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DDAVP — Clinical Use and Therapeutic Limitations in Patients with Congenital Bleeding Disorders: The Auckland Experience

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Desmopressin in Bleeding Disorders

Part of the book series: NATO ASI Series ((NSSA,volume 242))

Abstract

Desmopressin (DDAVP) was first used to treat patients with inherited coagulation disorders by Mannucci et al (1977).Subsequently, mechanisms of drug action, different formulations and dosage schedules have been studied (Nilsson and Lethagen 1991). Responses to DDAVP have suggested differences in types of von Willebrand’s disease (vWD) (Menon et al 1978), and this has been followed by greater understanding of vWD pathophysiology (Ruggeri and Zimmerman 1987). Administration of DDAVP reduces blood product consumption and the desire to decrease exposure where possible has led to attempts to expand the indications for its use. Its role in the treatment of disorders of haemostasis is in some instances well established, but in other situations its precise role is not defined (Mannucci 1988).

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References

  • Bachmann, F., 1980 Diagnostic approach to mild bleeding disorders. Semin. in Hematol. 17: 292.

    CAS  Google Scholar 

  • Berry, E. W., 1990. Use of DDAVP and cryoprecipitate in mild to moderate haemophilia a and von Willebrand’s disease, in “Recent Advances in Hemophilia Care,” C. K., Kasper, ed. Alan R. Liss, NewYork. 324: 269.

    Google Scholar 

  • Berry, P, R, Coster, A. B., Berry, E. W., 1977. Local use of epsilon aminocaproic acid in dental therapy. Thromb. Haemost 38: 373.

    Google Scholar 

  • Dal Bo Zanon, R, Calzavara, M., Vicari., T., Miotti, A. Girolami, A., 1986, Dental extraction in congenital haemorrhagic patients, Folta Haematol. (Leipz) 113(6): 799.

    Google Scholar 

  • Davies, J. A, and Tuddenham, E. G. D., 1987. Haemostasis and Thrombosis, in “Oxford Textbook of Medicine” Weatherall, D. J., Ledingham, J, G, G., Warrell, D. A, eds. Oxford University Press, Oxford. 19: 215.

    Google Scholar 

  • de La Fuente, B., Kasper, C. K., Rickles, F. R, Hoyer, L. W., 1985. Response of patients with mild and moderate haemophilia A and von Willebrand disease to treatment with desmopressin. Ann. Intern. Med. 103: 6.

    PubMed  Google Scholar 

  • Ghirardini, A., Chistolini, A, Tirindelli, M. C., Di Paolantonio, T., Iacopino, G., Mariani, P., Chirletti, P., Agrestini, F., Mariani, G., 1988. Clinical evaluation of subcutaneously administered DDAVP. Thromb. Res 49: 363.

    Article  PubMed  CAS  Google Scholar 

  • Kesteven, P. J., Holland, L. J., Lawrie, A. S., Savidge, G. F., 1984. Inhibitor to factor VIII in mild haemophilia. Thromb. Haemost., 52: 50.

    PubMed  CAS  Google Scholar 

  • Kobrinsky, N. L., Israels E. D., Gerrard J. M., Cheang, M. S., Watson, C. M., Bishop, P, J., 1984. Shortening of the bleeding time by 1-deamino-8-Darginine vasopressin in various bleeding disorders. Lancet 1: 1145–1148.

    Article  PubMed  CAS  Google Scholar 

  • Lowe, G., Pettigrew, A, Middleton, S., Forbes, C. D., Prentice, C., R, M., 1977. DDAVP in haemophilia. Lancet 11: 614.

    Article  Google Scholar 

  • Mannucci, P, M., 1988. Desmopressin: a non transfusional form of treatment for congenital and acquired bleeding disorders. Blood 72; 5: 1449.

    Google Scholar 

  • Mannucci, P. M., and Lusher, J. M., 1989 Desmopressin and thrombosis. Lancet 2: 676.

    Google Scholar 

  • Mariani, G., Ciavarella, N., Mazzucconi, M. G., Antonceachi, S., Solinas, S., Ranierl, P. et al, 1984. Evaluation of the effectiveness of DDAVP in surgery and in bleeding episodes in hemophilia and von Willebrand’s disease. A study of 43 patients. Clin.Lab Haematol 6: 229–238.

    Article  Google Scholar 

  • Menon, N. C., Beny, E. W., Ockelford, PA, 1978. Beneficial effect of DDAVP on bleeding time in von Willebrand’s disease (letter). Lancet 2: 743.

    Article  PubMed  CAS  Google Scholar 

  • Nilsson, I. M., and Lethagen, S., 1991. C. M. Kessler, eds. Elsevier Science Publishers B. V. Pfueller, S. L., Howard, MA, White, J. G., Menon, C., Berry, E. W., 1987. Shortening of the bleeding time by 1-deamino-8-arginine vasopressin (DDAVP) in the absence of platelet von Willebrand factor in gray platelet syndrome. Thromb. Haemost. 58: 1060.

    Google Scholar 

  • Ramstrom, G., Blomback, M., Egberg, N., Johnsson, H., Ljungberg, B., Schulman, S., 1989. Oral Surgery in patients with hereditary bleeding disorders. A survey of treatment in the Stockholm area (1974-1985). Int. J Oral Maxillofac. Surg. 18: 130.

    Article  Google Scholar 

  • Rodeghiero, F., Castaman, G., Mannucci, P, M., 1991. Clinical indications for desmopressin (DDAVP) in congenital and acquired von Willebrand disease. Blood Reviews 5: 155–161.

    Article  PubMed  CAS  Google Scholar 

  • Ruggeri, Z, M., and Zimmerman, T. S., 1987, von Willebrand factor and von Willebrand disease. Blood 70: 895.

    PubMed  CAS  Google Scholar 

  • Scharrer, I., 1991, The treatment of von willebrand’s disease, in ‘Hemophilia and von Willebrand’s disease in the 1990’s,’ J. M., Lusher and C. M., Kessler, eds. Elsevier Science Publishers B. V. Amsterdam.

    Google Scholar 

  • Schulman, S., 1991. DDAVP — the multipotent drug inpatients with coagulopathies. Transfusion Med.Rev. 5: 132.

    Article  CAS  Google Scholar 

  • Sindet-Pedersen, S., Ingerlou, J, Ramstrom G., Blomback, M., 1988. Management of oral bleeding in haemophilia patients. Lancet (letter) 21: 566.

    Article  Google Scholar 

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© 1993 Springer Science+Business Media New York

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Berry, E.W., Berry, P.R. (1993). DDAVP — Clinical Use and Therapeutic Limitations in Patients with Congenital Bleeding Disorders: The Auckland Experience. In: Mariani, G., Mannucci, P.M., Cattaneo, M. (eds) Desmopressin in Bleeding Disorders. NATO ASI Series, vol 242. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2922-4_27

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  • DOI: https://doi.org/10.1007/978-1-4615-2922-4_27

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6268-5

  • Online ISBN: 978-1-4615-2922-4

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