Absorption: IV administration results in complete bioavailability.
Distribution: Unknown.
Metabolism/Excretion: 50% excreted by the kidneys.
Half-life: 2.5 hr.
Noted for patients receiving heparin and aspirin in addition to eptifibatide
CV: hypotension.
Hemat: BLEEDING (INCLUDING GI AND INTRACRANIAL BLEEDING, HEMATURIA, AND HEMATOMAS), thrombocytopenia.
Acute Coronary Syndrome
- IV (Adults): 180 mcg/kg (max = 22.6 mg) as a bolus dose, followed by 2 mcg/kg/min (max = 15 mg/hr) infusion until hospital discharge or initiation of coronary artery bypass graft surgery (up to 72 hr). If a patient is to undergo PCI, the infusion should be continued until hospital discharge or for up to 18–24 hours after the PCI, whichever comes first, allowing for up to 96 hours of therapy.
Renal Impairment
- IV (Adults): CrCl <50 mL/min — 180 mcg/kg (max = 22.6 mg) as a bolus dose, followed by 1 mcg/kg/min (max = 7.4 mg/hr) infusion until hospital discharge or initiation of coronary artery bypass graft surgery (up to 72 hr). If a patient is to undergo PCI, the infusion should be continued until hospital discharge or for up to 18–24 hours after the PCI, whichever comes first, allowing for up to 96 hours of therapy.
Percutaneous Coronary Intervention
- IV (Adults): 180 mcg/kg (max = 22.6 mg) as a bolus dose, immediately before PCI, followed by 2 mcg/kg/min (max = 15 mg/hr) infusion; a 2nd bolus of 180 mcg/kg (max = 22.6 mg) is given 10 min after 1st bolus. Infusion should be continued until hospital discharge, or for up to 18 to 24 hours, whichever comes first (minimum of 12 hr).
Renal Impairment
(Adults): CrCl <50 mL/min — 180 mcg/kg (max = 22.6 mg) bolus followed by 1 mcg/kg/min (max = 7.4 mg/hr) infusion; a 2nd bolus of 180 mcg/kg (max = 22.6 mg) is given 10 min after 1st bolus.
Therapeutic Classification: antiplatelet agents
Pharmacologic Classification: glycoprotein iib iiia inhibitors
(effects on platelet function)
†Inhibition is reversible following cessation of infusion.
4 mg/dL) or dependency on renal dialysis.