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In acute ischemic stroke Take action with activase (alteplase) The only evidence-based drug treatment for acute ischemic stroke
Telestroke Discover how telestroke allows for specialized stroke care to underserved area.

AIS Virtual Patient

Virtually assess potential acute ischemic stroke patient scenarios

Test your stroke diagnostic skills today!

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Receive a certificate* upon completion of the AIS Virtual Patient Program!

*This certificate does not satisfy requirements for Continuing Education credits

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Education and Training

HealthStream

Free access to educational materials and training on acute ischemic stroke and Activase for your stroke center. 

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Dosing and Administration

Dosing Vial

View videos and instructions for the appropriate dosing and administration of Activase for acute ischemic stroke.

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Prescribing Information

Acute Ischemic Stroke Indication

Activase is indicated for the management of acute ischemic stroke in adults for improving neurological recovery and reducing the incidence of disability. Treatment should only be initiated within 3 hours after the onset of stroke symptoms, and after exclusion of intracranial hemorrhage by a cranial computerized tomography (CT) scan or other diagnostic imaging method sensitive for the presence of hemorrhage (see CONTRAINDICATIONS in the full prescribing information).

Acute Massive Pulmonary Embolism Indication

Activase is indicated in the management of acute massive pulmonary embolism (AMPE) in adults: (1) for the lysis of acute pulmonary emboli, defined as obstruction of blood flow to a lobe or multiple segments of the lungs; (2) for the lysis of pulmonary emboli accompanied by unstable hemodynamics, eg, failure to maintain blood pressure without supportive measures. The diagnosis should be confirmed by objective means, such as pulmonary angiography or noninvasive procedures such as lung scanning.

Important Safety Information

CONTRAINDICATIONS

Acute Ischemic Stroke (AIS):

Pulmonary Embolism (PE):

WARNINGS

The risks of Activase therapy for all approved indications may be increased and should be weighed against the anticipated benefits in certain conditions [See WARNINGS in the full prescribing information].

Acute Ischemic Stroke (AIS):

Treatment of patients with minor neurological deficit or with rapidly improving symptoms is not recommended [See WARNINGS in the full prescribing information].

Pulmonary Embolism (PE):

PRECAUTIONS (AIS)

Orolingual angioedema has been observed in postmarketing experience in patients treated with Activase for AIS. Patients should be monitored during and for several hours after infusion for signs of orolingual angioedema.

ADVERSE REACTIONS

The most common complication during Activase therapy is bleeding. Should serious bleeding in a critical location (intracranial, gastrointestinal, retroperitoneal, pericardial) occur, Activase therapy should be discontinued immediately, along with any concomitant therapy with heparin. Death and permanent disability are not uncommonly reported in patients who have experienced stroke (including intracranial bleeding) and other serious bleeding episodes.

Activase for Acute Ischemic Stroke
Stroke Centers and Telestroke
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