What is this medicine?
UROKINASE (yoor uh KAHY neys) breaks-up blood clots. It is used to treat large blood clots formed in the lungs.
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What should I tell my health care provider before I take this medicine?
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They need to know if you have any of these conditions:
-aneurysm
-bleeding problems or problems with blood clotting
-blood vessel disease or damaged blood vessels
-diabetic retinopathy
-head injury or tumor
-high blood pressure
-infection
-irregular heartbeats
-recent biopsy or surgery
-an unusual or allergic reaction to urokinase, other medicines, foods, dyes, or preservatives
-pregnant or trying to get pregnant
-breast-feeding
How should I use this medicine?
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This medicine is for injection into a vein. It is given by a health care professional in a hospital or clinic setting.
Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.
What if I miss a dose?
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This does not apply.
What may interact with this medicine?
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Do not take this medicine with any of the following medications:
-aminocaproic acid
-aprotinin
-tranexamic acid
This medicine may also interact with the following medications:
-antiinflammatory drugs, NSAIDs like ibuprofen
-aspirin and aspirin-like medicines
-dipyridamole
-drotrecogin alfa
-fish oil (omega-3 fatty acids) supplements
-ginkgo
-medicines that treat or prevent blood clots like warfarin, enoxaparin, and dalteparin
What should I watch for while using this medicine?
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Your condition will be monitored carefully while you are receiving this medicine.
This medicine contains albumin from human blood. It may be possible to pass an infection in this medicine. Talk to your doctor about the risks and benefits of this medicine.
This medicine may increase your risk to bruise or bleed. Call your doctor or health care professional if you notice any unusual bleeding.
Do not take aspirin, ibuprofen, or other nonprescription pain relievers for several days after receiving this medicine.
What side effects may I notice from receiving this medicine?
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Side effects that you should report to your doctor or health care professional as soon as possible:
-allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
-blue color to lips or nailbeds
-breathing problems
-changes in vision
-chest pain or tightness
-dark urine, stools, or vomit
-fast, irregular heartbeat
-fever, chills
-nausea, vomiting
-trouble passing urine or change in the amount of urine
-unusual bleeding, bruising, or purple spots on the skin
Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):
-feeling faint or lightheaded
Where should I keep my medicine?
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This drug is given in a hospital or clinic and will not be stored at home.
Information on use before, during and after pregnancy.
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FIRST Trimester
Class B - Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate and well-controlled studies in pregnant women. OR Animal studies have shown an adverse effect, but adequate and well-controlled studies in pregnant women have failed to demonstrate a risk to the fetus in any trimester.
SECOND Trimester
Class B - Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate and well-controlled studies in pregnant women. OR Animal studies have shown an adverse effect, but adequate and well-controlled studies in pregnant women have failed to demonstrate a risk to the fetus in any trimester.
THIRD Trimester
Class B - Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate and well-controlled studies in pregnant women. OR Animal studies have shown an adverse effect, but adequate and well-controlled studies in pregnant women have failed to demonstrate a risk to the fetus in any trimester.
Lactation
Caution - Not enough information is available to rule out harm to infants when this drug is taken by nursing mothers.