SYSTEM DRUGS HAEMATINICS/ ANTIANAEMIC DRUGS ANBOLIC STEAROIDS HAEMOSTATICS/ COAGULANTS ANTICOAGULANTS ANTITHROMBOTICS HAEMATINICS/ ANTIANAEMIC DRUGS: Minerals: Iron, Cobalt and Copper Vitamins:VitaminB 12 ,Folicacid,Pyridoxine, Ascorbic acid Anabolic steroids: Nandrolone decanoate, stanozolol etc IRON Oral preparations Ferrous ( - sulphate, fumarate, succinate, gluconate) Ferric (-ammonium citrate, hydroxide and glycerophosphate). Ferrous sulphate and ferrous fumarate salts are preferred as rapidly,better absorbed. adverse effects nausea, epigastric discomfort, abdominal cramps, constipation, and diarrhea. These effects are usually dose-related and can often be overcome by lowering the daily dose of iron or by taking the tablets immediately after or with meals IRON Parenteral preparations Iron-carbohydrate complexes( Iron dextran and iron sorbitol) Iron dextran, both IM and IV routes . Iron sorbitol is used clinically only by IM route, Iron-sucrose complex and iron sodium gluconate complex are newer, alternative preparations, given deep intramuscular injection or by intravenous infusion. Adverse effects of parenteral iron therapy local pain,tissue staining (brown discoloration of the tissues overlying the injection site) fever, arthralgias flushing, urticaria, bronchospasm anaphylaxis and death. Overdose necrotizing gastroenteritis, vomiting, abdominal pain bloody diarrhea, followed by shock, lethargy, and dyspnea. Activated charcoal, does not bind iron and thus is ineffective. Deferoxamine, a potent iron-chelating compound Appropriate supportive therapy for gastrointestinal bleeding, metabolic acidosis, and shock VITAMIN B 12 Def. rare in animals cyanocobalamin Hydroxocobalamin. FOLIC ACID drugs that interfere with folate absorption or metabolism: Phenytoin, other anticonvulsants, oral contraceptives ,methotrexate and sulphonamides, trimethoprim and pyrimethamine VITAMIN C (ASCORBIC ACID): antioxidant, in deficiency conditions bleeding, delayed wound healing, impaired bone formation, anaemia, growth retardation infertility in cattle as adjunct in poisoning of paracetamol, copper, acidification of urine. ANABOLIC STEROIDS synthetically produced variants of the naturally occurring male hormone testosterone promote the growth of skeletal muscle, and the androgenic effects promote the development of male sexual characteristics Nandrolone and Stanozolol. Indications Convalescence: Following surgical operations and febrile diseases; Debilitating, wasting diseases catabolic states, major acute illness, immunosuppressive states,trauma osteoporosis in elderly, to remove tissue depleting processes in young ones , in diseases like CD, heavy parasitism, hypoproteinaemia etc. To hasten the tissue repair (tendon, bone damage) after major surgery and to promote the healing and reunion in fracters To counteract glucocorticoid induced catabolism and negative effects To stimulate erythropoiesis in hypolplastic, hemolytic anemia and malignancy conditions Testosterone deficiency conditions male hypogonadism, andropause HAEMOSTATICS Topical hemostatics Feracrylum : is another topical haemostatic solution applied as spray/ gel for capillary bleeding, surface bleeding. Adrenaline and Noradrenaline induce localized haemostasis by virtue of their vasocconstrictive effects. They are applied intranasally(1%) to decrease capillary bleeding, epistaxis. Styptics (Astringents) that arrest bleeding by precipitation of proteins of blood and soft tissues; should not be used in high concentration as they irrite and can damage the surrounding tissue. Examples include: ferric sulphate,ferric chloride, silver nitrate, tannic acid, alum, zinc chloride, zinc oxide HAEMOSTATICS: Topical haemostatics Thromboplastin, Thrombin, Fibrin foam and Fibrinogen in capillary bleeding , dental sockets, epistaxis, surgery of nose , throat and glandular tissues. Gelatine sponge ( Absorbable) moistened with saline or thrombin is left in