CALL TOLL FREE:
FAX  TOLL  FREE:
1.866.930.3784
5:30 AM - 8:00 PM (M-F)
7:00 AM - 3:30 PM (S/S)

Angiomax (Bivalirudin)

Type
Product
Manufacturer
Country
Dosage
Qty-Price (USD)
Type: drug type
Product: Angiomax 10 Vials Pack
Manufacturer: Sandoz
Country: Canada
Dosage: 250 mg/1 vial
Qty-Price (USD):

Generic Equivalent of Angiomax
Type
Product
Manufacturer
Country
Dosage
Qty-Price (USD)
There is no generic product of Angiomax.

Angiomax Information

Angiomax at CanadaPharmacyOnline.com

Brand Angiomax (bivalirudin) is manufactured by Sandoz in many countries worldwide, including Canada. Generic bivalirudin is currently unavailable (at this pharmacy).

Dosage:

Brand Angiomax is commonly available in 250 mg/1 vial for injection.

Your doctor will determine the appropriate dose based on your individual needs and medical conditions.

Usage:

Angiomax (bivalirudin) is a prescription medication primarily used to prevent the formation of blood clots, primarily in patients undergoing specific heart procedures. Angiomax is mainly used when treating patients who are having a heart attack and need a procedure called PCI (Percutaneous Coronary Intervention), which is a non-surgical way to clear blocked heart arteries. Angiomax is a vital alternative to heparin, particularly for patients with or at risk of Heparin-Induced Thrombocytopenia (HIT) or HIT-Thrombosis Syndrome (HITTS) undergoing PCI or cardiac surgery (including CABG). It's also used off-label for other high-risk heart issues like unstable angina or different types of heart attacks, especially if the patient is scheduled for CABG (Coronary Artery Bypass Graft, or "bypass" surgery).

Mechanism of Action:
Angiomax (bivalirudin) is a synthetic peptide that acts as a specific and reversible Direct Thrombin Inhibitor (DTI). It works by binding directly and reversibly to the enzyme thrombin, preventing it from clotting blood. This mechanism prevents thrombin from activating fibrinogen into fibrin, thereby inhibiting platelet aggregation and stopping the formation of blood clots.

Take Angiomax exactly as your doctor prescribes, following the instructions in the consumer information | DHPR accompanying the medication. Consult your doctor for personalized guidance and safe use.

The information below summarizes some, but not all, potential side effects, risks, and interactions. Before taking Angiomax, it is essential to discuss all possible side effects, risks, and interactions with your doctor or pharmacist.

Side Effects:

The information below outlines potential side effects associated with Angiomax (bivalirudin). It is not an exhaustive list, and individual reactions can vary. This information is for educational purposes and should not replace professional medical advice. Before starting Angiomax, it is crucial to discuss possible side effects and risks with your doctor or pharmacist.

Common side effects - These are some common side effects of Angiomax, but others are possible. Contact your doctor promptly if any side effects persist, worsen, or concern you, or if you experience any other concerning symptoms.
• Back pain
• Fever
• Headache
• Low blood pressure
• Minor bleeding
• Nausea
• Pain at the injection site

Serious or rare side effects- Seek immediate medical attention or call emergency services if you experience any of the following:
• Anaphylaxis – severe allergic shock
• Cardiovascular events, including hypertension, anemia, and heart rate changes
• Major bleeding

Contraindications:

The following is not an exhaustive list of contraindications. Before starting Angiomax, it is crucial to discuss all your medical conditions, past and present, and all medications you are taking with your doctor or pharmacist.

Angiomax should not be used if:
• You have a cerebral hemorrhage
• You have a known allergy to bivalirudin or any of the ingredients in the medication.
• You have active major bleeding
• You have an acute stomach or intestinal ulcer
• You have an eye problem called retinopathy caused by diabetes or bleeding
• You have an inflammation of the heart tissue caused by bacterial infections (endocarditis)
• You have severe trauma to the brain or spine

Tell your doctor about all of your medical conditions, past and present, before starting Angiomax. This is crucial because certain conditions can affect whether Angiomax is right for you. These conditions may include, but are not limited to:
• Increased risk of experiencing bleeding
• Severe uncontrolled hypertension
• Spinal or epidural anesthesia due to the increased risk of spinal or epidural hematoma

Drug Interactions:

Before taking Angiomax, it is essential to discuss all potential risks and interactions with your doctor or pharmacist. For complete and up-to-date information, refer to the product monograph in Canada.

