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Formulas

Heparin 1000 Units/mL Injection

FDA-approved generic
Dose form
Injection
Active ingredients
Heparin Sodium

The Heparin 1000 Units/mL Injection is a sterile anticoagulant solution for subcutaneous or intravenous administration. Each mL of this formulation contains 1000 units of heparin, which is contained within a small glass vial. The vial is designed for ease of use with a syringe, allowing healthcare professionals to draw the precise dosage required for treatment.

This medication is indicated for the prophylaxis and treatment of thromboembolic disorders such as deep vein thrombosis, pulmonary embolism, and arterial thromboembolism. It is also used in the management of myocardial infarction and as an anticoagulant in patients undergoing procedures such as cardiac surgery, dialysis, or blood transfusions, where clot prevention is crucial.

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For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
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Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

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Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Heparin Sodium
Injection
65adfd069d1f6f4c6cf63c9d
Service area

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Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

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Formula Information

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This formulation is prepared in a small glass container, known as a vial, which is specifically designed to maintain the sterility of the liquid medication. The vial allows for precise dosing as healthcare providers can draw the required amount of heparin using a syringe, ensuring accurate administration to the patient.

The mechanism of action of heparin involves its ability to enhance the activity of antithrombin III, which in turn inhibits the activity of thrombin and factor Xa, crucial components in the blood clotting cascade. By doing so, heparin prevents the formation of blood clots and is therefore essential in the treatment of conditions such as deep vein thrombosis (DVT), pulmonary embolism (PE), and in the prophylaxis of these conditions in at-risk patients. It is also commonly used in the management of acute coronary syndromes, including myocardial infarction, as well as during cardiac surgery or dialysis procedures to maintain the patency of catheters and prevent clotting.

For patients, it is important to understand that heparin must be used under strict medical supervision due to its significant effect on the coagulation system and the potential for bleeding complications. Regular monitoring of blood coagulation parameters, such as the activated partial thromboplastin time (aPTT), is necessary to ensure therapeutic efficacy while minimizing the risk of adverse effects. Patients should be aware of the signs of bleeding, including unusual bruising, blood in urine or stools, and severe headaches, and should report these to their healthcare provider immediately.

Prescribers should consider the patient's medical history, including any history of heparin-induced thrombocytopenia (HIT), renal function, and concomitant medications that may interact with heparin or increase the risk of bleeding. Dosing adjustments may be necessary based on these factors and the patient's response to treatment. It is also critical to provide clear instructions on the administration technique, storage of the medication, and the management of potential side effects.

If you have any questions or require further information about the Heparin 1000 Units/mL Injection formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support to both patients and healthcare providers to ensure the safe and appropriate use of this medication.

Drug Interactions

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Heparin is an anticoagulant medication that works by inhibiting the formation of blood clots. It is commonly used to treat and prevent deep vein thrombosis (DVT), pulmonary embolism (PE), and in patients with atrial fibrillation to reduce the risk of stroke. It is also used in the prophylaxis and treatment of various other thromboembolic disorders. When using heparin, it is crucial to be aware of potential drug interactions that may alter its effectiveness or increase the risk of adverse effects.

One of the primary concerns with heparin therapy is the risk of bleeding. Medications that also affect blood clotting, such as antiplatelet drugs (e.g., aspirin, clopidogrel), other anticoagulants (e.g., warfarin, dabigatran, rivaroxaban), and nonsteroidal anti-inflammatory drugs (NSAIDs), can increase this risk. It is essential to monitor patients closely for signs of bleeding and adjust dosages accordingly when these medications are used concurrently with heparin.

Additionally, drugs that alter platelet function or coagulation can interact with hearin. For example, selective serotonin reuptake inhibitors (SSRIs) and serotonin-norepinephrine reuptake inhibitors (SNRIs) may increase the risk of bleeding when taken with heparin. Careful monitoring and dose adjustments may be necessary when these drugs are co-administered.

