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Desmopressin acetate spray is a drug that plays a key role in the management of hemorrhagic diseases. It is essentially a structural analog of natural arginine vasopressin, which stimulates the endothelium and other parts of blood vessels to promote the release of coagulation factor VIII and von Willebrand factor (VWF), increasing the activity of coagulation factor VIII in plasma by 2-6 times, while also increasing VWF levels, enhancing platelet adhesion, and effectively improving coagulation function to achieve hemostasis.
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Desmopressin Acetate COA
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| Certificate of Analysis | ||
| Compound name | Desmopressin Acetate | |
| Grade | Pharmaceutical grade | |
| CAS No. | 16789-98-3 | |
| Quantity | 60g | |
| Packaging standard | PE bag+Al foil bag | |
| Manufacturer | Shaanxi BLOOM TECH Co., Ltd | |
| Lot No. | 202601090055 | |
| MFG | Jan 9th 2026 | |
| EXP | Jan 8th 2029 | |
| Structure |
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| Item | Enterprise standard | Analysis result |
| Appearance | White or almost white powder | Conformed |
| Water content | ≤5.0% | 0.48% |
| Loss on drying | ≤1.0% | 0.30% |
| Heavy Metals | Pb≤0.5ppm | N.D. |
| As≤0.5ppm | N.D. | |
| Hg≤0.5ppm | N.D. | |
| Cd≤0.5ppm | N.D. | |
| Purity (HPLC) | ≥99.0% | 99.90% |
| Single impurity | <0.8% | 0.56% |
| Total microbial count | ≤750cfu/g | 170 |
| E. Coli | ≤2MPN/g | N.D. |
| Salmonella | N.D. | N.D. |
| Ethanol (by GC) | ≤5000ppm | 400ppm |
| Storage | Store in a sealed, dark, and dry place below -20°C | |
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| Chemical Formula: | C50H72N14O16S2 |
| Exact Mass: | 1188 |
| Molecular Weight: | 1189 |
| m/z: | 1188 (100.0%), 1189 (49.8%), 1070 (12.1%), 1070 (9.0%), 1069 (5.2%), 1071 (4.5%), 1070 (2.6%), 1070 (2.5%), 1069 (1.6%), 1071 (1.2%), 1071 (1.1%), 1072 (1.1%) |
| Elemental Analysis: | C, 51.67; H, 6.03; N, 18.34; O, 17.96; S, 6.00 |
It is widely used in the treatment of various bleeding diseases. For patients with mild to moderate hemophilia A, it can control minor daily bleeding such as nosebleeds and gum bleeding, and can also be used for preventing bleeding before small surgeries and stopping bleeding during surgery. After use, patients with hemophilia can improve symptoms such as nosebleeds and excessive menstruation, and reduce their dependence on blood transfusion products. In terms of platelet dysfunction related bleeding, whether induced by drugs (such as antiplatelet drugs) or diseases (such as uremia and cirrhosis), it can reduce the risk of bleeding by enhancing platelet adhesion. In addition, for patients with unexplained prolonged bleeding, it can be used as an experimental treatment drug to assist in determining the cause of bleeding.

Hemorrhagic diseases are a type of disease that seriously affects the health and safety of patients, covering various etiologies and pathological mechanisms. Effective hemostasis management is crucial for improving patient prognosis. As a drug with a unique mechanism of action, it plays an important role in the management of hemorrhagic diseases.
Mechanism of action
Desmopressin acetate spray is a structural analogue of natural arginine vasopressin and a derivative of vasopressin. It exerts hemostatic effects through a series of complex physiological processes, and its key mechanism is to promote the release of coagulation factors from storage sites such as vascular endothelium, increasing the activity of coagulation factor VIII in plasma by 2-6 times. At the same time, it increases the concentration of von Willebrand factor (VWF) and tissue plasminogen activator, and significantly increases platelet adhesion. This mechanism of action makes it potentially valuable for the treatment of various hemorrhagic diseases. Related studies have elaborated on its mechanism of action and its impact on coagulation factors, providing a theoretical basis for clinical applications.
Application in hemophilia
It is an important treatment for mild to moderate hemophilia A patients. Hemophilia A is a hemorrhagic disease caused by a deficiency of coagulation factor VIII, and patients often experience spontaneous or mild bleeding after trauma. By stimulating the release of endogenous coagulation factor VIII, the activity of coagulation factor VIII in plasma is increased, thereby improving the coagulation function of patients and reducing the occurrence of bleeding events. For such patients, using it can effectively control minor bleeding during daily activities, such as nosebleeds, gum bleeding, etc., and improve the patient's quality of life. Related studies have reported its efficacy and safety in the treatment of hemophilia A, providing practical basis for clinical application.
