Streptokinase

Streptokinase
Complex of catalytic domain of human plasmin and streptokinase
Clinical data
Trade namesFibrion
Other namesSK
AHFS/Drugs.comMicromedex Detailed Consumer Information
Routes of
administration
Intravenous
ATC code
Identifiers
CAS Number
DrugBank
ChemSpider
  • none
UNII
ECHA InfoCard100.029.667
Chemical and physical data
FormulaC2100H3278N566O669S4
Molar mass47286.86 g·mol−1

Streptokinase is a thrombolytic medication activating plasminogen by nonenzymatic mechanism. As a medication it is used to break down clots in some cases of myocardial infarction (heart attack), pulmonary embolism, and arterial thromboembolism. The type of heart attack it is used in is an ST elevation myocardial infarction (STEMI). It is given by injection into a vein.

Side effects include nausea, bleeding, low blood pressure, and allergic reactions. A second use in a person's lifetime is not recommended. While no harm has been found with use in pregnancy, it has not been well studied in this group. Streptokinase is in the antithrombotic family of medications and works by turning on the fibrinolytic system.

Streptokinase was discovered in 1933 from beta-hemolytic streptococci. It is on the World Health Organization's List of Essential Medicines. It is no longer commercially available in the United States.