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Tirofiban
- indication:For treatment, in combination with heparin, of acute coronary syndrome, including patients who are to be managed medically and those undergoing PTCA or atherectomy.
- pharmacologypharmacology:
- mechanism: Tirofiban is a reversible antagonist of fibrinogen binding to the GP IIb/IIIa receptor, the major platelet surface receptor involved in platelet aggregation. Platelet aggregation inhibition is reversible following cessation of the infusion of tirofiban.
- toxicity:
- absorprion:
- halflife: 2 hours
- roouteelimination: It is cleared from the plasma largely by renal excretion, with about 65% of an administered dose appearing in urine and about 25% in feces, both largely as unchanged tirofiban.
- volumedistribution: * 22 to 42 L
- clearance: * 213 - 314 mL/min [Healthy subjects] * 152 - 267 mL/min [patients with coronary artery disease]