Substance / Medication

Hetastarch

Overview

Active Ingredient
hetastarch
RxNorm CUI
5531

Indications

HEXTEND (6% Hetastarch in Lactated Electrolyte Injection) is indicated in the treatment of hypovolemia when plasma volume expansion is desired in settings where adequate alternative treatment is unavailable. It is not a substitute for blood or plasma.

Labeler: Hospira, Inc.Updated: 2025-12-30T00:00:00.000ZFull label on DailyMed

Boxed Warning

FDA Black Box Warning

• Use of hydroxyethyl starch (HES) products, including HEXTEND , increases risk of ® o Mortality o Kidney injury o Coagulopathy DO NOT use HES products, including HEXTEND , unless adequate alternative treatment is unavailable. ®

Contraindications

When this intervention should not be used

Do not use HES products, including HEXTEND, unless adequate alternative treatment is unavailable.

Indications & Related Conditions

Conditions associated via SNOMED clinical relationships

Administration & Protocol

Dosing, route, and treatment protocol

Detailed dosage and administration information is available in the full FDA drug label.

View full prescribing information on DailyMed

Monitoring & Follow-Up

Biomarkers relevant to this intervention via related conditions

No monitoring biomarkers have been mapped yet. Biomarker-intervention linkages are derived through related conditions and will expand as the knowledge graph grows.

Research Evidence

Published studies and systematic reviews

Sort:
Effect of hetastarch bolus in trauma patients requiring emergency surgery.
Ryan Mark L, Ogilvie Michael P, Pereira Bruno Mt et al. · J Spec Oper Med · 2012
PMID: 23032322RCT
Comparison of Hb-200 and 6% hetastarch 450/0.7 during initial fluid resuscitation of 20 dogs with gastric dilatation-volvulus.
Haak Carol E, Rudloff Elke, Kirby Rebecca · J Vet Emerg Crit Care (San Antonio) · 2012
PMID: 23016811RCT
Hetastarch increases the risk of bleeding complications in patients after off-pump coronary bypass surgery: a randomized clinical trial.
Hecht-Dolnik Marketa, Barkan Howard, Taharka Ananse et al. · J Thorac Cardiovasc Surg · 2009
PMID: 19698859RCT
SIC-8000 versus hetastarch as a submucosal injection fluid for EMR: a randomized controlled trial.
Rex Douglas K, Broadley Heather M, Garcia Jonathan R et al. · Gastrointest Endosc · 2019
PMID: 31288028Observational
Outcome of horses with enterocolitis receiving oncotic fluid support with either plasma or hetastarch.
Kopper Jamie J, Kogan Clark J, Cook Vanessa L et al. · Can Vet J · 2019
PMID: 31692633ObservationalFull text (PMC)

Research data from MEDLINE/PubMed

Benefits & Expected Outcomes

Benefits, expected outcomes, efficacy data, and NNT (Number Needed to Treat) are pending physician authorship and evidence review.

Risks & Side Effects

Adverse reaction and safety data for this drug is sourced from the FDA-approved label.

View adverse reactions & drug interactions on DailyMed

Related Symptoms

Symptoms associated with conditions this intervention addresses

No related symptoms have been mapped yet. Symptom linkages are derived through associated conditions.

Alternatives & Comparisons

Alternative treatments, comparison data, and clinical decision support are pending physician authorship.

Medical Disclaimer

This information is for educational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult with a qualified healthcare provider regarding any medical condition or treatment plan.

Do not start, stop, or change any treatment without consulting your healthcare provider.

Quick Facts

Type
Substance / Medication
Fully Specified Name
Hetastarch (substance)
SNOMED CT
387274000
UMLS CUI
C0020352
RxNorm CUI
5531
Labeler
Hospira, Inc.

Clinical Data

This intervention maps to 1 entities in the Healos knowledge graph.

1
Conditions
0
Biomarkers
0
Specialists
0
Symptoms

Data is sourced from SNOMED CT, UMLS, and the Healos clinical knowledge graph. Content sections marked as pending require physician authorship. Consult a healthcare provider before starting any treatment.