๐Ÿฉบ ANTIHAEMORRHAGIC ๐Ÿท๏ธ Fibrinolytic/Haemostatic
๐Ÿ‘จโ€โš•๏ธ Clinically Reviewed by: PakistaniBano Medical Editorial Board (Pharm.D Panel)
๐Ÿ“… Reviewed: November 2026 โ€ข ๐Ÿ” Authority: DRAP / WHO ATC
๐Ÿ“ฆ Formulations, Pack Sizes & Retail Prices Currency: Rs.
Dosage Form Reg. No Pack Size Trade Price (TP) Maximum Retail Price (MRP)
Inj 250 mg 042465 10 Ampx5 ml Rs.170.00 Rs.200.00
Inj 500 rng 042466 10 Ampx5 ml Rs.297.50 Rs.350.00

๐Ÿ“‹ Indications & Clinical Dosage

*Local fibrinolysis to prevent bleeding:* ORAL: Adults: 15-25 mg/kg body weight two-three times daily. BY SLOW IV INJ:0.5-1 gm slow IV injection 3 times daily. *Menorrhagia:* Adult: 1-1.5 gm 3-4 times daily, initiated when heavy bleeding started, for 3-4 days. *Hereditary angioedema:* Adult: 1-1.5 gm 2-3 times daily. *General fibrinolysis:* Adult: 1 gm (or 15 mg/kg)every 6-8 hr. *Inhibition of fibrinolysis, hereditary angioedema:* ORAL: Children 1 mth-18 yr: 15-25mg/kg (max 1.5 gm) 2-3 times daily. BY IV INJ: Children 1-18 yr: 10 mg/kg (max 1 g,) 2-3times daily IV injection over at least 10minutes. BY CONTINUOUS IV INF: Adult: 45 mg/kg over 24 hr. Not recommended for children below 1 year of age. *Prevention of excessive bleeding after dental procedures (inhaemophiliac):* BY IV INJ: Pre-operatively, Children 6-18 yrs:10 mg/kg (max 1.5 gm). ORAL: Pre-operatively, Children6-18 yrs: 15-25 mg/kg (max 1.5 gm). Postoperatively, Children 6-18 yr:15-25 mg/kg (max 1.5 gm) 2-3 times daily forup to 8 days.

๐Ÿ’Š Mode of Administration

IV injection or administer as IV continuous infusion. 25-50 .09 over 24hours. Can be mixed with solutions forinfusion such as NS or DOW.

โ›” Contraindications

thromboembolism, renal disease, color blindness, haematuria.

โš ๏ธ Precautions & Warnings

Perform regular eye examinations and liver function tests in long-term treatment of hereditary angioedema.

โš ๏ธ Adverse Reactions / Side Effects

Renal failure, myopathy, intracranial thrombosis, gastrointestinal disorders, nausea, vomiting, diarrhoea, purpura, colour vision disturbances (discontinue) giddiness on rapid IV injection.

๐Ÿคฐ Pregnancy & Lactation Safety

Pregnancy Risk:
Caution advised, avoid
Lactation / Breastfeeding:
Caution advised

๐Ÿงช Compatibility & Storage Stability

Stability & Storage: Store at 15.C-30.0 (59F-86F).

๐Ÿ“š Official Regulatory & Clinical References

  • Drug Regulatory Authority of Pakistan (DRAP): Drug Registration, S.R.O. Price Gazettes & National Essential Medicines List (NEML).
  • World Health Organization (WHO): Collaborating Centre for Drug Statistics Methodology (ATC/DDD Index).
  • Formulary Standards: British National Formulary (BNF) & Pakistan National Formulary (PNF) guidelines.

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