Conversely, agents that can decrease the anticoagulant effect of heparin should also be used with caution. These include nicotine from smoking or nicotine replacement therapy, which can reduce heparin's efficacy, potentially leading to subtherapeutic anticoagulation and an increased risk of thrombotic events.

It is also important to note that heparin can interact with certain herbal supplements, such as Ginkgo biloba, garlic, and ginger, which may have anticoagulant properties and could enhance the risk of bleeding. Patients should be advised to disclose all medications, including over-the-counter drugs and herbal supplements, to their healthcare provider.

When administering heparin, it is essential to use aseptic techniques to avoid contamination and infection. The glass container holding the heparin solution should be inspected for particulate matter and discoloration before use. If either is present, the solution should not be used.

Patients should be educated on the signs of bleeding, such as unusual bruising, blood in urine or stools, prolonged bleeding from cuts, and severe headaches. They should also be informed about the signs of heparin-induced thrombocytopenia (HIT), a rare but serious complication, which includes a drop in platelet count and can lead to thrombosis. Any unusual symptoms should be reported to a healthcare provider immediately.

Regular monitoring of blood coagulation parameters, such as activated partial thromboplastin time (aPTT), is necessary to ensure the appropriate therapeutic effect of heparin and to adjust the dose as needed. The prescriber should be aware of the patient's current medications, medical history, and any potential interactions that may impact hearin therapy.

If you have any questions or require further information regarding heparin therapy and potential drug interactions, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support to ensure the safe and appropriate use of heparin injections.

How Does it Work

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Heparin is an anticoagulant medication, which means it helps prevent the formation of blood clots. The active substance in this formulation is heparin sodium, which works by inactivating certain proteins in the blood that are necessary for blood to clot. Specifically, heparin enhances the activity of antithrombin III, a protein that inhibits several clotting factors, including thrombin and factor Xa. By doing so, heparin interrupts the clotting cascade, thereby reducing the likelihood of clot formation.

The heparin 1000 Units/mL injection is contained within a small glass vial, which is a sterile environment that ensures the medication remains uncontaminated until the point of use. To administer the medication, a healthcare professional will use a syringe to draw the required dose from the vial. The exact dose and duration of heparin therapy will depend on the patient's specific medical condition and response to treatment.

This heparin formulation is used to treat and prevent various disease states associated with abnormal clotting. It is commonly used in the treatment of deep vein thrombosis (DVT), pulmonary embolism (PE), and in patients undergoing certain types of surgery who are at an increased risk of thrombosis. It may also be used in the management of acute coronary syndrome (ACS), including treatment of unstable angina and myocardial infarction. Heparin is also used in a prophylactic setting to prevent clot formation in patients who are immobilized or in those with a history of clotting disorders.

Monitoring of blood coagulation parameters, such as the activated partial thromboplastin time (aPTT), is often required to ensure therapeutic levels of anticoagulation without risking excessive bleeding. Additionally, there are risks of heparin-induced thrombocytopenia (HIT), an immune-mediated adverse reaction to heparin, which necessitates careful monitoring of platelet counts during therapy.

For any questions regarding the use of heparin 1000 Units/mL injection, or to discuss the suitability of this medication for a particular patient, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is available to provide expert guidance and support to ensure appropriate treatment.

Other Uses

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Heparin, commonly used in medical settings for its anticoagulant properties, has a variety of applications beyond its primary purpose of preventing and treating blood clots. In addition to its standard use for deep vein thrombosis, pulmonary embolism, and during cardiac surgery or dialysis to maintain catheter patency, heparin can also be employed off-label for other medical concerns. For example, heparin has been utilized in small doses to prevent the formation of blood clots in intravenous lines and central venous catheters, which can be particularly beneficial for patients requiring long-term intravenous therapies. Furthermore, heparin has been studied for its potential anti-inflammatory effects and its role in certain microcirculation disorders, although these uses are less common and should always be considered carefully by a healthcare provider.

