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</html>";s:4:"text";s:26797:"The first 25-50 mg of protamine sulphate is administered iv slowly, and the remaining dose is dripped intravenously for 8-16 … LMWHs have longer half-lives(4–6 hours) and accumulate with renal insufficiency; therefore,coagulopathies may persist and protamine should be considered evenseveral hours after the overdose. Find information on Protamine Sulfate in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Protamine sulfate combines with heparin to form a stable inactive complex; it is used to neutralize the anticoagulant action of heparin in … View drug 3.docx from NURSING NUR163 at Florence-Darlington Technical College. The prepared PS-CDs exhibit advantages such as excellent water solubility, low cell toxicity and excellent blood compatibility. The invention discloses a preparation method of protamine sulfate. The human body contains _____ of blood. To view the entire topic, please log in or purchase a subscription. The earliest marketed date recorded in the Drug Product Database. Usually, 1 mg protamine sulfate neutralizes 90 units of bovine heparin or 115 units of porcine heparin. Please login to see the rest of this drug … Studies have not been performed to determine potential for carcinogenicity, mutagenicity or impairment of fertility. Information about drug Protamine Sulphate includes cost of the drug and the type of drug - tablet, capsule, syrup, cream, gel, ointment, liquid or injection. To view the price of the drug, click on the brand name. The generic Protamine Sulphate is manufactured by one company. Purified mixture of simple, low-molecular-weight proteins obtained from sperm or testes of suitable fish species. Usually, 1 mg protamine sulfate neutralizes 90 units of bovine heparin or 115 units of porcine heparin. Pregnancy Category C … Because of the anticoagulant effect of protamine sulfate, overdosage of this drug may theoretically result in hemorrhage. Click to know price. 3. Drug … It combines w/ strongly acidic heparin to form a stable complex, neutralising the anticoagulant activity of both drugs. Flushing; Dyspnea; Nausea/vomiting; Pharmacology. Protamine Sulphate(Protamine Sulfate) generic is a heparin antagonist, prescribed for reversing the anticoagulant effects of heparin. It acts as a heparin antagonist. Antidote to heparin overdose. Same active ingredient group number. Protamine Sulfate Injection, USP is a sterile, isotonic solution of protamine sulfate. 1982-01-01. Immediate withdrawal of drug usually allows the hemorrhage to resolve; however, severe hemorrhage may require treatment with protamine sulfate. Some of the precautions need to be noted when considering Protamine Sulfate … Protamine has been shown to deter increases in body weight and low-density lipoprotein in high-fat diet rats. Davis Drug Guide PDF. common side effects include low blood pressure, slow heart rat…. Protamine Sulfate Injection, USP is a sterile, non-pyrogenic, isotonic solution of protamine sulfate in Water for Injection. Heparan sulfate (HS) is a component of the extracellular matrix. Description. INDICATION. IV 1 mg for every 100 units of heparin to neutralize the anticoagulant activity of heparin. It is specifically used in heparin overdose, in low molecular weight heparin overdose, and to reverse the effects of heparin during delivery and heart surgery. PROTAMINE SULFATE. Neu-tralization of heparin occurs within five minutes after intravenous administration of an appropriate dose of protamine sulfate. It is concluded that vasectomized men are not at increased risk towards adverse reactions following the injection of protamine sulfate. Davis Drug Guide PDF. Davis Drug Guide PDF. PREGNANCY CATEGORY: C. Our database has 18 adverse reactions for this drug across the following areas . Onset: W/in 5 … Synonyms: Cytosolic Protamine Kinase. Weak anticoagulant, heparin antagonist; Comments See Also Drugs in the following category are very expensive and are not mixed or prepared until the patient is ready for the administration of the drug. The NDC Code 63323-229-30 is assigned to a package of 1 vial, single-dose in 1 box > 25 ml in 1 vial, single-dose of Protamine Sulfate, a human prescription drug labeled by Fresenius Kabi Usa, Llc. Register; Test; JEE; NEET; Home; Q&A; Unanswered; Ask a Question; Learn; Ask a Question. Product Number Product Description SDS; P3369: meets USP testing