TNKase (tenecteplase) is an emergency medication used for the treatment of a heart attack. It's given as a quick injection into the vein by a healthcare provider in the hospital.
TNKase (tenecteplase) is used for the treatment of a severe heart attack in people who aren't receiving percutaneous coronary intervention (PCI) (a procedure that opens up clogged blood vessels in the heart). Additionally, the American Heart Association (AHA) and American Stroke Association (ASA) suggest that TNKase (tenecteplase) can be used for the treatment of stroke caused by a blood clot in blood vessels in the brain (ischemic stroke). For stroke, TNKase (tenecteplase) can be used for people who aren't going to have a thrombectomy, which is a procedure where a healthcare provider removes a blood clot from a blood vessel.
TNKase (tenecteplase) is known as a thrombolytic. It behaves just like a protein in your body called tissue plasminogen activator (tPA), which helps break up blood clots. This helps to restore bloodflow in your blood vessels.
TNKase (tenecteplase) is given as a quick injection into the vein (intravenous, IV) by a healthcare provider over a few seconds. The dose for a heart attack is 30 mg to 50 mg, depending on your body weight. While not FDA-approved for stroke, some clinical guidelines suggest TNKase (tenecteplase) as an alternative medication for treating ischemic stroke at a dose of 0.25 mg/kg of body weight. There are ongoing studies looking at the use of TNKase (tenecteplase) for stroke.
Since TNKase (tenecteplase) stops the proteins that make blood clots from working, the most common side effect is bleeding. Hospitals typically have a specific protocol or program in place to thoroughly check for any risk factors and draw certain labs before giving you TNKase (tenecteplase). This makes sure the medication is as safe for you as possible.
Serious allergic reactions, including anaphylaxis (closing of the throat), have been reported after using TNKase (tenecteplase). If you experience rash, trouble breathing, or swelling of your lips, tongue, throat, or face, get medical help right away. Your provider will monitor you for several hours after you get TNKase (tenecteplase) to make sure you don't have a serious reaction.
Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. When you are receiving this medicine, it is especially important that your healthcare professional know if you are taking any of the medicines listed below. The following interactions have been selected on the basis of their potential significance and are not necessarily all-inclusive.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.