Advice

Following a full submission

Bivalirudin (Angiox) is accepted for restricted use within NHS Scotland as an anticoagulant in patients undergoing percutaneous coronary intervention (PCI), including percutaneous transluminal coronary angioplasty (PTCA) procedures like angioplasty and balloon angioplasty and PTCA with stenting.

It is restricted to patients who would have been considered for treatment with unfractionated heparin in combination with a glycoprotein llb/llla antagonist. In these patients bivalirudin monotherapy may be a suitable alternative. It should not be used as an alternative to unfractionated heparin alone.

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Medicine details

Medicine name:
Bivalirudin 250mg for injection or infusion (Angiox®)
SMC ID:
156/05
Indication:
Anticoagulant in patients undergoing percutaneous coronary intervention
Pharmaceutical company
Nycomed UK Ltd
BNF chapter
Cardiovascular system
Submission type
Full
Status
Restricted
Date advice published
07 March 2005