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Nadroparin Calcium and Warfarin

Shanghai Zhongshan Hospital · FDA-approved active Small molecule

Nadroparin calcium is a low-molecular-weight heparin that inhibits blood coagulation by enhancing antithrombin III activity, while warfarin is a vitamin K antagonist that inhibits synthesis of vitamin K-dependent clotting factors.

Nadroparin calcium is a low-molecular-weight heparin that inhibits blood coagulation by enhancing antithrombin III activity, while warfarin is a vitamin K antagonist that inhibits synthesis of vitamin K-dependent clotting factors; together they provide dual anticoagulation. Used for Thromboprophylaxis in high-risk surgical or medical patients, Treatment of venous thromboembolism, Atrial fibrillation with high thromboembolic risk.

At a glance

Generic nameNadroparin Calcium and Warfarin
SponsorShanghai Zhongshan Hospital
Drug classAnticoagulant combination (low-molecular-weight heparin + vitamin K antagonist)
TargetAntithrombin III (nadroparin); Vitamin K-dependent clotting factors II, VII, IX, X (warfarin)
ModalitySmall molecule
Therapeutic areaCardiovascular
PhaseFDA-approved

Mechanism of action

Nadroparin calcium works by potentiating antithrombin III to inactivate factors Xa and IIa, providing rapid anticoagulation. Warfarin inhibits the vitamin K-dependent carboxylation of clotting factors II, VII, IX, and X, resulting in delayed anticoagulation. This combination provides both immediate (nadroparin) and sustained (warfarin) anticoagulation for thromboembolic prevention.

Approved indications

Common side effects

Key clinical trials

Primary sources

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SourceUsed for
ClinicalTrials.govTrial enrolment, design, endpoints, results

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