Information sources: ChemicalBook (Booker Chemical Network), Aiyi website (Aiyi Medical)
Von Willebrand (VWD)
Von Willebrand is a common hereditary hemorrhagic disease, mainly caused by a deficiency or functional abnormality of von Willebrand factor (VWF). It also plays an important role in the treatment of hemophilia. It can promote the release of VWF from endothelial cells, increase the level and activity of VWF in plasma, and enhance platelet adhesion function, thereby improving the hemostatic ability of patients. For patients with mild to moderate hemophilia, it can be used to control common bleeding symptoms such as nosebleeds, gum bleeding, and excessive menstruation, reduce patients' dependence on blood transfusion products, and lower the risk of infection. Related studies have explored its application effect and dosage adjustment methods in the treatment of hemophilia, providing guidance for rational drug use in clinical practice.
Information sources: Cochrane Reviews, ChemicalBook, Baidu Baike
Preoperative prevention of bleeding and intraoperative hemostasis
The use of it can effectively prevent intraoperative bleeding in patients with mild to moderate hemophilia A and hemophilia before undergoing minor surgeries or invasive procedures. By increasing the levels of coagulation factor VIII and VWF in plasma in advance, the patient's coagulation function is enhanced and the risk of bleeding during surgery is reduced.
During the surgery, depending on the patient's specific condition, timely re administration can be given to maintain sufficient levels of coagulation factors and ensure the smooth progress of the surgery. Related studies have reported on its application cases and effectiveness evaluation in preventing bleeding before surgery and stopping bleeding during surgery, demonstrating its effectiveness in surgical management.
Desmopressin acetate spray may also have some therapeutic effects on individuals with moderate to severe hemophilia A and hemophilia. However, its efficacy may vary depending on individual differences and needs to be evaluated and monitored according to the specific situation of the patient. During use, the patient's bleeding and coagulation function indicators should be closely monitored, and the treatment plan should be adjusted in a timely manner. Related studies have focused on its application effectiveness and safety in patients with special conditions, providing reference for the expansion of clinical applications.
Information sources: ChemicalBook (Booker Chemical Network), Aiyi website (Aiyi Medical)
Application in platelet dysfunction related bleeding
(1) Drug induced platelet dysfunction
The use of certain medications such as antiplatelet drugs (aspirin, clopidogrel, etc.) may lead to inhibition of platelet function and increase the risk of bleeding. For patients who experience mild bleeding symptoms due to the use of these drugs, enhancing platelet adhesion and improving platelet hemostatic function can reduce bleeding. For example, in the long-term use of aspirin for antiplatelet therapy in patients with coronary heart disease, if there is nosebleeds, gum bleeding, etc., it can be considered for hemostatic treatment. Related studies have explored its potential and mechanism of action in drug-induced platelet dysfunction bleeding, providing new ideas for clinical management of such bleeding.
(2) Abnormal platelet function caused by uremia, cirrhosis, etc
Diseases such as uremia and cirrhosis are often accompanied by abnormal platelet function, and patients are prone to bleeding. It also has certain application value in the treatment of bleeding related to these diseases. It can improve platelet adhesion and aggregation function, enhance hemostatic effect. For example, in patients with uremia undergoing hemodialysis, if there is continuous bleeding at the puncture site, it can be used to assist in hemostasis. Related studies have reported on its application cases and efficacy observations in platelet dysfunction bleeding caused by diseases such as uremia and cirrhosis, providing practical support for clinical treatment.
Information sources: ChemicalBook (Booker Chemical Network), Aiyi website (Aiyi Medical)
Application in prolonging unexplained bleeding time
For patients with unexplained prolonged bleeding, it can be used as an experimental treatment drug. Observing the changes in bleeding time after medication use can help determine whether the cause of bleeding is related to coagulation factor deficiency or platelet dysfunction. If the bleeding time is significantly shortened after use, it suggests the possibility of release disorders of coagulation factor VIII or VWF, providing clues for further diagnosis and treatment. Related studies have explored its application value in the diagnosis and treatment of patients with prolonged unexplained bleeding, providing a method for clinical management of such difficult cases.
Desmopressin acetate spray has wide application value in the management of hemorrhagic diseases. By promoting the release of coagulation factors and von Willebrand factor, enhancing platelet function, it plays an important role in the treatment of various bleeding disorders such as mild to moderate hemophilia A, von Willebrand, platelet dysfunction related bleeding, and prolonged unexplained bleeding time. However, it is necessary to pay attention to water intake restrictions, dosage adjustments, and drug interactions during use, and strictly adhere to contraindications to ensure the safety and efficacy of medication for patients.
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