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Pathway Description
Tinzaparin Action Pathway
Homo sapiens
Drug Action Pathway
Tinzaparin is a low molecular weight heparin (LMWH), it is an anticoagulant that halts the formation of thrombi. It binds to antithrombin III forming a complex that speeds up the inhibition of factor Xa. This stops the generation of thrombin and the coagulation cascade, it is administered via subcutaneous injection. Through the liver, it is metabolized through sulfation and polymerization and is eliminated through the kidneys. There is some risk of osteoporosis with increasing duration of use, bleeding, alopecia, and heparin-induced thrombocytopenia (HIT). It can interact with herbs and supplements, so avoid those with anticoagulants and antiplatelet activity such as garlic, ginger, bilberry, danshen, piracetam and ginkgo bilba.
References
Tinzaparin Pathway References
Friedel HA, Balfour JA: Tinzaparin. A review of its pharmacology and clinical potential in the prevention and treatment of thromboembolic disorders. Drugs. 1994 Oct;48(4):638-60. doi: 10.2165/00003495-199448040-00010.
Pubmed: 7528134
Simonneau G, Sors H, Charbonnier B, Page Y, Laaban JP, Azarian R, Laurent M, Hirsch JL, Ferrari E, Bosson JL, Mottier D, Beau B: A comparison of low-molecular-weight heparin with unfractionated heparin for acute pulmonary embolism. The THESEE Study Group. Tinzaparine ou Heparine Standard: Evaluations dans l'Embolie Pulmonaire. N Engl J Med. 1997 Sep 4;337(10):663-9. doi: 10.1056/NEJM199709043371002.
Pubmed: 9278462
Planes A, Samama MM, Lensing AW, Buller HR, Barre J, Vochelle N, Beau B: Prevention of deep vein thrombosis after hip replacement--comparison between two low-molecular heparins, tinzaparin and enoxaparin. Thromb Haemost. 1999 Jan;81(1):22-5.
Pubmed: 10348714
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