Product image of Innohep (Tinzaparin Sodium) supplied by GNH India

Innohep

Active Ingredient:
Tinzaparin Sodium
Origin:
EU

Innohep (Tinzaparin Sodium)

Tinzaparin Sodium, the active ingredient in Innohep, is a low molecular weight heparin presented as an injection solution for subcutaneous use. It treats and helps prevent deep vein thrombosis and pulmonary embolism in patients undergoing surgery or with acute clotting events.

GNH India supplies Innohep as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Leo Pharma Nv/Sa

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Indications & Clinical Uses

Innohep (tinzaparin sodium) is used in the anticoagulation pathway to prevent and treat venous thromboembolism.

  • Deep vein thrombosis (DVT) prophylaxis: prevents clot formation in patients undergoing abdominal or orthopedic surgery.
  • Acute deep vein thrombosis (DVT) treatment: facilitates clot resolution and reduces recurrence.
  • Pulmonary embolism (PE) treatment: provides anticoagulation to limit clot propagation in the lungs.

How It Works

  • Tinzaparin sodium binds to antithrombin III, accelerating its inhibition of activated factor Xa and, to a lesser extent, factor IIa (thrombin). This reduces generation of thrombin and fibrin clot formation, thereby providing anticoagulant activity in the coagulation cascade.

Side Effects

Tinzaparin sodium may be associated with a range of adverse reactions, most of which are related to its anticoagulant activity.

Common Side Effects

  • Injection site reactions: erythema, pain or bruising at the subcutaneous site.
  • Bleeding: minor bruising or nosebleeds.
  • Elevated liver enzymes: transient increase in transaminases.
  • Thrombocytopenia: mild reduction in platelet count.

Serious or Rare Side Effects

  • Major hemorrhage: life‑threatening internal bleeding.
  • Heparin‑induced thrombocytopenia (HIT): immune‑mediated platelet activation.
  • Spinal/epidural hematoma: bleeding in the spinal canal after neuraxial procedures.
  • Allergic reactions: anaphylaxis or severe hypersensitivity.

Precautions & Warnings

When using Innohep, clinicians should consider several safety precautions to minimize risk.

  • Renal impairment: adjust dose or monitor anti‑Xa levels in patients with reduced kidney function.
  • Concomitant anticoagulants: avoid simultaneous use with other anticoagulants or antiplatelet agents unless medically indicated.
  • Recent surgery or trauma: assess bleeding risk before initiating therapy.
  • Pregnancy: category B, use only if benefit outweighs potential risk.
  • Spinal/epidural procedures: postpone neuraxial anesthesia for at least 12 hours after the last dose.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Tinzaparin sodium can interact with several medicines, altering its anticoagulant effect or increasing bleeding risk.

Major Interactions (Avoid)

  • Concurrent use with warfarin or direct oral anticoagulants: markedly increased bleeding risk.
  • Non‑steroidal anti‑inflammatory drugs (NSAIDs) or aspirin: additive antiplatelet effect leading to hemorrhage.
  • Thrombolytic agents (e.g., alteplase): synergistic anticoagulation may cause severe bleeding.

Moderate Interactions (Monitor Closely)

  • Antiplatelet agents (clopidogrel, ticagrelor): monitor for signs of bleeding.
  • Selective serotonin reuptake inhibitors (SSRIs) or SNRIs: may increase bleeding tendency.
  • ACE inhibitors or angiotensin receptor blockers: monitor renal function and platelet counts.

Frequently Asked Questions

Innohep contains tinzaparin sodium, a low molecular weight heparin indicated for prevention of deep vein thrombosis in patients undergoing abdominal or orthopedic surgery, and for treatment of acute deep vein thrombosis and pulmonary embolism. It provides anticoagulation to reduce clot formation.

Tinzaparin sodium binds to antithrombin III, accelerating its inhibition of activated factor Xa and, to a lesser extent, factor IIa (thrombin). This blocks the conversion of prothrombin to thrombin and the formation of fibrin, interrupting the coagulation cascade and preventing clot propagation.

The dose of Innohep is individualized by the prescribing clinician based on the patient’s indication, weight, renal function and bleeding risk. The prescriber determines the appropriate subcutaneous injection volume and frequency in accordance with approved labeling and clinical guidelines.

Innohep is classified as pregnancy category B, indicating that animal studies have not shown risk to the fetus and there are no adequate human studies. It may be used during pregnancy only if the potential benefit justifies the potential risk. Use while breastfeeding is not recommended unless clearly needed.

To request Innohep, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain if required) and necessary import documentation.

Compared with unfractionated heparin, tinzaparin offers more predictable pharmacokinetics, once‑daily subcutaneous dosing and a lower risk of heparin‑induced thrombocytopenia. Relative to other low molecular weight heparins, its anti‑Xa activity is similar, but dosing and monitoring requirements may differ, so selection depends on clinical context and physician preference.

Innohep should be stored at 2‑8 °C (refrigerated), protected from light, and must not be frozen or shaken. Keep the vials in the original packaging until use, and discard any product that appears discolored or contains particles.

Innohep is supplied as a sterile solution for subcutaneous injection. The prescriber selects the injection site, typically the abdomen or thigh, and administers the dose using a sterile needle and syringe. Patients should be instructed on proper technique and rotation of injection sites to minimize local reactions.

The most serious adverse events include major hemorrhage, heparin‑induced thrombocytopenia (HIT) and spinal or epidural hematoma, especially when neuraxial anesthesia is performed. Prompt recognition of unusual bleeding, sudden drop in platelet count, or neurological symptoms is essential for immediate medical evaluation.

Innohep is contraindicated in patients with known hypersensitivity to tinzaparin or other heparins, active major bleeding, severe uncontrolled hypertension, or a history of heparin‑induced thrombocytopenia. Caution is also advised in individuals with severe renal impairment, recent intracranial surgery, or those receiving concurrent anticoagulants unless specifically indicated.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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