Introduction About TIROFUSE 5MG INFUSION

TIROFUSE 5MG INFUSION contains Tirofiban which belongs to the group of medicines called Platelet Aggregation Inhibitors. It is used to assist the blood flow to the heart and manage chest pain and heart attacks. It may also be used in patients whose heart vessels are dilated with a balloon (a procedure known as percutaneous coronary intervention where a small tube or stent is implanted to improve the blood flow to the heart). It is a possibly with implantation of a small tube (stent), to improve the blood flow to the heart. TIROFUSE 5MG INFUSION is not recommended for use in patients who have a history of bleeding, stroke with bleeding within last 30 days, history of bleeding in the brain, brain tumour or abnormal blood vessels in the brain, severe uncontrolled high blood pressure (malignant hypertension), severe liver disease, low platelet count (thrombocytopenia) either in current situation or as a previous encounter to usage of Tirofiban.

Before receiving TIROFUSE 5MG INFUSION inform your doctor if you have or had any medical problems, allergies, cardiopulmonary resuscitation (CPR), biopsy, serious injury or major surgery, ulcer in the stomach or intestine within the last 3 months, bleeding disorder within 1 year, recent spinal procedure, history or symptoms of splitting of the aorta, uncontrolled high blood pressure, inflammation of the heart lining or blood vessels, disorder of the blood vessels in the back of the eye, kidney problems, heart failure, unusually low blood pressure due to heart failure, liver disorder, or low blood count.

TIROFUSE 5MG INFUSION is not recommended during pregnancy. Contact your doctor before receiving. The most common side effects of TIROFUSE 5MG INFUSION are bleeding post-surgery under the skin at the site of the injection causing swelling, small red bruises on the skin, invisible blood in urine or stool, nausea, or headache. Contact your doctor if you experience any of the above side effects or persists for a longer duration.

Uses Of TIROFUSE 5MG INFUSION

It is used:

• to assist the blood flow to the heart and manage chest pain and heart attack
• in patients whose heart vessels are dilated with a balloon (a procedure known as percutaneous coronary intervention where a small tube or stent is implanted to improve the blood flow to the heart)

How TIROFUSE 5MG INFUSION Works

TIROFUSE 5MG INFUSION is a reversible antagonist of fibrinogen that binds to the glycoprotein (GP) IIb/IIIa receptor, the major platelet surface receptor involved in platelet aggregation. It works by managing platelets, cells found in the blood, from forming blood clots.

How to use TIROFUSE 5MG INFUSION

TIROFUSE 5MG INFUSION will be administered intravenously by your doctor or nurse only. Dose and duration will be decided by your physician depending upon your age, body weight and disease condition.

Side Effects Of TIROFUSE 5MG INFUSION

How To Manage Side Effects

Nausea And Vomiting

Take this medicine with, or just after meals. Stick to simple meals. Avoid eating rich or spicy food.

Warning & Precautions

Pregnancy

Contraindicated

TIROFUSE 5MG INFUSION is not recommended for use in pregnancy. Contact your doctor before receiving.

Breastfeeding

Consult your doctor

It is not known whether TIROFUSE 5MG INFUSION is excreted in human milk. Your doctor will decide whether to discontinue breastfeeding or to discontinue the medicine. Contact your doctor before receiving.

Driving and Using Machines

Use with Caution

Do not drive or operate machines while receiving TIROFUSE 5MG INFUSION. Contact your doctor before receiving.

Kidney

Use with Caution

TIROFUSE 5MG INFUSION should be used with caution in patients with severe kidney disease. Contact your doctor before receiving.

Liver

Consult your doctor

TIROFUSE 5MG INFUSION is not recommended for use in patients with severe liver disease. Contact your doctor before receiving. It should be used with caution in patients with liver disorder. Contact your doctor before receiving.

Allergy

Contraindicated

Do not receive TIROFUSE 5MG INFUSION if you are allergic to Tirofiban or any of the other ingredients of this medicine.

Heart Disease

Consult your doctor

TIROFUSE 5MG INFUSION is not recommended for use in patients with severe uncontrolled high blood pressure (malignant hypertension). TIROFUSE 5MG INFUSION should be used with caution in patients with history or symptoms of splitting of the aorta, uncontrolled high blood pressure, inflammation of the heart lining or blood vessels, heart failure, unusually low blood pressure due to heart failure. Contact your doctor before receiving.

Use In Pediatrics

Consult your doctor

TIROFUSE 5MG INFUSION is not recommended for use in children and adolescents under 18 years of age as safety and effectiveness in children have not established. Contact your doctor before receiving.

