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Heparin sodium gel: what it is for, use and contraindications

by Alivia Nyhan
Published: Last Updated on

The sodium heparin is a drug widely known in the preventive treatment of blood clots, is part of the group of drugs known as anticoagulants or blood thinners. It has the ability to decrease blood clotting when necessary.

Currently, in addition to the known form of intravenous or deep subcutaneous injectable sodium heparin , there is a gel or cream presentation, called Menaven gel, used specifically for conditions of the venous system but, in this case, superficial, as well as other conditions. related to coagulation. In this FastlyHealarticle, we explain what heparin sodium gel is for, its use and contraindications.

What is heparin sodium gel for?

Heparin is a drug used for its anticoagulant action and is available both in injectable solution and in gel and ointment for topical use. Any of them must be prescribed by the doctor and in no way can be used without a prescription.

Pharmacologically, heparin sodium gel is used to:

  1. Stimulate the hydration of the hardened tissue, thus relaxing the scars.
  2. Improve blood circulation and the supply of all essential and necessary substances by acting as a vasodilator.

The use of sodium heparin gel does not generate any type of alteration in the blood coagulation parameters.

This heparin-based preparation is indicated for a series of conditions related to inflammatory or traumatic pathologies that require anticoagulant, anti-granulomatous, anti-oedematous and anti-exudative action.

Uses of heparin sodium gel

There are certain conditions for which the doctor may indicate the use of sodium heparin gel, this occurs in the case of:

Varicose syndromes and complications

  • Thrombophlebitis: an inflammatory process in which the formation of blood clots leads to the obstruction of one or more veins in the legs, usually caused by surgery, trauma, or being for a long time without performing basic activities such as walking.
  • Phlebothrombosis: formation of a thrombus or clot as a consequence of alterations in the blood constitution.
  • Superficial venous thrombosis or periphlebitis: it is defined as the formation of a blood thrombus in one of the veins of the superficial circulation.

Superficial venous system disorders

  1.  Vascular telangiectasias with an incidence of 50 and 66% of the population.
  2. Varicose veins: with an incidence of 10 to 30% of the population.
  3. Chronic venous insufficiency: the least frequent with an incidence of 0.02 to 1% of the population according to MD Anderson Cancer Center Madrid, Spain [1].

Phlebitis caused by intravenous catheter

The use of intravenous therapy is frequently used in medical hospitalization, but its use is not without complications. This type of phlebitis is one of the most frequent, in fact, it represents 15 to 80% and is attributable to the irritation caused by the treatment administered by this route. This is how the Hospital Clínico de la Pontificia Universidad Católica de Chile describes it in a review carried out [2] .

Other uses of heparin sodium gel

  1. Post-traumatic bruising.
  2. Swellings
  3. Localized edema.
  4. Scar treatment.
  5. Chronic venous insufficiency.

Menaven gel: dose

Topical sodium heparin comes as a 30 or 60 g 1000 IU / gram tube gel.

It is recommended to use 1 to 3 applications a day in the affected area, approximately 3 to 10 cm of the gel applied with a gentle massage until the skin has absorbed it. The dose of Menaven gel will be adjusted depending on the medical indication and the clinical characteristics of the patient.

To store it optimally, it should remain at a temperature of 2 to 8 ° C.

Contraindications of heparin sodium gel

  1. The main contraindication to the use of the drug is known hypersensitivity to the drug.
  2. It should not be applied directly to open or bleeding wounds, as it is also contraindicated to apply directly to mucous membranes and suppurative infected areas.
  3. Bleeding
  4. Various forms of thrombocytopenic purpura : This is a disorder characterized by excessive bruising and bleeding.
  5. Hemophilia: hereditary disease in which there is a defect in blood clotting due to the absence of one of the factors that intervenes in this process and manifests itself with persistent bleeding.

Side effects of heparin sodium gel

Although the chances of presenting adverse reactions with the use of this drug are minimal, there may be some side effects such as:

  1. Local itching.
  2. Erythema.
  3. Allergy at the site of application.
  4. Skin dryness
  5. Feeling cold
  6. Soft pain.
  7. Ulceration
  8. Urticaria.
  9. The possibility of cutaneous necrosis has rarely been described, it is not ruled out that in case of prolonged use, sensitization phenomena may begin.

Precautions in the use of heparin sodium gel

  • It is important to clarify that heparin sodium gel does not cross the placental barrier or destroy breast milk, however, if it is necessary to use this drug during pregnancy or during breastfeeding, it should only be done under medical indication and in strictly necessary cases.
  • To date, no drug interactions have been reported for heparin sodium gel. However, caution should be exercised when using drugs such as non-steroidal anti-inflammatory drugs (NSAIDs) that affect platelet function, as these can increase the risk of bleeding.
  • It should only be used topically, this drug contains cetyl and stearyl alcohol that can cause contact dermatitis.
  • Heparin sodium gel contains propylene glycol, which can cause skin irritation.

This medicine should only be used if the specialist doctor has so indicated , although adverse reactions are minimal, there are a series of warnings and precautions to take into consideration before starting to use it.

This article is merely informative, at FastlyHeal .com we do not have the power to prescribe medical treatments or make any type of diagnosis. We invite you to see a doctor in the case of presenting any type of condition or discomfort.

If you want to read more articles similar to Heparin sodium gel: what it is for, use and contraindications , we recommend that you enter our Medication and medical tests category.

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