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Eptifibatide
Integrilin ®
Usual Dosing (Adults)

Percutaneous Coronary Intervention (PCI): 180 µg/kg IV bolus administered immediately before the initiation of PCI followed by a continuous infusion of 2.0 µg/kg/min and a second 180 µg/kg bolus 10 minutes after the first bolus. Infusion should be continued until hospital discharge, or for up to 18 to 24 hours, whichever comes first. A minimum of 12 hours of infusion is recommended. Patients weighing more than 121 kg should receive a maximum of 22.6 mg per bolus followed by a maximum infusion rate of 15 mg per hour.

Acute Coronary Syndrome: IV bolus of 180 µg/kg as soon as possible following diagnosis, followed by a continuous infusion of 2.0 µg/kg/min until hospital discharge or initiation of CABG surgery, up to 72 hours. If a patient is to undergo a percutaneous coronary intervention (PCI) while receiving eptifibatide, the infusion should be continued up to hospital discharge, or for up to 18-24 hours after the procedure, whichever comes first, allowing for up to 96 hours of therapy. Patients weighing more than 121 kg should receive a maximum bolus of 22.6 mg followed by a maximum infusion of 15 mg per hour.

Renal Dosing
[CRCL >50 ml/min]:   
No Changes

[CRCL <50 ml/min]:

1) Percutaneous Coronary Intervention (PCI)
Dosing adjustment in renal impairment:   Patients with CRCL less  than 50 mL/min:  The recommended adult dose of eptifibatide in patients with an estimated CRCL < 50 ml/min (using the Cockcroft-Gault equation) is an IV bolus of 180 µg/kg (maximum: 22.6 mg) administered immediately before the initiation of the procedure, immediately followed by a continuous infusion of 1.0 µg/kg/min (maximum: 7.5 mg/hour) and a second 180 µg/kg bolus (maximum: 22.6 mg)  administered 10 minutes after the first.  In patients who undergo coronary artery bypass graft surgery, eptifibatide infusion should be discontinued prior to surgery.


2) Acute Coronary Syndrome:  

Dosing adjustment in renal impairment:  Patients with CRCL less than 50 ml/min:  The recommended adult dosage of eptifibatide in patients with acute coronary syndrome with an estimated CRCL <50 ml/min (using the Cockcroft-Gault equation)  is an IV bolus of 180 µg/kg (maximum: 22.6 mg) as soon as possible following diagnosis, immediately followed by a continuous infusion of 1.0 µg/kg/min (maximum: 7.5 mg/hour).
Hemodialysis

The use of eptifibatide is contraindicated in patients on dialysis.


 

 

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