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Danaparoid - Wikipedia

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href="https://fr.wikipedia.org/wiki/Danaparo%C3%AFde_sodique" title="Danaparoïde sodique – French" lang="fr" hreflang="fr" data-title="Danaparoïde sodique" data-language-autonym="Français" data-language-local-name="French" class="interlanguage-link-target"><span>Français</span></a></li><li class="interlanguage-link interwiki-mk mw-list-item"><a href="https://mk.wikipedia.org/wiki/%D0%94%D0%B0%D0%BD%D0%B0%D0%BF%D0%B0%D1%80%D0%BE%D0%B8%D0%B4" title="Данапароид – Macedonian" lang="mk" hreflang="mk" data-title="Данапароид" data-language-autonym="Македонски" data-language-local-name="Macedonian" class="interlanguage-link-target"><span>Македонски</span></a></li><li class="interlanguage-link interwiki-ja mw-list-item"><a href="https://ja.wikipedia.org/wiki/%E3%83%80%E3%83%8A%E3%83%91%E3%83%AD%E3%82%A4%E3%83%89" title="ダナパロイド – Japanese" lang="ja" hreflang="ja" data-title="ダナパロイド" data-language-autonym="日本語" data-language-local-name="Japanese" class="interlanguage-link-target"><span>日本語</span></a></li><li class="interlanguage-link interwiki-pt mw-list-item"><a href="https://pt.wikipedia.org/wiki/Danaparoide" title="Danaparoide – Portuguese" lang="pt" hreflang="pt" data-title="Danaparoide" data-language-autonym="Português" data-language-local-name="Portuguese" class="interlanguage-link-target"><span>Português</span></a></li> </ul> <div class="after-portlet after-portlet-lang"><span class="wb-langlinks-edit wb-langlinks-link"><a href="https://www.wikidata.org/wiki/Special:EntityPage/Q906271#sitelinks-wikipedia" title="Edit interlanguage links" class="wbc-editpage">Edit links</a></span></div> </div> </div> </div> </header> <div class="vector-page-toolbar"> <div class="vector-page-toolbar-container"> <div id="left-navigation"> <nav aria-label="Namespaces"> <div id="p-associated-pages" class="vector-menu vector-menu-tabs mw-portlet mw-portlet-associated-pages" > <div class="vector-menu-content"> <ul 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<div class="vector-body-before-content"> <div class="mw-indicators"> </div> <div id="siteSub" class="noprint">From Wikipedia, the free encyclopedia</div> </div> <div id="contentSub"><div id="mw-content-subtitle"></div></div> <div id="mw-content-text" class="mw-body-content"><div class="mw-content-ltr mw-parser-output" lang="en" dir="ltr"><div class="shortdescription nomobile noexcerpt noprint searchaux" style="display:none">Anticoagulant drug</div> <style data-mw-deduplicate="TemplateStyles:r1257001546">.mw-parser-output .infobox-subbox{padding:0;border:none;margin:-3px;width:auto;min-width:100%;font-size:100%;clear:none;float:none;background-color:transparent}.mw-parser-output .infobox-3cols-child{margin:auto}.mw-parser-output .infobox .navbar{font-size:100%}@media screen{html.skin-theme-clientpref-night .mw-parser-output .infobox-full-data:not(.notheme)>div:not(.notheme)[style]{background:#1f1f23!important;color:#f8f9fa}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .infobox-full-data:not(.notheme) div:not(.notheme){background:#1f1f23!important;color:#f8f9fa}}@media(min-width:640px){body.skin--responsive .mw-parser-output .infobox-table{display:table!important}body.skin--responsive .mw-parser-output .infobox-table>caption{display:table-caption!important}body.skin--responsive .mw-parser-output .infobox-table>tbody{display:table-row-group}body.skin--responsive .mw-parser-output .infobox-table tr{display:table-row!important}body.skin--responsive .mw-parser-output .infobox-table th,body.skin--responsive .mw-parser-output .infobox-table td{padding-left:inherit;padding-right:inherit}}</style><table class="infobox" style="border-spacing:2px;"><caption class="infobox-title"><span title="International nonproprietary name (INN): Danaparoid">Danaparoid</span></caption><tbody><tr><th colspan="2" class="infobox-header" style="background:#ddd">Clinical data</th></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Drug_nomenclature#Trade_names" title="Drug nomenclature">Trade names</a></th><td class="infobox-data">Orgaran</td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/American_Society_of_Health-System_Pharmacists" title="American Society of Health-System Pharmacists">AHFS</a>/<a href="/wiki/Drugs.com" title="Drugs.com">Drugs.com</a></th><td class="infobox-data"><span title="www.drugs.com"><a rel="nofollow" class="external text" href="https://www.drugs.com/cons/danaparoid.html">Micromedex Detailed Consumer Information</a></span></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/MedlinePlus" title="MedlinePlus">MedlinePlus</a></th><td class="infobox-data"><span title="medlineplus.gov"><a rel="nofollow" class="external text" href="https://medlineplus.gov/druginfo/meds/a602007.html">a602007</a></span></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Anatomical_Therapeutic_Chemical_Classification_System" title="Anatomical Therapeutic Chemical Classification System">ATC code</a></th><td class="infobox-data"><style data-mw-deduplicate="TemplateStyles:r1126788409">.mw-parser-output .plainlist ol,.mw-parser-output .plainlist ul{line-height:inherit;list-style:none;margin:0;padding:0}.mw-parser-output .plainlist ol li,.mw-parser-output .plainlist ul li{margin-bottom:0}</style><div class="plainlist"><ul><li><a href="/wiki/ATC_code_B01" title="ATC code B01">B01AB09</a>&#x20;(<span title="www.whocc.no"><a rel="nofollow" class="external text" href="https://www.whocc.no/atc_ddd_index/?code=B01AB09">WHO</a></span>)&#x20;</li></ul></div></td></tr><tr><th colspan="2" class="infobox-header" style="background:#ddd">Identifiers</th></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/CAS_Registry_Number" title="CAS Registry Number">CAS Number</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="commonchemistry.cas.org"><a rel="nofollow" class="external text" href="https://commonchemistry.cas.org/detail?cas_rn=308068-55-5">308068-55-5</a></span><sup>&#160;<span typeof="mw:File"><span><img alt="☒" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/7px-X_mark.svg.png" decoding="async" width="7" height="8" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/11px-X_mark.