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. 2020 May 26;3(2):38–43. doi: 10.36401/JQSH-19-41

Table 1.

The labeled and unlabeled indications approved by Ministry of National Guard Health Affairs, Central Region (MNGHA-CR)

Labeled indications at MNGHA:
  • Treatment or prevention of bleeding episodes in adults:

  1. Patients with hemophilia A (factor VIII deficiency) or B (factor IX deficiency) with inhibitors to factor VIII or factor IX

  2. Patients with congenital/acquired factor VII deficiency

  • Treatment of inherited disorders of platelet function, for example, Glanzmann thrombasthenia

Unlabeled indications (approved at MNGHA):
  • Preventing peri- and postoperative hemorrhage due to body (not brain) trauma* or surgery

  • Management of patients with massive* uncontrolled life-threatening bleeding

Unlabeled indications (not approved at MNGHA):
  • Treatment or prevention of refractory bleeding after:

  1. Cardiac surgery in non-hemophiliac patients

  2. Brain trauma

  3. Liver transplantation

  4. Gastrointestinal bleeding associated with end-stage liver disease

  5. Pulmonary hemorrhage (e.g., diffuse alveolar hemorrhage or massive hemoptysis)

  6. Thrombocytopenia

  7. Factor XI deficiency

  8. Von Willebrand disease

  9. Prostatectomy

  10. Anticoagulant-related intracerebral hemorrhage

  11. Coagulopathy of liver dysfunction