Anagrelide Hcl (anagrelide HCl)
Last reviewed · Source: First Databank (FDB) drug data
Overview
Anagrelide is an imidazoquinazoline-derivative platelet-reducing agent.
Exact mechanism of action not fully elucidated; thought to reduce platelet counts in a dose-related manner by selectively inhibiting megakaryocyte maturation during postmitotic stage of development. Reduces size and ploidy of megakaryocytes, but does not appear to affect platelet function or bleeding time.
Acts selectively on megakaryocytes with minimal or no effect on other blood-cell precursors. Current data suggest no long-term leukemogenicity.
Inhibits phospholipase A2 and phosphodiesterase (PDE) type 3 activity in platelets; results in increased concentrations of cyclic adenosine monophosphate (cAMP). Such increases in cAMP may produce an anti-aggregating effect on platelets at dosages substantially higher than those required to cause thrombocytopenia.
Exerts positive inotropic and vasodilatory effects through inhibition of cAMP PDE type 3 in myocardium; such actions may result in adverse cardiovascular effects.
USES: Anagrelide is used to treat a certain blood disorder (thrombocythemia), which is caused by your bone marrow making too many platelets. Platelets are a blood cell that the body uses to form blood clots. Too many platelets can cause problems with your circulation, including unwanted blood clots and bleeding problems.
This drug reduces the number of platelets in the bloodstream by blocking their production.
Generic name: anagrelide HCl
Pronunciation: (an-AG-re-lide)
Reference product & biosimilars
No reference, biosimilar or interchangeable associated with this drug.
Today’s intelligence on Anagrelide Hcl
Indications
The following indications are listed for Anagrelide Hcl:
- Essential Thrombocytosis
- Thrombocytosis In Myeloproliferative Disease
Also known as: Essential Hemorrhagic Thrombocythemia, Essential Thrombocythemia, Hemorrhagic Thrombocythemia, Idiopathic Hemorrhagic Thrombocythemia, Idiopathic Thrombocythemia, Thrombocythemia In Myeloproliferative Disease, Thrombocythemia Primary.
Dosing
No dosing information is available for this tab.
No dosing information is available for this tab.
No dosing information is available for this tab.
No dosing information is available for this tab.
Drug interactions
Metabolized partially by cytochrome P-450 (CYP) isoenzyme 1A2; inhibits CYP1A2 to a limited extent.
Inhibits phosphodiesterase (PDE) type 3.
There are no contraindication interactions for this drug.
There are no severe interactions for this drug.
There are no moderate interactions for this drug.
Contraindications
Severe hepatic impairment.
There are no contraindication contraindications for this drug.
There are no severe contraindications for this drug.
There are no moderate contraindications for this drug.
Adverse reactions
Headache, palpitations, diarrhea, asthenia, edema, nausea, abdominal pain, dizziness, pain, dyspnea, flatulence, vomiting, fever, peripheral edema, rash, chest pain, anorexia, tachycardia, pharyngitis, malaise, cough, paresthesia, back pain, pruritus, dyspepsia.
There are no severe adverse reactions for this drug.
There are no less severe adverse reactions for this drug.
Precautions
No enhanced messaging available.
Evaluated in a limited number of children and adolescents 7-14 years of age with thrombocythemia secondary to myeloproliferative disorders; preliminary data suggest no overall differences in dosage or adverse effects relative to adults.
Category C. (See Users Guide.)
Not known whether anagrelide is distributed into human milk. Discontinue nursing or drug because of potential risk in nursing infants.
Response in patients 65 years of age or older does not appear to differ from that in younger adults. Use with caution because of age-related decreases in hepatic, renal, and/or cardiac function.
ICD codes
No ICD codes are available for this drug.
Formulary status
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Last reviewed · Source: First Databank (FDB) drug data
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