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/14px-X_mark.svg.png 2x" data-file-width="525" data-file-height="600" /></span></span><span style="display:none">N</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/DrugBank" title="DrugBank">DrugBank</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.drugbank.ca"><a rel="nofollow" class="external text" href="https://www.drugbank.ca/drugs/DB06754">DB06754</a></span><sup>&#160;<span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/ChemSpider" title="ChemSpider">ChemSpider</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li>none</li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/Unique_Ingredient_Identifier" title="Unique Ingredient Identifier">UNII</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="precision.fda.gov"><a rel="nofollow" class="external text" href="https://precision.fda.gov/uniisearch/srs/unii/BI6GY4U9CW">BI6GY4U9CW</a></span></li></ul></div></td></tr><tr><th scope="row" class="infobox-label" style="line-height:1.2em;"><a href="/wiki/ChEMBL" title="ChEMBL">ChEMBL</a></th><td class="infobox-data"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1126788409"><div class="plainlist"><ul><li><span title="www.ebi.ac.uk"><a rel="nofollow" class="external text" href="https://www.ebi.ac.uk/chembldb/index.php/compound/inspect/ChEMBL1201684">ChEMBL1201684</a></span><sup>&#160;<span typeof="mw:File"><span><img alt="☒" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/7px-X_mark.svg.png" decoding="async" width="7" height="8" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/11px-X_mark.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/14px-X_mark.svg.png 2x" data-file-width="525" data-file-height="600" /></span></span><span style="display:none">N</span></sup></li></ul></div></td></tr><tr><td colspan="2" class="infobox-below"><style data-mw-deduplicate="TemplateStyles:r886047488">.mw-parser-output .nobold{font-weight:normal}</style><span class="nobold">&#160;<sup><span typeof="mw:File"><span><img alt="☒" src="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/7px-X_mark.svg.png" decoding="async" width="7" height="8" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/11px-X_mark.svg.png 1.5x, //upload.wikimedia.org/wikipedia/commons/thumb/a/a2/X_mark.svg/14px-X_mark.svg.png 2x" data-file-width="525" data-file-height="600" /></span></span><span style="display:none">N</span><span typeof="mw:File"><span><img alt="check" src="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/7px-Yes_check.svg.png" decoding="async" width="7" height="7" class="mw-file-element" srcset="//upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/11px-Yes_check.svg.png 1.5x, //upload.wikimedia.org/wikipedia/en/thumb/f/fb/Yes_check.svg/14px-Yes_check.svg.png 2x" data-file-width="600" data-file-height="600" /></span></span><span style="display:none">Y</span></sup>&#160;<a href="/wiki/Wikipedia:WikiProject_Chemicals/Chembox_validation" title="Wikipedia:WikiProject Chemicals/Chembox validation">(what is this?)</a></span><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r886047488"><span class="nobold">&#160;&#160;<span class="reflink plainlinks nourlexpansion"><a class="external text" href="https://en.wikipedia.org/w/index.php?title=Special:ComparePages&amp;rev1=381459436&amp;page2=Danaparoid">(verify)</a></span></span></td></tr></tbody></table> <p><b>Danaparoid sodium</b> (Orgaran) is an <a href="/wiki/Anticoagulant" title="Anticoagulant">anticoagulant</a><sup id="cite_ref-pmid18380908_1-0" class="reference"><a href="#cite_note-pmid18380908-1"><span class="cite-bracket">&#91;</span>1<span class="cite-bracket">&#93;</span></a></sup> with an antithrombotic action due to inhibition of thrombin generation (TGI) by two mechanisms: indirect inactivation of Factor Xa via AT and direct inhibition of thrombin activation of Factor IX (an important feedback loop for thrombin generation). It also possesses a minor anti-thrombin activity, mediated equally via AT and Heparin Co-factor II producing a ratio of anti-Xa:IIa activity &gt;22. [Meuleman DG. Haemostasis 1992;22:58-65 and Ofosu FA Haemostasis 1992;22:66-72] </p><p>Danaparoid is a low molecular weight <a href="/wiki/Heparinoid" title="Heparinoid">heparinoid</a> devoid of <a href="/wiki/Heparin" title="Heparin">heparin</a>. It consists of a mixture of <a href="/wiki/Heparan_sulfate" title="Heparan sulfate">heparan sulfate</a>, <a href="/wiki/Dermatan_sulfate" title="Dermatan sulfate">dermatan sulfate</a>, and <a href="/wiki/Chondroitin_sulfate" title="Chondroitin sulfate">chondroitin sulfate</a>.