TachoSil explained

Type:combo
Component1:Fibrinogen
Class1:Glycoprotein
Component2:Thrombin
Class2:Coagulation factor
Tradename:Tachosil
Dailymedid:Tachosil
Routes Of Administration:Epilesional
Atc Prefix:B02
Atc Suffix:BC30
Legal Uk:POM
Legal Uk Comment:[1]
Legal Us:Rx-only
Legal Us Comment:[2] [3]
Legal Eu:Rx-only
Legal Eu Comment:[4]
Kegg:D12591

Tachosil is an equine collagen sponge coated with the human plasma-derived coagulation factors fibrinogen and thrombin.[5] It is used during surgery to stop local bleeding on internal organs (hemostasis). Tachosil reacts upon contact with blood, other body fluids or saline to form a clot that glues it to the tissue surface.

Tachosil may cause an allergic reaction, thrombosis (blood clots), a blockage in the intestine when used during abdominal surgeries, the formation of scar tissue and foreign body granuloma (a type of inflammatory reaction).

Medical uses

Tachosil is indicated in for supportive treatment in surgery for improvement of haemostasis, to promote tissue sealing and for suture support in vascular surgery where standard techniques are insufficient. According to studies comparing Tachosil to argon beamer or stitching in patients undergoing liver surgery, Tachosil was associated with significantly lower time until the bleeding stopped.https://www.ema.europa.eu/en/documents/overview/tachosil-epar-summary-public_en.pdf Tachosil is indicated in adults for supportive sealing of the dura mater to prevent postoperative cerebrospinal leakage following neurological surgery.

Notes and References

  1. Web site: TachoSil sealant matrix - Summary of Product Characteristics (SmPC) . (emc) . 31 January 2020 . 9 July 2020 . 10 July 2020 . https://web.archive.org/web/20200710030954/https://www.medicines.org.uk/emc/product/119/smpc . dead .
  2. Web site: Tachosil- thrombin human and fibrinogen patch . DailyMed . 16 February 2023 . 19 May 2023 . 19 May 2023 . https://web.archive.org/web/20230519224801/https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=69e05cbe-615e-45af-ad7e-92e3650cafc8 . live .
  3. Web site: Tachosil- thrombin human and fibrinogen patch . DailyMed . 2 November 2022 . 19 May 2023 . 19 May 2023 . https://web.archive.org/web/20230519224805/https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=0c324332-290f-413f-820c-8c9a971a2766 . live .
  4. Web site: TachoSil EPAR . European Medicines Agency (EMA) . 17 September 2018 . 9 July 2020 . 13 July 2020 . https://web.archive.org/web/20200713060551/https://www.ema.europa.eu/en/medicines/human/EPAR/tachosil . live . Text was copied from this source which is copyright European Medicines Agency. Reproduction is authorized provided the source is acknowledged.
  5. Colombo GL, Bettoni D, Di Matteo S, Grumi C, Molon C, Spinelli D, Mauro G, Tarozzo A, Bruno GM . 6 . Economic and outcomes consequences of Tachosil: a systematic review . Vascular Health and Risk Management . 10 . 569–75 . 2014 . 25246797 . 4166367 . 10.2147/VHRM.S63199 . free .