Top
20
Doctor insights on: Reteplase

Share
Dr. Arnold Malerman
2 doctors shared insights

Reteplase (Overview)

Reteplase is a clot buster which is a kind of blood and coagulation drug.


1

1
Why don't stroke patients get tpa (alteplase) therapy?

Why don't stroke patients get tpa (alteplase) therapy?

They can: If having a stroke one can receive intravenous tpa (alteplase) up to 3 hours once symptoms begin and up to 4.5 hours in certain cases. After this intra. ...Read more

See 1 more doctor answer
Dr. Arnold Malerman
2 doctors shared insights

Reteplase (Overview)

Reteplase is a clot buster which is a kind of blood and coagulation drug.


2

2
Can antithrombotic and hypofibrinogenetic therapy be used for acute ischemic stroke?

Can antithrombotic and hypofibrinogenetic therapy be used for acute ischemic stroke?

Yes: If ct of brain reveal no bleeding and if the pt. Is in the window period ( less than 4.5 hours from symptoms )to receive fibrinolytics ( tpa (alteplase) or others) this is going to break the clot and restore the circulation avoiding serious neurological damage.Aspirin is started 24. Hrs later after tombolytics. For DVT prevent. Anticoagulants should be used except when hemorrhagic transformation is present. ...Read more

See 1 more doctor answer
4

4
What exactly is a mental health check?

What exactly is a mental health check?

Wellness screen: A mental health check is brief screening of emotional, social and occupational functioning that is often done as a part of a annual medical check-up. Mental health checks are a good way of identifying people who have undiagnosed but very treatable mental health concerns. ...Read more

See 1 more doctor answer
Dr. Alvin Lin Dr. Lin
4 doctors agreed:
5

5
How effective are reteplase injections for treating stroke?

Dr. Alvin Lin Dr. Lin
4 doctors agreed:
How effective are reteplase injections for treating stroke?

Good in theory but: Reteplase is a clot buster that hasn't been approved yet for use in treating acute stroke, although not for lack of studies. Check out http://www.medscape.com/viewarticle/749013_5 for more info. ...Read more

Dr. Alvin Lin Dr. Lin
2 doctors agreed:
6

6
How effective are Alteplase injections for treating stroke?

Dr. Alvin Lin Dr. Lin
2 doctors agreed:

FDA approved for AIS: AIS = acute ischemic stroke. Think FAST (http://goo.gl/I9dyo2) = Face droopy, Arms (or legs) weak, Speech difficult, Time to call 911. We have less than 3hrs after symptom onset. Check out http://www.drugs.com/cdi/alteplase.html & http://www.activase.com/iscstroke (yes, I know it's Big Pharma but it's informative, and no, I have no relation). ...Read more

7

7
Define health is wealth?

Definition: Good health, mental , physical & spiritual, leads to enjoyment of life to its fullest. Wealth without good health cannot provide any quality to your life. Thus goes this saying! health leads to wealth, but not vice versa! ...Read more

See 1 more doctor answer
8

8
Why can't plavix (clopidogrel) be injected?

Why can't plavix (clopidogrel) be injected?

Liver activation: Plavix (clopidogrel) is a pro-drug which is inactive. upon oral administration, Plavix (clopidogrel) is activated in the liver to become the active drug, injection of Plavix (clopidogrel) will bypass the liver activation of phase of the drug. clinical studies of Plavix (clopidogrel) were done with oral administration, there are however other medications used in the hospital setting that are injectable, however used in the setting of heart attacks ...Read more

9

9
What should be monitored before administering the tpa (alteplase)?

What should be monitored before administering the tpa (alteplase)?

Complicated : You need to check it with your physician since it depends on many parameters , but generally speaking: head ct, blood pressure, age, time onset of stroke, coagulant estate and use of anticoagulation, history of previous stroke, bleeding and recent surgeries.... ...Read more

10

10
Please describe the most prevalent childhood disease?

Please describe the most prevalent childhood disease?

Asthma: The most prevalent chronic childhood disease is asthma. Prevalence is the total number of children with the disease at the current time. For asthma, the prevalence is about 10% of children. For childhood acute illnesses that go away after a short while, colds are the most common (usually caused by rhinoviruses). ...Read more

See 2 more doctor answers
11

11
Can od prescribe medicine?

DO?: Did you mean a do, doctor of osteopathy? If that's what you meant, then yes they can prescribe medicine. ...Read more

See 1 more doctor answer
13

13
Who should not use reteplase injections?

Reteplase: read this: http://www.webmd.com/drugs/2/drug-14607/reteplase-intravenous/details/list-contraindications

Get a more detailed answer ›
14

14
What is lithium prescribed for ?

What is lithium prescribed for ?

Why Lithium: There are a number of reasons for prescribing lithium, some of which are off-label. Lithium is commonly prescribed to treat symptoms of bipolar disorder. Other reasons include assisting with anger management by decreasing explosive episodes. Another is to augment or boost the antidepressant effects from antidepressants. ...Read more

See 1 more doctor answer
15

15
What % of ischemic MCA stroke patients benefit from tpa (alteplase)?

What % of ischemic MCA stroke patients benefit from tpa (alteplase)?

Depends: This is a complex question. It depends on what percent of is already showing signs of infarction (dead brain) rather than just ischemia (brain at risk).... When we see > 1/3 of territory abnormal on initial ct scan, it is a contraindication for tpa (alteplase). It also depends on how long the symptoms have been occurring. But to answer your question, theoretically all could potentially benefit. ...Read more

16

16
Why use alteplase drug in treatment. Of myocardial infarction?

Why use alteplase drug in treatment. Of myocardial infarction?

To stop it!: It treated soon enough, a clot-based coronary artery obstruction can be dissolve with this medication before signifcant to the heart muscle can occur. ...Read more

See 1 more doctor answer
17

17
Why's intravenous therapy given to mi patients?

Why's intravenous therapy given to mi patients?

To break up clots: Intravenous therapy in acute mi often is a drug to break up clots. Also IV access is needed if needed to help resuscitate a patient with acute mi, by giving fluid for low blood pressure and rhythm drugs for arrhythmias. ...Read more

18

18
Who should not use Alteplase injections?

Alteplase injections: CONTRAINDICATIONS: Active internal bleeding. Recent intracranial or intraspinal surgery or serious head trauma. Intracranial conditions that may increase the risk of bleeding. Bleeding diathesis. Current severe uncontrolled hypertension. Acute Ischemic Stroke • Current intracranial hemorrhage. Subarachnoid hemorrhage. Acute Myocardial Infarction.or Pulmonary Embolism recent stroke. See: ...Read more

20

20
How are heparin injections given?

How are heparin injections given?

Subq: Most Heparin injections are administered subcutaneously or intravenously. ...Read more

Dr. Sanjiv Kaul
2 doctors shared insights

Retavase (Definition)

Retevase is a clot buster which is a kind of ...Read more