Heparin

I thought I had read that when one goes on SDD the need for heparin will be reduced. When I first went to SDD, my heparin rate was lower than it was in-center. But now, many months later, my rate is higher. One source told me that weight gain and diet can drive one’s heparin rate up. Another source told me that one’s blood will become richer from dialyzing daily, so will require more heparin. Can anyone clarify or share any other info on this subject?

How much are we talking about? What was your before and after amounts?

My starting point on SDD was 3000 and now I require as much as 8000.

Hi Folks

Hey Jane
Can help much ,but when I was doing sdd run of 3.5 hrs I would use a total of 8cc of stuff now on nocturnal avg. 8.5 hrs I use 12cc. Sorry

bob obrien

Who made your heparin? In January Baxter recalled 9 lots of heparin and in February Baxter recalled all of the heparin it made. I hope dialysis clinics thought to notify their home dialysis patients of this recall if Baxter was the supplier of the heparin they used. It seems that nearly 800 people had serious adverse events from the Baxter heparin that was made in China. Here are two links to stories about this – one in the LA Times and the other on the FDA website. If your heparin says Baxter, contact your clinic to find out what you should do.

http://www.latimes.com/news/nationworld/washingtondc/la-na-fda15mar15,1,5035088.story

http://www.fda.gov/oc/po/firmrecalls/baxter02_08.html

[QUOTE=Beth Witten MSW ACSW;15718]Who made your heparin? In January Baxter recalled 9 lots of heparin and in February Baxter recalled all of the heparin it made. I hope dialysis clinics thought to notify their home dialysis patients of this recall if Baxter was the supplier of the heparin they used. It seems that nearly 800 people had serious adverse events from the Baxter heparin that was made in China. Here are two links to stories about this – one in the LA Times and the other on the FDA website. If your heparin says Baxter, contact your clinic to find out what you should do.

http://www.latimes.com/news/nationworld/washingtondc/la-na-fda15mar15,1,5035088.story

http://www.fda.gov/oc/po/firmrecalls/baxter02_08.html[/QUOTE]

I have a question about drug recalls. Does anyone know why with a drug recall such as this heparin situation, affected patients are told to return the bottles to Baxter or to discard? If a patient has affected drugs, wouldn’t it be in their best interests to retain the drugs and get them independently tested? Why turn them over when there is the chance the co. could say they never received it or lost it etc? Admittedly, I know nothing about this subject, but was just wondering how the investigation is kept honest?

If your dialysis clinic provided the heparin to you, check with your home training nurse to find out what you’re supposed to do with it. The clinic may want it back if it needs to ship it back to Baxter to get it replaced or Baxter may have told the clinic to destroy it. I would bet that Baxter is not planning to test all the heparin that people send back as Baxter seems to be assuming that it could be tainted since it knows that at least some bottles in the 9 lots of heparin were contaminated at a manufacturing plant in China where the heparin was produced. According to the article in the NY Times, the FDA hadn’t inspected the Chinese factory because of mix-up in the name. Baxter is recalling all lots of the heparin to get them off the market so no one else will have a problem with them. I suspect by doing this Baxter hopes to demonstrate a good faith effort to eliminate further risk to the public and (hopefully) limit its liability. Look up on Google Baxter heparin lawsuit and you’ll see the law firms already lining up ready to take on clients who believe they’ve been harmed.

Here’s information from the FDA website about how product recalls work:
http://www.fda.gov/consumer/updates/recalls123107.html

See Recalls, Market Withdrawals, and Safety Alerts on this page to find out about recalls that have been issued: