Peringatan Keamanan

As with other anticoagulants, the main concern is increased bleed risk. The risk of hemorrhage may increase with decreased renal function, body mass less than 50 kg, and moderate to severe hepatic function.

Fondaparinux

DB00569

small molecule approved investigational

Deskripsi

Fondaparinux (Arixtra) is a synthetic anticoagulant agent consisting of five monomeric sugar units and a O-methyl group at the reducing end of the molecule. It is structurally similar to polymeric glycosaminoglycan heparin and heparan sulfate (HS) when they are cleaved into monomeric units. The monomeric sequence in heparin and HS is thought to form the high affinity binding site for the natural anti-coagulant factor, antithrombin III (ATIII). Once bound to heparin or HS, the anticoagulant activity of ATIII is potentiated by 1000-fold. Fondaparinux potentiates the neutralizing action of ATIII on activated Factor X 300-fold. Fondaparinux may be used: to prevent venous thromboembolism in patients who have undergone orthopedic surgery of the lower limbs (e.g. hip fracture, hip replacement and knee surgery); to prevent VTE in patients undergoing abdominal surgery who are are at high risk of thromboembolic complications; in the treatment of deep vein thrombosis (DVT) and pumonary embolism (PE); in the management of unstable angina (UA) and non-ST segment elevation myocardial infarction (NSTEMI); and in the management of ST segment elevation myocardial infarction (STEMI).

Struktur Molekul 2D

Berat 1508.263
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) 17-21 hours
Volume Distribusi * 7 - 11 L (healthy adults), distributed primarily in blood
Klirens (Clearance) -

Absorpsi

100% bioavailability when administered subcutaneously

Metabolisme

Not metabolized

Rute Eliminasi

In individuals with normal kidney function, fondaparinux is eliminated in urine mainly as unchanged drug.

Interaksi Makanan

1 Data
  • 1. Avoid herbs and supplements with anticoagulant/antiplatelet activity. Examples include ginseng, ginkgo, ginger, and garlic.

