Riferimento farmaci
Collagenase
Collagenase is a medicine in the class miscellaneous. It is used for burns.
- Classe del farmaco: Miscellaneous
- Indicato per: burns
Ultimo aggiornamento Fonti: US FDA label
Per operatori sanitari — solo a scopo di riferimento. Questa pagina è una sintesi breve, non è un parere medico e non sostituisce il RCP ufficiale né il giudizio clinico. Verificare sempre prima di prescrivere o dispensare.
Il contenuto clinico di questa pagina è disponibile solo in inglese.
In breve
- Classe del farmaco
- Miscellaneous
- Interazioni note
- 1 (Moderata: 1)
Per cosa si usa
Come agisce
Collagenase digests collagen in the physiological pH and temperature range, removing detritus and contributing to granulation tissue formation and epithelization. Collagen in healthy tissue or new granulation tissue is not attacked.
Dose abituale nell'adulto (sintesi del foglio illustrativo)
Debridement of chronic dermal ulcers and severely burned areas: apply topically to the wound once daily, or more often if the dressing becomes soiled; stop when debridement is complete and granulation tissue is well established
Gravidanza e allattamento
- Gravidanza
- Unknown Injection (Xiaflex): blood levels are undetectable after injection; animal studies showed no harm; human case data are insufficient. Ointment (Santyl): not meaningfully absorbed. Use if needed; some labels advise postponing Xiaflex until after pregnancy.
- Allattamento
- Safe No milk data. Blood levels are undetectable after Xiaflex injection and the ointment is not meaningfully absorbed, so infant exposure is unlikely. US label: weigh benefits. Do not apply ointment to the breast.
Effetti indesiderati segnalati
- Transient erythema of surrounding tissue
- Systemic hypersensitivity (one case reported)
Controindicazioni
- Local or systemic hypersensitivity to collagenase
Chi deve prestare attenzione
- Enzyme activity is best at pH 6 to 8; higher or lower pH reduces activity.
- Detergents and heavy metal ions (mercury, silver) in some antiseptics reduce activity. Cleanse the site with repeated normal saline washings first. Avoid soaks containing metal ions or acidic solutions.
- Monitor debilitated patients closely for systemic bacterial infection, as debriding enzymes may theoretically increase the risk of bacteremia.
Informare il farmacista o il medico di gravidanza o allattamento, malattie renali o epatiche, allergie e di ogni altro farmaco o integratore assunto.
Interazioni principali (1)
- Collagenase + Silver sulfadiazine Moderate
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- Dosing by age, kidney and liver function, and further dose lines
- Renal and hepatic dose adjustments
- How to give it
- Pharmacokinetics
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Altri farmaci della stessa classe
Domande frequenti
What is Collagenase used for?
Collagenase is a medicine in the class miscellaneous. It is used for Burns, Skin ulcers.
What side effects have been reported with Collagenase?
Transient erythema of surrounding tissue, Systemic hypersensitivity (one case reported).
Can Collagenase be taken in pregnancy or while breastfeeding?
Pregnancy: Unknown. Injection (Xiaflex): blood levels are undetectable after injection; animal studies showed no harm; human case data are insufficient. Ointment (Santyl): not meaningfully absorbed. Use if needed; some labels advise postponing Xiaflex until after pregnancy. Breastfeeding: Safe. No milk data. Blood levels are undetectable after Xiaflex injection and the ointment is not meaningfully absorbed, so infant exposure is unlikely. US label: weigh benefits. Do not apply ointment to the breast.
What does Collagenase interact with?
MediHelp lists 1 known interactions for Collagenase. Moderate: 1. The most serious include Silver sulfadiazine.
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