Arganat 250mg ( Argatroban) is used prevent unwanted blood clots that may occur while receiving heparin in patients who have thrombocytopenia or in those going through angioplasty.
Manufacturer : NATCO Pharma Ltd
Strengths available : 250 mg
Storage : Store at temperature between 15 °C – 25 °C
Usual Adult Dose for Thrombotic/Thromboembolic Disorder :
Initial: 2 mcg/kg/min administered as a constant infusion. Begin infusion only after obtaining a baseline activated partial thromboplastin time (aPTT).
Maintenance: The infusion rate may be adjusted as needed (not to exceed 10 mcg/kg/min) until the steady state aPTT value is 1.5 to 3 times the initial baseline value (not to exceed 100 seconds). Dosage adjustments should be based on aPTT results from blood samples obtained at least 2 hours after the most recent infusion rate change.
Percutaneous Coronary Interventions (PCI) in HIT/HITTS patients:
Initial: 25 mcg/kg/min infusion and a bolus of 350 mcg/kg administered via a large bore intravenous line over 3 to 5 minutes. Activated clotting time (ACT) should be checked 5 to 10 minutes after the bolus dose is completed. The procedure may proceed if the ACT is greater than 300 seconds.
If the ACT is less than 300 seconds, an additional IV bolus dose of 150 mcg/kg should be administered, the infusion dose increased to 30 mcg/kg/min, and the ACT checked 5 to 10 minutes later. If the ACT is greater than 450 seconds, the infusion rate should be decreased to 15 mcg/kg/min, and the ACT checked 5 to 10 minutes later. Once a therapeutic ACT (between 300 and 450 seconds) has been achieved, this infusion dose should be continued for the duration of the procedure.
Most common side effects are nausea, vomiting, diarrhea, stomach pain, headache , back pain, bleeding around the IV needle, feeling like you might pass out, easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin, blood in your urine, black, bloody, or tarry stools, coughing up blood or vomit that looks like coffee grounds, any bleeding that will not stop, pain or burning when you urinate.
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