aprotinin

Last reviewed 01/2018

Aprotinin is an enzyme which causes proteolysis of plasmin and kallikrein, so promoting haemostasis.

It is indicated for:

  • patients undergoing open heart surgery with circulatory bypass where control of haemorrhage is vital
  • hyperplasminaemia severe enough to promote massive haemorrhage e.g secondary to excessive thrombolytics

It is given by slow intravenous infusion or injection. Complications include hypersensitivity and local thrombophlebitis.