Subcutaneous desmopressin (DDAVP) shortens the prolonged bleeding time in patients with liver cirrhosis

Thromb Haemost. 1990 Nov 30;64(3):358-60.

Abstract

The intravenous infusion of 1-deamino-8-D-arginine vasopressin (DDAVP) shortens the prolonged bleeding time in patients with congenital or acquired bleeding disorders, including patients with uremia or liver cirrhosis. We carried out a double-blind, placebo-controlled crossover study in ten patients with liver cirrhosis to evaluate whether or not their prolonged bleeding times could be shortened by subcutaneous injections of DDAVP (0.3 microgram/kg), a more practical route of administration than intravenous infusions. One hour after DDAVP injection the bleeding time was significantly shortened (p less than 0.05). After 4 h, however, the bleeding time shortening was no longer statistically significant. There was no bleeding time change after placebo. Plasma levels of von Willebrand factor antigen (vWF:Ag) did not significantly increase after DDAVP or placebo. The study shows that subcutaneous DDAVP is an alternative method for short-term shortening of the bleeding time in liver cirrhosis.

Publication types

  • Clinical Trial
  • Controlled Clinical Trial
  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Aged
  • Antigens / blood
  • Bleeding Time
  • Child
  • Deamino Arginine Vasopressin / therapeutic use*
  • Double-Blind Method
  • Female
  • Humans
  • Injections, Subcutaneous
  • Liver Cirrhosis / blood*
  • Male
  • Middle Aged
  • von Willebrand Factor / metabolism

Substances

  • Antigens
  • Von Willebrand antigen
  • von Willebrand Factor
  • Deamino Arginine Vasopressin