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Pharmacology General 5b21b2b5

Drug used in heparin overdose:

A
Protamine sulfate
B
Phylloquinone
C
Ticlopidine
D
Clopidogrel
High-Yield Explanation
Excessive anticoagulant action of heparin is treated by discontinuance of the drug. If bleeding occurs, administration of a specific antagonist such as protamine sulfate is indicated. Protamine is a highly basic, positively charged peptide that combines with negatively charged heparin as an ion pair to form a stable complex devoid of anticoagulant activity. For every 100 units of heparin remaining in the patient, 1 mg of protamine sulfate is given intravenously. Excess protamine must be avoided; it also has an anticoagulant effect. Ref: Zehnder J.L. (2012). Chapter 34. Drugs Used in Disorders of Coagulation. In B.G. Katzung, S.B. Masters, A.J. Trevor (Eds), Basic & Clinical Pharmacology, 12e.

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