specifications: Pricing: Match Criteria: Product Name, Keyword. WebMD provides common contraindications for protamine sulfate (bulk). Drug Name: Protamine sulfate [USP:INN:BAN:JAN] View Synonyms: Description: A group of simple proteins that yield basic amino acids on hydrolysis and that occur combined with nucleic acid in the sperm of fish. Protamines are simple protein principles obtained from the … Uses: heparin overdose, hemorrhage. Protamine Sulfate Functional class: heparin antagonist Chemical class: low molecular weight protein Action: binds to heparin, making it ineffective. Protamine sulphate consists of sulphates of these basic peptid es extracted from the sperm or roe of fish. Protamine sulfate should be administered by slow intravenous injection over a period of about 10 minutes. Find out what health conditions may be a health risk when taken with protamine sulfate (bulk) Triphenylethylenes: a new class of protein kinase C inhibitors. Antonyms for Protamine sulfate. Heparin administered by … INJECTABLE;INJECTION. Immediate withdrawal of drug usually allows the hemorrhage to resolve; however, severe hemorrhage may require treatment with protamine sulfate. About 10 minutes after the administration of protamine sulfate, the patient developed bradycardic arrest. Protamine sulfate of low molecular weight (5 kDa), used in this work was purchased from Yuki Gosei Kogyo, Ltd., (Tokyo, Japan). Indications. Activated clotting time (Hemochron, Edison, New Jersey) was determined in arterial blood at baseline, within 20 minutes after heparin administration, before protamine sulfate and 10, 20, and 30 minutes afterward. According to the technical scheme adopted by the invention, the method comprises the following steps: performing enzymolysis on the protamine sulfate, performing quick protein liquid-phase separation to purify enzymatic hydrolysate, desalting a protamine high-salt solution to obtain high-purity protamine sulfate. Find information on Protamine Sulfate in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Supporting Information : Click here to upload a PDF. Ten minutes later, the … Protamine sulfate. protamine-sulfate-ccdsv2-piv7- 06sep19 Page 3 of 7 Use in pregnancy Category B2 of Australian Categorisation of Risk of Drug Use in Pregnancy. Protamine should be administered during breast-feeding only when clearly needed. Drug Class: Reversal agent for the factor Xa inhibitor subclass of direct acting anticoagulants Mechanism of Action: A recombinant & genetically modified variant of human activated factor X (Xa) that acts as a decoy receptor for factor Xa inhibitors . The NLM Drug Information Portal gives users a gateway to selected drug information from the National Library of Medicine and other key government agencies. Class: Anticoagulant Actions: ... Protamine sulfate is an antagonist to heparin. Therefore, Fisons Protamine Sulfate is not recommended during pregnancy unless the benefit outweighs the risk. By forming this stable ion pair, it neutralizes heparin and therefore, is used to reverse the effects of heparin . This effect occurs through the inhibition of lipase activity, an enzyme responsible for triacylglycerol digestion and absorption, resulting in a decrease in the absorption of dietary fat. To view the entire topic, please log in or purchase a subscription. Handbook covers dosage, side effects, interactions, uses. Antidote. Indications. Drug Incompatibilities: … 1 Protamine – a review on an oligonucleotide-binding peptide applied in nanopharmaceuticals including vaccines Ivana Ruseska1,a; Katja Fresacher1,a; Christina Petschacher1; Andreas Zimmer1 1 Institute of Pharmaceutical Sciences, Department of Pharmaceutical Technology and Biopharmacy, Karl-Franzens … Protamine sulfate is currently the only therapeutic agent approved by the US Food and Drug Administration for reversal of heparin anticoagulation. Terazosin. This is not a complete list of side effects and others may occur. OVERDOSAGE . Tissue plasminogen activators . Cease drug; Administration of antagonist protamine sulfate; For every 100 units of heparin remaining in patient, administer 1mg protamine IV; Excess protamine must be avoided as it also has an anticoagulant effect; Adverse effects. Explore these free sample topics: protamine sulfate is a topic covered in the Davis's Drug Guide. Protamine sulfate (PS) is a polycationic protein drug obtained from the sperm of fish, and is used to reverse the anticoagulant effect of unfractionated heparin (UFH). Return to footnote 1 referrer. Protamine sulfate has a rapid onset of action. Protamines are mixtures of several similar peptides. 