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 sterile solution for subcutaneous use. It is employed to prevent and treat venous thromboembolism in surgical and medical patients.

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 Ab

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Indications & Clinical Uses

Innohep, a low molecular weight heparin, acts on the coagulation cascade to manage thromboembolic disorders.

  • Prevention of deep vein thrombosis (DVT) in surgical patients: reduces the risk of clot formation after orthopedic or abdominal surgery.
  • Treatment of acute deep vein thrombosis: facilitates clot resolution and prevents propagation.
  • Treatment and secondary prevention of pulmonary embolism: lowers recurrence risk of embolic events.

How It Works

  • Tinzaparin Sodium binds to antithrombin III, accelerating its inhibition of factor Xa and, to a lesser extent, factor IIa (thrombin). This selective blockade reduces thrombin generation and fibrin clot formation, providing anticoagulant activity while preserving some endogenous coagulation balance.

Side Effects

Adverse reactions may occur with any anticoagulant therapy.

Common Side Effects

  • Injection site erythema: mild redness at the injection site.
  • Injection site pain or bruising: localized discomfort or discoloration.
  • Minor bleeding: such as gum or nosebleeds.
  • Thrombocytopenia (mild): slight reduction in platelet count.

Serious or Rare Side Effects

  • Major bleeding: gastrointestinal or intracranial hemorrhage.
  • Heparin‑induced thrombocytopenia (HIT): immune‑mediated platelet activation.
  • Elevated liver enzymes: abnormal hepatic function tests.
  • Spinal or epidural hematoma: bleeding in the spinal canal after neuraxial procedures.

Precautions & Warnings

Careful assessment is required before initiating therapy.

  • Renal impairment: adjust dose or monitor anti‑Xa activity.
  • History of heparin‑induced thrombocytopenia: contraindicated.
  • Concurrent anticoagulants or antiplatelet agents: increased bleeding risk.
  • Recent surgery or trauma: evaluate bleeding risk before injection.
  • Pregnancy: use only if 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.

Avoid Interactions

Tinzaparin may interact with several drug classes, influencing bleeding risk.

Major Interactions (Avoid)

  • Other anticoagulants (e.g., warfarin, direct oral anticoagulants): high risk of severe bleeding.
  • Systemic thrombolytics (e.g., alteplase): potentiates hemorrhagic complications.
  • NSAIDs or antiplatelet agents (e.g., aspirin, clopidogrel): additive bleeding tendency.

Moderate Interactions (Monitor Closely)

  • Concurrent heparin products: monitor anti‑Xa levels to avoid over‑anticoagulation.
  • Renally cleared drugs (e.g., aminoglycosides): assess renal function regularly.
  • Corticosteroids: may increase mucosal bleeding; observe for signs of hemorrhage.

Frequently Asked Questions

Innohep contains tinzaparin sodium, a low molecular weight heparin indicated for the prevention of deep vein thrombosis in surgical patients, the treatment of acute deep vein thrombosis, and the treatment and secondary prevention of pulmonary embolism.

Tinzaparin sodium enhances the activity of antithrombin III, which in turn inhibits factor Xa and, to a lesser extent, factor IIa (thrombin). This reduces thrombin generation and fibrin clot formation, providing anticoagulant protection against venous thromboembolism.

The dose of Innohep is individualized by the prescribing clinician based on the patient’s weight, renal function, and the specific indication. Dosing regimens are detailed in the product’s prescribing information and should be followed as directed by a qualified healthcare professional.

Safety of tinzaparin sodium in pregnancy or lactation has not been definitively established. It should be used only when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and under close medical supervision.

To place an order, submit an enquiry on the Innohep 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 where required), and 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 direct oral anticoagulants, it requires injection but provides a reversible anticoagulant effect and is often preferred in patients with severe renal impairment.

Innohep should be stored at 2‑8 °C (refrigerated), protected from light, and must not be frozen or shaken. Keep the product in its original packaging until use to maintain stability and sterility.

Innohep is administered by subcutaneous injection, typically into the abdominal wall or thigh. The injection site should be rotated to minimize local reactions, and aseptic technique must be observed for each dose.

The most serious risks include major bleeding events such as gastrointestinal or intracranial hemorrhage, and heparin‑induced thrombocytopenia (HIT), an immune‑mediated reaction that can paradoxically increase clot formation. Prompt medical evaluation is essential if these occur.

Innohep is contraindicated in patients with a known hypersensitivity to tinzaparin or other heparins, a history of heparin‑induced thrombocytopenia, active major bleeding, or severe uncontrolled hypertension. Clinicians should also avoid use in patients with recent spinal or epidural procedures unless the benefits outweigh the risks.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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