<sup id="cite_ref-pmid17854496_2-0" class="reference"><a href="#cite_note-pmid17854496-2"><span class="cite-bracket">&#91;</span>2<span class="cite-bracket">&#93;</span></a></sup> It is chemically distinct from heparin, has different protein-binding properties because of its low degree of sulphation and low surface charge density and thus has little cross-reactivity in heparin-intolerant patients. </p><p>The TGI activity, considered by Fernandes et al. [Thromb Haemostas 1987;57/3:286-93] to provide an index of antithrombotic potential, of danaparoid has a half-life of 6.7 hours. </p> <meta property="mw:PageProp/toc" /> <div class="mw-heading mw-heading2"><h2 id="Uses">Uses</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Danaparoid&amp;action=edit&amp;section=1" title="Edit section: Uses"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>It is used to prevent <a href="/wiki/Deep_venous_thrombosis" class="mw-redirect" title="Deep venous thrombosis">deep venous clots</a>, particularly in situations with a high risk of clot formation, such as after <a href="/wiki/Hip" title="Hip">hip</a> surgery. </p><p>It is also used as a heparin substitute in <a href="/wiki/Heparin-induced_thrombocytopenia" title="Heparin-induced thrombocytopenia">heparin-induced thrombocytopenia</a><sup id="cite_ref-pmid17479171_3-0" class="reference"><a href="#cite_note-pmid17479171-3"><span class="cite-bracket">&#91;</span>3<span class="cite-bracket">&#93;</span></a></sup><sup id="cite_ref-pmid16732376_4-0" class="reference"><a href="#cite_note-pmid16732376-4"><span class="cite-bracket">&#91;</span>4<span class="cite-bracket">&#93;</span></a></sup> (HIT) which may otherwise cause <a href="/wiki/Paradoxical_thrombosis" class="mw-redirect" title="Paradoxical thrombosis">paradoxical thrombosis</a>. Danaparoid is used for thrombosis prophylaxis and treatment in heparin-induced thrombocytopenia patients. Although pre-treatment serological cross-reactivity with heparin-induced antibodies can occur in 5.2% of the patients it bears no systematic relationship with clinical cross-reactivity, 3.2% in the same study of 1478 patients with acute HIT [Magnani &amp; Gallus Thromb Haemost 2006;95:967-81] <a rel="nofollow" class="external text" href="http://www.esra-learning.com/">(ESRA)</a>. </p><p>It is also approved for the treatment of DIC in Japan and although not approved for the following it has shown efficacy and safety in 406 case reports of paediatric use [Bidlingmaier et al. Acta Haematologica 2006;115:237-247], pregnancy [see Magnani HN. Thromb Res 2010;125:297-302] 197 cases &amp; 81 additional uses to protect cesarian section, patients in renal failure requiring intermittent [Magnani HN. Thromb Res 2010;125:e171-e176] or continuous (CVVRT) [Magnani HN &amp; Wester JPJ. Open access Scientific Reports 2012;1/9:423-9] renal replacement therapy and in patients with hepatic disorders associated with cirrhosis such as portal vein thrombosis [Fujiyama et al. BMC Gatsroenterol 2017;17:112-20] and the sinusoidal obstruction syndrome [Kato et al. Pediatr Transplant 2017;e13099] and thrombotic micro-angiopathy [Machida et al. Bone Marrow Transplant 2016;1-3 Doi:10.1038/bmt.2016.270] that occur after haemopoietic stem-cell transplantation in patients with haematogenous and solid malignancies. <sup class="noprint Inline-Template Template-Fact" style="white-space:nowrap;">&#91;<i><a href="/wiki/Wikipedia:Citation_needed" title="Wikipedia:Citation needed"><span title="This claim needs references to reliable sources. (December 2021)">citation needed</span></a></i>&#93;</sup> </p><p>It has also been used in <a href="/wiki/Kasabach%E2%80%93Merritt_syndrome" title="Kasabach–Merritt syndrome">Kasabach–Merritt syndrome</a> in 3 cases.<sup id="cite_ref-pmid16266920_5-0" class="reference"><a href="#cite_note-pmid16266920-5"><span class="cite-bracket">&#91;</span>5<span class="cite-bracket">&#93;</span></a></sup> </p> <div class="mw-heading mw-heading2"><h2 id="Discontinuation">Discontinuation</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Danaparoid&amp;action=edit&amp;section=2" title="Edit section: Discontinuation"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p>On August 14, 2002, this drug was withdrawn by <a href="/wiki/Organon_International" class="mw-redirect" title="Organon International">Organon International</a>.<sup id="cite_ref-6" class="reference"><a href="#cite_note-6"><span class="cite-bracket">&#91;</span>6<span class="cite-bracket">&#93;</span></a></sup> from the US market, due to a shortage in drug substance. The manufacturer has continued providing the medication in all other locales where it is approved for marketing.<sup id="cite_ref-7" class="reference"><a href="#cite_note-7"><span class="cite-bracket">&#91;</span>7<span class="cite-bracket">&#93;</span></a></sup> </p><p>The drug is now owned and distributed by Aspen Pharma. </p> <div class="mw-heading mw-heading2"><h2 id="Administration">Administration</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Danaparoid&amp;action=edit&amp;section=3" title="Edit section: Administration"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <p><a href="/wiki/Intravenous_therapy" title="Intravenous therapy">IV</a> and <a href="/wiki/Subcutaneous_injection" class="mw-redirect" title="Subcutaneous injection">SC</a> </p> <div class="mw-heading mw-heading2"><h2 id="Side_effects">Side effects</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Danaparoid&amp;action=edit&amp;section=4" title="Edit section: Side effects"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li>Bleeding (solely restricted to patients undergoing cardio-pulmonmary surgery with by pass)&lt;Magnani HN, Gallus AG. Heparin-induced thrombocytopenia (HIT) A report of 1478 clinical outcomes of patients treated with danaparoid (Orgaran) from 1982 to mid 2004." Thromb Haemost 2006; 95: 967-871&gt; found in 4.6% of medical patients, 6.1% after major general and vascular surgery, but 42.3% after CPBS (due to lack of an effective antidote) for which it is now contraindicated.