10 mg/mL injection. Visit cvs.com for more details. ACTION. The amount of protamine required decreases over time as heparin is metabolized. It is also a weak anticoagulant. Solution, Intravenous, as sulfate: There are limited data available from the use of protamine in pregnant women. No more than 50mg of protamine sulfate should be given in any one dose. Each mg of protamine sulfate neutralizes approximately 100 USP units. Dosage Form Route. Cardiopulmonary resuscitation efforts were undertaken and the patient was administered epinephrine 2 mg IV, atropine 0.5 mg IV, and subsequently, intravenous dopamine (50 mg/h). It is a glycosaminoglycan that is covalently attached to core proteins to form proteoglycans. The heart rate is minimally elevated or normal and there is no change in blood pressure, pulse pressure, or respiratory rate. Cease drug; Administration of antagonist protamine sulfate; For every 100 units of heparin remaining in patient, administer 1mg protamine IV; Excess protamine must be avoided as it also has an anticoagulant effect; Adverse effects. Protamine active ingredients, usages, indications, composition, dosages and other pharmaceutical product information. Drug Incompatibilities: Do not mix IV line with any other medications. Protamine Sulfate Injection, USP is a sterile, nonpyrogenic, isotonic solution of protamine sulfate in Water for Injection. It acts as a heparin antagonist. It is also a weak anticoagulant. Protamines are simple protein principles obtained from the sperm of salmon and certain other species of fish. You may report side effects to FDA at 1-800-FDA-1088. alpha-1 antagonist. The invention discloses a method for refining protamine sulfate. The average molecular mass is estimated from 5,000 to 5,500. Sulfuric acid and/or dibasic sodium phosphate (heptahydrate) may have been added for pH adjustment. Created Date: 6/2/2003 7:22:40 PM Document presentation format: On-screen Show Company: University of Minnesota School of Medicine Other titles : Times New Roman Comic Sans MS Default Design Adobe Photoshop Image … With n / k injections of heparin, the dose of the drug is 1-1.5 mg for every 100 IU of heparin. 5.6L. Includes App for iPhone, iPad, and Android smartphone + tablet. 3 Author to whom reprint requests should be … It is given by injection into a vein. The onset of effects is typically within five minutes. Common side effects include low blood pressure, slow heart rate, allergic reactions, and vomiting. Allergic reactions may be severe and include anaphylaxis. The risk is greater in males who have had a vasectomy. Parenteral. nursingstudenttx PLUS. Product Therapeutic Class. Protamine sulfate binds heparin with high affinity, and the resultant protamine-heparin complexes are then cleared. SIDE EFFECTS AND ADVERSE REACTIONS. It is given by injection into a vein. Protamine Sulfate is intended for injection without further dilution; however,if further dilution is desired, 5% Dextrose Injection,or 0.9% Sodium Chloride Injection may be used. Drug Interactions. Heparin Heparin overdose. tc atc number: V03AB14 tc atc: PROTAMINE tc ahfs number: 20:28.08 ... PROTAMINE SULFATE INJECTION USP is supplied for Tenders, Emergency imports, Un - licensed, Specials, Orphan drug, Name patient line, RLD supplies, Reference listed drugs, Comparator Drug, Bio-Similar, Innovator samples, For Clinical trials. Use protamine during pregnancy only if clearly needed. According to Chinese Pharmacopoeia 2010 Edition, the quality standard of protamine sulfate is raised, and the requirement of specific rotation (-65 degrees to -85 degrees) index is increased. For Adult. Carcinogenesis, Mutagenesis, Impairment of Fertility. Maximum protamine sulfate IV infusion rate is 5 mg/min to prevent hypotension and bradycardia; Repeat dose 0.5 mg protamine for every 1 mg (or 100 units) of LMWH if bleeding continues or elevated anti‐factor Xa activity level after 2 – 4 hours ; Monitoring Check a Hep Xa level 2 – 4 hours after protamine … The product's dosage form is injection, solution and is administered via intravenous form. Protamine is classified as FDA pregnancy risk category C. It is not known if protamine can cause fetal harm when administered to a pregnant woman. Insulin Aspart rDNA is a