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As an anticoagulant in patients with unstable angina undergoing percutaneous transluminal coronary angioplasty (PTCA).
In patients undergoing percutaneous coronary intervention (PCI).
For use in patients with, or at risk for, heparin-induced thrombocytopenia (HIT) or heparin-induced thrombocytopenia and thrombosis syndrome (HITTS).
Mechanism of Action: Bivalirudin directly inhibits thrombin, preventing its action on fibrinogen and its activation of platelets. This leads to a reduction in clot formation and platelet aggregation, providing anticoagulant effects.
Pharmacokinetics:
Absorption: Administered intravenously, it acts rapidly.
Distribution: Limited distribution, primarily in the bloodstream.
Metabolism: Cleaved by proteolytic enzymes.
Excretion: Renal excretion.
Form: Bivalirudin API is typically found as a white to off-white lyophilized powder.