Product image of Metalyse (Tenecteplase) supplied by GNH India

Metalyse

Active Ingredient:
Tenecteplase
Origin:
EU

Metalyse (Tenecteplase)

Tenecteplase, the active ingredient in Metalyse, is a thrombolytic presented as a solution for injection for intravenous use. It is indicated for the rapid dissolution of fibrin clots in acute ST‑elevation myocardial infarction (STEMI) in adult patients, helping to restore coronary blood flow.

GNH India supplies Metalyse as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide, with a focus on quality assurance and regulatory compliance.

Manufacturer / TM Owner

Boehringer Ingelheim International Gmbh

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Indications & Clinical Uses

  • Metalyse (tenecteplase) is used in the management of acute coronary syndromes, specifically targeting thrombotic occlusion of coronary arteries.
  • Acute ST‑elevation myocardial infarction (STEMI): rapid fibrin clot dissolution to restore coronary perfusion.
  • Acute myocardial infarction (non‑ST‑elevation): used off‑label in some regions to reduce infarct size.
  • Coronary artery thrombosis: facilitates thrombus breakdown during emergency reperfusion therapy.

How It Works

  • Tenecteplase is a recombinant tissue‑type plasminogen activator that binds to fibrin within a thrombus and converts circulating plasminogen to plasmin. The generated plasmin enzymatically degrades fibrin strands, leading to clot dissolution. Its high fibrin specificity and prolonged plasma half‑life allow a single bolus intravenous administration to achieve rapid reperfusion of occluded coronary arteries.

Side Effects

Common Side Effects

  • Minor bleeding at injection site
  • Hypotension or transient blood pressure drop
  • Nausea or vomiting
  • Headache
  • Fever or chills
  • Dizziness or light‑headedness

Serious or Rare Side Effects

  • Intracranial hemorrhage
  • Severe systemic bleeding (e.g., gastrointestinal, retroperitoneal)
  • Allergic reactions including anaphylaxis
  • Myocardial rupture
  • Severe hypotension requiring intervention
  • Hematuria or other organ‑specific bleeding events

Precautions & Warnings

Precautions for Metalyse include careful patient assessment and monitoring:

  • Bleeding risk assessment: evaluate recent surgery, trauma, or active bleeding.
  • Coagulation monitoring: check PT/INR and aPTT before and after administration.
  • Contraindications: avoid in patients with recent intracranial hemorrhage or stroke.
  • Caution in elderly patients and those with renal impairment.
  • Drug interactions: review concurrent anticoagulant or antiplatelet therapy.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Metalyse may interact with several medication classes.

Major Interactions (Avoid)

  • Anticoagulants (e.g., heparin, warfarin)
  • Antiplatelet agents (e.g., aspirin, clopidogrel)
  • Other fibrinolytic agents (e.g., alteplase)
  • Direct thrombin inhibitors (e.g., dabigatran)
  • Factor Xa inhibitors (e.g., apixaban, rivaroxaban)

Moderate Interactions (Monitor Closely)

  • Non‑steroidal anti‑inflammatory drugs (NSAIDs)
  • Selective serotonin reuptake inhibitors (SSRIs)
  • Glycoprotein IIb/IIIa inhibitors
  • ACE inhibitors or ARBs (potential additive hypotension)
  • Antihypertensive agents requiring dose adjustment

Frequently Asked Questions

Metalyse is a branded formulation of tenecteplase indicated for the treatment of acute ST‑elevation myocardial infarction (STEMI). It is administered intravenously to dissolve fibrin clots in the coronary arteries, helping to quickly restore blood flow to the heart muscle.

Tenecteplase is a recombinant tissue‑type plasminogen activator that binds to fibrin within a clot and converts plasminogen to plasmin. Plasmin then degrades fibrin strands, breaking down the clot and allowing normal blood flow to resume.

The dose of Metalyse is determined by the prescribing clinician based on the patient’s weight, clinical condition, and local treatment guidelines. It is given as a single intravenous bolus under medical supervision.

Safety data for tenecteplase in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare professional.

To order Metalyse, 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 trade or institutional credentials before providing pricing, availability, shipping details (including cold‑chain if needed) and import documentation.

Both Metalyse (tenecteplase) and alteplase are fibrinolytic agents, but tenecteplase has higher fibrin specificity and a longer plasma half‑life, allowing a single bolus administration. Alteplase typically requires an infusion over several minutes, whereas Metalyse simplifies dosing and may reduce administration time.

Metalyse should be stored refrigerated at 2‑8 °C, protected from light, and must not be frozen or shaken. Before use, inspect the solution for particulate matter or discoloration and follow aseptic techniques for intravenous administration.

Metalyse is given as a single intravenous bolus injection. The preparation is a sterile solution for injection, and the administration must be performed by qualified healthcare personnel in a setting equipped for cardiac emergency care and monitoring.

The most serious risks include intracranial hemorrhage, severe systemic bleeding, allergic reactions such as anaphylaxis, and myocardial rupture. Prompt recognition of bleeding signs and immediate medical intervention are essential during and after infusion.

Metalyse is contraindicated in patients with active internal bleeding, recent intracranial surgery or hemorrhage, known hypersensitivity to tenecteplase, or those who have received another fibrinolytic agent within the previous 24 hours. Clinicians must assess each patient’s risk profile before prescribing.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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