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 an antithrombin concentrate presented as an intravenous solution for intravenous use. It treats congenital antithrombin deficiency, supports anticoagulation during surgery such as cardiopulmonary bypass, and corrects acquired antithrombin deficiency in critically ill patients. It is indicated for patients with hereditary antithrombin deficiency, for peri‑operative anticoagulation in cardiac and vascular procedures, and for replacement therapy in intensive care settings where antithrombin levels are depleted.

GNH India supplies Kybernin P as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, and pharmacies worldwide, ensuring quality‑controlled distribution and regulatory compliance.

Manufacturer / TM Owner

Csl Behring S.A.

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Indications & Clinical Uses

Kybernin P, an antithrombin concentrate, is used to manage disorders of the coagulation cascade where antithrombin activity is insufficient.

  • Congenital antithrombin deficiency: restores antithrombin levels to reduce thrombotic risk in patients with hereditary deficiency.
  • Peri‑operative anticoagulation (e.g., cardiopulmonary bypass): provides antithrombin supplementation to maintain anticoagulation during high‑risk surgeries.
  • Acquired antithrombin deficiency in critically ill patients: corrects depletion of antithrombin to support hemostatic balance in intensive care settings.

How It Works

  • Antithrombin III is a serine protease inhibitor that binds to and inactivates thrombin (factor IIa) and factor Xa, among other clotting enzymes. By increasing the rate of inhibition of these key coagulation factors, the concentrate enhances the natural anticoagulant pathway, thereby limiting fibrin formation and thrombus development. The administered antithrombin III integrates into the plasma pool, restoring physiological regulation of the coagulation cascade.

Side Effects

Kybernin P may be associated with adverse reactions, ranging from mild to severe.

Common Side Effects

  • Hypersensitivity reactions: rash, itching, or urticaria.
  • Fever: transient elevation of body temperature.
  • Chills: shivering episodes during or after infusion.
  • Headache: mild to moderate intensity.

Serious or Rare Side Effects

  • Anaphylaxis: severe allergic response requiring immediate medical intervention.
  • Thrombotic events: paradoxical clot formation despite anticoagulant therapy.
  • Hemolysis: destruction of red blood cells leading to anemia.
  • Renal impairment: decreased kidney function observed in rare cases.

Precautions & Warnings

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

  • Dose adjustment in renal impairment: monitor antithrombin levels and renal function.
  • Monitor for hypersensitivity: observe patient during infusion for signs of allergic reaction.
  • Avoid concurrent use with heparin overdose: increased bleeding risk.
  • Use caution in patients with a history of thrombosis: assess risk‑benefit.
  • Pregnancy and lactation: safety not established; weigh potential benefits against risks.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Kybernin P can interact with other medicines, requiring attention to potential additive effects.

Major Interactions (Avoid)

  • Heparin therapy: additive anticoagulant effect may cause bleeding.
  • Direct oral anticoagulants (DOACs): increased anticoagulation risk.
  • Antifibrinolytics (e.g., tranexamic acid): may counteract antithrombin effect.

Moderate Interactions (Monitor Closely)

  • Warfarin: may require INR monitoring.
  • Platelet inhibitors (aspirin, clopidogrel): monitor for bleeding.
  • Concomitant antibiotics that affect renal function: adjust dosing as needed.

Frequently Asked Questions

Kybernin P is an antithrombin concentrate indicated for the treatment of congenital antithrombin deficiency, for anticoagulation support during high‑risk surgeries such as cardiopulmonary bypass, and for correcting acquired antithrombin deficiency in critically ill patients who have depleted antithrombin levels.

Antithrombin III is a natural inhibitor of several serine proteases in the coagulation cascade, most notably thrombin and factor Xa. By binding to these enzymes, it accelerates their inactivation, thereby reducing fibrin formation and limiting clot development. The administered concentrate replenishes plasma antithrombin, restoring normal anticoagulant control.

The dose of Kybernin P is individualized by the prescribing clinician based on the patient’s antithrombin activity, body weight, clinical condition, and the therapeutic goal. Laboratory monitoring of antithrombin levels guides dose adjustments, and the prescriber sets the exact regimen.

Safety data for Kybernin P in pregnancy and lactation are limited, and the product is classified as having an unknown pregnancy category. Clinicians must weigh the potential benefits against possible risks and consider alternative therapies when treating pregnant or nursing individuals.

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 across international markets, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including cold‑chain logistics if needed) and the necessary import documentation.

Kybernin P is a purified antithrombin III concentrate delivered as an intravenous solution, similar in function to other licensed antithrombin products. Compared with plasma‑derived formulations, it offers a standardized antithrombin content and reduced risk of viral transmission, while providing rapid plasma level correction. Choice of product depends on local availability, regulatory status and clinician preference.

Kybernin P must be stored refrigerated at 2‑8 °C. It should be kept in its original container, protected from light, and must not be frozen or shaken. Prior to administration, inspect the solution for particulate matter or discoloration and use within the recommended time after removal from refrigeration.

Kybernin P is administered intravenously by slow infusion under the supervision of a qualified healthcare professional. The infusion rate and total volume are determined by the prescriber based on the target antithrombin activity and patient-specific factors. Monitoring of antithrombin levels and clinical response is performed during and after the infusion.

Serious risks include anaphylaxis, which can be life‑threatening and requires immediate treatment, and paradoxical thrombotic events despite anticoagulation. Rarely, hemolysis and renal impairment have been reported. Prompt recognition of these events and appropriate medical intervention are essential.

Kybernin P should be avoided in patients with known hypersensitivity to antithrombin III or any component of the formulation. Caution is also advised for individuals with uncontrolled bleeding, severe renal dysfunction without dose adjustment, or those in whom the risk of thrombosis outweighs the benefit of antithrombin supplementation.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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