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What are the contraindications and warnings for the use of Argatroban?

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What are the contraindications and warnings for the use of Argatroban?

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Argatroban is contraindicated in patients with overt major bleeding, or in patients hypersensitive to Argatroban or any of its components.[2] Argatroban is intended for intravenous administration.[2] All parenteral anticoagulants should be discontinued before administration of Argatroban. Hemorrhage can occur at any site in the body in patients receiving Argatroban.[2] An unexplained fall in hematocrit, fall in blood pressure, or any other unexplained symptom should prompt consideration of a hemorrhagic event. Argatroban should be used with extreme caution in disease states and other circumstances in which there is an increased danger of hemorrhage. These include severe hypertension; immediately following lumbar puncture; spinal anesthesia; major surgery, especially involving the brain, spinal cord or eye; hematologic conditions associated with increased bleeding tendencies such as congenital or acquired bleeding disorders, and gastrointestinal lesions such as ulcerations.

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