sterile, clear solution of Insulin Aspart human insulin analogue for subcutaneous injection/infusion or intravenous … Complications may generally be stopped by slow intravenous injection of protamine sulfate (1% solution), at a dose of 1 mg protamine for every 100 anti-Xa IU of dalteparin sodium given. Sign up now to obtain ten tokens to view any ten Vetlexicon articles, images, sounds or videos, or Login. Its structure is amazingly diverse since during synthesis it undergoes extensive sulfation and epimerization. asked Jan 2, 2020 in Health & Biomechanics by Casey. Login. The Ca2+- and phospholipid-dependent phosphotransferase activity of protein kinase C was inhibited by the triphenylethylene compounds clomiphene [drug concentration causing 50% … Drug Non Proprietary Name: Protamine Sulfate. Which of the following drugs is not an anti hyperlipidemic drug. alpha-1 antagonist. Protamine sulfate: Belongs to the class of antidotes. When administered alone, protamine has an anticoagulant effect. However, when it is given in the presence of heparin (which is strongly acidic), a stable salt is formed and the anticoagulant activity of both drugs is lost. Protamine sulfate has a rapid onset of action. Protamine Sulfate should not be mixed with other drugs without knowledge of their compatibility, because Protamine Sulfate has been shown to be … Protamine Kinase, Cytosolic from bovine kidney. Protamine sulfate is a medication that is used to reverse the effects of heparin. Protamine sulfate can cause severe hypotension, cardiovascular collapse, noncardiogenic pulmonary edema, catastrophic pulmonary vasoconstriction, and pulmonary hypertension Risk factors include high dose or overdose, rapid administration, repeated doses, previous administration of protamine, and current or previous use of protamine-containing drugs (NPH insulin, protamine zinc insulin, and certain … Product Number Product Description SDS; C4237 >90% (SDS-PAGE), … Class I hemorrhage involves a blood volume loss of up to 15%. Uses. Drugs by Class Author: Janet Lyn Fitzakerley, Ph.D. Last modified by: jfitzake Created Date: 6/2/2003 7:22:40 PM Document presentation format: On-screen Show Company : University of Minnesota School of Medicine Other titles: Times New Roman Comic Sans MS Default Design Adobe Photoshop Image 2003-2004 Review of Anticoagulants, Thrombolytics and Anti-platelet Drugs … PROTAMINE (PROH tuh meen) is used to treat heparin overdose. Typically, 1 mg of protamine sulfate neutralizes 100 units of heparin. Allergy to class/drug; Adverse Reactions Serious.  Footnote 3. Do not interrupt a heparin … Davis and Unbound Medicine covers 5000+ trade name and generic drugs. Drug Trade Name: Protamine Sulfate. More than 49,000 drugs can be searched. The onset of effects is typically within five minutes. Protamine Sulfate Lawyer Megan McBride discusses the Protamine Sulfate Lawsuit Contact Info Drug Use Research & Management Health Systems Division 500 Summer Street NE, E35 Salem, OR 97301-1079 Send Email Phone: 503-947-5220 Fax: 503-947-1119 503-947-1119 9 Terms. This paper reports the simple and fast preparation of multifunctional blue-emitting protamine sulfate (PS)-derived CDs (PS-CDs) through a one-step microwave-assisted method. Protamine Kinase, Cytosolic from bovine kidney. この硫酸プロタミンの純度は94%であった。. Protamine sulfate is the antidote for overly anticoagulated dose of heparin. Click to know price. Verapamil. protamine sulfate is a topic covered in the Davis's Drug Guide. Pregnancy. Indicate the drug belonging to antagonists of heparin: ← Prev Question Next Question → 0 … Protamine Sulfate is a prescription drug that belongs to the pharmacologic class of Heparin Reversal Agent. Protamine is a strongly basic substance that combines with the…. According to the manufacturer, it is unknown whether protamine is excreted into human breast milk. 36 g were obtained. Heparin is distinct from HS in that it is … What precautions need to be taken when considering the use of Protamine Sulfate? Which of the following is used as an antidote for herapin overdose. Insulin lispro has the following primary structure: Insulin lispro has the empirical formula C 257 H 383 N 65 O 77 S 6 and … Side Effects. Drug interactions and 20 reactions for Protamine Sulfate. 