endowed with anticoagulant activity. In detail, it is a direct inhibitor of coagulation factor IIa, better known as thrombin. From a chemical point of view, bivalirudin is a peptide of synthetic origin whose chemical structure is similar to that of the natural compound hirudin (an anticoagulant peptide isolated from the salivary glands of leeches).
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In order to carry out its anticoagulant action, bivalirudin is administered parenterally and, more precisely, intravenously. Medicines that contain it, however, can only and exclusively be used in hospitals and cannot be dispensed to the public.
