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Pathway Description
Bemiparin Action Pathway
Homo sapiens
Drug Action Pathway
Bemiparin is a heparin characterized by its ultra-low molecular weight (LMWH) due to the molecular mass having a low mean of 3600 daltons. Bemiparin has a lower anti-thrombin activity than traditional LMWH. The mechanism of action of the antithrombotic acts mainly on factor Xa to prevent thromboembolism following surgery. Factor Xa is necessary for the formation of a thrombus, it acts to increase coagulation by converting prothrombin to thrombin. Administered through subcutaneous injections, it is rapidly absorbed with a half-life of 5-6 hours. It is excreted through hepatic and renal routes, elimination of the drug is impaired if there are issues with the renal or hepatic systems. Some precautions is that Bemiparin may suppress the adrenal secretion of aldosterone and lead to elevated potassium.
References
Bemiparin Pathway References
Chapman TM, Goa KL: Bemiparin: a review of its use in the prevention of venous thromboembolism and treatment of deep vein thrombosis. Drugs. 2003;63(21):2357-77. doi: 10.2165/00003495-200363210-00009.
Pubmed: 14524738
Planes A: Review of bemiparin sodium--a new second-generation low molecular weight heparin and its applications in venous thromboembolism. Expert Opin Pharmacother. 2003 Sep;4(9):1551-61. doi: 10.1517/14656566.4.9.1551.
Pubmed: 12943485
Jeske WP, Hoppensteadt D, Gray A, Walenga JM, Cunanan J, Myers L, Fareed J, Bayol A, Rigal H, Viskov C: A common standard is inappropriate for determining the potency of ultra low molecular weight heparins such as semuloparin and bemiparin. Thromb Res. 2011 Oct;128(4):361-7. doi: 10.1016/j.thromres.2011.03.001. Epub 2011 Apr 2.
Pubmed: 21458847
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