■ Hypersensitivity to any component of the drug;
■ Signs of bleeding;
■ Increased risk of bleeding associated with:
- expressed by thrombocytopenia,
- recent bleeding from the gastrointestinal tract (GIT),
- neoplasms (including brain tumors, metastases),
- intracranial aneurysm, cerebral thrombosis (including in the anamnesis), arteriovenous malformation, exfoliating aneurysm,
- pulmonary tuberculosis in active form,bronchoectatic disease with a tendency to hemoptysis,
- varicose veins of the esophagus,
- erosive-ulcerative lesions of the gastrointestinal tract,
- cirrhosis of the liver,
- severe impairment of kidney function (eg, due to urolithiasis, pyelonephritis, glomerulonephritis),
- recent birth (the first 4 weeks after childbirth), abortion, the threat of miscarriage, suspicion of placenta previa,
- recently suffered surgical intervention, until the healing of the main wound,
- puncture of blood vessels in cases where visual control and / or application of a pressure bandage to the vessel is not possible (prescription ≤ 4 weeks),
- recent biopsy of internal organs, lumbar puncture, intramuscular injections, translumbral aortography (≤ 4 weeks), prolonged indirect cardiac massage (≤ 10 days),
- a recent trauma, a thoracic surgical or neurosurgical operation (≤ 2 months);
■ Hypocoagulation (especially on the background of severe hepatic and / or renal failure);
■ Hematoma, acute pulmonary edema, bleeding tumor, diabetic hemorrhagic retinopathy;
■ Subacute bacterial endocarditis, mitral stenosis, atrial fibrillation;
■ Acute disorders of cerebral circulation (for example, intracranial bleeding, hemorrhagic and / or ischemic stroke, transient ischemic attacks that have occurred during the last two months, arterial occlusions in the carotid artery and vertebrobasilar system of blood vessels);
■ Severe uncontrolled arterial hypertension (systolic pressure> 200 mmHg, diastolic> 100 mmHg); hypertonic fundus of III or IV stage;
■ Acute pancreatitis, pericarditis, bacterial endocarditis, sepsis;
■ Pregnancy (I trimester);
■ Children's age (up to 18 years).