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FIBRINOLYTIC &
ANTIFIBRINOLYTIC DRUGS
FIBRINOLYTICS (THROMBOLYTICS)
Drugs used to dissolve (lyse) blood clots
(thrombi)
Examples:
 Streptokinase, urokinase, alteplase, reteplase
Uses
 Acute myocardial infarction - to recanalyze
thrombosed coronary artery
 Deep vein thrombosis: Thrombolytic therapy
helps to prevent pulmonary embolism.
 Pulmonary embolism: Fibrinolytics are used
to lyse the clot.
ANTIFIBRINOLYTICS
Antifibrinolytics inhibit fibrinolytic activity
Examples:
1. Epsilon aminocaproic acid (EACA)
 Used to control bleeding due to overdose of
fibrinolytics
 After tooth extraction and prostatic surgery
 In menorrhagia, hematuria and bleeding due
to surgery or obstetric complications
2. Tranexaemic acid
 Used to control bleeding due to excessive
fibrinolytic activity
 Also in tonsillectomy, prostatectomy, tooth
extraction, menorrhagia etc.

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