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 a subcutaneous injection for anticoagulant use. It helps prevent and treat thrombotic conditions such as deep vein thrombosis and pulmonary embolism in at‑risk patients.

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

Manufacturer / TM Owner

Leo Pharmaceutical Hellas S.A.

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Indications & Clinical Uses

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

  • Prevention of deep vein thrombosis: reduces clot formation in patients undergoing surgery or prolonged immobilisation.
  • Treatment of deep vein thrombosis: facilitates clot resolution and prevents extension of existing thrombi.
  • Prevention of pulmonary embolism: lowers the incidence of embolic events in high‑risk individuals.

How It Works

  • Tinzaparin sodium binds to antithrombin III, markedly enhancing its ability to inhibit activated factor Xa and, to a lesser extent, factor IIa (thrombin). This inhibition disrupts the conversion of prothrombin to thrombin and the generation of fibrin, thereby preventing the formation and propagation of blood clots within the venous system.

Side Effects

Common Side Effects

  • Injection site erythema or pain: mild local irritation at the subcutaneous site.
  • Bruising or haematoma: small bleeding under the skin around the injection.
  • Mild gastrointestinal upset: occasional nausea or dyspepsia.

Serious or Rare Side Effects

  • Major bleeding: potentially life‑threatening haemorrhage in any organ.
  • Heparin‑induced thrombocytopenia (HIT): immune‑mediated platelet drop with paradoxical clot risk.
  • Spinal or epidural haematoma: rare but severe bleeding in neuraxial spaces.
  • Severe allergic reaction: anaphylaxis or urticaria.
  • Elevated liver enzymes: transient hepatic enzyme rise.

Precautions & Warnings

Innohep requires careful clinical assessment before use.

  • Renal impairment: adjust dose and monitor anti‑Xa activity.
  • History of HIT: avoid use due to cross‑reactivity.
  • Concurrent anticoagulants: increased bleeding risk; evaluate necessity.
  • Upcoming surgery or invasive procedures: discontinue according to protocol.
  • Pregnancy: use only if potential benefit outweighs risk.
  • Store below 25°C: keep in original container, protect from moisture and light.

Avoid Interactions

Tinzaparin sodium may interact with several agents that affect haemostasis.

Major Interactions (Avoid)

  • Concomitant warfarin: synergistic anticoagulation leading to severe bleeding.
  • Use with other heparins (LMWH or unfractionated): additive anticoagulant effect.
  • Combination with high‑dose antiplatelet agents (e.g., clopidogrel, aspirin): heightened bleeding risk.

Moderate Interactions (Monitor Closely)

  • NSAIDs (ibuprofen, naproxen): may increase minor bleeding tendencies.
  • SSRIs or SNRIs (e.g., sertraline, venlafaxine): potential for enhanced mucosal bleeding.

Frequently Asked Questions

Innohep is a brand of tinzaparin sodium, a low molecular weight heparin used to prevent and treat venous thromboembolic disorders such as deep vein thrombosis and pulmonary embolism, particularly in patients undergoing surgery, immobilisation, or other high‑risk conditions.

Tinzaparin sodium enhances the activity of antithrombin III, which then inhibits factor Xa and, to a lesser extent, factor IIa (thrombin). By blocking these key steps in the coagulation cascade, the drug reduces fibrin formation and limits clot development.

The specific dose of Innohep is determined by the prescribing clinician based on the patient’s indication, weight, renal function, and risk factors. Healthcare professionals calculate the appropriate regimen and adjust it as needed during therapy.

The pregnancy safety category for tinzaparin sodium is not definitively established. It may be used during pregnancy only when the potential maternal benefit outweighs any possible risk to the fetus, and it is generally avoided during breastfeeding unless clearly indicated by a physician.

To order 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 needed) and import documentation.

Compared with unfractionated heparin, tinzaparin offers more predictable pharmacokinetics, a longer half‑life and does not usually require routine laboratory monitoring. Relative to other LMWHs, it has a higher anti‑Xa to anti‑IIa ratio, which may influence dosing in certain renal‑impairment scenarios.

Innohep should be stored below 25 °C in its original packaging, protected from moisture and direct light. Do not refrigerate or freeze the product. Keep the vial or pre‑filled syringe sealed until use and discard any solution that appears discoloured or cloudy.

Innohep is given by subcutaneous injection, typically into the abdominal wall or thigh. The injection site should be rotated to minimise local irritation. Administration is performed by a trained healthcare professional following aseptic technique and the dosage prescribed by the clinician.

The most serious risks include major bleeding events, heparin‑induced thrombocytopenia (HIT), and rare spinal or epidural haematomas, especially after neuraxial procedures. Patients should be monitored for signs of bleeding, sudden platelet count drops, or neurological symptoms.

Innohep is contraindicated in patients with active major bleeding, a known history of HIT, severe uncontrolled hypertension, or hypersensitivity to tinzaparin or any heparin product. Caution is also advised for those with severe renal impairment or recent major surgery.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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