Product image of Kybernin P (Antithrombin Iii) supplied by GNH India

Kybernin P

Active Ingredient:
Antithrombin Iii
Origin:
EU

Kybernin P (Antithrombin Iii)

Antithrombin III, the active ingredient in Kybernin P, is a antithrombin presented as an injection for intravenous use. It is employed to correct antithrombin deficiency and to augment heparin anticoagulation in patients at risk of thrombosis.

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

Manufacturer / TM Owner

Csl Behring Gmbh

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Indications & Clinical Uses

Kybernin P is an antithrombin concentrate used in the management of disorders that affect the coagulation cascade.

  • Congenital antithrombin deficiency: restores antithrombin activity to reduce thrombotic risk.
  • Heparin resistance: enhances heparin efficacy when standard dosing fails to achieve target anticoagulation.
  • Cardiopulmonary bypass surgery: provides anticoagulation support during extracorporeal circulation.
  • Liver transplantation: maintains adequate anticoagulation in patients with low antithrombin levels.

How It Works

  • Antithrombin III binds to and inactivates thrombin and several other serine proteases in the coagulation cascade. By increasing the rate of inhibition of these factors, it potentiates the anticoagulant effect of heparin and helps restore normal hemostasis in patients with antithrombin deficiency.

Side Effects

Kybernin P may be associated with adverse reactions following intravenous administration.

Common Side Effects

  • Infusion‑related fever or chills.
  • Headache or mild dizziness.
  • Nausea or abdominal discomfort.
  • Transient hypotension during infusion.

Serious or Rare Side Effects

  • Anaphylactic or severe allergic reactions.
  • Unexpected bleeding or hemorrhage.
  • Thrombotic events despite therapy.
  • Hemolysis or severe hematuria.
  • Sepsis related to contaminated product.

Precautions & Warnings

When using Kybernin P, clinicians should observe several safety considerations.

  • Monitor antithrombin activity: check plasma levels before and during therapy.
  • Assess bleeding risk: evaluate patient history of hemorrhage or coagulopathy.
  • Use caution with concurrent anticoagulants: adjust dosing to avoid over‑anticoagulation.
  • Avoid in active uncontrolled bleeding: defer administration until bleeding is managed.
  • Verify product integrity: inspect for particulate matter or discoloration before infusion.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Kybernin P can interact with other agents that affect haemostasis.

Major Interactions (Avoid)

  • Concurrent use with other anticoagulants (e.g., direct thrombin inhibitors, factor Xa inhibitors): may cause excessive bleeding.
  • High‑dose heparin combined with antithrombin concentrate without monitoring: risk of over‑anticoagulation.

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs) or antiplatelet agents: increase bleeding tendency.
  • Thrombolytic therapy (e.g., alteplase): may augment hemorrhagic risk.
  • Certain antibiotics (e.g., aminoglycosides) that affect renal clearance: monitor antithrombin levels.

Frequently Asked Questions

Kybernin P is an intravenous antithrombin III concentrate indicated for the treatment of congenital antithrombin deficiency, for patients who exhibit resistance to heparin therapy, and as an adjunct during surgeries that require extracorporeal circulation such as cardiopulmonary bypass.

Antithrombin III binds to and inactivates thrombin and several other serine proteases in the clotting cascade. By accelerating the natural inhibition of these enzymes, it reduces clot formation and enhances the anticoagulant effect of heparin, helping to maintain normal blood fluidity.

The dosage of Kybernin P is individualized. A qualified prescriber determines the amount and frequency based on the patient’s antithrombin activity, clinical condition, and response to therapy. Dosing is adjusted according to laboratory monitoring and therapeutic goals.

Data on the use of antithrombin III concentrates during pregnancy and lactation are limited. The potential benefits must be weighed against possible risks, and treatment decisions should be made by a specialist in consultation with the patient’s obstetric care team.

To order Kybernin P, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies 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 import documentation.

Unlike direct oral anticoagulants, Kybernin P supplies the natural protein antithrombin III, which specifically enhances heparin activity. It is particularly useful in patients with antithrombin deficiency or heparin resistance, whereas other anticoagulants act through different mechanisms and may not correct the underlying protein deficiency.

Kybernin P must be stored refrigerated at 2‑8 °C. Keep the vial in its original packaging, protect it from light, and avoid freezing or shaking. Before administration, inspect the solution for any particles or discoloration and use aseptic technique.

Kybernin P is given as an intravenous injection. The product is reconstituted according to the manufacturer’s instructions and infused slowly under medical supervision. Infusion rates and total volume are adjusted based on the patient’s weight, antithrombin levels, and clinical response.

Serious risks include severe allergic reactions such as anaphylaxis, unexpected bleeding or hemorrhage, and paradoxical thrombotic events despite therapy. Prompt recognition of these events and immediate medical intervention are essential to mitigate complications.

Kybernin P is contraindicated in patients with known hypersensitivity to antithrombin III or any excipients in the formulation, and in individuals with active, uncontrolled bleeding. Caution is also advised for patients with severe renal impairment or those receiving multiple anticoagulants without close monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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