Pharmacology

Heparin

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  • Unfractionated heparin: potentiates antithrombin which inactivates thrombin and factor Xa; also inhibits platelet aggregation

  • Low-molecular weight heparin (shorter fragments): preferentially affects factor Xa
  • Side effects:
    • Bleeding
    • Thrombocytopenia (may cause paradoxical thrombosis)
    • Osteoporosis
    • Hypoaldosteronism and hyperkalaemia
  • Strongly acidic agents: protamine is a basic protein which reverses UFH and has some effect on LMWH

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