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Pronunciation: STREP-toe-KIN-ace
Class: Thrombolytic enzyme
Trade Names:
Streptase
- Powder for Injection 250,000 units
- Powder for Injection 750,000 units
- Powder for Injection 1,500,000 units
Pharmacology
Converts plasminogen to the enzyme plasmin, which aids in dissolution of blood clots.
Pharmacokinetics
Metabolism
No metabolites identified.
Elimination
Streptokinase is cleared by the liver. The t is approximately 23 min (for activator complex).
Contraindications
Active internal bleeding; recent cerebrovascular accident (within 2 mo); intracranial or intraspinal
surgery; intracranial neoplasm; severe uncontrolled hypertension.
Slowly instill 250,000 in 2 mL of solution into each occluded limb of the cannula. Clamp off cannula
limb(s) for 2 h. Closely observe patient for adverse effects. After treatment, aspirate contents of infused
cannula limb(s) and flush with saline before reconnecting cannula.
Storage/Stability
Store unopened vials at controlled room temperature (59 to 86F). Use reconstituted solution
immediately or within 8 h if stored at 36 to 46F. Discard any unused solution.
Drug Interactions
Anticoagulants, agents that alter platelet function (eg, aspirin, other NSAIDs, dipyridamole), other
thrombolytic agents, agents that alter coagulation
May increase the risk of bleeding.
Incompatibility
Do not add other medication to the streptokinase container.
Adverse Reactions
Cardiovascular
Hypotension (sometimes severe).
Hematologic
Bleeding (major and minor).
Respiratory
Respiratory depression.
Miscellaneous
Allergic reactions (eg, fever and shivering, urticaria, itching, flushing, nausea, headache, musculoskeletal
pain); anaphylactic and anaphylactoid reactions (ranging from minor breathing difficulty to
bronchospasm, periorbital swelling or angioneurotic edema); transient elevations of serum transaminases;
back pain.