Aggrastat

Country: New Zealand

Language: English

Source: Medsafe (Medicines Safety Authority)

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Active ingredient:

Tirofiban hydrochloride monohydrate 0.281 mg/mL equivalent to 0.25 mg/mL tirofiban;  

Available from:

Pharmacy Retailing (NZ) Ltd t/a Healthcare Logistics

INN (International Name):

Tirofiban hydrochloride monohydrate 0.281 mg/mL (equivalent to 0.25 mg/mL tirofiban)

Dosage:

0.25 mg/mL

Pharmaceutical form:

Concentrate for infusion

Composition:

Active: Tirofiban hydrochloride monohydrate 0.281 mg/mL equivalent to 0.25 mg/mL tirofiban   Excipient: Citric acid Hydrochloric acid Sodium chloride Sodium citrate dihydrate Sodium hydroxide Water for injection

Units in package:

Vial, glass, 50 mL

Class:

Prescription

Prescription type:

Prescription

Manufactured by:

Cadila Healthcare Ltd

Product summary:

Package - Contents - Shelf Life: Vial, glass, - 50 mL - 36 months from date of manufacture stored at or below 30°C

Authorization date:

1997-11-18

Patient Information leaflet

                                CONSUMER MEDICINE INFORMATION 
AGGRASTAT
®
 
 
I N F 
[http://www.pdfcomplete.com/cms/hppl/tabid/108/Default.aspx?r=q8b3uige22]O R M A T I O N   F O R   C O N S U M E R S  
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_SINGLE DOSE VIAL _
_TIROFIBAN HYDROCHLORIDE _
WHAT IS IN THIS LEAFLET 
This leaflet answers some common questions about AGGRASTAT. It does not contain all the available 
information. 
It does not take the place of talking to
your doctor or pharmacist. 
All
medicines have risks and benefits. Your doctor has weighed the risks of you using AGGRASTAT against 
the benefits they expect it will have for you. 
If you have any concerns about being given this medicine, ask your doctor or pharmacist. 
Keep this leaflet. You may need to read it again. 
WHAT AGGRASTAT IS USED FOR 
AGGRASTAT, in combination
with heparin (another medicine used to prevent blood clots), is used to
prevent 
complications that may occur in people who have unstable
angina (a type of chest pain) or are having a heart 
attack. 
AGGRASTAT belongs to a group of medicines called platelet aggregation inhibitors. 
It works by preventing cells in
the blood, called platelets, from sticking together to form blood clots. If blood 
clots are not treated or prevented, they can block blood vessels. This can
lead to complications such as 
angina  or heart attacks. 
BEFORE YOU ARE GIVEN AGGRASTAT 
_WHEN YOU MUST NOT BE GIVEN IT _
Do not use AGGRASTAT if you have an
allergy to AGGRASTAT or any of the ingredients listed at the end of 
this leaflet. 
DO NOT USE AGGRASTAT IF YOU HAVE ANY OF THE FOLLOWING MEDICAL CONDITIONS: 
l
bleeding inside your body  
l
a
                                
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Summary of Product characteristics

                                 
NAME OF MEDICINE 
AGGRASTAT
_tirofiban hydrochloride _
®
 
50mL Vial  
PRESENTATION 
Concentrate: (0.25 mg/mL) 50mL
glass vial containing 12.5mg of tirofiban (as 14.05mg 
tirofiban hydrochloride monohydrate) in 50mL of iso-osmotic citrate
buffer solution.  
THERAPEUTIC CLASS 
AGGRASTAT  (tirofiban hydrochloride, MSD), a non-peptide
antagonist of the platelet GP 
IIb/IIIa receptor, is a platelet aggregation inhibitor.  
INDICATIONS 
AGGRASTAT, in combination with heparin, is indicated
for patients with unstable angina 
or non-Q-wave myocardial infarction to
prevent cardiac ischaemic events. 
DOSAGE AND ADMINISTRATION 
THE VIAL OF AGGRASTAT (CONCENTRATE) MUST BE DILUTED PRIOR TO
ADMINISTRATION (SEE 
INSTRUCTIONS FOR USE). 
 
_AGGRASTAT is for intravenous use only using sterile
equipment.  _AGGRASTAT may be 
co-administered with heparin through the same line. 
 
AGGRASTAT is recommended for use with a calibrated infusion
device.  Care should be 
taken to avoid a prolonged loading infusion.  Care should also be
taken in calculating the 
bolus dose and infusion rates based on patient weight. 
 
In clinical studies patients received
aspirin, unless contraindicated. 
UNSTABLE ANGINA PECTORIS OR NON-Q-WAVE MYOCARDIAL INFARCTION: 
AGGRASTAT should be administered intravenously, in combination with
heparin, at the 
initial infusion rate of 0.4mcg/kg/min for 30 minutes.  Upon
completion of the initial 
infusion, AGGRASTAT should be continued at a maintenance infusion
rate of 0.1 
mcg/kg/min. 
 
 The table below is provided as a guide to dosage
adjustment by weight. 
 
 
Most Patients 
Severe Renal Insufficiency 
Patient 
Weight 
(kg) 
30 Min 
Loading 
Infusion 
Rate 
(mL/hr) 
Maintenance 
Infusion 
Rate 
(mL/hr) 
30 Min 
Loading 
Infusion Rate 
(mL/hr) 
Maintenance 
Infusion 
Rate 
(mL/hr) 
 
30-37 
 
16 
 
4 
 
8 
 
2 
 
38-45 
 
20 
 
5 
 
10 
 
                                
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