Another interesting use of heparin includes its deployment during the treatment of specific complications of pregnancy such as antiphospholipid syndrome, where it has been observed to help reduce the risk of miscarriage by minimizing the formation of blood clots. Moreover, in the field of dermatology, heparin has been used topically for the treatment of bruising and superficial phlebitis, capitalizing on its properties to improve blood flow and reduce inflammation at the site of application. However, this topical application is not a direct use of the heparin injection formulation discussed here and would require different preparation and dosing considerations.

It's important for prescribers to be aware that while heparin is a well-known and frequently used medication, its off-label uses require the same level of monitoring for potential side effects and complications as its primary indications do. Prescribers must vigilantly monitor a patient's clotting status and watch for signs of heparin-induced thrombocytopenia, a serious adverse reaction. Communication between healthcare providers and patients about the intended use and potential risks associated with heparin therapy is essential to ensure appropriate treatment. If you have any questions about the use of heparin or if it is an appropriate option for treatment, please don't hesitate to reach out to us. Our compounding pharmacists at Bayview Pharmacy are dedicated to providing detailed information and personalized care to support both patients and healthcare professionals.

Frequently Asked Questions

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What is Heparin 1000 Units/mL Injection used for?

Heparin 1000 Units/mL Injection is an anticoagulant medication that is used to prevent and treat blood clots. It is commonly used in the treatment of deep vein thrombosis (DVT), pulmonary embolism (PE), and in patients who require a blood thinner to prevent clotting during certain medical procedures or conditions.

How is Heparin 1000 Units/mL administered?

This medication is administered through an injection. A healthcare provider will use a syringe to draw the necessary dose from the small glass container, which holds the sterile liquid heparin, and then inject it directly into the bloodstream or under the skin as prescribed.

How often is Heparin 1000 Units/mL Injection given?

The frequency of administration depends on the individual patient's condition and response to treatment. The dosing schedule will be determined by a healthcare provider based on the patient's needs.

Where should the Heparin injection be given?

Heparin injections are typically given subcutaneously (under the skin) or intravenously (into a vein). A healthcare provider will determine the most appropriate site for injection based on the intended use and the patient's condition.

Can Heparin 1000 Units/mL Injection be self-administered?

In some cases, patients may be instructed on how to self-administer heparin injections at home. However, this should only be done after proper training from a healthcare professional and under their guidance and supervision.

Are there any side effects associated with Heparin 1000 Units/mL Injection?

Yes, as with all medications, heparin can cause side effects. These may include bleeding, bruising at the injection site, allergic reactions, or thrombocytopenia (low platelet count). If you experience any unexpected symptoms or side effects, contact your healthcare provider immediately.

What precautions should be taken when using Heparin 1000 Units/mL Injection?

Before starting heparin therapy, it is important to inform your healthcare provider of all medical conditions, including any history of bleeding disorders, liver or kidney disease, or if you are taking other medications. Regular monitoring of blood clotting times and platelet counts is often required to adjust the dose accordingly and ensure safety.

Can Heparin 1000 Units/mL Injection be mixed with other medications?

Heparin should not be mixed in the same syringe or infused through the same intravenous line with other medications unless specifically instructed by a healthcare provider. It is important to avoid potential interactions.

What should I do if I miss a dose of Heparin 1000 Units/mL Injection?

If you miss a dose, contact your healthcare provider for instructions. Do not double the dose to catch up, as this may increase the risk of bleeding.

How should the glass container of Heparin 1000 Units/mL Injection be stored?

The glass container should be stored at room temperature, away from light and moisture. Do not freeze the medication, and keep it out of the reach of children and pets. Dispose of any unused medication properly, as instructed by your healthcare provider or pharmacist.

What should I do in case of an overdose?

If you suspect an overdose of Heparin 1000 Units/mL Injection, seek immediate medical attention. Signs of an overdose may include excessive bleeding or bruising. Emergency medical services should be contacted in cases of suspected overdose.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

The conditions listed on this page are indications prescribers have ordered this preparation for. They are not FDA-approved indications, and listing them is not a statement that this preparation is effective for them.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice — discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Heparin 1000 Units/mL Injection
Injection
2.5 mL
controlled

Inject

Twice daily