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Pronunciation |
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(mye
kro FI bri lar KOL la jen HEE moe
stat) |
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U.S. Brand
Names |
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Avitene®; Helistat®;
Hemotene® |
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Generic
Available |
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No |
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Synonyms |
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Collagen; MCH |
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Pharmacological Index |
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Hemostatic Agent |
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Use |
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Adjunct to hemostasis when control of bleeding by ligature is ineffective or
impractical |
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Pregnancy Risk
Factor |
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C |
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Contraindications |
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Closure of skin incisions, contaminated wounds |
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Warnings/Precautions |
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Fragments of MCH may pass through filters of blood scavenging systems, avoid
reintroduction of blood from operative sites treated with MCH; after several
minutes remove excess material |
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Adverse
Reactions |
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1% to 10%: Miscellaneous: Potentiation of infection, allergic reaction,
adhesion formation |
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Drug
Interactions |
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No data reported |
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Mechanism of
Action |
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Microfibrillar collagen hemostat is an absorbable topical hemostatic agent
prepared from purified bovine corium collagen and shredded into fibrils.
Physically, microfibrillar collagen hemostat yields a large surface area.
Chemically, it is collagen with hydrochloric acid noncovalently bound to some of
the available amino groups in the collagen molecules. When in contact with a
bleeding surface, microfibrillar collagen hemostat attracts platelets which
adhere to its fibrils and undergo the release phenomenon. This triggers
aggregation of the platelets into thrombi in the interstices of the fibrous
mass, initiating the formation of a physiologic platelet
plug. |
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Pharmacodynamics/Kinetics |
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Absorption: By animal tissue in 3 months |
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Usual Dosage |
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Apply dry directly to source of bleeding |
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Dental Health: Local
Anesthetic/Vasoconstrictor
Precautions |
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No information available to require special precautions |
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Dental Health:
Effects on Dental Treatment |
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No effects or complications reported |
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Nursing
Implications |
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Fragments of MCH may pass through filters of blood-scavenging systems; avoid
reintroduction of blood from operative sites treated with
MCH |
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Dosage Forms |
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Fibrous: 1 g, 5 g
Nonwoven web: 70 mm x 70 mm x 1 mm; 70 mm x 35 mm x 1 mm
Sponge: 1" x 2" (10s); 3" x 4" (10s); 9" x 10" (5s)
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