</li> <li><a href="/wiki/Thrombocytopenia" title="Thrombocytopenia">Low platelets</a>, due to a low level of structural similarity between danaparoid and <a href="/wiki/Heparin" title="Heparin">heparin</a>, i.e.only in some patients sensitive to heparin or a LMWH but to date never developed spontaneously. Platelet count recovery was more frequent than in the control group in 2 comparative studies in patients with HIT [Chong et al. Thromb Haemost 2001;86:1170-1175 and Lubenow et al. Thromb Res 2006;117:507-15]</li> <li>Possibly <a href="/wiki/Asthma" title="Asthma">Asthma</a> exacerbations, due to allergies to <a href="/wiki/Sulfite" title="Sulfite">sulfites</a> contained within the medicine (no case has been reported to date).</li></ul> <div class="mw-heading mw-heading2"><h2 id="References">References</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Danaparoid&amp;action=edit&amp;section=5" title="Edit section: References"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <style data-mw-deduplicate="TemplateStyles:r1239543626">.mw-parser-output .reflist{margin-bottom:0.5em;list-style-type:decimal}@media screen{.mw-parser-output .reflist{font-size:90%}}.mw-parser-output .reflist .references{font-size:100%;margin-bottom:0;list-style-type:inherit}.mw-parser-output .reflist-columns-2{column-width:30em}.mw-parser-output .reflist-columns-3{column-width:25em}.mw-parser-output .reflist-columns{margin-top:0.3em}.mw-parser-output .reflist-columns ol{margin-top:0}.mw-parser-output .reflist-columns li{page-break-inside:avoid;break-inside:avoid-column}.mw-parser-output .reflist-upper-alpha{list-style-type:upper-alpha}.mw-parser-output .reflist-upper-roman{list-style-type:upper-roman}.mw-parser-output .reflist-lower-alpha{list-style-type:lower-alpha}.mw-parser-output .reflist-lower-greek{list-style-type:lower-greek}.mw-parser-output .reflist-lower-roman{list-style-type:lower-roman}</style><div class="reflist reflist-columns references-column-width reflist-columns-2"> <ol class="references"> <li id="cite_note-pmid18380908-1"><span class="mw-cite-backlink"><b><a href="#cite_ref-pmid18380908_1-0">^</a></b></span> <span class="reference-text"><style data-mw-deduplicate="TemplateStyles:r1238218222">.mw-parser-output cite.citation{font-style:inherit;word-wrap:break-word}.mw-parser-output .citation q{quotes:"\"""\"""'""'"}.mw-parser-output .citation:target{background-color:rgba(0,127,255,0.133)}.mw-parser-output .id-lock-free.id-lock-free a{background:url("//upload.wikimedia.org/wikipedia/commons/6/65/Lock-green.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-limited.id-lock-limited a,.mw-parser-output .id-lock-registration.id-lock-registration a{background:url("//upload.wikimedia.org/wikipedia/commons/d/d6/Lock-gray-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .id-lock-subscription.id-lock-subscription a{background:url("//upload.wikimedia.org/wikipedia/commons/a/aa/Lock-red-alt-2.svg")right 0.1em center/9px no-repeat}.mw-parser-output .cs1-ws-icon a{background:url("//upload.wikimedia.org/wikipedia/commons/4/4c/Wikisource-logo.svg")right 0.1em center/12px no-repeat}body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-free a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-limited a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-registration a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .id-lock-subscription a,body:not(.skin-timeless):not(.skin-minerva) .mw-parser-output .cs1-ws-icon a{background-size:contain;padding:0 1em 0 0}.mw-parser-output .cs1-code{color:inherit;background:inherit;border:none;padding:inherit}.mw-parser-output .cs1-hidden-error{display:none;color:var(--color-error,#d33)}.mw-parser-output .cs1-visible-error{color:var(--color-error,#d33)}.mw-parser-output .cs1-maint{display:none;color:#085;margin-left:0.3em}.mw-parser-output .cs1-kern-left{padding-left:0.2em}.mw-parser-output .cs1-kern-right{padding-right:0.2em}.mw-parser-output .citation .mw-selflink{font-weight:inherit}@media screen{.mw-parser-output .cs1-format{font-size:95%}html.skin-theme-clientpref-night .mw-parser-output .cs1-maint{color:#18911f}}@media screen and (prefers-color-scheme:dark){html.skin-theme-clientpref-os .mw-parser-output .cs1-maint{color:#18911f}}</style><cite id="CITEREFHagiwaraIwasakaHidakaHishiyama2008" class="citation journal cs1">Hagiwara S, Iwasaka H, Hidaka S, Hishiyama S, Noguchi T (2008). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2447588">"Danaparoid sodium inhibits systemic inflammation and prevents endotoxin-induced acute lung injury in rats"</a>. <i>Crit Care</i>. <b>12</b> (2): R43. