Heparinoid

How it works

It is a heparin-like polysulphated mucopolysaccharide thought to have local anti-inflammatory and anti-oedematous actions that aid resorption of superficial extravasated blood and fluid.

Prescribing in practice

• It is for external use on intact skin only and should not be applied to broken skin, open wounds, mucous membranes or near the eyes.
• Discontinue if local irritation or a hypersensitivity reaction occurs.
• It is intended for superficial conditions and is not a treatment for deep vein thrombosis or other conditions requiring systemic anticoagulation.

Monitoring

No laboratory monitoring is required; review symptomatic response and local skin tolerability.

Counselling the patient

• Apply gently to the affected area on unbroken skin and avoid the eyes and open wounds.
• Stop if the skin becomes irritated or a rash develops.
• Seek medical advice if a limb becomes painful, swollen or hot, which may indicate a deeper clot.

Evidence & guidelines

Topical heparinoids are an established symptomatic option for superficial bruising and thrombophlebitis, used as supportive rather than definitive therapy.