Actilyse 50mg Injection
Clinical Summary
Quick overview from the medicine insert
Indication
Fibrinolytic therapy for acute myocardial infarction and massive pulmonary embolism.
Dosage (summary)
15 mg IV bolus, followed by 50 mg IV infusion over 30 mins, then 35 mg over 60 mins (max 100 mg). Adjust for weight < 65 kg.
Special Populations
- Elderly
- Renal impairment
- Hepatic impairment
Pregnancy & Breastfeeding
Limited safety data; use only if benefits outweigh risks. Caution in breastfeeding.
Key Drug Interactions
- Anticoagulants
- ACE inhibitors
Contraindications
- Hypersensitivity to alteplase
- Active bleeding disorders
- Recent major surgery
- Uncontrolled hypertension
- Intracranial hemorrhage
Common side effects
- Bleeding
- Intracranial hemorrhage
- Dysrhythmias
Counselling Points
- Report any signs of bleeding immediately.
- Avoid other anticoagulants for 24 hours post-treatment.
- Ensure resuscitation equipment is available during administration.
Serious warnings
- Risk of serious bleeding
- Use only by experienced doctors
- Monitor blood pressure closely
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