PMID- 20568836 OWN - NLM STAT- MEDLINE DCOM- 20101004 LR - 20211020 IS - 1179-1950 (Electronic) IS - 0012-6667 (Linking) VI - 70 IP - 10 DP - 2010 Jul 9 TI - Tinzaparin sodium: a review of its use in the prevention and treatment of deep vein thrombosis and pulmonary embolism, and in the prevention of clotting in the extracorporeal circuit during haemodialysis. PG - 1319-47 LID - 10.2165/11203710-000000000-00000 [doi] AB - Tinzaparin sodium (Innohep) is a low molecular weight heparin (LMWH) that is effective in the prevention and treatment of deep vein thrombosis (DVT) and/or pulmonary embolism (PE), and in maintaining the patency of haemodialysis circuits in adult patients. In terms of preventing DVT and/or PE, therapy with subcutaneous tinzaparin sodium was more effective than oral warfarin and equivalent to subcutaneous enoxaparin sodium in patients undergoing orthopaedic surgery, and did not significantly differ from that of subcutaneous unfractionated heparin (UFH) in patients undergoing general surgery. In the initial therapy of adult patients with DVT and/or PE, subcutaneous tinzaparin sodium was at least as effective as intravenous UFH and did not significantly differ from subcutaneous dalteparin sodium. Various other studies have demonstrated that the long-term efficacy of subcutaneous tinzaparin sodium in the treatment of patients with DVT and/or PE was sustained for a total period of up to 12 months. Tinzaparin sodium was also demonstrated to be effective in maintaining the patency of haemodialysis circuits in adult patients with end-stage renal failure. In clinical studies, tinzaparin sodium was generally well tolerated in the prevention and treatment of DVT and/or PE in adult patients, including in elderly patients, and in patients undergoing haemodialysis. As expected, bleeding complications were the most frequently occurring adverse event. Thus, available data indicate that tinzaparin sodium is a useful option in the prevention and treatment of DVT and/or PE, and in maintaining the patency of haemodialysis circuits in adult patients. FAU - Hoy, Sheridan M AU - Hoy SM AD - Adis, a Wolters Kluwer Business, Auckland, New Zealand. demail@adis.co.nz FAU - Scott, Lesley J AU - Scott LJ FAU - Plosker, Greg L AU - Plosker GL LA - eng PT - Journal Article PT - Review PL - New Zealand TA - Drugs JT - Drugs JID - 7600076 RN - 0 (Fibrinolytic Agents) RN - 0 (Heparin, Low-Molecular-Weight) RN - 7UQ7X4Y489 (Tinzaparin) SB - IM MH - Blood Coagulation/*drug effects MH - Clinical Trials as Topic MH - Fibrinolytic Agents/*administration & dosage/adverse effects/pharmacokinetics/pharmacology MH - Heparin, Low-Molecular-Weight/*administration & dosage/adverse effects/pharmacokinetics/pharmacology MH - Humans MH - Pulmonary Embolism/*drug therapy/*prevention & control MH - Renal Dialysis/*methods MH - Tinzaparin MH - Venous Thrombosis/*drug therapy/*prevention & control RF - 91 EDAT- 2010/06/24 06:00 MHDA- 2010/10/05 06:00 CRDT- 2010/06/24 06:00 PHST- 2010/06/24 06:00 [entrez] PHST- 2010/06/24 06:00 [pubmed] PHST- 2010/10/05 06:00 [medline] AID - 7 [pii] AID - 10.2165/11203710-000000000-00000 [doi] PST - ppublish SO - Drugs. 2010 Jul 9;70(10):1319-47. doi: 10.2165/11203710-000000000-00000.