bleeding area, which is completely absorbed within 4 weeks. Calcium alginate dressing may also be left at bleeding site in the same manner Systemic Haemostatics Adrenochrome monosemicarbazone (carbazochrome salicylate): is an oxidation product of adrenaline used for systemic control of capillary bleeding associated with increased capillary permeability. both orally and parenterally , often given in combination with vitamin K for variety of bleeding disorders like: epistaxis, haematuria, secondary haemorrhage from wounds etc. Rutin: is a a plant glycoside that improves capillary fragility used orally in combination with vitamin C and vitamin K. Protamine sulphate clinically (slow IV) as an antagonist for heparin overdosage associated bleeding only. Ethamsylate reduces capillary bleeding by correcting abnormal platelet adhesion leading to the repair of capillary wall. capillary haemorrhage haematemesis epistaxis post partum haemorrhage etc. 250-500mg. IM, PO CI: pregnancy Bothrops venom coagulant compound derived from the venom of SouthAmerican pit vipers. Excellent haemostatic-coagulant It should not be used as a coagulant in viper bites as it simply prolongs the coagulation abnormality. 10.0 ml in 500 ml of DNS/NSS, I.V. daily for two days. (94.40% accuracy) N-Butanol with Citric acid ( vit c)-REVICI- 5ml Amp Good margin of safety Ext , int haemorraghes- surg procedures capillary haemorrhage haematemesis epistaxis post partum haemorrhage etc. No contraindications Desmopressin acetate (arginine vasopressin) is a synthetic analogue of vasopressin used as haemostatic. Cryoprecipitate a plasma protein fraction obtainable from whole blood It is used to treat deficiencies or qualitative abnormalities of fibrinogen, such as that which occurs with disseminated intravascular coagulation and liver disease Fibrinolytic inhibitors Epsilon Aminocaproic Acid: (EACA), Tranexamic acid and Aprotinin primarily used as therapy for bleeding from fibrinolytic therapy as prophylaxis for rebleeding postsurgical gastrointestinal bleeding and postprostatectomy bleeding and bladder hemorrhage secondary to radiation Epsilon-amino caproic acid ( EACA) 20.0 gm in 500ml 0f 5.0% dextrose saline (DNS) or normal saline solution ( NSS ) , ( I.V.) daily for 2 to 3 days . (90.0% efficacy) EACA 10.0 gm + sodium acid phosphate 80.0 gm dissolved in 500 ml of 5.0% DNS/NSS, I.V. twice daily, till recovery (3 to 4 days) (86.6 % efficacy) Vitamin K is used therapeutically in the prophylaxis and treatment of bleeding disorders due to deficiency of vitamin K dependent clotting factors as in warfarin rodenticide poisoning. Used as haemostatic agent in the oral anticoagulant rodenticide (Coumarin derivatives- warfarin, dicoumarol, acenocoumarol) poisoning,indanedione derivatives rodenticide(phenindione, diphenadione, anisindione) Available as: the natural plant form-Phytomenadione (vitamin K 1 ) Synthetic vitamin K compounds; Menaquinones (vitamin K 2 ) and Menadione (vitamin K 3 ). ANTICOAGULANTS drugs are much less frequently used in veterinary medicine than in human patient because atherosclerotic disease and prolonged postoperative recumbency are not common veterinary problems. Anticoagulants are part of the management of disseminated intravascular coagulation, but most commonly used to maintain patency of vascular catheters.
Oxalates( sodium potassium, ammonium,
lithium), Sodium fluoride, , ethylene diamine tetra acetic acid, sodium citrate, acid citrate dextrose invitro anticoagulants used for laboratory blood diagnostic , analytical purposes and blood transfusion. Heparin sulphate ( invivo an dinvitro anticoagulant) and low molecular weight heparinoids Antithrombotics/Antiplatelet drugs like aspirin, dipyridamole, ticlopidine e useful in the prevention of arterial thrombosis, thus inhibiting the growth/ reoccurrence of thrombus formation as in conditions of feline cardiomyopathy, canine heart worm infection etc. THANK YOU