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1186%2Fcc6851">10.1186/cc6851</a></span>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2447588">2447588</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/18380908">18380908</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Crit+Care&amp;rft.atitle=Danaparoid+sodium+inhibits+systemic+inflammation+and+prevents+endotoxin-induced+acute+lung+injury+in+rats&amp;rft.volume=12&amp;rft.issue=2&amp;rft.pages=R43&amp;rft.date=2008&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2447588%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F18380908&amp;rft_id=info%3Adoi%2F10.1186%2Fcc6851&amp;rft.aulast=Hagiwara&amp;rft.aufirst=S&amp;rft.au=Iwasaka%2C+H&amp;rft.au=Hidaka%2C+S&amp;rft.au=Hishiyama%2C+S&amp;rft.au=Noguchi%2C+T&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2447588&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ADanaparoid" class="Z3988"></span></span> </li> <li id="cite_note-pmid17854496-2"><span class="mw-cite-backlink"><b><a href="#cite_ref-pmid17854496_2-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFde_PontHofstraPikMeijers2007" class="citation journal cs1">de Pont AC, Hofstra JJ, Pik DR, Meijers JC, Schultz MJ (2007). <a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2556745">"Pharmacokinetics and pharmacodynamics of danaparoid during continuous venovenous hemofiltration: a pilot study"</a>. <i>Crit Care</i>. <b>11</b> (5): R102. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://doi.org/10.1186%2Fcc6119">10.1186/cc6119</a></span>. <a href="/wiki/PMC_(identifier)" class="mw-redirect" title="PMC (identifier)">PMC</a>&#160;<span class="id-lock-free" title="Freely accessible"><a rel="nofollow" class="external text" href="https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2556745">2556745</a></span>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/17854496">17854496</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Crit+Care&amp;rft.atitle=Pharmacokinetics+and+pharmacodynamics+of+danaparoid+during+continuous+venovenous+hemofiltration%3A+a+pilot+study&amp;rft.volume=11&amp;rft.issue=5&amp;rft.pages=R102&amp;rft.date=2007&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2556745%23id-name%3DPMC&amp;rft_id=info%3Apmid%2F17854496&amp;rft_id=info%3Adoi%2F10.1186%2Fcc6119&amp;rft.aulast=de+Pont&amp;rft.aufirst=AC&amp;rft.au=Hofstra%2C+JJ&amp;rft.au=Pik%2C+DR&amp;rft.au=Meijers%2C+JC&amp;rft.au=Schultz%2C+MJ&amp;rft_id=https%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fpmc%2Farticles%2FPMC2556745&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ADanaparoid" class="Z3988"></span></span> </li> <li id="cite_note-pmid17479171-3"><span class="mw-cite-backlink"><b><a href="#cite_ref-pmid17479171_3-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFSchindewolfMagnaniLindhoff-Last2007" class="citation journal cs1 cs1-prop-foreign-lang-source">Schindewolf M, Magnani HN, Lindhoff-Last E (May 2007). <a rel="nofollow" class="external text" href="http://www.schattauer.de/index.php?id=1268&amp;pii=ha07020089&amp;no_cache=1">"&#91;Danaparoid in pregnancy in cases of heparin intolerance - use in 59 cases&#93;"</a>. <i>Hamostaseologie</i> (in German). <b>27</b> (2): 89–97. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/17479171">17479171</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Hamostaseologie&amp;rft.atitle=%5BDanaparoid+in+pregnancy+in+cases+of+heparin+intolerance+-+use+in+59+cases%5D&amp;rft.volume=27&amp;rft.issue=2&amp;rft.pages=89-97&amp;rft.date=2007-05&amp;rft_id=info%3Apmid%2F17479171&amp;rft.aulast=Schindewolf&amp;rft.aufirst=M&amp;rft.au=Magnani%2C+HN&amp;rft.au=Lindhoff-Last%2C+E&amp;rft_id=http%3A%2F%2Fwww.schattauer.de%2Findex.php%3Fid%3D1268%26pii%3Dha07020089%26no_cache%3D1&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ADanaparoid" class="Z3988"></span></span> </li> <li id="cite_note-pmid16732376-4"><span class="mw-cite-backlink"><b><a href="#cite_ref-pmid16732376_4-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFMagnaniGallus2006" class="citation journal cs1">Magnani HN, Gallus A (June 2006). <a rel="nofollow" class="external text" href="http://www.schattauer.de/index.php?id=1268&amp;pii=th06060967&amp;no_cache=1">"Heparin-induced thrombocytopenia (HIT). A report of 1,478 clinical outcomes of patients treated with danaparoid (Orgaran) from 1982 to mid-2004"</a>. <i>Thromb. Haemost</i>. <b>95</b> (6): 967–81. <a href="/wiki/Doi_(identifier)" class="mw-redirect" title="Doi (identifier)">doi</a>:<a rel="nofollow" class="external text" href="https://doi.org/10.1160%2FTH05-07-0489">10.1160/TH05-07-0489</a>. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/16732376">16732376</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Thromb.+Haemost.&amp;rft.atitle=Heparin-induced+thrombocytopenia+%28HIT%29.+A+report+of+1%2C478+clinical+outcomes+of+patients+treated+with+danaparoid+%28Orgaran%29+from+1982+to+mid-2004&amp;rft.volume=95&amp;rft.issue=6&amp;rft.pages=967-81&amp;rft.date=2006-06&amp;rft_id=info%3Adoi%2F10.1160%2FTH05-07-0489&amp;rft_id=info%3Apmid%2F16732376&amp;rft.aulast=Magnani&amp;rft.aufirst=HN&amp;rft.au=Gallus%2C+A&amp;rft_id=http%3A%2F%2Fwww.schattauer.de%2Findex.php%3Fid%3D1268%26pii%3Dth06060967%26no_cache%3D1&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ADanaparoid" class="Z3988"></span></span> </li> <li id="cite_note-pmid16266920-5"><span class="mw-cite-backlink"><b><a href="#cite_ref-pmid16266920_5-0">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite id="CITEREFOntachiAsakuraOmoteYoshida2005" class="citation journal cs1 cs1-prop-long-vol">Ontachi Y, Asakura H, Omote M, Yoshida T, Matsui O, Nakao S (November 2005). <a rel="nofollow" class="external text" href="http://www.haematologica.org/cgi/pmidlookup?view=long&amp;pmid=16266920">"Kasabach-Merritt syndrome associated with giant liver hemangioma: the effect of combined therapy with danaparoid sodium and tranexamic acid"</a>. <i>Haematologica</i>. 