Urokinase
Urokinase is a human enzyme synthesized by the kidney and excreted in urine. Urokinase is similar in action to streptokinase, used intravenously to break down and dissolve blood clots. Urokinase is used in the treatment of pulmonary embolism.
Primary Characteristics
It is of Natural origin and belongs to Polypeptide.
It belongs to Plasminogen Activator pharmacological group on the basis of mechanism of action and also classified in Thrombolytic Agent pharmacological group.
Molecular Weight: 33000 · Solubility in Water: freely soluble · Non-proprietary name: Urokinase.

Pharmacokinetics
Elimination: it is metabolised via Hepatic.
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Indications
Urokinase is primarily indicated in conditions like Arterial thrombosis, Hyphaema, Myocardial infarction, Pulmonary embolism, Thrombosis.
Contraindications
Urokinase is contraindicated in conditions like Hypertension, Peptic ulcer, Cardiac stroke, Renal diseases, Liver diseases, Trauma, Bleeding diathesis, Internal haemorrhage.
Dosage
Urokinase's dosage details are as follows:
| Dose | Single Dose | Frequency | Route | Instructions |
|---|---|---|---|---|
| Adult Dosage | ||||
| 73.333 IU/kg.min | 73.333 IU/kg.min | — | IV Inf | Maintenance, As Required |
| 440 IU/kg.min | 440 IU/kg.min | — | IV Inf | Load for 10 Minutes |
| Paediatric Dosage (20kg) | ||||
| No data. | ||||
| Neonatal Dosage (3kg) | ||||
| No data. | ||||
Drug Interactions
Always consult your physician for the change of dose regimen or an alternative drug of choice that may strictly be required.
Side Effects
Urokinase produces potentially life-threatening effects which include Cerebral hemorrhage, Bleeding . Careful monitoring is needed with proper medical management.
Urokinase is known to cause more or less tolerable side effects which are usually transient. These include Blood oozing from venopuncture sites.
Warnings / Precautions
Available Brands
Storage Conditions
Drug Classification
- 1.10.2 — Anticoagulants/Platelet deaggregators
- 2.12.5 — Anti-thrombotic drugs and myocardial infarction
Manufacturers
Manufacturers of Urokinase in Pakistan: