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(bivalirudin) for Injection, for Intravenous Use


Angiomax is a specific and reversible direct thrombin inhibitor. The active substance is a synthetic, 20 amino acid peptide. The chemical name is D-phenylalanyl-L-prolyl-L-arginyl-L-prolyl-glycylglycyl-glycyl-glycyl-L-asparagyl-glycyl-L-aspartyl-L-phenylalanyl-L-glutamyl-L-glutamyl-L-isoleucyl-L-prolyl-L-glutamyl-L-glutamyl-L-tyrosyl-L-leucine trifluoroacetate (salt) hydrate (Figure 1). The molecular weight of Angiomax is 2180 daltons (anhydrous free base peptide).

Angiomax is supplied in single-use vials as a white lyophilized cake, which is sterile. Each vial contains 250 mg bivalirudin, 125 mg mannitol, and sodium hydroxide to adjust the pH to 5-6 (equivalent of approximately 12.5 mg sodium). When reconstituted with Sterile Water for Injection, the product yields a clear to opalescent, colorless to slightly yellow solution, pH 5-6.

Figure 1: Structural Formula for Bivalirudin

ANGIOMAX® (bivalirudin) Structural Formula Illustration

What are the possible side effects of bivalirudin (Angiomax)?

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat.

Tell your caregivers at once if you have:

  • easy bruising, unusual bleeding (nose, mouth, vagina, or rectum), purple or red pinpoint spots under your skin;
  • slow heart rate;
  • increased blood pressure (severe headache, blurred vision, buzzing in your ears, confusion, shortness of breath);
  • decreased blood pressure (feeling like you might pass out);
  • sudden numbness or weakness,...

Read All Potential Side Effects and See Pictures of Angiomax »

What are the precautions when taking bivalirudin (Angiomax)?

Consult your...

Read All Potential Precautions of Angiomax »

Last reviewed on RxList: 6/3/2013
This monograph has been modified to include the generic and brand name in many instances.

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