90 Suppl: ECR29. <a href="/wiki/PMID_(identifier)" class="mw-redirect" title="PMID (identifier)">PMID</a>&#160;<a rel="nofollow" class="external text" href="https://pubmed.ncbi.nlm.nih.gov/16266920">16266920</a>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&amp;rft.genre=article&amp;rft.jtitle=Haematologica&amp;rft.atitle=Kasabach-Merritt+syndrome+associated+with+giant+liver+hemangioma%3A+the+effect+of+combined+therapy+with+danaparoid+sodium+and+tranexamic+acid&amp;rft.volume=90+Suppl&amp;rft.pages=ECR29&amp;rft.date=2005-11&amp;rft_id=info%3Apmid%2F16266920&amp;rft.aulast=Ontachi&amp;rft.aufirst=Y&amp;rft.au=Asakura%2C+H&amp;rft.au=Omote%2C+M&amp;rft.au=Yoshida%2C+T&amp;rft.au=Matsui%2C+O&amp;rft.au=Nakao%2C+S&amp;rft_id=http%3A%2F%2Fwww.haematologica.org%2Fcgi%2Fpmidlookup%3Fview%3Dlong%26pmid%3D16266920&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ADanaparoid" class="Z3988"></span></span> </li> <li id="cite_note-6"><span class="mw-cite-backlink"><b><a href="#cite_ref-6">^</a></b></span> <span class="reference-text"><link rel="mw-deduplicated-inline-style" href="mw-data:TemplateStyles:r1238218222"><cite class="citation web cs1"><a rel="nofollow" class="external text" href="http://www.mayoclinic.com/health/drug-information/DR600517">"Danaparoid (Subcutaneous Route) - MayoClinic.com"</a><span class="reference-accessdate">. Retrieved <span class="nowrap">2007-08-23</span></span>.</cite><span title="ctx_ver=Z39.88-2004&amp;rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Abook&amp;rft.genre=unknown&amp;rft.btitle=Danaparoid+%28Subcutaneous+Route%29+-+MayoClinic.com&amp;rft_id=http%3A%2F%2Fwww.mayoclinic.com%2Fhealth%2Fdrug-information%2FDR600517&amp;rfr_id=info%3Asid%2Fen.wikipedia.org%3ADanaparoid" class="Z3988"></span></span> </li> <li id="cite_note-7"><span class="mw-cite-backlink"><b><a href="#cite_ref-7">^</a></b></span> <span class="reference-text">"Heparin Induced Thrombocytopenia" Uptodate www.uptodate.com retrieved on 2/6/2009</span> </li> </ol></div> <div class="mw-heading mw-heading2"><h2 id="External_links">External links</h2><span class="mw-editsection"><span class="mw-editsection-bracket">[</span><a href="/w/index.php?title=Danaparoid&amp;action=edit&amp;section=6" title="Edit section: External links"><span>edit</span></a><span class="mw-editsection-bracket">]</span></span></div> <ul><li><a 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navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Glycoprotein_IIb/IIIa_inhibitors" title="Glycoprotein IIb/IIIa inhibitors">Glycoprotein IIb/IIIa inhibitors</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Abciximab" title="Abciximab">Abciximab</a></li> <li><a href="/wiki/Eptifibatide" title="Eptifibatide">Eptifibatide</a></li> <li><a href="/w/index.php?title=Orbofiban&amp;action=edit&amp;redlink=1" class="new" title="Orbofiban (page does not exist)">Orbofiban</a></li> <li><a href="/w/index.php?title=Roxifiban&amp;action=edit&amp;redlink=1" class="new" title="Roxifiban (page does not exist)">Roxifiban</a></li> <li><a href="/wiki/Sibrafiban" title="Sibrafiban">Sibrafiban</a><sup>§</sup></li> <li><a href="/wiki/Tirofiban" title="Tirofiban">Tirofiban</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/P2Y12" title="P2Y12">ADP receptor/P2Y<sub>12</sub></a> <a href="/wiki/Adenosine_diphosphate_receptor_inhibitor" title="Adenosine diphosphate receptor inhibitor">inhibitors</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Thienopyridine" title="Thienopyridine">Thienopyridines</a> <ul><li><a href="/wiki/Clopidogrel" title="Clopidogrel">Clopidogrel</a></li> <li><a href="/wiki/Prasugrel" title="Prasugrel">Prasugrel</a></li> <li><a href="/wiki/Ticlopidine" title="Ticlopidine">Ticlopidine</a></li></ul></li> <li><a href="/wiki/Nucleotide" title="Nucleotide">Nucleotide</a>/<a href="/wiki/Nucleoside" title="Nucleoside">nucleoside</a> analogs <ul><li><a href="/wiki/Cangrelor" title="Cangrelor">Cangrelor</a></li> <li><a href="/wiki/Elinogrel" title="Elinogrel">Elinogrel</a></li> <li><a href="/wiki/Ticagrelor" title="Ticagrelor">Ticagrelor</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Prostaglandin_analogue" title="Prostaglandin analogue">Prostaglandin analogue</a> (<a href="/wiki/Prostacyclin" title="Prostacyclin">PGI2</a>)</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Beraprost" title="Beraprost">Beraprost</a></li> <li><a href="/wiki/Iloprost" title="Iloprost">Iloprost</a></li> <li><a href="/wiki/Prostacyclin" title="Prostacyclin">Prostacyclin</a></li> <li><a href="/wiki/Treprostinil" title="Treprostinil">Treprostinil</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Mechanism_of_action_of_aspirin" title="Mechanism of action of aspirin">COX inhibitors</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Aspirin" title="Aspirin">Acetylsalicylic acid/Aspirin</a><sup>#</sup></li> <li><a href="/wiki/Aloxiprin" title="Aloxiprin">Aloxiprin</a></li> <li><a href="/wiki/Carbasalate_calcium" title="Carbasalate calcium">Carbasalate calcium</a></li> <li><a href="/wiki/Indobufen" title="Indobufen">Indobufen</a></li> <li><a