1 word related to protamine: simple protein. Protamine sulfate. PROTAMINE SULFATE (no generic) CLASS. Anaphylactoid reactions to protamine sulfate can occur, and drug administration by slow IV infusion is … Heparin drip should be continuous. Heparin administered by I.V. Therapeutic Effects. The incidence of serious and even fatal adverse drug … Used in the management of heparin overdose., (I) Protamine sulphate To the purified protamine extract 1 was added 100 ml of 10% sulfuric acid and 5 liters of ethanol, cooled to 5 degrees and centrifuged (7000G, 5 Min) to collect the residue, and further dry it to produce protamine sulfate. What are synonyms for Protamine sulfate? The dose is dependent on the amount and type of heparin to be neutralised, its route of administration and the time elapsed since it was last given, since heparin is continuously being excreted. Protamine Crystallised Insulin Aspart is an insulin analog indicated to improve glycemic control in patients with diabetes mellitus. Consider the benefits of breast-feeding, the risk of potential infant drug … drugs is lost. Insulin lispro protamine suspension (NPL component) is a suspension of crystals produced from combining insulin lispro and protamine sulfate under appropriate conditions for crystal formation. Davis’s Drug Guide for Nurses App + Web from F.A. O'Brian CA, Liskamp RM, Solomon DH, Weinstein IB. Protamine Sulfate Classifications: antidote Pregnancy Category: C: Availability. Class of drug. Protamine may be used as a drug to prevent obesity. 10MG/ML **Federal Register determination that product was not discontinued or withdrawn for safety or efficacy reasons**. Excipient information presented when available (limited, particularly for generics); consult specific product labeling. 2. … Decreased PVR but less reflex increase in cardiac output (alph… Drug Class: "azosin": Alpha blockers (a… Adrenergic antagonist. Hypertension; BPH; Raynaud's disease. Hemorrhage related to heparin administration. Heparin overdose ... an essential tool for ... CLASS: Heparin antagonist; HALF-LIFE: 2 hours; CLINICALLY IMPORTANT, POTENTIALLY HAZARDOUS INTERACTIONS WITH: None known. Class II hemorrhage occurs when there is a 15-30% blood volume loss and is manifested clinically as tachycardia (heart rate of 100 … It is the mainstay of therapy in cardiopulmonary bypass (CPB), where rapid reversal of heparin anticoagulation is essential for achieving surgical hemostasis. Remember. … Protamine sulfate has been shown to be incompatible with certain antibiotics, including several of the cephalosporins and penicillins (see DOSAGE & ADMINISTRATION). The stabilizing surfactants, polyoxyethylene 40 monostearate (PEGst-40), was purchased from CRODA Europe Ltd., (Snaith, UK), whilst sodium cholate (SC) and sodium … Protamine sulfate, 50 mg in 5-mL vials or 250 mg in 25-mL vials. Adrenergic antagonist. However, protamine … administration of protamine sulfate, the drug should be given only when resuscitation techniques and treatment of anaphylactoid shock are readily available. The minimum … The chum salmon protamine sulphate has four major species with different amino acid sequences of approximately 30 amino acids. Call your doctor for medical advice about side effects. The major sign of overdose is hemorrhage. Protamine sulfate 25 mg was administered slowly intravenously after successful implantation of the stent. Introduction Adverse drug reactions are common among intravenous medications, especially those administered to intensive care unit (ICU) patients [1]. Protamine drug manufacturers and companies such as Sandoz. The Harriet Lane Handbook app and website provides pediatric diagnosis and treatment, pediatric management algorithms, and pediatric drug formulary from experts at Johns Hopkins University. Approval Date. This article is available in full to registered subscribers. Drug Class: Anti-Heparin agent Mechanism of Action: When administered alone, protamine has an anticoagulant effect due to an interaction with platelets and with many proteins including fibrinogen. Heparin Induced Thrombocytopenia (see below) Bleeding (risk increased in elderly women and renal failure) Alopecia PROTAMINE SULFATE INJ 10MG/ML USP is supplied for Tenders, Emergency imports, Un - licensed, Specials, Orphan drug, Name patient line, RLD supplies, Reference listed drugs, Comparator Drug, Bio-Similar, Innovator samples, For Clinical trials. Diluted solutions should not be stored since they contain no preservative. Learn about the reported side effects, related class drugs, and how these medications will affect your daily