Bivalirudin for injection is a direct thrombin inhibitor indicated for use as an anticoagulant in patients 1) with unstable angina undergoing percutaneous transluminal coronary angioplasty; 2) undergoing percutaneous coronary intervention (PCI) with provisional use of glycoprotein IIb/IIIa inhibitor as in the REPLACE-2 study; and 3) with, or at risk of, heparin-induced thrombocytopenia or heparin-induced thrombocytopenia and thrombosis syndrome, undergoing PCI. It is available for intravenous use, and is supplied in a single-use vial containing 250 mg of Bivalirudin. It is intended for use with aspirin, and has been studied only in patients receiving concomitant aspirin.
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