Peringatan Keamanan

Overdosage: hemorrhagic complications.
Adverse Drug Reaction:
(common) osteopenia with extended use; mild, reversible non-immunological thrombocytopenia; transient elevation of liver transaminases; alopecia.
(uncommon): severe immunologically-mediated heparin-induced thrombocytopenia; anaphylactic reactions; skin rash, skin necrosis; retroperitoneal hemorrhage; angioedema

Dalteparin

DB06779

small molecule approved

Deskripsi

Dalteparin, a low molecular weight heparin (LMWH) prepared by nitrous acid degradation of unfractionated heparin of porcine intestinal mucosa origin, is an anticoagulant. It is composed of strongly acidic sulphated polysaccharide chains with an average molecular weight of 5000 and about 90% of the material within the range of 2000-9000. LMWHs have a more predictable response, a greater bioavailability, and a longer anti-Xa half life than unfractionated heparin. Dalteparin can also be safely used in most pregnant women. Low molecular weight heparins are less effective at inactivating factor IIa due to their shorter length compared to unfractionated heparin.

Struktur Molekul 2D

Struktur tidak tersedia

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

Profil Farmakokinetik

Waktu Paruh (Half-Life) Terminal Half life: Intravenous - 2 hours. Subcutaneous - 3-5hours
Volume Distribusi 3 litres
Klirens (Clearance) Excreted via kidneys. The plasma clearance rate is 33 mL/min.

Absorpsi

Almost completely absorbed after subcutaneous (sc) doses, with a bioavialability of about 87%.

Metabolisme

Liver and the reticulo-endothelial system are the sites of biotransformation. They are partially metabolized by desulphatation and depolymerization.

Rute Eliminasi

After 4 hours, about 20% is seen in urine. Most of the remainder is found in the liver, gastrointestinal tract and kidney. The kidneys are the major site of dalteparin excretion (approximately 70% based on animal studies).

Interaksi Makanan

1 Data
  • 1. Avoid herbs and supplements with anticoagulant/antiplatelet activity. Examples include garlic, ginger, bilberry, danshen, piracetam, and ginkgo biloba.

Interaksi Obat

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

Target Protein

Antithrombin-III SERPINC1
Vascular endothelial growth factor A, long form VEGFA
P-selectin SELP

Referensi & Sumber

Artikel (PubMed)
  • PMID: 6367579
    King DJ, Kelton JG: Heparin-associated thrombocytopenia. Ann Intern Med. 1984 Apr;100(4):535-40.
  • PMID: 6997743
    Bell WR, Royall RM: Heparin-associated thrombocytopenia: a comparison of three heparin preparations. N Engl J Med. 1980 Oct 16;303(16):902-7.
  • PMID: 2559484
    Ockelford PA, Patterson J, Johns AS: A double-blind randomized placebo controlled trial of thromboprophylaxis in major elective general surgery using once daily injections of a low molecular weight heparin fragment (Fragmin). Thromb Haemost. 1989 Dec 29;62(4):1046-9.
  • PMID: 2158151
    Hartl P, Brucke P, Dienstl E, Vinazzer H: Prophylaxis of thromboembolism in general surgery: comparison between standard heparin and Fragmin. Thromb Res. 1990 Feb 15;57(4):577-84.
  • PMID: 2557219
    Monreal M, Lafoz E, Salvador R, Roncales J, Navarro A: Adverse effects of three different forms of heparin therapy: thrombocytopenia, increased transaminases, and hyperkalaemia. Eur J Clin Pharmacol. 1989;37(4):415-8.
  • PMID: 3744129
    Holmer E, Soderberg K, Bergqvist D, Lindahl U: Heparin and its low molecular weight derivatives: anticoagulant and antithrombotic properties. Haemostasis. 1986;16 Suppl 2:1-7.
  • PMID: 12655212
    Malm K, Dahlback B, Arnljots B: Low-molecular-weight heparin (dalteparin) effectively prevents thrombosis in a rat model of deep arterial injury. Plast Reconstr Surg. 2003 Apr 15;111(5):1659-66.
  • PMID: 16757417
    Tincani E, Mannucci C, Casolari B, Turrini F, Crowther MA, Prisco D, Cenci AM, Bondi M: Safety of dalteparin for the prophylaxis of venous thromboembolism in elderly medical patients with renal insufficiency: a pilot study. Haematologica. 2006 Jul;91(7):976-9. Epub 2006 Jun 1.
Menampilkan 8 dari 13 artikel.

Contoh Produk & Brand

Produk: 32 • International brands: 4
Produk
  • Fragmin
    Injection • 2500 [iU]/0.2mL • Subcutaneous • US • Approved
  • Fragmin
    Injection • 5000 [iU]/0.2mL • Subcutaneous • US • Approved
  • Fragmin
    Injection • 7500 [iU]/0.3mL • Subcutaneous • US • Approved
  • Fragmin
    Injection • 10000 [iU]/0.4mL • Subcutaneous • US • Approved
  • Fragmin
    Injection • 10000 [iU]/1mL • Subcutaneous • US • Approved
  • Fragmin
    Injection • 12500 [iU]/0.5mL • Subcutaneous • US • Approved
  • Fragmin
    Injection • 15000 [iU]/0.6mL • Subcutaneous • US • Approved
  • Fragmin
    Injection • 18000 [iU]/0.72mL • Subcutaneous • US • Approved
Menampilkan 8 dari 32 produk.
International Brands
  • Boxol — Pharmacia
  • Eurodal — Gland
  • Ligoframin — Pfizer
  • Low Liquemine — Roche

Sekuens Gen/Protein (FASTA)

Sekuens dimuat saat dibutuhkan agar halaman tetap ringan.
© 2025 Digital Pharmacy Research - Universitas Esa Unggul