Drugs & Vitamins

Active Ingredients: Alteplase
Other Names: Activase
Drug Class: Thrombolytic Agents
Rx Status: Available by prescription only
Generic Available: No
Product Images & Descriptions:

What is/are Alteplase? (Back to top)
ALTEPLASE can dissolve blood clots that form in the heart, blood vessels, or lungs after a heart attack. This medicine is also given to improve recovery and decrease the chance of disability in patients having symptoms of a stroke. This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

What should I tell my health care providers before I take this medicine? (Back to top)
They need to know if you have any of these conditions:

• aneurysm
• bleeding problems or problems with blood clotting
• blood vessel disease or damaged blood vessels
• diabetic retinopathy
• head injury or tumor
• high blood pressure
• infection
• irregular heartbeats
• previous stroke
• recent biopsy or surgery
• an unusual or allergic reaction to alteplase, other medicines, foods, dyes, or preservatives
• pregnant or trying to get pregnant
• breast-feeding

How should I use this medicine? (Back to top)
This medicine is for injection into a vein. It is given by a health care professional in a hospital or clinic setting.

Talk to your pediatrician regarding the use of this medicine in children. Special care may be needed.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

Note: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose? (Back to top)
This does not apply.

What may interact with this medicine? (Back to top)
Do not take this medicine with any of the following:

• aminocaproic acid
• aprotinin
• tranexamic acid

• antiinflammatory drugs, NSAIDs like ibuprofen
• aspirin and aspirin-like medicines
• blood thinners, like warfarin, heparin or enoxaparin
• dipyridamole

This list may not describe all possible interactions. Give your health care providers a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What side effects may I notice from this medicine? (Back to top)
Side effects that you should report to your doctor or health care professional as soon as possible:

• allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue
• blood in the urine, stools, or vomit
• chest pain or tightness
• constipation
• fever
• severe headache
• shortness of breath
• slow or fast heart rate
• unusual bleeding, bruising, or purple spots on the skin

• dizziness, lightheadedness
• nausea, vomiting

This list may not describe all possible side effects.

What should I watch for while using this medicine? (Back to top)
Your condition will be monitored carefully while you are receiving this medicine. Follow the advice of your doctor or health care professional exactly. You may need bed rest to minimize the risk of bleeding.

This medicine can make you bleed more easily. This effect can last for several days. Take special care brushing or flossing your teeth.

Do not take aspirin, ibuprofen, or other nonprescription pain relievers during or for several days after alteplase treatment unless otherwise instructed by your doctor or health care professional.

You may feel dizzy or lightheaded. To avoid the risk of dizzy or fainting spells, sit or stand up slowly, especially if you are an older patient.

Where should I keep this medicine? (Back to top)
This does not apply. You will not be given this medicine to store at home.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

Last Updated:February 26, 2008

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