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 administration. It is employed to prevent deep‑vein thrombosis in surgical patients, treat acute DVT and pulmonary embolism, and maintain circuit patency during hemodialysis. The medication is supplied in multi‑dose vials that are stored under refrigerated conditions to preserve stability.

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 (tinzaparin sodium) is a low molecular weight heparin used in the prevention and treatment of venous thromboembolism.

  • Prevention of deep vein thrombosis (surgical patients): Reduces incidence of postoperative clot formation.
  • Treatment of acute deep vein thrombosis: Facilitates clot resolution and prevents extension.
  • Treatment of pulmonary embolism: Provides anticoagulation to limit further embolic events.
  • Prevention of clot formation in hemodialysis circuits: Maintains circuit patency during dialysis sessions.

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 selective blockade reduces thrombin generation and fibrin formation, thereby interrupting the coagulation cascade and preventing clot propagation while preserving some hemostatic function.

Side Effects

Innohep may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Injection site pain or erythema.
  • Minor bruising or hematoma at the injection site.
  • Mild bleeding such as epistaxis or gum bleeding.
  • Transient elevation of liver enzymes.
  • Nausea or mild gastrointestinal discomfort.

Serious or Rare Side Effects

  • Major hemorrhage, including intracranial or gastrointestinal bleeding.
  • Heparin‑induced thrombocytopenia (HIT).
  • Spinal or epidural hematoma after neuraxial procedures.
  • Severe allergic reactions or anaphylaxis.
  • Thrombosis paradoxically associated with HIT.

Precautions & Warnings

Before initiating Innohep, clinicians should evaluate individual risk factors and follow recommended safety measures.

  • Renal impairment: Adjust dosing or monitor anti‑Xa activity in patients with reduced kidney function.
  • Bleeding risk: Assess for active bleeding, recent surgery, or coagulopathy before use.
  • Concomitant anticoagulants: Avoid combining with other systemic anticoagulants unless specifically indicated.
  • Pregnancy: Use only when the potential benefit justifies the potential risk to the fetus.
  • Store at 2-8°C: Keep refrigerated, protect from light, do not freeze or shake the vials.

Avoid Interactions

Innohep can interact with several drug classes; awareness of the interaction level guides clinical decisions.

Major Interactions (Avoid)

  • Concurrent use with other anticoagulants (e.g., warfarin, direct oral anticoagulants).
  • Systemic thrombolytic agents (e.g., alteplase).
  • Dual antiplatelet therapy that includes potent agents (e.g., clopidogrel) when combined with full‑dose tinzaparin.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs) that may increase bleeding risk.
  • Selective serotonin reuptake inhibitors (SSRIs) or other serotonergic drugs.
  • ACE inhibitors, which can potentiate hypotensive effects in the setting of bleeding.

Frequently Asked Questions

Innohep is a tinzaparin sodium injection indicated to prevent deep‑vein thrombosis in patients undergoing surgery, to treat acute deep‑vein thrombosis and pulmonary embolism, and to maintain anticoagulation in hemodialysis circuits. It belongs to the low molecular weight heparin class and works by inhibiting clotting factors.

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

The dosing regimen for Innohep is individualized and determined by the prescribing clinician based on the specific indication, patient weight, renal function, and risk factors. Healthcare professionals calculate the appropriate subcutaneous dose and duration according to current clinical guidelines.

Safety data for tinzaparin sodium in pregnancy and lactation are limited. It should be used during pregnancy only if the potential maternal benefit outweighs any possible risk to the fetus. Breastfeeding mothers should consult their healthcare provider, as the drug may be excreted in breast milk.

To order Innohep, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide, and will request verification of trade or institutional credentials. The team then provides pricing, availability, shipping details (including cold‑chain logistics if needed), and assists with import documentation.

Both Innohep (tinzaparin) and enoxaparin are low molecular weight heparins, but tinzaparin has a slightly longer half‑life and a higher anti‑Xa to anti‑IIa activity ratio. Clinical studies suggest comparable efficacy for venous thromboembolism prophylaxis, while dosing frequency and monitoring requirements may differ based on renal function and patient characteristics.

Innohep vials must be stored at 2‑8 °C (refrigerated) and protected from light. Do not freeze or shake the product. Before use, allow the vial to reach room temperature if required, and inspect for particulate matter or discoloration. Follow aseptic technique when preparing the subcutaneous injection.

Innohep is administered by subcutaneous injection, typically into the abdominal wall or thigh. The injection site should be rotated to minimize local irritation. Healthcare professionals prepare the dose using a sterile syringe, ensuring proper aseptic technique, and educate patients on self‑administration if appropriate.

The most serious risks include major bleeding events such as intracranial or gastrointestinal hemorrhage, and heparin‑induced thrombocytopenia (HIT), which can paradoxically cause thrombosis. Patients should be monitored for signs of excessive bleeding, sudden drops in platelet count, or new thrombotic complications.

Innohep is contraindicated in patients with known hypersensitivity to tinzaparin or any component of the formulation, active major bleeding, or a history of heparin‑induced thrombocytopenia. Caution is also advised for individuals with severe renal impairment, uncontrolled hypertension, or those scheduled for neuraxial anesthesia without appropriate discontinuation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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