ABCIXIMAB
Background and Date of Approval
ABCIXIMAB is a prescription drug that belongs to the antiplatelet agent approved for its medical use on December 16, 1993.
Uses
Abciximab is indicated to be used as an adjunct therapy (treatment combined with the primary treatment) when you undergo coronary angioplasty surgery. The drug is administered intravenously, along with heparin and aspirin, to prevent cardiac complications during or after the surgery. It is also used in patients with unstable angina (a type of chest discomfort in which your heart doesn't get enough blood flow and oxygen) who are not responding to the usual therapy when the surgery is planned within 24 hours.
How is it administered?
The drug is available only in injectable 2 mg/ml dosage. The drug will be administered by a healthcare professional. Your physician will decide on the dose for administration. If you are about to undergo an angioplasty operation, your doctor will give you the bolus injection 10 to 60 minutes before the operation begins. After the bolus injection, your doctor will start the infusion. The infusion will continue for 12 hours after the operation is completed. The recommended dose is 0.25 mg/kg IV bolus over at least 1 min, 10-60 min before the start of the surgery, then 0.125 mcg/kg/min IV continuous infusion for 12 hr; not to exceed infusion rate of 10 mcg/min to prevent the cardiac complications while undergoing surgery. The recommended dose for treating unstable angina planned for PCI surgery within 24 hours is 0.25 mg/kg IV bolus over at least 1 minute, then 0.125 mcg/kg/min IV continuous infusion for 18-24 hours, concluding 1-hour post-surgery.
Side Effects
Frequently encountered adverse effects include gastrointestinal bleeding, haematemesis, melaena, or dark-coloured stools. Additional adverse effects that may occur are hypotension, back pain, nausea, chest pain, vomiting, headache, speech difficulties, visual disturbances, hearing impairment, numbness or sensory loss, and disturbances in movement or balance.
Warnings
Talk to your doctor if you are taking blood-thinning medicines or other non-prescription, nutritional supplements, or herbal medicines that affect blood clotting or blood platelets. Report to your pharmacist or doctor if you have already taken the drug and are allergic to abciximab or its ingredients. See the label package for the list of ingredients.
Precautions
Tell your doctor if you are pregnant or planning to become pregnant or breastfeeding during the treatment because It may harm the baby. In patients over 65 years of age, the drug should be given with caution because of the risks of increased bleeding. If you have serious kidney problems, inform your physician priorly because this may put you at risk of increased bleeding. In this case, your doctor might monitor your blood reports frequently.
Word of Advice
Abciximab may cause bleeding following administration. Patients may bleed easily for up to 3 days, and pressure must be applied to bleeding sites. Bed rest may be required during or after drug infusion. Report signs and symptoms of bleeding, haemoptysis, blood clots during vomiting, and hypotension to your doctor.
References
1. ReoPro - HPRA (August 26, 2016). Available at: https://www.hpra.ie/img/uploaded/swedocuments/Package%20Leaflet-2182875-22122016120640-636180052051828750.pdf (Accessed: December 19, 2022). 2. ReoPro@ ABCIXIMAB, ReoPro - Food and Drug Administration. Retrieved December 19, 2022, from https://www.accessdata.fda.gov/drugsatfda_docs/label/1997/abcicen110597-lab.pdf 3. ReoPro, (abciximab) dosing, indications, interactions, adverse effects, and more. reference.medscape.com. [cited 2022 Dec 19]. Available from: https://reference.medscape.com/drug/reopro-abciximab-342146#91 4. Micromedex Products: Micromedexsolutions.com. 2019. Available from: https://www.micromedexsolutions.com/micromedex2/librarian/PFDefaultActionId/evidencexpert.DoIntegratedSearch?navitem=topHome&isToolPage=true# 5. Stoffer K, Bistas KG, Reddy V, Shah S. Abciximab. PubMed. Treasure Island (FL): StatPearls Publishing; 2020 [cited 2021 Jan 10]. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482195/
Frequently Asked Questions
How to store abciximab?
Vials should be stored at 2 to 8°C (36 to 46°F). Do not freeze. Do not shake. Do not use it beyond the expiration date. Discard any unused portion left in the vial.
How am I monitored during treatment with abciximab?
During the treatment, you will have to take regular lab tests to monitor kidney function, complete blood count, and check for any symptoms of bleeding.
What are the common side effects after the administration of abciximab?
Bleeding is the most common side effect that occurs after the infusion of the drug. Check for the symptoms of bleeding in the stomach and intestines, blood vomiting, and blood in stools.
What are the available dosage forms of abciximab?
Abciximab is available only in an intravenous dosage form. It will be administered by your healthcare professional.
Can I plan for pregnancy during the treatment?
Talk to your doctor if you are pregnant or planning to become pregnant because the drug may harm your baby.