Interaksi Obat

1130 Data
Apixaban Apixaban may increase the anticoagulant activities of Fondaparinux.
Dabigatran etexilate Dabigatran etexilate may increase the anticoagulant activities of Fondaparinux.
Dasatinib The risk or severity of bleeding and hemorrhage can be increased when Dasatinib is combined with Fondaparinux.
Deferasirox The risk or severity of gastrointestinal bleeding can be increased when Fondaparinux is combined with Deferasirox.
Ursodeoxycholic acid The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Ursodeoxycholic acid.
Glycochenodeoxycholic Acid The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Glycochenodeoxycholic Acid.
Cholic Acid The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Cholic Acid.
Glycocholic acid The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Glycocholic acid.
Deoxycholic acid The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Deoxycholic acid.
Taurocholic acid The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Taurocholic acid.
Obeticholic acid The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Obeticholic acid.
Chenodeoxycholic acid The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Chenodeoxycholic acid.
Taurochenodeoxycholic acid The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Taurochenodeoxycholic acid.
Tauroursodeoxycholic acid The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Tauroursodeoxycholic acid.
Bamet-UD2 The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Bamet-UD2.
Dehydrocholic acid The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Dehydrocholic acid.
Hyodeoxycholic Acid The risk or severity of bleeding and bruising can be increased when Fondaparinux is combined with Hyodeoxycholic Acid.
Edoxaban The risk or severity of bleeding can be increased when Edoxaban is combined with Fondaparinux.
Ibrutinib The risk or severity of bleeding and hemorrhage can be increased when Ibrutinib is combined with Fondaparinux.
Obinutuzumab The risk or severity of bleeding and hemorrhage can be increased when Fondaparinux is combined with Obinutuzumab.
Rivaroxaban Fondaparinux may increase the anticoagulant activities of Rivaroxaban.
Sugammadex The risk or severity of bleeding and hemorrhage can be increased when Fondaparinux is combined with Sugammadex.
Tibolone Tibolone may increase the anticoagulant activities of Fondaparinux.
Tipranavir The risk or severity of bleeding and hemorrhage can be increased when Tipranavir is combined with Fondaparinux.
Urokinase Urokinase may increase the anticoagulant activities of Fondaparinux.
Vitamin E Vitamin E may increase the anticoagulant activities of Fondaparinux.
Vorapaxar The risk or severity of bleeding and hemorrhage can be increased when Vorapaxar is combined with Fondaparinux.
Ginkgo biloba Ginkgo biloba may increase the anticoagulant activities of Fondaparinux.
Ifosfamide The risk or severity of bleeding can be increased when Ifosfamide is combined with Fondaparinux.
Quinine The therapeutic efficacy of Fondaparinux can be increased when used in combination with Quinine.
Quinidine The therapeutic efficacy of Fondaparinux can be increased when used in combination with Quinidine.
Tamoxifen The risk or severity of bleeding can be increased when Tamoxifen is combined with Fondaparinux.
Toremifene The risk or severity of bleeding can be increased when Toremifene is combined with Fondaparinux.
Pentoxifylline The therapeutic efficacy of Fondaparinux can be increased when used in combination with Pentoxifylline.
Pentosan polysulfate Pentosan polysulfate may increase the anticoagulant activities of Fondaparinux.
Levocarnitine The therapeutic efficacy of Fondaparinux can be increased when used in combination with Levocarnitine.
Diethylstilbestrol Diethylstilbestrol may decrease the anticoagulant activities of Fondaparinux.
Chlorotrianisene Chlorotrianisene may decrease the anticoagulant activities of Fondaparinux.
Conjugated estrogens Conjugated estrogens may decrease the anticoagulant activities of Fondaparinux.
Mestranol The risk or severity of adverse effects can be increased when Mestranol is combined with Fondaparinux.
Estrone sulfate Estrone sulfate may decrease the anticoagulant activities of Fondaparinux.
Quinestrol Quinestrol may decrease the anticoagulant activities of Fondaparinux.
Hexestrol Hexestrol may decrease the anticoagulant activities of Fondaparinux.
Synthetic Conjugated Estrogens, A Synthetic Conjugated Estrogens, A may decrease the anticoagulant activities of Fondaparinux.
Synthetic Conjugated Estrogens, B Synthetic Conjugated Estrogens, B may decrease the anticoagulant activities of Fondaparinux.
Polyestradiol phosphate Polyestradiol phosphate may decrease the anticoagulant activities of Fondaparinux.
Esterified estrogens Esterified estrogens may decrease the anticoagulant activities of Fondaparinux.
Zeranol Zeranol may decrease the anticoagulant activities of Fondaparinux.
Equol Equol may decrease the anticoagulant activities of Fondaparinux.
Methallenestril Methallenestril may decrease the anticoagulant activities of Fondaparinux.
Epimestrol Epimestrol may decrease the anticoagulant activities of Fondaparinux.
Moxestrol Moxestrol may decrease the anticoagulant activities of Fondaparinux.
Estradiol acetate Estradiol acetate may decrease the anticoagulant activities of Fondaparinux.
Estradiol benzoate Estradiol benzoate may decrease the anticoagulant activities of Fondaparinux.
Estradiol cypionate Estradiol cypionate may decrease the anticoagulant activities of Fondaparinux.