lifestyle. Take particular care to avoid overdosage with protamine sulfate. Administration. National Drug Codes Number: 55154-9391-5. It is also a weak anticoagulant. Class: Human Dosage form(s): ... PROTAMINE SULFATE 10 MG / ML New search. With IV injection of heparin, it is necessary to stop its infusion and introduce 25-30 mg of protamine sulfate. Drugs by Class Author: Janet Lyn Fitzakerley, Ph.D. Last modified by: Janet Lyn Fitzakerley, Ph.D. Our Protamine Sulfate (protamines) Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication. pharmacology; The perinatal nurse makes certain to have the antidote, protamine sulfate, readily available when administering heparin … Product Name: Protamine Sulfate Injection, USP Manufacturer Name: Fresenius Kabi USA, LLC Address: Three Corporate Drive Lake Zurich, Illinois 60047 General Phone Number: (847) 550-2300 Customer Service Phone Number: (888) 386-1300 Health Issues Information: (800) 551-7176 SDS Creation Date: January 08, 2009 SDS … In sperm from fish, protamine usually exists in the form of nucleic acid … Drug Interactions: 1) Aspirin, NSAIDS, oral anticoagulants, and anti-platelet drugs may increase the risk of bleeding; 2) feverfew, ginkgo, ginger, garlic, and horse chestnut may increase the risk of bleeding; 3) Protamine sulfate is an antagonist to enoxaparin (1 mg protamine for every mg of enoxaparin). Anaphylaxis(0.2% of patients), anaphylactoid reaction; Circulatory collapse, capillary leak, bradyarrhythmia, hypotension; Pulmonary edema; Common. … Protamine Sulfate Solution for injection 10mg Drug Medication Dosage information. Dose to be administered at a rate not exceeding 5 mg/minute, 1 mg neutralises 80–100 units heparin when given within 15 minutes; if longer than 15 minute since heparin, less protamine required (consult product literature for details) as … Use in lactation Protamine sulfate: binds to either UFH or LMWH to form a stable ion pair, which does not have anticoagulant activity. Each mL contains: Protamine sulfate 10 mg; sodium chloride 9 mg; Water for Injection q.s. The major sign of overdose is hemorrhage. Mechanism of Action. Anticoagulant effect when used alone. By intravenous injection. antidote (to heparin) Protamine is a drug that is used to reverse the effects of Hep…. Rapid Acting Insulin. However, if given alone then it functions as an anticoagulant itself. Protamines contain very few kinds of amino acids. The American Hospital Formulary Service permits an easy … Indicate the drug belonging to antagonists of heparin: a) Aspirin b) Dicumarol c) Dalteparin d) Protamine sulfate . Generic Name Protamine sulfate Trade Name protamine Classification Routes Antidotes, Heparin IV antagonists Mechanism of Protamine sulfate, a heparin antagonist drug, is used to treat heparin overdose or to reverse the effect of heparin given during surgery. Dosage Strength. Synonyms for Protamine sulfate in Free Thesaurus. Heparin Induced Thrombocytopenia (see below) Bleeding (risk increased in elderly … Although the metabolism of heparin is complex, it may, for the purpose of choosing a protamine dose, be assumed to have a half-life of about 1/2 hour after … The product's dosage form is injection, solution, and is administered via intravenous form. Half-life: ~7 minutes; Metabolism: Excretion: Mechanism of Action. Protamine sulfate can cause severe hypotension, cardiovascular collapse, noncardiogenic pulmonary edema, catastrophic pulmonary vasoconstriction, and pulmonary hypertension. Protamine sulfate … It acts as a heparin antagonist. Therapeutic Class. Drug Class: "azosin": Alpha blockers (a… Mechanism of Action. There is a long list of incompatibilities. Footnotes Footnote 1. Drug Overview The NDC Code 63323-229-05 is assigned to “Protamine Sulfate ” (also known as: “Protamine Sulfate”), a human prescription drug labeled by “Fresenius Kabi USA, LLC”. 11-a) Class I 12-c) Activation of antithrombin III 13-a) Plasma concentration of digoxin is increased 14-b) Protamine sulfate 15-b) Decreased requirement of myocardial oxygen 16-b) Veins 17-e) All of the above 18-a) Lipid modifying agent 19-a) Metoprolol 20-b) Nicorandil ";s:7:"keyword";s:28:"protamine sulfate drug class";s:5:"links";s:1550:"<a href="https://api.duassis.com/storage/q8q7nfc/%2B-18morejapanese-restaurantsazumi%2C-haru-izakaya%2C-and-more">+ 18morejapanese Restaurantsazumi, Haru Izakaya, And More</a>,
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