OpenClaim

Bivalirudin Side Effects

The most commonly reported side effects of bivalirudin include thrombosis in device, thrombosis in device, and off label use, based on 2,834 FDA adverse event reports from 2004 to 2025. 7.2% of reports found the drug to be ineffective.

Bivalirudin side effects

Percentages show how often each reaction appears relative to total reports for bivalirudin.

1
Drug Ineffective7.2%204
2
Thrombosis In Device5.5%155
3
Thrombosis In Device5.0%142
4
Off Label Use4.9%140
5
Coronary Artery Thrombosis4.7%133
6
Haemorrhage4.4%125
7
Thrombosis4.4%124
8
Hypotension3.8%107
9
Myocardial Infarction3.7%105
10
Haemorrhage3.5%100
11
Stent Occlusion3.5%99
12
Chest Pain3.2%90
13
Thrombosis2.8%79
14
Coagulation Time Abnormal2.6%75
15
Heparin-induced Thrombocytopenia2.6%73

These are voluntary reports and do not establish that bivalirudin caused these reactions.

Report severity

92.9%Serious2,633 reports
29.7%Hospitalizations841 reports
22.8%Fatal646 reports

Seriousness is determined by the reporter, not by OpenClaim.

Bivalirudin drug interactions

Other drugs that appear in adverse event reports alongside bivalirudin. Drugs flagged as a suspected cause appear in the first column. Drugs taken at the same time but not suspected appear in the second.

Also suspected

1
Heparin12.0%339
2
Aspirin7.6%215
3
Prasugrel-hydrochloride7.0%197
4
Clopidogrel-bisulfate5.8%165
5
Gemfibrozil5.4%152
6
Eptifibatide4.0%113
7
Abciximab3.6%102
8
Ticagrelor3.2%90
9
Warfarin2.6%75
10
Enoxaparin-sodium2.1%60
11
Epinephrine1.4%40
12
Cangrelor1.3%36
13
Fondaparinux-sodium1.0%29
14
Argatroban1.0%29
15
Methylprednisolone1.0%28

Taken alongside

1
Aspirin21.2%602
2
Clopidogrel-bisulfate11.5%325
3
Heparin10.3%291
4
Gemfibrozil6.9%196
5
Nitroglycerin6.2%175
6
Metoprolol5.6%158
7
Midazolam5.3%149
8
Fentanyl5.1%144
9
Atorvastatin-calcium4.2%118
10
Eptifibatide3.8%107
11
Simvastatin3.6%102
12
Furosemide3.5%98
13
Acetaminophen3.1%89
14
Warfarin3.1%87
15
Pantoprazole-sodium2.9%83

Co-occurrence in adverse event reports does not establish a drug interaction. Patients often take multiple medications, and these lists reflect prescribing patterns rather than causal relationships. Consult a healthcare provider about potential drug interactions.

Who reports bivalirudin side effects

30.6% of bivalirudin adverse event reports involve female patients and 46.6% involve male patients. The largest age group is adult at 51%. These figures reflect who reports side effects, not underlying risk.

Sex

Female30.6%
Male46.6%
Unknown22.8%

Age group

< 23.2%
2–113.6%
12–171.0%
18–6450.9%
65+41.3%

What is bivalirudin used for

Conditions and purposes for which patients were taking bivalirudin when the adverse event was reported.

Acute Coronary SyndromeAcute Myocardial InfarctionAdverse EventAngina PectorisAngina UnstableAngiogramAngiogram CerebralAngioplastyAnticoagulant TherapyAnticoagulation Drug LevelAnticoagulation Drug Level TherapeuticAntiplatelet TherapyAortic BypassAortic SurgeryAortic Valve Replacement

Showing 15 of 165 indications

Bivalirudin brand names and reporting trend

Bivalirudin is sold under the brand name Angiomax.

Brand names

Angiomax1,419

Quarterly reports (20042025)

20052010201520202025

An upward trend reflects increased FAERS reporting overall, not necessarily increased risk.

Taking bivalirudin with another medication?

Ask OpenClaim about your specific drug combination. Get a sourced report using FDA data, drug labels, and medical literature.