Estradiol valerate Estradiol valerate may decrease the anticoagulant activities of Fondaparinux.
Biochanin A Biochanin A may decrease the anticoagulant activities of Fondaparinux.
Formononetin Formononetin may decrease the anticoagulant activities of Fondaparinux.
Estriol Estriol may decrease the anticoagulant activities of Fondaparinux.
Limaprost The risk or severity of adverse effects can be increased when Limaprost is combined with Fondaparinux.
Icosapent The risk or severity of bleeding and hemorrhage can be increased when Icosapent is combined with Fondaparinux.
Mesalazine The risk or severity of bleeding can be increased when Mesalazine is combined with Fondaparinux.
Indomethacin The risk or severity of bleeding and hemorrhage can be increased when Indomethacin is combined with Fondaparinux.
Nabumetone The risk or severity of bleeding and hemorrhage can be increased when Nabumetone is combined with Fondaparinux.
Ketorolac The risk or severity of bleeding and hemorrhage can be increased when Ketorolac is combined with Fondaparinux.
Tenoxicam The risk or severity of bleeding and hemorrhage can be increased when Tenoxicam is combined with Fondaparinux.
Celecoxib The risk or severity of bleeding and hemorrhage can be increased when Celecoxib is combined with Fondaparinux.
Tolmetin The risk or severity of bleeding and hemorrhage can be increased when Tolmetin is combined with Fondaparinux.
Rofecoxib The risk or severity of bleeding and hemorrhage can be increased when Rofecoxib is combined with Fondaparinux.
Piroxicam The risk or severity of bleeding and hemorrhage can be increased when Piroxicam is combined with Fondaparinux.
Fenoprofen The risk or severity of bleeding and hemorrhage can be increased when Fenoprofen is combined with Fondaparinux.
Valdecoxib The risk or severity of bleeding and hemorrhage can be increased when Valdecoxib is combined with Fondaparinux.
Diclofenac The risk or severity of bleeding and hemorrhage can be increased when Diclofenac is combined with Fondaparinux.
Sulindac The risk or severity of bleeding and hemorrhage can be increased when Sulindac is combined with Fondaparinux.
Flurbiprofen The risk or severity of bleeding and hemorrhage can be increased when Flurbiprofen is combined with Fondaparinux.
Etodolac The risk or severity of bleeding and hemorrhage can be increased when Etodolac is combined with Fondaparinux.
Mefenamic acid The risk or severity of bleeding and hemorrhage can be increased when Mefenamic acid is combined with Fondaparinux.
Naproxen The risk or severity of bleeding and hemorrhage can be increased when Naproxen is combined with Fondaparinux.
Sulfasalazine The risk or severity of bleeding and hemorrhage can be increased when Sulfasalazine is combined with Fondaparinux.
Phenylbutazone The risk or severity of bleeding and hemorrhage can be increased when Phenylbutazone is combined with Fondaparinux.
Meloxicam The risk or severity of bleeding and hemorrhage can be increased when Meloxicam is combined with Fondaparinux.
Carprofen The risk or severity of bleeding and hemorrhage can be increased when Carprofen is combined with Fondaparinux.
Diflunisal The risk or severity of bleeding and hemorrhage can be increased when Diflunisal is combined with Fondaparinux.
Salicylic acid The risk or severity of bleeding and hemorrhage can be increased when Salicylic acid is combined with Fondaparinux.
Meclofenamic acid The risk or severity of bleeding and hemorrhage can be increased when Meclofenamic acid is combined with Fondaparinux.
Oxaprozin The risk or severity of bleeding and hemorrhage can be increased when Oxaprozin is combined with Fondaparinux.
Ketoprofen The risk or severity of bleeding and hemorrhage can be increased when Ketoprofen is combined with Fondaparinux.
Balsalazide The risk or severity of bleeding and hemorrhage can be increased when Balsalazide is combined with Fondaparinux.
Olsalazine The risk or severity of bleeding can be increased when Olsalazine is combined with Fondaparinux.
Lumiracoxib The risk or severity of bleeding and hemorrhage can be increased when Lumiracoxib is combined with Fondaparinux.
Magnesium salicylate The risk or severity of bleeding and hemorrhage can be increased when Magnesium salicylate is combined with Fondaparinux.
Salsalate The risk or severity of bleeding and hemorrhage can be increased when Salsalate is combined with Fondaparinux.
Choline magnesium trisalicylate The risk or severity of bleeding and hemorrhage can be increased when Choline magnesium trisalicylate is combined with Fondaparinux.
Antrafenine The risk or severity of bleeding and hemorrhage can be increased when Antrafenine is combined with Fondaparinux.
Aminophenazone The risk or severity of bleeding and hemorrhage can be increased when Aminophenazone is combined with Fondaparinux.
Antipyrine The risk or severity of bleeding and hemorrhage can be increased when Antipyrine is combined with Fondaparinux.
Tiaprofenic acid The risk or severity of bleeding and hemorrhage can be increased when Tiaprofenic acid is combined with Fondaparinux.
Etoricoxib The risk or severity of bleeding and hemorrhage can be increased when Etoricoxib is combined with Fondaparinux.
Taxifolin The risk or severity of bleeding and hemorrhage can be increased when Taxifolin is combined with Fondaparinux.
Oxyphenbutazone The risk or severity of bleeding and hemorrhage can be increased when Oxyphenbutazone is combined with Fondaparinux.

