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Recomlyse

Recomlyse Contraindications

tenecteplase

Manufacturer:

CSPC Pharma
The information highlighted (if any) are the most recent updates for this brand.
Full Prescribing Info
Contraindications
Hypersensitivity to the active substance or to any of the excipients listed in Description.
Recomlyse is contraindicated in the following situations because thrombolytic therapy is associated with a higher risk of bleeding: Significant bleeding disorder currently or in the past 6 months; Oral anticoagulant therapy and INR>1.3 (see Bleeding under Precautions); History of central nervous system lesions or trauma (such as intracranial tumors, arteriovenous malformations or aneurysms, intracranial and intraspinal surgeries); Known bleeding constitution; Severe uncontrolled high blood pressure; Have had serious trauma or major surgery within the past 3 months; Recent (within 2 weeks) prolonged cardiopulmonary resuscitation (>2 minutes), obstetrical delivery or non-stress vascular puncture (such as subclavian or jugular vein puncture); Severe liver disease, including hepatic failure, cirrhosis, portal hypertension (esophageal varices), and active hepatitis; Acute pancreatitis, active peptic ulcer, aneurysm, or arterial/venous malformation; Neoplasm with a tendency to bleed; Bacterial endocarditis or pericarditis; Active internal bleeding; Significant or recent severe or dangerous bleeding; Recent (within 2 weeks) prolonged cardiopulmonary resuscitation (>2 minutes), obstetrical delivery, or puncture of non-compressible blood vessel (e.g. subclavian or jugular vein puncture); Aneurysmal subarachnoid haemorrhage or suspected subarachnoid haemorrhage; Patients who are allergic to this product or any excipients.
Supplementary contraindications in the treatment of acute myocardial infarction: History of haemorrhagic stroke or unexplained stroke; History of ischemic stroke or transient ischaemic attack (TIA) within the past 6 months, except ischaemic stroke occurring within 4.5 hours; Confirmed, highly suspected, or unresolved aortic dissection.
Supplementary contraindications when treating acute ischemic stroke: It has been more than 4.5 hours since the onset of ischemic stroke symptoms and intravenous drip treatment has not been started or the time of symptom onset cannot be determined; Mild neurological deficit or rapid improvement of symptoms before starting treatment; Severe stroke assessed clinically (NIHSS>25) and/or imaging examinations; Stroke attacks are accompanied by epileptic seizures; History of stroke within the past 3 months; Acute bleeding tendency, including platelet count below 100 x 109/L or other conditions; Received low molecular weight heparin treatment within 24 hours; Thrombin inhibitors or factor Xa inhibitors were used within 48 hours, and the thromboplastin time was higher than the upper limit of laboratory normal values; History of stroke combined with diabetes; Blood sugar <2.8 mmol/L or >22.22 mmol/L; Head CT or MRI shows large-scale infarction (infarct area >1/3 of the middle cerebral arteryblood supply area); Arterial puncture in a location that is not easy to compress and stop bleeding in the past week; Aortic arch dissection.
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