href="/wiki/Triflusal" title="Triflusal">Triflusal</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Thromboxane_inhibitors" class="mw-redirect" title="Thromboxane inhibitors">Thromboxane inhibitors</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Thromboxane_synthase_inhibitors" class="mw-redirect" title="Thromboxane synthase inhibitors">Thromboxane synthase inhibitors</a> <ul><li><a href="/wiki/Dipyridamole" title="Dipyridamole">Dipyridamole</a> (<a href="/wiki/Acetylsalicylic_acid/dipyridamole" title="Acetylsalicylic acid/dipyridamole">+ aspirin</a>)</li> <li><a href="/wiki/Picotamide" title="Picotamide">Picotamide</a></li> <li><a href="/wiki/Terbogrel" title="Terbogrel">Terbogrel</a></li></ul></li> <li><a href="/wiki/Thromboxane_receptor_antagonist" class="mw-redirect" title="Thromboxane receptor antagonist">Receptor antagonists</a> <ul><li><a href="/wiki/Terbogrel" title="Terbogrel">Terbogrel</a></li> <li><a href="/wiki/Terutroban" title="Terutroban">Terutroban</a><sup>§</sup></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Phosphodiesterase_inhibitor" title="Phosphodiesterase inhibitor">Phosphodiesterase inhibitors</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Cilostazol" title="Cilostazol">Cilostazol</a></li> <li><a href="/wiki/Dipyridamole" title="Dipyridamole">Dipyridamole</a></li> <li><a href="/wiki/Triflusal" title="Triflusal">Triflusal</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Cloricromen" title="Cloricromen">Cloricromen</a></li> <li><a href="/wiki/Ditazole" title="Ditazole">Ditazole</a></li> <li><a href="/wiki/Vorapaxar" title="Vorapaxar">Vorapaxar</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Anticoagulant" title="Anticoagulant">Anticoagulants</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Vitamin_K_antagonist" title="Vitamin K antagonist">Vitamin K antagonists</a><br />(inhibit <a href="/wiki/Thrombin" title="Thrombin">II</a>, <a href="/wiki/Factor_VII" title="Factor VII">VII</a>, <a href="/wiki/Factor_IX" title="Factor IX">IX</a>, <a href="/wiki/Factor_X" title="Factor X">X</a>)</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Coumarin" title="Coumarin">Coumarins</a>: <a href="/wiki/Acenocoumarol" title="Acenocoumarol">Acenocoumarol</a></li> <li><a href="/wiki/Coumatetralyl" title="Coumatetralyl">Coumatetralyl</a></li> <li><a href="/wiki/Dicoumarol" title="Dicoumarol">Dicoumarol</a></li> <li><a href="/wiki/Ethyl_biscoumacetate" title="Ethyl biscoumacetate">Ethyl biscoumacetate</a></li> <li><a href="/wiki/Phenprocoumon" title="Phenprocoumon">Phenprocoumon</a></li> <li><a href="/wiki/Warfarin" title="Warfarin">Warfarin</a><sup>#</sup></li> <li><a href="/wiki/1,3-Indandione" title="1,3-Indandione">1,3-Indandiones</a>: <a href="/wiki/Clorindione" title="Clorindione">Clorindione</a></li> <li><a href="/wiki/Diphenadione" title="Diphenadione">Diphenadione</a></li> <li><a href="/wiki/Phenindione" title="Phenindione">Phenindione</a></li> <li>Other: <a href="/wiki/Tioclomarol" title="Tioclomarol">Tioclomarol</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Factor_Xa" class="mw-redirect" title="Factor Xa">Factor Xa</a> inhibitors<br />(with some II inhibition)</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"></div><table class="nowraplinks navbox-subgroup" style="border-spacing:0"><tbody><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Heparin" title="Heparin">Heparin</a> group/<br /><a href="/wiki/Glycosaminoglycan" title="Glycosaminoglycan">glycosaminoglycans</a>/<br />(bind <a href="/wiki/Antithrombin" title="Antithrombin">antithrombin</a>)</th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Low-molecular-weight_heparin" title="Low-molecular-weight heparin">Low-molecular-weight heparin</a> <ul><li><a href="/wiki/Bemiparin_sodium" title="Bemiparin sodium">Bemiparin</a></li> <li><a href="/wiki/Certoparin_sodium" title="Certoparin sodium">Certoparin</a></li> <li><a href="/wiki/Dalteparin_sodium" title="Dalteparin sodium">Dalteparin</a></li> <li><a href="/wiki/Enoxaparin_sodium" title="Enoxaparin sodium">Enoxaparin</a></li> <li><a href="/wiki/Nadroparin_calcium" title="Nadroparin calcium">Nadroparin</a></li> <li><a href="/wiki/Parnaparin_sodium" title="Parnaparin sodium">Parnaparin</a></li> <li><a href="/wiki/Reviparin_sodium" title="Reviparin sodium">Reviparin</a></li> <li><a href="/wiki/Tinzaparin_sodium" title="Tinzaparin sodium">Tinzaparin</a></li></ul></li> <li><a href="/wiki/Oligosaccharide" title="Oligosaccharide">Oligosaccharides</a> <ul><li><a href="/wiki/Fondaparinux" title="Fondaparinux">Fondaparinux</a></li> <li><a href="/wiki/Idraparinux" title="Idraparinux">Idraparinux</a><sup>§</sup></li></ul></li> <li><a href="/wiki/Heparinoid" title="Heparinoid">Heparinoids</a> <ul><li><a class="mw-selflink selflink">Danaparoid</a></li> <li><a href="/wiki/Dermatan_sulfate" title="Dermatan sulfate">Dermatan sulfate</a></li> <li><a href="/wiki/Sulodexide" title="Sulodexide">Sulodexide</a></li></ul></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Direct_factor_Xa_inhibitors" title="Direct factor Xa inhibitors">Direct Xa inhibitors</a> ("xabans")</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Apixaban" title="Apixaban">Apixaban</a></li> <li><a href="/wiki/Betrixaban" title="Betrixaban">Betrixaban</a></li> <li><a href="/wiki/Darexaban" title="Darexaban">Darexaban</a><sup>§</sup></li> <li><a href="/wiki/Edoxaban" title="Edoxaban">Edoxaban</a></li> <li><a