2025 Guidelines for the Evaluation and Management of Adults With Congenital Heart Disease
December 19, 2025
Brand Name :
Haemaccel
Synonyms :
polygeline
Class :
Plasma substitutes
Dosage Forms & Strengths
Solution for infusion
3.5% w/v
A maximum of up to 2000ml intravenously Indications: It is also indicated in isolated organ perfusion as a carrier for the infusion of insulin. It is used to treat hypovolemic shock
Dosage Forms & Strengths
Data not available
Refer to adult dosing
Actions and spectrum:
Polygeline gives increased blood volume, better circulation – key for averting shock. It boosts plasma levels in blood pipes to ensure organs get the right blood supply. This helps conditions like bleeding or fluid loss problems. Proper circulation is very important for organ function, and Polygeline restores normal blood volume and flow, promoting stability.
Frequency not defined
Bronchospasm
Skin reactions
Edema on face
Hypotension
Dyspnea
Fever
Headache
Fever
Gastrointestinal disturbances
Black Box Warning
Do not drive vehicles or operate machinery
Contraindication/Caution:
Contraindication:
Edema
Kidney disease
Allergy
Heart disease
Liver disease
Caution:
Increased stroke volume
Congestive hemorrhagic diathesis
Pregnancy consideration:
Data is not available
Lactation:
Data about the excretion of polygeline into human milk is not available
Pregnancy category:
Category A: Studies that were well-controlled and met expectations revealed no risk to the fetus in either the first or second trimester.
<b>Category B: There was a lack of studies on pregnant women and no evidence of risk to the fetus in animal experiments.
Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.
Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.
Category X: Drugs listed in this category outweigh the risks over benefits. Hence, these categories of drugs need to be avoided by pregnant women.
Category N: There is no data available for the drug under this category
Pharmacology:
Polygeline replaces plasma, refilling fluids for bleeding and insulin shots. It replicates plasma, restoring blood volume and circulation. This helps treat low blood volume. Polygeline is key for fluid replacement therapy, maintaining health and stabilizing conditions.
Pharmacodynamics:
Limited data available
Pharmacokinetics:
Absorption
Polygeline is absorbed after intravenous administration.
Distribution
It gets distributed within both extravascular and intravascular compartments. Its volume of distribution is 8 liters.
Metabolism
Polygeline’s metabolism happens through proteolytic enzymes like plasmin, trypsin, or cathepsin.
Elimination and excretion
These enzymes break down polygeline into smaller amino acids and peptides. Urine is the main elimination route for polygeline. Its half-life ranges from 5 to 8 hours.
Administration:
To be administered intravenously as suggested by the physician
Patient information leaflet
Generic Name: polygeline
Why do we use polygeline?
Polygeline plays an important role in helping the body expand its plasma volume. It helps balance fluid levels in people dealing with low blood volume caused by things like injuries, infections, burns, or losing fluids through diarrhea. When the plasma volume increases, Polygeline improves blood flow throughout the body. This ensures organs function properly and overall health is maintained for patients facing these situations.