ABSTRACT
Hirudin is the anticoagulative product of the salivary glands of the medical leech
Hirudo medicinalis. It is characterized by a direct, bifunctional inhibition mechanism and a high, exclusive
specificity and a strong ability to bind to thrombin (tight binding). Further characteristics
are the organic-chemical structure of hirudin (peptide), which allows only parenteral
administration; the missing metabolism in the organism; and the exclusive glomerular
filtration of hirudin in kidneys as the effective elimination mechanism. Recombinant
hirudin (r-hirudin) is a product of genetic engineering that is identical to the hirudin
found in nature and has the same biochemical and pharmacological characteristics as
natural hirudin.
KEYWORDS
r-hirudin - pharmacology - pharmacokinetics - ECT