Integrilin
Generic Name
Eptifibatide
Manufacturer
Merck & Co., Inc. (Original Innovator)
Country
United States
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| integril 075 mg injection | ৳ 9,000.00 | N/A |
Description
Overview of the medicine
Eptifibatide is a reversible glycoprotein (GP) IIb/IIIa receptor antagonist that inhibits platelet aggregation. It is used to prevent blood clots in patients with acute coronary syndrome (ACS) or those undergoing percutaneous coronary intervention (PCI).
Uses & Indications
Dosage
Adults
A bolus dose of 180 mcg/kg (max 22.6 mg) administered intravenously, followed immediately by a continuous infusion of 2 mcg/kg/min (max 15 mg/hour). For PCI, a second 180 mcg/kg bolus is given 10 minutes after the first. The specific 0.75 mg injection would be used as part of this regimen, with the number of units/volume adjusted to achieve the target mcg/kg dose.
Elderly
No specific dose adjustment required based on age, but renal function should be carefully monitored.
Renal_impairment
For patients with creatinine clearance <50 mL/min (but not on dialysis), the infusion rate should be reduced to 1 mcg/kg/min (max 7.5 mg/hour) after the initial bolus.
How to Take
Administer intravenously. The bolus is usually given over 1-2 minutes, followed by continuous infusion using an infusion pump. Must not be mixed with other drugs or administered via the same IV line without flushing.
Mechanism of Action
Eptifibatide binds reversibly to the platelet glycoprotein IIb/IIIa receptor, the final common pathway for platelet aggregation. This binding prevents fibrinogen and other adhesive ligands from binding to the receptor, thereby inhibiting platelet cross-linking and aggregation.
Pharmacokinetics
Onset
Rapid; platelet aggregation inhibition observed within 5-15 minutes after bolus.
Excretion
Approximately 50% excreted in urine as unchanged drug, 35% as metabolites. Renal clearance is the primary elimination pathway.
Half life
Approximately 2.5 hours.
Absorption
Administered intravenously, resulting in 100% bioavailability.
Metabolism
Primarily eliminated unchanged by the kidneys; minor hepatic metabolism via hydrolysis.
Side Effects
Contraindications
- •History of bleeding diathesis or active pathological bleeding within 30 days (e.g., gastrointestinal bleeding, intracranial hemorrhage)
- •Major surgery within 6 weeks
- •Stroke within 30 days or any history of hemorrhagic stroke
- •Severe uncontrolled hypertension (systolic BP >200 mmHg or diastolic BP >110 mmHg) resistant to antihypertensive therapy
- •Prior exposure to eptifibatide with development of thrombocytopenia
- •Concomitant use of another parenteral GP IIb/IIIa inhibitor
- •Renal dialysis
Drug Interactions
Thrombolytics
Profoundly increased risk of bleeding. Concomitant use is generally contraindicated.
Anticoagulants (Heparin, Warfarin)
Increased risk of bleeding. Close monitoring of coagulation parameters is essential.
Other Antiplatelet agents (Aspirin, Clopidogrel)
Increased risk of bleeding. Often used concomitantly, but requires careful monitoring.
Storage
Store at 2°C to 25°C (36°F to 77°F). Protect from light. Do not freeze.
Overdose
Overdose may lead to increased bleeding complications. Management involves immediate discontinuation of eptifibatide, close monitoring of bleeding, and supportive care. Platelet transfusions may be considered in severe cases of thrombocytopenia or life-threatening bleeding.
Pregnancy & Lactation
Pregnancy Category B. Studies in animals have shown no evidence of fetal harm, but there are no adequate and well-controlled studies in pregnant women. Use only if clearly needed. It is not known whether eptifibatide is excreted in human milk; caution should be exercised when administered to a nursing woman.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 2-3 years when stored as recommended. Refer to product packaging for specific expiration date.
Availability
Hospitals, specialized clinics
Approval Status
Approved by regulatory authorities (e.g., FDA)
Patent Status
Patent expired, generics available
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Global Brand Names
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