Integril
Generic Name
Eptifibatide
Manufacturer
Merck & Co., Inc.
Country
USA
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Price Details
Current market pricing information
| Variant | Unit Price | Strip Price |
|---|---|---|
| integril 2 mg injection | ৳ 3,000.00 | N/A |
Description
Overview of the medicine
Eptifibatide is a reversible platelet aggregation inhibitor used to prevent thrombotic complications in patients with acute coronary syndrome (ACS) or those undergoing percutaneous coronary intervention (PCI).
Uses & Indications
Dosage
Adults
Acute Coronary Syndrome (ACS) and PCI: 180 mcg/kg IV bolus (maximum 22.6 mg) followed immediately by a 2 mcg/kg/min IV infusion (maximum 15 mg/hr) for up to 72 hours, or until hospital discharge, or 18-24 hours after PCI, whichever comes first.
Elderly
No specific dose adjustment based on age alone; closely monitor renal function.
Renal_impairment
For creatinine clearance < 50 mL/min (including dialysis patients): 180 mcg/kg IV bolus followed by a 1 mcg/kg/min IV infusion.
How to Take
Administer intravenously as a bolus injection followed by continuous intravenous infusion. It should be administered via a dedicated IV line or through an existing IV line with no other medications.
Mechanism of Action
Eptifibatide reversibly binds to the platelet glycoprotein IIb/IIIa receptor, preventing the binding of fibrinogen, von Willebrand factor, and other adhesive ligands. This inhibits platelet aggregation and thrombus formation.
Pharmacokinetics
Onset
Within minutes of intravenous administration.
Excretion
Approximately 50% renally excreted as unchanged drug, and 50% as metabolites.
Half life
Approximately 2.5 hours.
Absorption
Administered intravenously, resulting in 100% bioavailability.
Metabolism
Primarily through de-acetylation, forming a less active metabolite.
Side Effects
Contraindications
- •Active pathological bleeding (e.g., gastrointestinal bleeding, intracranial hemorrhage) within 30 days.
- •History of stroke within 30 days or any history of hemorrhagic stroke.
- •Major surgery or severe trauma within 6 weeks.
- •Severe uncontrolled hypertension (systolic > 200 mmHg or diastolic > 110 mmHg).
- •History of thrombocytopenia following previous administration of Eptifibatide.
- •Serum creatinine ≥ 4.0 mg/dL.
- •Concomitant use of another glycoprotein IIb/IIIa inhibitor.
Drug Interactions
Thrombolytics
Significantly increased risk of life-threatening bleeding. Generally avoided.
Anticoagulants (e.g., Heparin, Warfarin)
Increased risk of major and minor bleeding. Close monitoring of coagulation parameters is essential.
Other Antiplatelet Agents (e.g., Aspirin, Clopidogrel, Ticagrelor)
Increased risk of bleeding. Concurrent use requires careful assessment of risk vs. benefit.
Storage
Store refrigerated at 2-8°C (36-46°F). Do not freeze. Protect from light. May be stored at room temperature (20-25°C or 68-77°F) for up to 2 months if protected from light.
Overdose
Overdose primarily increases the risk of bleeding. Management involves discontinuing Eptifibatide and other antithrombotic agents, careful clinical monitoring, and appropriate treatment of bleeding. Platelet transfusions may be considered in severe cases.
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 mother.
Frequently Asked Questions
Common questions about this medicine
Pack Sizes
Shelf Life
Typically 24-36 months when stored unopened according to manufacturer's instructions.
Availability
Hospitals, Clinics, Specialized Pharmacies
Approval Status
FDA Approved
Patent Status
Generic available
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