Provide your doctor with a complete list of all your medications, including prescriptions, over-the-counter (OTC) drugs, vitamins, and herbal supplements. It is also essential to inform your doctor about any herbal teas, recreational drugs, or significant dietary changes you are making, as these could potentially interact with Angiomax. Angiomax may interact with other medicines, but is not limited to:
Non-Steroidal Anti-inflammatory Drugs (NSAIDs), such as ibuprofen and naproxen, can affect platelet function and increase bleeding risk. Use requires strict monitoring.
Other anticoagulants, such as heparin, warfarin, and apixaban, can increase the risk of hemorrhage. Concomitant use should be avoided or monitored with extreme caution. Bivalirudin also prolongs the INR, making International Normalized Ratio (INR) measurements unreliable for determining appropriate warfarin dosage.
Other IV-administered drugs, such as amphotericin B and chlorpromazine HCl, are incompatible with Angiomax and should not be administered in the same intravenous line.

Pregnancy and Breastfeeding:

Safety data on the use of bivalirudin in pregnancy are limited. This drug should only be used if the potential benefit outweighs the potential risk to the fetus. Inform your doctor if you are breastfeeding or planning to breastfeed. The excretion of bivalirudin in breast milk is unknown. Your doctor will decide whether you should stop nursing or stop the medication after evaluating the benefit for the mother and the potential risk to the child.

Frequently Asked Questions about Angiomax at Canada Pharmacy Online:

Why is Angiomax more affordable in Canada than in the United States?

Prescription drug prices, including Angiomax, are generally lower in Canada than in the U.S. due to a combination of factors, primarily government price regulations, differing market dynamics, and other economic considerations. In Canada, provincial and federal governments negotiate drug prices with pharmaceutical companies, which often results in lower costs compared to the U.S., where market forces play a more significant role. For more information, see the FAQs on Prescription Drug Importation from the Kaiser Family Foundation (KFF): https://www.kff.org/health-costs/issue-brief/faqs-on-prescription-drug-importation/

How much is the shipping?

Our shipping fee is a flat rate of $10.00 per order. Our pharmacy focuses on offering you the lowest prices on high-quality products.

How do I place an order with your pharmacy?

Ordering from us is very simple. You can purchase online or call Customer Service at 1866.920.3784; for more information or to learn about the ordering process, visit our How to Order page.

Is there a limit on the number of vials I can order at one time?

CanadaPharmacyOnline.com can only dispense a maximum of a three-month supply of Angiomax at a time, as per your doctor's prescription.

Can I buy over the counter from you?

No, Angiomax requires a valid prescription from your doctor. We do not sell this product without a valid prescription.

Do you ship to the United States?

Yes, we do. It typically takes 7-18 business days to receive your order from our pharmacy.

Is there a generic for Angiomax?

The generic bivalirudin is currently unavailable at this pharmacy.

Blog Post

Blood Clots: What You Need to Know About Environmental Risks
Could Your Food and Drink Choices Help Dissolve Blood Clots?
Flying and Blood Clots: What You Should Know

Latest News

Do Anticoagulants Help in Pulmonary Arterial Hypertension? (published on Oct 3, 2025)

Similar Drugs in the category of Blood Thinner:

   Arixtra

The information on this page is sourced from independent third parties contracted by CanadaPharmacyOnline. While we cannot guarantee its medical accuracy, we strongly recommend consulting a healthcare professional for personalized advice regarding medications or medical conditions.

Reviews From Real Customers
Drug Categories


Top Products

Prescriptions Dispensed from Canada are Dispensed by Candrug Pharmacy #18985. 202A 8322-130th Street, Surrey, British Columbia, Canada V3W 8J9, 604-543-8711. Pharmacy Manager: Carol Hou.
This pharmacy is duly licensed in the province of British Columbia, Canada by the College of Pharmacists of BC. If you have any questions or concerns you can contact the college at: 200-1765 West 8th Ave Vancouver, BC V6J 5C6 Canada.
All prices are in US dollars.
© Copyright 2006 - 2025 Canada Pharmacy Online. All Rights Reserved.