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Dalteparin

Generic Name
Dalteparin
Brand Names
Fragmin
Drug Type
Small Molecule
CAS Number
9005-49-6
Unique Ingredient Identifier
S79O08V79F

Overview

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.

Background

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.

Indication

Dalteparin is used as a prophylaxis for deep-vein thrombosis and pulmonary embolisms in patients undergoing general surgery (e.g., abdominal, gynecologic, urologic), and in patients with acute medical conditions (e.g. cancer, bed rest, heart failure, severe lung disease). It is also used in patients who have severely restricted mobility, which poses a risk for thromboembolic complications. Dalteparin is also used concomitantly with aspirin and/or other therapy (e.g., nitrates, β-adrenergic blockers, clopidogrel, platelet glycoprotein [GP] IIb/IIIa-receptor inhibitors) to reduce the risk of acute cardiac ischemic events. The patients who undergo this treatment combination have unstable angina or non-ST-segment elevation/non-Q-wave myocardial infarction (i.e., non-ST-segment elevation acute coronary syndromes). It is also used in the prevention of clotting during hemodialysis and hemofiltration in connection with acute renal failure or chronic renal insufficiency.

Associated Conditions

  • Cardiovascular Events
  • Clotting
  • Deep Vein Thrombosis
  • Symptomatic Venous Thromboembolism
  • Venous Thromboembolism

FDA Approved Products

Fragmin
Manufacturer:Pfizer Laboratories Div Pfizer Inc
Route:SUBCUTANEOUS
Strength:5000 [iU] in 0.2 mL
Approved: 2022/08/15
NDC:0069-0196
Fragmin
Manufacturer:Pfizer Laboratories Div Pfizer Inc
Route:SUBCUTANEOUS
Strength:2500 [iU] in 0.2 mL
Approved: 2022/08/15
NDC:0069-0195
Fragmin
Manufacturer:Pfizer Laboratories Div Pfizer Inc
Route:SUBCUTANEOUS
Strength:10000 [iU] in 1 mL
Approved: 2022/08/15
NDC:0069-0217
Fragmin
Manufacturer:Pfizer Laboratories Div Pfizer Inc
Route:SUBCUTANEOUS
Strength:12500 [iU] in 0.5 mL
Approved: 2022/08/15
NDC:0069-0220
Fragmin
Manufacturer:Pfizer Laboratories Div Pfizer Inc
Route:SUBCUTANEOUS
Strength:15000 [iU] in 0.6 mL
Approved: 2022/08/15
NDC:0069-0223

Singapore Approved Products

FRAGMIN INJECTION 2500 iu/ml
Manufacturer:PFIZER MANUFACTURING BELGIUM NV
Form:INJECTION
Strength:2500 iu/ml
Online:Yes
Approved: 1990/12/03
Approval:SIN05249P

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