href="/wiki/Otamixaban" title="Otamixaban">Otamixaban</a><sup>§</sup></li> <li><a href="/wiki/Rivaroxaban" title="Rivaroxaban">Rivaroxaban</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Direct_thrombin_inhibitor" title="Direct thrombin inhibitor">Direct thrombin (IIa) inhibitors</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Direct_thrombin_inhibitor#Bivalent" title="Direct thrombin inhibitor">Bivalent</a>: <a href="/wiki/Hirudin" title="Hirudin">Hirudin</a> <ul><li><a href="/wiki/Bivalirudin" title="Bivalirudin">Bivalirudin</a></li> <li><a href="/wiki/Desirudin" class="mw-redirect" title="Desirudin">Desirudin</a></li> <li><a href="/wiki/Lepirudin" title="Lepirudin">Lepirudin</a><sup>‡</sup></li></ul></li> <li><a href="/wiki/Direct_thrombin_inhibitor#Univalent" title="Direct thrombin inhibitor">Univalent</a>: <a href="/wiki/Argatroban" title="Argatroban">Argatroban</a></li> <li><a href="/wiki/Dabigatran" title="Dabigatran">Dabigatran</a></li> <li><a href="/w/index.php?title=Efegatran&amp;action=edit&amp;redlink=1" class="new" title="Efegatran (page does not exist)">Efegatran</a></li> <li><a href="/wiki/Inogatran" title="Inogatran">Inogatran</a><sup>§</sup></li> <li><a href="/wiki/Melagatran" class="mw-redirect" title="Melagatran">Melagatran</a><sup>‡</sup></li> <li><a href="/wiki/Ximelagatran" title="Ximelagatran">Ximelagatran</a><sup>‡</sup></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%">Other</th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Abelacimab" title="Abelacimab">Abelacimab</a></li> <li><a href="/wiki/Antithrombin" title="Antithrombin">Antithrombin III</a></li> <li><a href="/wiki/Defibrotide" title="Defibrotide">Defibrotide</a></li> <li><a href="/wiki/Nafamostat" title="Nafamostat">Nafamostat</a></li> <li><a href="/wiki/Protein_C" title="Protein C">Protein C</a> <ul><li><a href="/wiki/Drotrecogin_alfa" title="Drotrecogin alfa">Drotrecogin alfa</a><sup>‡</sup></li></ul></li> <li><a href="/wiki/Ramatroban" title="Ramatroban">Ramatroban</a></li> <li><a href="/wiki/REG1" title="REG1">REG1</a></li></ul> </div></td></tr></tbody></table><div></div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Thrombolytic_drug" class="mw-redirect" title="Thrombolytic drug">Thrombolytic drugs</a>/<br /><a href="/wiki/Fibrinolytic" class="mw-redirect" title="Fibrinolytic">fibrinolytics</a></th><td class="navbox-list-with-group navbox-list navbox-odd" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Plasminogen_activator" title="Plasminogen activator">Plasminogen activators</a>: <a href="/wiki/Recombinant_tissue_plasminogen_activators" class="mw-redirect" title="Recombinant tissue plasminogen activators">r-tPA</a> <ul><li><a href="/wiki/Alteplase" title="Alteplase">Alteplase</a><sup>#</sup></li> <li><a href="/wiki/Reteplase" title="Reteplase">Reteplase</a></li> <li><a href="/wiki/Tenecteplase" title="Tenecteplase">Tenecteplase</a></li> <li><a href="/wiki/Desmoteplase" title="Desmoteplase">Desmoteplase</a><sup>†</sup></li></ul></li> <li>UPA <ul><li><a href="/wiki/Saruplase" title="Saruplase">Saruplase</a></li> <li><a href="/wiki/Urokinase" title="Urokinase">Urokinase</a></li></ul></li> <li><a href="/wiki/Anistreplase" title="Anistreplase">Anistreplase</a></li> <li><a href="/wiki/Monteplase" title="Monteplase">Monteplase</a></li> <li><a href="/wiki/Streptokinase" title="Streptokinase">Streptokinase</a><sup>#</sup></li> <li>Other <a href="/wiki/Serine_endopeptidase" class="mw-redirect" title="Serine endopeptidase">serine endopeptidases</a>: <a href="/wiki/Ancrod" title="Ancrod">Ancrod</a><sup>‡</sup></li> <li><a href="/wiki/Brinase" title="Brinase">Brinase</a></li> <li><a href="/wiki/Fibrinolysin" title="Fibrinolysin">Fibrinolysin</a></li></ul> </div></td></tr><tr><th scope="row" class="navbox-group" style="width:1%"><a href="/wiki/Anticoagulant" title="Anticoagulant">Non-medicinal</a></th><td class="navbox-list-with-group navbox-list navbox-even" style="width:100%;padding:0"><div style="padding:0 0.25em"> <ul><li><a href="/wiki/Citrate" class="mw-redirect" title="Citrate">Citrate</a></li> <li><a href="/wiki/Ethylenediaminetetraacetic_acid" title="Ethylenediaminetetraacetic acid">EDTA</a></li> <li><a href="/wiki/Oxalate" title="Oxalate">Oxalate</a></li></ul> </div></td></tr><tr><td class="navbox-abovebelow" colspan="2" style="background: transparent; padding: 0px;"><div><div class="hlist"> <ul><li><sup>#</sup><a href="/wiki/WHO_Model_List_of_Essential_Medicines" title="WHO Model List of Essential Medicines">WHO-EM</a></li> <li><sup>‡</sup><a href="/wiki/List_of_withdrawn_drugs" title="List of withdrawn drugs">Withdrawn</a> from market</li> <li><a href="/wiki/Clinical_trial" title="Clinical trial">Clinical trials</a>: <ul><li><sup>†</sup><a href="/wiki/Phases_of_clinical_research#Phase_III" title="Phases of clinical research">Phase III</a></li> <li><sup>§</sup>Never to phase III</li></ul></li></ul> </div></div></td></tr></tbody></table></div> <!-- NewPP limit report Parsed by mw‐api‐int.codfw.main‐64c5d7ccf6‐5g2dc Cached time: 20241126210841 Cache expiry: 2592000 Reduced expiry: false Complications: [vary‐revision‐sha1, show‐toc] CPU time usage: 0.546 seconds Real time usage: 0.735 seconds Preprocessor visited node count: 4681/1000000 Post‐expand include size: 84238/2097152 bytes Template argument size: 4048/2097152 bytes Highest expansion depth: 18/100 Expensive parser function count: 3/500 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