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Coagulants

Definition:

  • Coagulants are agents that promote blood clotting (coagulation) to prevent excessive bleeding.

  • They are used in situations where there is a deficiency in the blood's natural ability to form clots.

Mechanism of Action:

  • Vitamin K-Dependent Pathway:

    • Many coagulants, such as Menadione and Acetomenadione, act as synthetic forms of vitamin K.

    • Vitamin K is essential for the synthesis of certain clotting factors (II, VII, IX, and X) in the liver.

    • By supplementing vitamin K, coagulants enhance the production and functionality of these clotting factors, thereby facilitating the clotting process.

Common Coagulant Drugs:

  • Menadione (Vitamin K₃)

  • Acetomenadione

Uses:

  • Treating or preventing bleeding disorders caused by vitamin K deficiency.

  • Managing excessive bleeding in patients with liver disease or those on certain anticoagulant therapies.

Side Effects:

  • Allergic reactions

  • Hemolytic anemia in individuals with glucose-6-phosphate dehydrogenase (G6PD) deficiency

Potential liver toxicity at high doses.


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