Coumarin is a plant product
which competes with Vitamin K. Since this is a competitive inhibition the
degree of anticoagulant effect can be regulated. Conversely, administering
Vitamin K will increase the level of plasma clotting proteins somewhat. |
|
Antithrombins are naturally
present and remove the small amount of thrombin produced spontaneously.
Heparin is also present in small amounts which normally have little effect.
But when released from mast cells or basophils heparin significantly
increases the effect of the antithrombins, thus inhibiting clotting. This
effect is used clinically as a short-term anticoagulant. Giving Ca+2 will
neutralize the heparin. |