Hydroxyethyl starch - Uses, Warnings, Side Effects, Precautions, Overdose

Hydroxyethyl starch

Hydroxyethyl starch is a colloidal solution that is used as a plasma expander for hypotension in hypovolemic shock. It expands plasma volume and is composed of amylopectin, a glucose polymer. The glucose units of the polymer are replaced by hydroxyethyl groups, hence decreasing amylopectin degradation by alpha-amylase in the body.

Use this medication precisely as recommended by your physician. Follow the prescription of your doctor carefully.

The medication dose your physician has given is based on your condition, other medications or food supplements you may take, and your reaction to treatment. To diminish your risks for adverse effects, don’t increase your dosage, take it regularly, or take it as instructed by your physician. Adverse events may still happen even at usual prescription dosages.

If your physician requests you to use this drug consistently, use it regularly to get the most benefits from it. To make you remember it better, take it at a fixed time every day.

Your doctor may need to modify your dosages to ease your symptoms or if you develop adverse reactions.

If you have any inquiries with regards to information, ask your physician or pharmacist.

Hydroxyethyl starch is used in the following conditions:

  • As a plasma volume expander in hypovolemic shock.

This medicine may be recommended for different uses. Approach your physician or pharmacist for more information.

Do not use Hydroxyethyl starch in people with the following conditions:


  • Hypersensitivity
  • Critically ill patients
  • Burns
  • Oliguria or anuria not related to hypovolemia
  • Undergoing dialysis
  • Pulmonary edema
  • Congestive heart failure
  • Severe hypernatremia
  • Severe hyperchloremia
  • Pre-existing coagulation or bleeding disorders
  • Intracranial bleeding
  • Organ transplant patients
  • Renal and severe hepatic impairment

Hydroxyethyl may have the following side effects:


  • Bradycardia
  • Tachycardia
  • Bronchospasm
  • Bleeding
  • Fluid overload
  • Hemodilution
  • Anemia
  • Wound hemorrhage
  • Increased coagulation time
  • Decreased clotting factors
  • Decreased hematocrit
  • Prolonged prothrombin time
  • Increased serum amylase
  • Pruritus
  • Skin rash

Keep in mind that your physician has recommended this drug since he or she has known that the advantage to you is more noteworthy than the risk of adverse reactions. Many individuals utilizing this medicine don’t have serious side effects.

A serious allergy to this medication is uncommon. In any case, seek emergency medical help if you see any manifestations of a serious allergic response, including a rash, tingling or swelling particularly of the face or tongue or throat, dizziness or difficulty in breathing.

This is is not a complete list of side effects. If you see other effects not recorded above, contact your physician or pharmacist

Take extra caution in patients with the following medical conditions:

  • Patient with risk factors of overexpansion of blood volume (e.g. pulmonary and circulatory problems).
  • Patient undergoing cardiopulmonary bypass.
  • Mild to moderate hepatic impairment.
  • Pregnancy
  • Lactation


Prior to taking this medicine, tell your physician or pharmacist if you are allergic to it, or if you have some other hypersensitivities. This drug may contain inert ingredients which can cause unfavorable side effects or different issues. Talk with your pharmacist for more information.



Hydroxyethyl starch may interact with the following medicines:


  • Abacavir
  • Acarbose
  • Aceclofenac
  • Acemetacin
  • Acetaminophen
  • Acetazolamide
  • Acetylsalicylic acid
  • Aclidinium
  • Acrivastine
  • Acyclovir


Inform your physician about the drugs you take including over-the-counter medications, prescribed drugs, supplements and vitamins.

This is not a complete list of drug interactions. Approach your physician or pharmacist for more details.

The effects of certain medications can change if you consume different medications or herbal products simultaneously. This can build your risk for side effects or may cause your drugs not to work effectively. These interactions are conceivable, yet don’t generally happen. Your physician or pharmacist can prevent or oversee interactions by changing how you utilize your prescriptions or by close checking.

While utilizing this drug, don’t start, stop, or change the dose of other medicines you are using without your physician’s advice.

Symptoms of overdose may include the following:

  • Fluid overload with resulting cardiac and pulmonary failure.

Seek medical help immediately.

Available Brands:

  • Tetraspan

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