Target Protein

Coagulation factor X F10
Antithrombin-III SERPINC1

Referensi & Sumber

Synthesis reference: Jean-Francois Branellec, Christian Morello, Pierre Potier, Patrick Trouilleux, Petrus Marcus Bastiaansen, Henricus Cornelis Claassen, "Highly pure fondaparinux sodium composition, process for preparing said composition and pharmaceutical compositions containing it as active principle." U.S. Patent US20050020536, issued January 27, 2005.
Artikel (PubMed)
  • PMID: 11794148
    Eriksson BI, Bauer KA, Lassen MR, Turpie AG: Fondaparinux compared with enoxaparin for the prevention of venous thromboembolism after hip-fracture surgery. N Engl J Med. 2001 Nov 1;345(18):1298-304.
  • PMID: 12049860
    Turpie AG, Bauer KA, Eriksson BI, Lassen MR: Postoperative fondaparinux versus postoperative enoxaparin for prevention of venous thromboembolism after elective hip-replacement surgery: a randomised double-blind trial. Lancet. 2002 May 18;359(9319):1721-6.
  • PMID: 12049858
    Lassen MR, Bauer KA, Eriksson BI, Turpie AG: Postoperative fondaparinux versus preoperative enoxaparin for prevention of venous thromboembolism in elective hip-replacement surgery: a randomised double-blind comparison. Lancet. 2002 May 18;359(9319):1715-20.
  • PMID: 11794149
    Bauer KA, Eriksson BI, Lassen MR, Turpie AG: Fondaparinux compared with enoxaparin for the prevention of venous thromboembolism after elective major knee surgery. N Engl J Med. 2001 Nov 1;345(18):1305-10.
  • PMID: 16175516
    Agnelli G, Bergqvist D, Cohen AT, Gallus AS, Gent M: Randomized clinical trial of postoperative fondaparinux versus perioperative dalteparin for prevention of venous thromboembolism in high-risk abdominal surgery. Br J Surg. 2005 Oct;92(10):1212-20.
  • PMID: 15172900
    Buller HR, Davidson BL, Decousus H, Gallus A, Gent M, Piovella F, Prins MH, Raskob G, Segers AE, Cariou R, Leeuwenkamp O, Lensing AW: Fondaparinux or enoxaparin for the initial treatment of symptomatic deep venous thrombosis: a randomized trial. Ann Intern Med. 2004 Jun 1;140(11):867-73.
  • PMID: 14585937
    Buller HR, Davidson BL, Decousus H, Gallus A, Gent M, Piovella F, Prins MH, Raskob G, van den Berg-Segers AE, Cariou R, Leeuwenkamp O, Lensing AW: Subcutaneous fondaparinux versus intravenous unfractionated heparin in the initial treatment of pulmonary embolism. N Engl J Med. 2003 Oct 30;349(18):1695-702.
  • PMID: 16537663
    Yusuf S, Mehta SR, Chrolavicius S, Afzal R, Pogue J, Granger CB, Budaj A, Peters RJ, Bassand JP, Wallentin L, Joyner C, Fox KA: Comparison of fondaparinux and enoxaparin in acute coronary syndromes. N Engl J Med. 2006 Apr 6;354(14):1464-76. Epub 2006 Mar 14.
Menampilkan 8 dari 27 artikel.

Contoh Produk & Brand

Produk: 89 • International brands: 0
Produk
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