751: 747: 742: 738: 734: 730: 729:thrombolytics 726: 719: 714: 712: 707: 705: 700: 699: 696: 688: 684: 680: 676: 672: 668: 663: 660: 656: 653: 652: 648: 643: 640: 637: 634: 631: 630: 623: 618: 612: 596: 592: 586: 584: 580: 567: 563: 557: 554: 550: 544: 541: 535: 532: 529: 524: 521: 515: 512: 506: 503: 491: 487: 483: 477: 474: 467: 465: 463: 456: 454: 452: 444: 442: 436: 434: 432: 424: 422: 420: 416: 412: 407: 400: 398: 396: 395:intravenously 392: 388: 383: 381: 377: 373: 369: 365: 361: 357: 353: 343: 336: 330: 326: 324: 320: 315: 311: 307: 304: 302: 300:ECHA InfoCard 296: 289: 288:ChEMBL1201414 285: 284: 282: 280: 276: 269: 265: 264: 262: 260: 256: 249: 245: 244: 242: 240: 236: 229: 228: 226: 224: 220: 214:(sodium salt) 212: 208: 207: 205: 203: 199: 194: 190: 188: 181: 177: 175: 171: 167: 165: 161: 157: 153: 147: 135: 134: 132: 130: 126: 121: 113: 108: 105: 104: 102: 100: 96: 92: 90: 84: 80: 76: 74: 70: 66: 62: 60: 56: 53:Clinical data 51: 39:Na, R = H, SO 32: 27: 19: 1550:Fibrinolysin 1520:Anistreplase 1498:Desmoteplase 1493:Tenecteplase 1394:Ximelagatran 1244:Fondaparinux 1231: 1183:antithrombin 1139:Diphenadione 1016:Dipyridamole 959:Dipyridamole 898:Treprostinil 893:Prostacyclin 772:Eptifibatide 673:(4): 180–4. 670: 666: 621: 599:. Retrieved 595:the original 570:. Retrieved 566:the original 556: 551:> Innohep 543: 534: 527: 523: 514: 505: 493:. Retrieved 485: 476: 460: 450: 448: 440: 437:Side effects 428: 408: 404: 384: 367: 358:drug in the 351: 350: 339:   333:   184:Elimination 129:Legal status 123:Legal status 18: 1599:from market 1420:Defibrotide 1348:Bivalirudin 1317:Rivaroxaban 1256:Heparinoids 1249:Idraparinux 1150:Tioclomarol 1144:Phenindione 1134:Clorindione 1037:Cloricromen 831:Ticlopidine 821:Clopidogrel 421:, or both. 306:100.110.590 196:Identifiers 59:Trade names 1525:Monteplase 1442:Ramatroban 1425:Nafamostat 1410:Abelacimab 1389:Melagatran 1374:Dabigatran 1369:Argatroban 1312:Otamixaban 1297:Betrixaban 1285:("xabans") 1271:Sulodexide 1261:Danaparoid 1232:Tinzaparin 1222:Parnaparin 1217:Nadroparin 1212:Enoxaparin 1207:Dalteparin 1202:Certoparin 1162:inhibitors 1110:Dicoumarol 1011:Cilostazol 991:Terutroban 969:Picotamide 858:Ticagrelor 842:nucleoside 838:Nucleotide 808:inhibitors 787:Sibrafiban 655:tinzaparin 495:22 October 468:References 445:Monitoring 378:(DVT) and 352:Tinzaparin 323:Molar mass 248:3S182ET3UA 223:ChemSpider 202:CAS Number 174:Metabolism 63:innohep(R) 43:Na or COCH 1609:Phase III 1597:Withdrawn 1513:Urokinase 1508:Saruplase 1488:Reteplase 1483:Alteplase 1430:Protein C 1384:Inogatran 1379:Efegatran 1365:Univalent 1358:Lepirudin 1353:Desirudin 1302:Darexaban 1227:Reviparin 1197:Bemiparin 1160:Factor Xa 1096:Coumarins 1073:(inhibit 1047:Vorapaxar 1021:Triflusal 986:Terbogrel 974:Terbogrel 963:+ aspirin 936:Triflusal 931:Indobufen 921:Aloxiprin 883:Beraprost 853:Elinogrel 848:Cangrelor 826:Prasugrel 792:Tirofiban 782:Roxifiban 777:Orbofiban 767:Abciximab 572:4 October 211:9041-08-1 186:half-life 87:Routes of 79:Monograph 73:Drugs.com 1636:Heparins 1630:Category 1339:Bivalent 1307:Edoxaban 1292:Apixaban 1125:Warfarin 1042:Ditazole 888:Iloprost 844:analogs 687:17689415 611:cite web 382:(PE). 342:(verify) 99:ATC code 1578:Oxalate 1568:Citrate 1545:Brinase 1343:Hirudin 1172:Heparin 1148:Other: 549:Fass.se 391:syringe 368:Innohep 360:heparin 145:WARNING 115:) 109: ( 107:B01AB10 1592:WHO-EM 1540:Ancrod 1534:Other 1181:(bind 1174:group/ 685:  661:(MeSH) 601:15 May 354:is an 279:ChEMBL 268:D06398 142: 1478:r-tPA 1403:Other 1030:Other 393:, or 1573:EDTA 1504:UPA 1447:REG1 874:PGI2 735:and 683:PMID 617:link 603:2010 574:2016 497:2023 259:KEGG 239:UNII 230:none 158:data 69:AHFS 1079:VII 741:B01 739:) ( 675:doi 490:FDA 451:not 389:by 112:WHO 1632:: 1605:: 1538:: 1476:: 1367:: 1341:: 1132:: 1098:: 1085:, 1083:IX 1081:, 1077:, 1075:II 804:12 731:, 681:. 671:16 669:. 613:}} 609:{{ 582:^ 488:. 484:. 417:, 138:US 1463:/ 1185:) 1179:/ 1089:) 1087:X 965:) 961:( 876:) 872:( 840:/ 743:) 727:( 717:e 710:t 703:v 689:. 677:: 619:) 605:. 576:. 499:. 140:: 71:/ 45:3 41:3 37:3

Index


Trade names
AHFS
Drugs.com
Monograph
Routes of
administration

ATC code
B01AB10
WHO
Legal status
WARNING
Pharmacokinetic
Bioavailability
Metabolism
Elimination half-life
CAS Number
9041-08-1
ChemSpider
UNII
3S182ET3UA
KEGG
D06398
ChEMBL
ChEMBL1201414
ECHA InfoCard
100.110.590
Edit this at Wikidata
Molar mass
(what is this?)
(verify)

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