Table 1:
Specific properties of commercially available fibrinolytic agents
| Fibrinolytic agent |
Fibrin specificity |
Antigenic | Dosing guidelines | Plasma half life (min) |
FDA approval |
|---|---|---|---|---|---|
| 1st generation | |||||
| Streptokinase | -- | Yes | 250,000 units IV over initial 30 minutes, followed by 100,000 units IV infusion per hour for 24 hours | 12-20 | Yes |
| Urokinase | -- | No | 4,400 units/kg IV over the initial 10 minutes, followed by 4,400 units/kg IV infusion per hour for 12 hours | 7-20 | Yes |
| 2nd generation | |||||
| Alteplase | ++ | No | 100 mg IV infusion over 2 hours | 4-8 | Yes |
| 3rd generation | |||||
| Tenecteplase | +++ | No | Single weight-adjusted IV bolus injection over 5 to 10 seconds |
15-24 | No |
| Reteplase | + | No | Two IV bolus injections of 10 units each, administered 30 minutes apart | 11-19 | No |