Heparinoid

What is heparinoid?

Heparinoid is a topical medicine, usually in cream or gel form, used to treat conditions that involve bruising, swelling, and inflammation of veins. It is sold under brand names like Hirudoid and contains a substance related to heparin with anti-inflammatory and anticoagulant properties. You can get it on prescription or buy in pharmacies and shops[1]. 

What is heparinoid used for?

Heparinoid is commonly used for minor injuries and inflammatory conditions. It can help with[1]: 

• Bruises 

• Haematomas (collections of blood under the skin) 

• Superficial thrombophlebitis (inflammation of veins near the surface of the skin) 

• Soft tissue injuries, such as sprains 

How does heparinoid work?

This medicine works by improving blood flow in the affected area, reducing inflammation and swelling, and helping the body reabsorb trapped blood or clots under the skin. Although similar to heparin, heparinoid is applied to the skin and absorbed in small amounts locally[1]. 

Who can take heparinoid?

Heparinoid is generally safe for most adults and children over the age of 5. It should not be used in children under 5 unless advised by a healthcare professional. If you are pregnant or breastfeeding, consult your doctor or pharmacist before use. Avoid using this medicine if you are allergic to heparinoid, any of its ingredients, or parabens[1]. 

Please tell your doctor or pharmacist about any conditions you may have or medication you take before you start treatment, and always follow the instructions in the Patient Information Leaflet[2].  

What is the typical dosage of heparinoid?

Heparinoid cream or gel typically contains 3mg of heparinoid per 1 gram. It is usually applied[1]: 

• Up to four times a day 

• Using a 5 to 15 cm (2 to 6 inch) strip of cream or gel, depending on the size of the area being treated. Do not use more than this at any one time. 

How do you take heparinoid?

Apply the medicine by gently massaging it into the affected area. If the skin is broken or very sore, apply it around the area instead. Be sure to avoid contact with eyes, mouth, genitals, or broken skin. Wash your hands thoroughly after applying. Be careful of it getting on to your clothes or bedding,as the cream becomes flammable once dry[1]. It is advisable to avoid smoking and naked flames. 

Can you stop taking heparinoid?

Yes, you can stop once your symptoms improve. Most bruises or haematomas clear up within 1 to 2 weeks. Inflammation from superficial thrombophlebitis may take longer. Speak to a doctor or pharmacist if your symptoms do not improve[1]. 

What do you do if you forget to take heparinoid?

If you miss a dose, take it as soon as you remember. If it’s nearly time for your next dose, skip the missed dose. Do not take two doses at once to make up for a missed one[1]. 

What do you do if you take too much heparinoid?

Using too much heparinoid on the skin is unlikely to cause harm. However, if it is accidentally swallowed or used excessively, seek medical advice. Contact NHS 111 or go to A&E and take the packaging with you[1]. 

What do you do if you forget to take heparinoid?

If you forget to apply a dose, do it as soon as you remember. If it's close to your next scheduled dose, skip the missed one. Do not apply a double dose to make up for the missed one[1]. 

How do you store heparinoid?

Keep the product in a cool, dry place, away from heat and direct sunlight. Do not freeze it. Always store it out of reach of children. 

What medicines can’t you take with heparinoid?

Because heparinoid is absorbed in very small amounts, it's unlikely to interact with other medicines. However, check with a pharmacist if you're using other topical treatments in the same area. There is limited data about interactions with herbal remedies or supplements[1]. 

Always inform your doctor or pharmacist about all medications and supplements you take before you start a new medicine, and follow the instructions in the Patient Information Leaflet[2]. 

What are the side effects of heparinoid?

Heparinoid is generally well tolerated. Rare side effects may include[1]: 

• Mild skin irritation 

• Redness 

• Rash or itching 

You should contact your GP if you experience any of these symptoms. In rare cases, the medicine may cause a serious allergic reaction (anaphylaxis). You should call 999 or visit A&E immediately if you believe this is happening[1]. 

Symptoms of anaphylaxis include[1]:  

• Difficulty breathing  

• Tightness in throat and chest  

• Swelling of the tongue or throat  

• Feeling faint or dizzy  

• Blue/grey skin or lips  

• Loss of consciousness 

If you experience any side effects, including those not listed, you are encouraged to report them via the Yellow Card Scheme or contact your doctor, pharmacist, or nurse. This information is intended as a summary for general awareness and does not replace professional medical advice. 

The information provided in the side effects section is not a comprehensive list of all possible side effects associated with this medication. For a complete list of side effects, please refer to the Patient Information Leaflet (PIL) provided with your medication or consult your healthcare professional[2]. 

Frequently asked questions about heparinoid

Is heparinoid an anti-inflammatory? 
Yes, it helps reduce inflammation and swelling[1]. 

Can I use it on broken skin? 
No, you should apply it around, not directly on, broken or sore skin[1]. 

Can I use heparinoid with other creams? 
Yes but avoid using multiple products on the same area at the same time. Speak to your pharmacist for advice[1]. 

Is it safe during pregnancy? 
Only use it if advised by your doctor[1]. 

Can children use heparinoid? 
Yes, from age 5 and up[1]. 

How long does it take to work? 
Bruises typically improve in 1 to 2 weeks[1]. 

Can I use heparinoid on my face? 
Avoid sensitive areas like the eyes and mouth[1]. 

Does it thin the skin? 
No, unlike steroid creams, it does not thin the skin[1]. 

Can I use heparinoid long-term? 
Use it until your symptoms go away. Long-term use is not usually necessary. Speak to your doctor or pharmacist if your symptoms don’t improve[1]. 

For the official NHS guide to [MEDICINE], visit their website.