Hyaluronidase (Human Recombinant)

Table of contents

  • Brand Names
  • Drug Combinations
  • Chemistry
  • Pharmacologic Category
  • Mechanism of Action
  • Therapeutic Use
  • Unlabeled Use
  • Pregnancy and Lactation Implications
  • Contraindications
  • Warnings and Precautions
  • Adverse Reactions
  • Genes that may be involved
  • Drug Interactions
  • Dosage
  • Special Considerations

Brand Names

Europe

Austria: Hylase Dessau; Czech Republic: Hylase Dessau; Germany: Hylase Dessau; Greece: Hyalase; Ireland: Hyalase; Malta: Hyalase; Netherlands: Hyason; UK: Hyalase.

North America

USA: Amphadase, Hydase, Hylenex, Vitrase.

Latin America

Argentina: Unidasa; Brazil: Hyalozima.

Drug combinations

Hyaluronidase and Betamethasone

Hyaluronidase and Lidocaine

Hyaluronidase, Lidocaine, and Neomycin

Other Hyaluronidase combinations: Aesculus hippocastanum; Aluminium oxydatum; Ambra grisea; Ammonium bituminosulfonicum; Anamirta cocculus; Apis mellifera; Araneus diadematus; Barium carbonicum; Barium chloratum; Berberis vulgaris; Bryonia spp.; Cinchona pubescens; Conium maculatum; Ferrum metallicum; Hawthorn; Lead acetate; Lophophora williamsii; Lycopodium clavatum; Nicotiana tabacum; Phytolacca americana; Plumbum aceticum; Sanguinaria canadensis; Solanum dulcamara; Sulfur; Toxicodendron quercifolium; Urtica urens; Viscum album; Zincum metallicum

Chemistry

Hyaluronidase (Human Recombinant): C~2327~H~3553~N~589~O~667~S~20~. Mw: approx. 51.11. (1) 36-482-Hyaluronoglucosaminidase PH20 (human); (2) Hyaluronidase 1 (human sperm surface protein PH-20)-(1-447) peptide. CAS-757971-58-7 (2005).

Pharmacologic Category

Other Hematological Agents. Homeopathic Products. Enzyme. (ATC-Code: B06AA03).

Mechanism of action

Modifies permeability of connective tissue through hydrolysis of hyaluronic acid, one of the chief components of tissue cement which offers resistance to diffusion of liquids through tissues. Hyaluronidase increases both distribution and absorption of locally-injected substances.

Therapeutic use

Increases dispersion and absorption of other drugs. Increases rate of absorption of parenteral fluids given by hypodermoclysis. Adjunct in subcutaneous urography for improving resorption of radiopaque agents.

Pregnancy and lactiation implications

Use only if clearly needed in pregnancy. Use with caution in lactation.

Unlabeled use

Management of drug extravasations.

Contraindications

Hypersensitivity to hyaluronidase or any component of the formulation.

Warnings and precautions

Should not be administered intravenously. Avoid injection in or around infected or inflamed areas (may spread localized infection). Should not be applied directly to cornea. Should be discontinued if sensitization occurs. Should not be used for extravasation management of dopamine or α-agonists or to reduce swelling of bites or stings.

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