Hirudoid Forte (Mucopolysaccharide Polysulfuric Acid Ester)

Hirudoid Forte is a topical anti‑inflammatory preparation whose active ingredient is mucopolysaccharide polysulfuric acid ester, a heparinoid compound. It is marketed in the European Union and supplied as a topical formulation for external use. The product is intended to be applied to the skin to address conditions involving edema, inflammation, and impaired microcirculation. Its composition and classification place it within the D02AA02 ATC group for dermatological heparinoids.

Hirudoid Forte is indicated for several dermatological and vascular conditions where reduction of swelling and inflammation is desired.

- Reduction of superficial edema in bruises, sprains and minor trauma - Anti‑inflammatory therapy for localized skin inflammation - Management of superficial thrombophlebitis - Support of microcirculation in chronic venous insufficiency - Adjunctive care after minor surgical procedures

Adverse reactions to Hirudoid Forte are generally mild and limited to the application site, but rare serious events have been reported.

Common: - Mild skin irritation or erythema - Pruritus at the application site - Transient burning or stinging sensation - Dryness or flaking of the skin

Serious: - Allergic contact dermatitis - Urticaria (hives) - Angioedema involving deeper skin layers - Rare cases of severe skin necrosis

Before using Hirudoid Forte, consider the following precautions to minimize risk and ensure appropriate use.

- Do not apply to broken, infected, or ulcerated skin - Avoid contact with eyes, mucous membranes, or open wounds - Discontinue use immediately if signs of an allergic reaction appear - Use with caution in patients known to be sensitive to heparinoids - Keep the product out of reach of children - Avoid prolonged occlusive dressings unless directed by a healthcare professional - Consult a clinician before use during pregnancy or lactation, as safety has not been established

Hirudoid Forte may interact with other topical agents or systemic medications that affect coagulation or skin integrity.

Avoid: - Concurrent use with other heparinoid‑containing topical products - Application together with potent corticosteroids unless specifically advised

Use with caution: - Systemic anticoagulant or antiplatelet therapy when large skin areas are treated - Other irritant topicals such as retinoids, salicylic acid, or benzoyl peroxide - Application after chemical peels, laser therapy, or other dermatologic procedures without supervision - Use with wound dressings that contain silver, iodine, or other antimicrobial agents