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argatroban

Direct thrombin inhibitor · Anticoagulant

Direct thrombin inhibitorAnticoagulant
CDSCO approved
EXCRETION
not curated
INTERACTIONS
12 major
SEVERE in our sources
PREGNANCY
not curated
Top interactionssee all 12
  • AbciximabSevereDatabaseDDInter
  • AcalabrutinibSevereDatabaseDDInter
  • AlteplaseSevereDatabaseDDInter
  • AnagrelideSevereDatabaseDDInter

Mechanism

Synthetic compound based on the structure of l-arginine, binds reversibly to the active site of thrombin.

Indications

Prophylaxis or treatment of patients with, or at risk of developing, heparin-induced thrombocytopeniaheparin-induced thrombocytopenia (but not for other thrombocytopenias)Short-term indications in patients with heparin induced thrombocytopeniaVTE in the setting of suspected or proven heparin-induced thrombocytopenia

Dosing

Hepatic adjustment
Dose reduction is required for patients with hepatic insufficiency.

Pharmacokinetics

Half-life
40 to 50 minutes
Metabolism
Metabolized in the liver
Excretion
Excreted in the bile

Drug interactions

Abciximab
Severe
Database

Clinical effect not specified

Source: DDInter

Acalabrutinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Alteplase
Severe
Database

Clinical effect not specified

Source: DDInter

Anagrelide
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Anisindione
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Anistreplase
Severe
Database

Clinical effect not specified

Source: DDInter

Apixaban
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Ardeparin
Severe
Database

Clinical effect not specified

Source: DDInter

Avapritinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Betrixaban
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Bivalirudin
Severe
Database

Clinical effect not specified

Source: DDInter

Cabozantinib
Severe
Database

Drug interaction classified as: synergy

Source: DDInter

Related guidelines

Ask House about argatroban

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Sources: KD Tripathi 7e, Goodman & Gilman 14e, Harrison 22e·Verified: 2026-05-10 · House clinical team