Thrombolytic Agents - Systemic
Thrombolytic Agents *** Before Using *** How to Use *** Fore Safe Use *** Side Effects *** Additional Information
Before Using This Medication
In deciding to using a medication, the problems of uses this drugs must be
weighed against the good it will do. This is a decision you
will make. For thrombolytic agents, the following must be considered
Allergic reaction
Tell your family doctor if you have any unusual or
allergy to alteplase, anistreplase, streptokinase, or urokinase.
Also tell your health care professional if you are allergic to any other substances,
such as foods, preservatives, or dyes.
Pregnancy care
Tell your family doctor if you are pregnant or if you have
recently had a baby.There is a slight risk that use of a thrombolytic agent during the first
five months of pregnancy may cause a miscarriage. However, both streptokinase
and urokinase have been using in pregnant women and have not been reported
to cause this problem. Always studies in pregnant women - for streptokinase
and studies in pets - for urokinase have not shown that these medication
cause either miscarriage or harm to the fetus - including birth defects. Studies
on birth defects with alteplase and anistreplase have not been done in either
pregnant women or pets.
Breast-feeding problem
It is not known whether thrombolytic agents pass
into the breast milk. Although most medication pass into breast milk in small
amounts, many of them may be using safely while breast-feeding. Mothers who
are taking any of these medication and who wish to breast-feed must discuss
this with their family doctor.
Use for Children
Studies on these medication have been done only in
adult diseaseds and there is no special info comparing the use of
thrombolytic agents in child with use in other age groups. However, streptokinase
has occasionally been using in child to dissolve blood clots in certain
blood vessels. Bleeding may be more likely to occur in child, who are usually
more sensitive than adults to the effects of streptokinase.
Elderly care
The need for treat with a thrombolytic agent
- instead of other kinds of treat may be increased in elderly diseaseds
with blood clots. However, the risk of bleeding may also be increased. It
is especially important that you discuss the use of this drug with your
family doctor.
Drug interactions
Although certain medication must not be using
together at all, in other cases two various medication may be using together
even if an interaction might occur. In these cases, your family doctor may want to
change the dose, or other precautions may be necessary. Before you receive
a thrombolytic agent, it is especially important that your family doctor know if
you are taking any of the following:
-
Anticoagulants - blood thinners
-
Aspirin
-
Cefamandole - Mandol
-
Cefoperazone - Cefobid
-
Cefotetan - Cefotan
-
Dipyridamole - Persantine
-
Divalproex - Depakote
-
Enoxaparin - Lovenox
-
Heparin
-
Indomethacin - Indocin
-
Inflammation or pain drug - except narcotics
-
Phenylbutazone - Butazolidin
-
Plicamycin - Mithracin
-
Sulfinpyrazone - Anturane
-
Thrombolytic agents, other
-
Ticlopidine - Ticlid
-
Valproic acid - Depakene The risk of bleeding may be
increased
Always tell your family doctor if you have had an injection of anistreplase or
streptokinase within the past year. If you have, these medication may not work
properly if they are given to you again. Your family doctor may decide to use alteplase
or urokinase instead.
Other Information for using
The presence of other medical
problems or recent delivery of a child may effect the use of thrombolytic
agents. Make sure you tell your family doctor if you have any other medical problems,
especially:
-
Allergic reaction to streptokinase, anistreplase, or urokinase - or
history of Increased risk of an allergy
-
Blood disease, bleeding problems, or a history of bleeding in any
part of the body
-
Brain disease or tumor
-
Heart or blood vessel disease, including irregular heartbeat
-
High blood pressure
-
Liver disease - severe
-
Stroke, especially with seizure - or history of The risk
of serious bleeding may be increased
-
Streptococcal - “strep” infection - recent
-
Surgery within the last two months Anistreplase or streptokinase
may not work properly after a streptococcal infection; your family doctor may decide
to use a various thrombolytic agent
Always tell your family doctor if you have recently had any of the following conditions:
-
Falls or blows to the body or head or any other injury
-
Injections into a blood vessel
-
Placement of any tube into the body
-
Surgery, including dental surgery The risk of serious bleeding
may be increased
If you have recently had a baby, use of these medication may cause serious
bleeding.
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