Angiomax (bivalirudin) is a specific and reversible direct thrombin inhibitor. The active
substance is a synthetic, 20 amino acid peptide. The chemical name is D-phenylalanyl-L-prolyl-L-arginyl-L-prolyl-glycylglycyl-glycyl-glycyl-L-asparagyl-glycyl-L-aspartyl-L-phenylalanyl-L-glutamyl-L-glutamyl-L-isoleucyl-L-prolyl-L-glutamyl-L-glutamyl-L-tyrosyl-L-leucine
trifluoroacetate (salt) hydrate (Figure 1). The molecular weight of Angiomax (bivalirudin)
is 2180 daltons (anhydrous free base peptide).
Angiomax (bivalirudin) is supplied in single-use vials as a white lyophilized cake, which
is sterile. Each vial contains 250 mg bivalirudin, 125 mg mannitol, and sodium hydroxide to adjust the pH to 5-6 (equivalent of approximately 12.5 mg sodium).
When reconstituted with Sterile Water for Injection, the product yields a clear
to opalescent, colorless to slightly yellow solution, pH 5-6.
Figure 1. Structural Formula for Bivalirudin
What are the possible side effects of bivalirudin (Angiomax)?
Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.
Call your doctor at once if you have any of these serious side effects:
- sudden numbness or weakness, especially on one side of the body;
- sudden headache, confusion, problems with vision, speech, or balance;
- pain or swelling in one or both legs;
- any bleeding that will not stop;
- black, bloody, or tarry stools;
- coughing up blood or vomit that looks like coffee...
Read All Potential Side Effects and See Pictures of Angiomax »
Last reviewed on RxList: 7/20/2010
This monograph has been modified to include the generic and brand name in many instances.