Hemohes

By Medically reviewed by hellodoktor

Generic Name: Hemohes Brand Name(s): Hemohes.

Uses

What is hemohes (hydroxyethyl starch) used for?

Hemohes is commonly used as blood substitutes. It belongs to the class of blood substitutes and plasma protein fractions.

How should I take hemohes (hydroxyethyl starch)?

Hemohes is given intravenously.

How do I store hemohes (hydroxyethyl starch)?

Hemohes is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store hemohes in the bathroom or the freezer. There may be different brands of hemohes that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush hemohes down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using hemohes (hydroxyethyl starch)?

Hemohes is contraindicated in cases of:

  • Hypersensitivity to hydroxyethyl starch
  • Hypervolaemia
  • Hyperhydration
  • Congestive heart failure
  • Renal insufficiency
  • Severe blood coagulation disorders

Hemohes may only be administered with great caution in cases of:

  • Hypernatraemia, since additional sodium is administered with hemohes.
  • States of dehydration, since in such cases it is primarily the fluid balance that requires correction.
  • Pre-existing disturbance to blood coagulation, since administration leads to dilution of coagulation factors (see precautions).
  • Impaired renal clearance, since this is the normal excretion route of hydroxyethyl starch, and when the risk of pulmonary edema or congestive heart.
  • Failure is increased.
  • Chronic liver disease, since here the synthesis of albumin and coagulation.
  • Factors can be affected and administration brings about a further dilution.

Is it safe during pregnancy or breastfeeding?

There isn’t enough information about the safety of using this medication during pregnancy and breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking this medication.

Side effects

What side effects can occur from hemohes (hydroxyethyl starch)?

There are some side effects that could occur when using this drug:

  • Vomiting
  • Mild temperature elevation
  • Chills
  • Itching
  • Submaxillary and parotid glandular enlargement
  • Mild influenza-like symptoms
  • Headache
  • Muscle pain
  • Peripheral edema of the lower extremities
  • Skin reactions (urticaria)
  • Shock
  • Cardiac and respiratory arrest

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with hemohes (hydroxyethyl starch)?

Hemohes may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with hemohes (hydroxyethyl starch)?

Hemohes may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with hemohes (hydroxyethyl starch)?

Hemohes may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using hemohes (hydroxyethyl starch).

What is the dose of hemohes (hydroxyethyl starch) for an adult?

Maximum daily dosage

Total dosage does not usually exceed 1500 ml/day (20 ml/kg).

Maximum infusion rate

The maximum rate of infusion is dependent on the clinical situation.

Patients with acute hemorrhagic shock may be administered up to 20 ml/kg/hr (equivalent to 0.33 ml/kg/min).

The rates of infusion selected for peri-operative indications and for burns and septic shock patients will typically be lower.

In patients with severe renal impairment, the initial administration of hetastarch should be pursued as in patients with normal renal function (initial intravenous infusion at recommended doses). However, subsequent volumes should be reduced by 20 % to 50 % of the normal requirement.

What is the dose of hemohes (hydroxyethyl starch) for a child?

The dosage has not been established in pediatric patients. It may be unsafe for your child. It is always important to fully understand the safety of the drug before using. Please consult with your doctor or pharmacist for more information.

How is hemohes (hydroxyethyl starch) available?

Hemohes is available in the following dosage forms and strengths:

  • Hemohes 10% 250 ml / 10 x 250 ml in glass bottles
  • Hemohes 10% 500 ml / 10 x 500 ml in glass bottles
  • Hemohes 6% 1000 ml / 6 x 1000 ml in glass bottles
  • Hemohes 10% 500 ml / 10 x 500 ml in polyethylene containers
  • Hemohes 10%1000 ml / 10 x 1000 ml in polyethylene containers

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room

What should I do if I miss a dose?

If you miss a dose of hemohes, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

Sources

Review Date: March 18, 2017 | Last Modified: September 13, 2019

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