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Acova

Generic Name: argatroban (ar GAT roe ban)
Brand Name: Acova

What is Acova?

Acova is an anticoagulant (thrombin inhibitor) that helps prevent the formation of blood clots.

Acova is used to treat or prevent blood clots in adults who have thrombocytopenia (low levels of platelets in the blood) caused by using heparin. This medicine is sometimes used in people who are undergoing a procedure called angioplasty (to open blocked arteries).

Acova may also be used for purposes not listed in this medication guide.

Important Information

You should not use this medicine if you have any major bleeding from a surgery, injury, or other medical trauma.

Because Acova keeps your blood from clotting, this medicine can make it easier for you to bleed. Contact your doctor or seek emergency medical attention if you have unusual bruising or any bleeding that will not stop.

Before taking this medicine

You should not use Acova if you are allergic to it, or if you have active or uncontrolled bleeding.

To make sure Acova is safe for you, tell your doctor if you have ever had:

Acova is not expected to be harmful to an unborn baby. However, taking this medicine during late pregnancy may cause bleeding in the mother or the baby during delivery. Tell your doctor if you are pregnant while taking aspirin.

It is not known whether Acova passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

Acova is not approved for use by anyone younger than 18 years old.

How is argatroban given?

Acova is injected into a vein through an IV. You will receive this injection in a clinic or hospital setting. This medicine is sometimes given together with aspirin.

If you are receiving this injection during an angioplasty procedure, the medicine will be given throughout the entire procedure and for up to 24 hours after the procedure.

Acova is given around the clock until your blood coagulates properly. Your doctor will test your blood often to determine how long to treat you with this medicine.

To be sure this medicine is helping your condition, you may need frequent blood tests. You may not notice any change in your symptoms, but your blood work will help your doctor determine how long to treat you with Acova.

Because Acova keeps your blood from coagulating (clotting) to prevent unwanted blood clots, this medicine can also make it easier for you to bleed. Contact your doctor or seek emergency medical attention if you have unusual bruising, or any bleeding that will not stop.

What happens if I miss a dose?

Since Acova is given by a healthcare professional, you are not likely to miss a dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

What should I avoid while receiving Acova?

Avoid activities that may increase your risk of bleeding or injury. Use extra care to prevent bleeding while shaving or brushing your teeth.

Avoid drinking alcohol. It may increase your risk of bleeding in your stomach or intestines.

Acova side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • easy bruising or bleeding (nosebleeds, bleeding gums, heavy menstrual bleeding);

  • unexpected pain or swelling;

  • any bleeding that will not stop;

  • a light-headed feeling, like you might pass out;

  • bloody or tarry stools, coughing up blood or vomit that looks like coffee grounds;

  • urine that looks red, pink, or brown;

  • slow heart rate, weak pulse, slow breathing; or

  • signs of infection--fever, flu symptoms, mouth and throat ulcers, rapid heart rate, rapid and shallow breathing.

Common side effects may include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

What other drugs will affect Acova?

Tell your doctor about all your current medicines and any you start or stop using, especially other medicines to treat or prevent blood clots.

Other drugs may interact with argatroban, including prescription and over-the-counter medicines, vitamins, and herbal products. Tell your doctor about all your current medicines and any medicine you start or stop using.

Where can I get more information?

  • Your doctor or pharmacist can provide more information about Acova.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 3.01.

Last reviewed: September 15, 2017
Date modified: February 01, 2018

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