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 injectable solution for subcutaneous use. It treats and prevents venous thromboembolic disorders such as deep vein thrombosis and pulmonary embolism in surgical, medically ill, and acute settings.

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

Manufacturer / TM Owner

Leo Pharma A/S

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Indications & Clinical Uses

  • Innohep, a low molecular weight heparin, is used in the management of venous thromboembolic disease.
  • Prevention of deep vein thrombosis (DVT) in surgical patients: reduces clot formation after orthopedic or general surgery.
  • Treatment of acute deep vein thrombosis: facilitates clot resolution and prevents extension.
  • Prevention and treatment of pulmonary embolism: lowers risk of embolic events in at‑risk patients.
  • Prophylaxis of thromboembolic events in medically ill patients: decreases incidence of DVT and PE during hospitalization.

How It Works

  • Tinzaparin sodium binds to antithrombin III, markedly enhancing its inhibition of activated factor Xa and, to a lesser extent, factor IIa (thrombin). This action reduces thrombin generation, limits fibrin formation, and thereby prevents the development and propagation of venous clots.

Side Effects

Innohep may be associated with bleeding‑related and immune‑mediated reactions.

Common Side Effects

  • Injection site erythema or pain
  • Minor bruising or hematoma at the injection site
  • Nausea
  • Transient elevation of liver enzymes
  • Mild headache

Serious or Rare Side Effects

  • Major hemorrhage (e.g., gastrointestinal, intracranial)
  • Heparin‑induced thrombocytopenia (HIT)
  • Severe allergic reactions including anaphylaxis
  • Spinal or epidural hematoma after neuraxial procedures

Precautions & Warnings

  • Before initiating Innohep, clinicians should evaluate patient‑specific factors and monitor for potential complications.
  • Renal impairment: adjust dose or monitor anti‑Xa levels in patients with reduced kidney function.
  • Elderly patients: increased bleeding risk warrants careful observation.
  • Concomitant antiplatelet therapy: heightened risk of bleeding when combined with aspirin or clopidogrel.
  • History of heparin‑induced thrombocytopenia: avoid use due to risk of recurrence.
  • Surgery or invasive procedures: discontinue Innohep prior to the procedure as advised by the surgeon.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Innohep can interact with other medicines that affect haemostasis or platelet function.

Major Interactions (Avoid)

  • Concurrent use with other anticoagulants (e.g., warfarin, direct oral anticoagulants): markedly increases risk of severe bleeding.
  • Systemic thrombolytic agents: additive anticoagulant effect may lead to uncontrolled hemorrhage.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs): may augment minor bleeding.
  • Antiplatelet agents (aspirin, clopidogrel): elevate overall bleeding tendency.
  • Selective serotonin reuptake inhibitors (SSRIs): can potentiate bleeding risk, especially gastrointestinal.

Frequently Asked Questions

Innohep contains tinzaparin sodium, a low‑weight heparin indicated for prevention and treatment of venous thromboembolism, including deep‑vein thrombosis and pulmonary embolism, in surgical patients, medically ill patients, and those with acute DVT.

Tinzaparin sodium binds to antithrombin III, accelerating its inhibition of activated factor Xa and, to a lesser extent, factor IIa (thrombin). This reduces thrombin generation and fibrin clot formation, preventing new clots and limiting growth of existing ones.

The dosing regimen for Innohep is individualized by the prescribing clinician based on the specific indication, patient weight, renal function, and risk factors. The prescriber determines the appropriate sub‑cutaneous dose and frequency in accordance with current clinical guidelines.

Tinzaparin sodium 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 when the benefit outweighs potential risk, but clinicians should evaluate each case. Limited data are available for breastfeeding; a risk‑benefit assessment is recommended.

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 handling if needed—and necessary import documentation.

Compared with unfractionated heparin, tinzaparin offers more predictable pharmacokinetics, once‑daily sub‑cutaneous dosing, and lower monitoring requirements. Relative to other low‑molecular‑weight heparins, tinzaparin has a slightly longer half‑life and a higher anti‑Xa to anti‑IIa activity ratio, which may influence dosing in renal impairment.

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

Innohep is supplied as a sterile injectable solution for sub‑cutaneous injection. The injection is typically given in the abdominal wall or thigh, using a suitable needle, and the site should be rotated to reduce local irritation. Administration is performed by trained healthcare personnel following aseptic technique.

The most serious adverse events include major bleeding, such as gastrointestinal or intracranial hemorrhage, and heparin‑induced thrombocytopenia (HIT), an immune‑mediated reaction that can paradoxically increase clot risk. Prompt recognition and discontinuation are essential if these events occur.

Innohep is contraindicated in patients with known hypersensitivity to tinzaparin or any heparin product, active major bleeding, or a history of heparin‑induced thrombocytopenia. Caution is also advised in severe renal impairment, uncontrolled hypertension, and in patients undergoing neuraxial anesthesia.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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