Nadroparin

Nadroparin
Names
Trade namesFraxiparin, Fraxiparine, Fraxodi, others
Other namesNadroparin calcium[1]
IUPAC name
  • (4S,6R)-6-[(2R,4R)-4,6-dihydroxy-5-(sulfonatoamino)-2-(sulfonatooxymethyl)oxan-3-yl]oxy-3,4-dihydroxy-5-sulfonatooxyoxane-2-carboxylate
Clinical data
Drug classLow molecular weight heparin (LMWH)[1]
Main usesPrevent and treat blood clots[1]
Side effectsBruising at the site of injection, bleeding, heparin induced thrombocytopenia, high potassium[2]
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Routes of
use
Subcutaneous injection (except for haemodialysis)
External links
AHFS/Drugs.comInternational Drug Names
Legal
Legal status
Pharmacokinetics
Bioavailability89% (SC dose)
Elimination half-life3.7 hours (SC dose)
Excretionclearance 21.4mL/min (+/- 7)
Chemical and physical data
Molar mass4300 g/mol

Nadroparin, sold under the brand name Fraxiparin among others, is a medication used to prevent and treat blood clots, including deep vein thrombosis (DVT) and pulmonary embolism.[1] It may be used following surgery, in people in hospital who are not moving, and as with hemodialysis.[1][2] It is given by injection under the skin.[1]

Common side effects include bruising at the site of injection and bleeding.[1][2] Other side effects may include heparin induced thrombocytopenia and high potassium.[2] In those with kidney problems, lower doses may be required.[2] It is a low molecular weight heparin (LMWH) which works by attaching to plasma protein anti-thrombin III.[1][2] It is made from unfractionated heparin.[2]

Nadroparin was approved for medical use in Australia in 1995.[2] It is on the World Health Organization's List of Essential Medicines as an alternative to enoxaparin.[3] It is available in a number of European countries and Canada but not the United States.[4][5]

History

Nadroparin was developed by Sanofi-Synthélabo.

References

  1. 1 2 3 4 5 6 7 8 Davis, R; Faulds, D (April 1997). "Nadroparin calcium. A review of its pharmacology and clinical use in the prevention and treatment of thromboembolic disorders". Drugs & aging. 10 (4): 299–322. doi:10.2165/00002512-199710040-00006. PMID 9108990.
  2. 1 2 3 4 5 6 7 8 "Fraxiparine" (PDF). TGA. Archived (PDF) from the original on 16 September 2023. Retrieved 13 September 2023.
  3. World Health Organization (2021). World Health Organization model list of essential medicines: 22nd list (2021). Geneva: World Health Organization. hdl:10665/345533. WHO/MHP/HPS/EML/2021.02.
  4. "List of nationally authorised medicinal products" (PDF). EMA. Archived (PDF) from the original on 30 March 2023. Retrieved 9 September 2023.
  5. Frontera, Walter R.; Silver, Julie K. (26 September 2018). Essentials of Physical Medicine and Rehabilitation E-Book: Musculoskeletal Disorders, Pain, and Rehabilitation. Elsevier Health Sciences. p. 715. ISBN 978-0-323-54966-0. Archived from the original on 16 September 2023. Retrieved 13 September 2023.
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