Interactions

A. Drug-Drug Interactions:

Before receiving TIROFUSE 5MG INFUSION, inform your doctor if you are taking any of the following medicine:

• warfarin (medicine used to manage blood clot)

Overdosage:

It is unlikely to cause overdose, TIROFUSE 5MG INFUSION will be administered into your vein only by a doctor or nurse.

Synopsis

More Information

• Keep TIROFUSE 5MG INFUSION out of the sight and reach of children
• Store TIROFUSE 5MG INFUSION at room temperature

FAQs About TIROFUSE 5MG INFUSION

Q: How should I use TIROFUSE 5MG INFUSION?

A: TIROFUSE 5MG INFUSION will be administered into a vein by your doctor or nurse only. Dose and duration will be decided by your physician depending upon your age, body weight and disease condition.

Q: How does TIROFUSE 5MG INFUSION work?

A: TIROFUSE 5MG INFUSION is a reversible antagonist of fibrinogen that binds to the glycoprotein (GP) IIb/IIIa receptor, the major platelet surface receptor involved in platelet aggregation. It works by managing platelets, cells found in the blood, from forming blood clots.

Q: What is the use of TIROFUSE 5MG INFUSION?

A: It is used to assist the blood flow to the heart and manage chest pain and heart attacks. It may also be used in patients whose heart vessels are dilated with a balloon (a procedure known as percutaneous coronary intervention where a small tube or stent is implanted to improve the blood flow to the heart).

Q: What are the contraindications of TIROFUSE 5MG INFUSION?

A: TIROFUSE 5MG INFUSION is not recommended for use in patients who have a history of bleeding (internal or external), stroke, history of bleeding in the brain, brain tumour or abnormal blood vessels in the brain, severe uncontrolled high blood pressure (malignant hypertension), severe liver disease, low platelet count (thrombocytopenia) either in current situation or as a previous encounter to usage of Tirofiban.

Q: What will happen if I receive extra dose of TIROFUSE 5MG INFUSION?

A: TIROFUSE 5MG INFUSION will be administered into your vein only by a doctor or nurse in a proper healthcare setup so chances of overdose are minimal. If you are accidentally given extra dose of TIROFUSE 5MG INFUSION the most common symptom may be bleeding. Contact your doctor immediately.

Q: What are the common side effects of TIROFUSE 5MG INFUSION?

A: The most common side effects of TIROFUSE 5MG INFUSION are bleeding post-surgery under the skin at the site of the injection causing swelling, small red bruises on the skin, invisible blood in urine or stool, nausea, or headache. Contact your doctor if you experience any of the side effects.

References

1. K.D. Tripathi. Essentials of Medical Pharmacology. 7th edition. 2013. Drugs Affecting Blood and Blood Formation. Page 631.

2. Cuihua Zhao. Guanchang Cheng. Ruili He. Hongyu Guo. Yanming Li. Xueli Lu. Yuan Zhang. Chunguang Qiu. Effects of different routes of tirofiban injection on the left ventricular function and prognosis of patients with myocardial infarction treated with percutaneous coronary intervention. [Published in April 2015] [Accessed on 11th March 2023] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4473353/

3. Lili Sun. Jinping Zhang. Yun Song. Wei Zhao. Meimei Zheng. Jun Zhang. Hao Yin. Wei Wang. Yao Meng. Jiyou Tang. Ju Han. Safety and Efficacy of Tirofiban in Rescue Treatment for Acute Intracranial Intraprocedural Stent Thrombosis [Accessed on 11th March 2023] https://www.frontiersin.org/articles/10.3389/fneur.2020.00492/full

4. Arvato Distribution GmbH. Tirofiban. European Medicines Agency (EMA). [Revised in Aug 2022] [Accessed on 11th March 2023] https://www.medicines.org.uk/emc/files/pil.566.pdf

5. Emergent Biosolutions. U.S. Food and Drugs Association (FDA). [Revised in December 2020] [Accessed on 11th March 2023] https://www.aggrastathdb.com/wp-content/uploads/2022/05/aggrastat-pharmacy-prescribing-information.pdf

6. Altan Pharmaceuticals. Tirofiban. Electronic Medicines Compendium (EMC). [Revised in Feb 2020] [Accessed on 11th March 2023] https://www.medicines.org.uk/emc/files/pil.8842.pdf

7. Biocon Limited. Tirofiban. [Accessed on 11th March 2023] https://biocon.com/docs/prescribing_information/cardiology/tirozest_pi.pdf

Useful Diagnostic Tests

• Complete Blood Count (CBC)
• Electrocardiogram (ECG)