Trasylol 10 000 KIU/mL Injection
Clinical Summary
Quick overview from the medicine insert
Indication
Prophylaxis to reduce blood loss in high-risk adult patients undergoing isolated cardiopulmonary bypass graft surgery.
Dosage (summary)
Test dose of 1 mL (10,000 KIU) prior to therapeutic dose; loading dose of 1-2 million KIU followed by continuous infusion of 250,000-500,000 KIU/hour.
Special Populations
- Renal impairment
- Hepatic impairment
- Elderly
Pregnancy & Breastfeeding
Use with caution in pregnancy; unknown if excreted in breast milk.
Key Drug Interactions
- Thrombolytic agents
- Aminoglycosides
Contraindications
- Hypersensitivity to aprotinin
- Pancreatitis
- Positive aprotinin-specific IgG test
Common side effects
- Allergic reactions
- Myocardial infarction
- Acute renal failure
Counselling Points
- Test dose required before full dose
- Monitor for allergic reactions
- Ensure emergency treatment available
Serious warnings
- Increased risk of anaphylaxis upon re-exposure
- Not for use in combined cardiovascular surgeries
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