Product image of Natriumtiosulfat Hope (Sodium Thiosulfate) supplied by GNH India

Natriumtiosulfat Hope

Active Ingredient:
Sodium Thiosulfate
Origin:
EU

Natriumtiosulfat Hope (Sodium Thiosulfate)

Sodium Thiosulfate, the active ingredient in Natriumtiosulfat Hope, is an antidote presented as a solution for injection for intravenous use. It treats cyanide poisoning and is also employed in specific calcium‑related conditions such as calciphylaxis and certain off‑label uses.

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

Manufacturer / TM Owner

Hope Pharmaceuticals Limited

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Indications & Clinical Uses

Sodium Thiosulfate is used in emergency and specialty care to neutralize toxic agents and manage calcium‑related disorders.

  • Cyanide poisoning: rapidly converts cyanide to the less toxic thiocyanate, reducing systemic toxicity.
  • Calciphylaxis: assists in reducing calcium deposition in skin and vessels, aiding wound healing.
  • Radiation‑induced oral mucositis (off‑label): may alleviate mucosal injury and promote recovery.

How It Works

  • Sodium Thiosulfate acts as a sulfur donor that enhances the activity of the mitochondrial enzyme rhodanese, facilitating the conversion of cyanide to thiocyanate, which is readily excreted. In calcium‑related conditions it can chelate calcium ions, decreasing calcium precipitation in tissues.

Side Effects

Sodium Thiosulfate may cause a range of adverse reactions, from mild to severe.

Common Side Effects

  • Nausea
  • Vomiting
  • Hypotension
  • Flushing
  • Headache
  • Mild fever

Serious or Rare Side Effects

  • Anaphylaxis
  • Severe hypotension
  • Metabolic acidosis
  • Renal impairment
  • Hemolysis
  • Electrolyte disturbances

Precautions & Warnings

When using Sodium Thiosulfate, clinicians should observe several safety measures.

  • Renal function: monitor because the drug is renally cleared.
  • Calcium levels: watch for hypocalcemia due to calcium chelation.
  • Blood pressure: observe for hypotensive episodes during infusion.
  • Pregnancy: safety unknown; use only if potential benefit outweighs risk.
  • Hypersensitivity: avoid in patients with known allergy to the product.
  • Store at 2-8°C: keep refrigerated, protect from light, do not freeze or shake.

Avoid Interactions

Sodium Thiosulfate can interact with other medicines; some require avoidance while others need close monitoring.

Major Interactions (Avoid)

  • Loop diuretics: may increase risk of hypocalcemia.
  • Calcium supplements: can reduce antidotal efficacy.
  • Nitroglycerin: additive hypotensive effect.

Moderate Interactions (Monitor Closely)

  • Anticoagulants: may alter bleeding risk.
  • ACE inhibitors: monitor blood pressure.
  • Beta‑blockers: observe for bradycardia.

Frequently Asked Questions

Natriumtiosulfat Hope contains sodium thiosulfate and is indicated for the emergency treatment of cyanide poisoning, for managing calciphylaxis, and, in some clinical settings, for alleviating radiation‑induced oral mucositis as an off‑label use.

Sodium thiosulfate provides a sulfur donor that enhances the mitochondrial enzyme rhodanese, converting toxic cyanide into the far less harmful thiocyanate, which is then eliminated in the urine. It also binds calcium ions, helping to reduce calcium deposition in tissues.

The dosage of sodium thiosulfate is determined by the prescribing clinician based on the specific indication, severity of poisoning, patient weight, renal function, and other clinical factors. No fixed regimen is provided here.

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

To order Natriumtiosulfat Hope, 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 where required), and necessary import documentation.

The primary alternative cyanide antidote is hydroxocobalamin, which directly binds cyanide to form cyanocobalamin. Sodium thiosulfate works indirectly by enhancing enzymatic conversion to thiocyanate. Hydroxocobalamin provides rapid detoxification but may cause discoloration of bodily fluids, whereas sodium thiosulfate is often preferred when calcium chelation is also needed, such as in calciphylaxis.

The product must be stored refrigerated between 2 °C and 8 °C, protected from light, and must not be frozen or shaken. Keep the vial in its original packaging until use to maintain stability and sterility.

Natriumtiosulfat Hope is administered intravenously by a qualified healthcare professional. The solution is typically diluted in compatible IV fluids and infused over a controlled period, with vital signs monitored throughout the administration.

Serious adverse reactions include anaphylaxis, severe hypotension, metabolic acidosis, and acute renal impairment. Immediate medical attention is required if any of these events occur during or after infusion.

Sodium thiosulfate should be avoided in patients with known hypersensitivity to the product, severe renal impairment where clearance is compromised, and in individuals where the risk of significant calcium chelation outweighs therapeutic benefit.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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