(bye VAL i roo din) Brand: Angiomax
• You must not receive bivalirudin if you are allergic to it, or if you have any major bleeding from a surgery, injury, or another medical trauma.
• Bivalirudin is not expected to be deleterious to an unborn child. However, aspirin is generally given with bivalirudin, and aspirin can reason bleeding when it is taken during the recent 3 months of pregnancy. Aspirin can also reason side effects in a newborn baby.
• Tell your doctor if you are pregnant till you are treated with bivalirudin and aspirin.
• Till using bivalirudin, speak your doctor if you are allergic to any drugs, or if you have heart malady, kidney malady, or a bleeding or blood clotting mess such as hemophilia.
• Tell your doctor if you are using blood thinners or receiving any another medications to treat or prevent blood clots.
• Because bivalirudin keeps your blood from coagulating (clotting) to prevent unwanted blood clots, it may be easier for you to bleed even from a minor injury. Contact your doctor or search abnormal medical attention if you have bleeding that will not stop.
• Bivalirudin keeps the platelets in your blood from coagulating (clotting) to prevent unwanted blood clots that can occur with determined heart or blood vessel conditions.
• Bivalirudin is used to prevent blood clots in people with severe chest pain or another conditions who are undergoing a procedure called angioplasty (to open blocked arteries).
• Bivalirudin may also be used for purposes not listed in this medicine guide.
• You must not receive bivalirudin if you are allergic to bivalirudin, or if you have any major bleeding from a surgery, injury, or another medical trauma.
• To create certain bivalirudin is safety for you, speak your doctor if you have:
· kidney malady; or
· a bleeding or blood clotting mess, such as hemophilia.
• FDA pregnancy category B. Bivalirudin is not expected to harm an unborn child. However, aspirin is generally given with bivalirudin, and aspirin can reason bleeding when it is taken during the recent 3 months of pregnancy. Aspirin can also reason side effects in a newborn baby.
• Tell your doctor if you are pregnant till you are treated with bivalirudin and aspirin.
• It is not known whether bivalirudin passes into breast milk or if it could harm a nursing child. Speak your doctor if you are breast-feeding a baby.
• Bivalirudn is injected into a vein through an IV. You will receive this injection during your angioplasty procedure in a clinic or hospital setting. The medication should be given throughout the entire procedure.
• Your doctor may want you to continue receiving bivalirudin for up to 20 hours after your angioplasty procedure.
• Bivalirudin is generally given together with aspirin.
• Because bivalirudin keeps your blood from coagulating (clotting) to prevent unwanted blood clots, it may be easier for you to bleed even from a minor injury. Contact your doctor or search abnormal medical attention if you have bleeding that will not stop.
• Because you will receive bivalirudin in a clinical setting, you are not likely to miss a dose.
• Since this medicine is given by a healthcare professional in a medical setting, an overdose is unlikely to occur.
• Avoid activities that may magnify your risk of bleeding or injury. Use extra care to prevent bleeding while shaving or brushing your teeth.
• Avoid drinking alcohol. It may magnify your risk of bleeding in your stomach or intestines.
• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your person, lips, tongue, or throat.
• Speak your caregivers at once if you have:
· light bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;
· slow heart rate;
· heighten blood pressure (severe headache, blurred vision, buzzing in your ears, confusion, shortness of breath);
· decreased blood pressure (feeling like you might pass out);
· sudden numbness or weakness, especially on one side of the body;
· sudden headache, confusion, problems with vision, speech, or balance;
· pain or swelling in one or both legs;
· chest pain;
· any bleeding that will not stop;
· black, bloody, or tarry stools;
· coughing up blood or vomit that looks like coffee grounds; or
· few or no urinating.
• General side effects may include:
· headache, anxiety;
· nausea, vomiting;
· pelvic pain, back pain;
· sleep problems (insomnia); or
· pain or irritation where the injection was given.
• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.
• Speak your doctor about all medicines you use, and those you start or stop using during your treatment with bivalirudin, especially medications to treat or prevent blood clots, such as:
· a blood thinner--warfarin, Coumadin;
· argatroban, dabigatran, fondaparinux, lepirudin, rivaroxaban;
· abciximab, eptifibatide, tirofiban;
· dalteparin, enoxaparin, tinzaparin;
· anagrelide, cilostazol, clopidogrel, dipyridamole, eltrombopag, oprelvekin, prasugrel, romiplostim, ticagrelor, ticlopidine; or
· alteplase, reteplase, tenecteplase, urokinase.
• This list is not complete. Another drugs may interact with bivalirudin, including prescription and over-the-counter medicines, vitamins, and herbal commodity. Not all possible interactions are listed in this medicine manual.
• Your doctor or pharmacist can provide more information about bivalirudin.
Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.
Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.