How painful is xiaflex?

Although Xiaflex is not uncomfortable to receive, some patients have significant pain for up to 48 hours after the injection, with rare patients having discomfort beyond this period.

How long does it take to recover from xiaflex?

“It took me several weeks to recover from the incisions followed by thirty physical therapy sessions after each surgery. With Xiaflex, the recuperative process took only two weeks, and I was back to normal.”

Do collagenase injections hurt?

Conclusions: Collagenase Clostridium histolyticum injection for treating Dupuytren contracture can be a painful process.

How fast does xiaflex work?

Some men may see improvements after one or two cycles, while men with severe curvatures may benefit more from three or four cycles.

Can xiaflex make peyronies worse?

Xiaflex can cause serous damage to the structure of the penis. After treatment, one of the tubes inside the penis could break during an erection, called penile fracture. This typically requires surgery. Damage to the penis may not get better after penile fracture, even with surgery.

Optimizing Outcomes with Xiaflex Injections

What is the success rate of XIAFLEX for Peyronie's disease?

Success rates vary but studies demonstrate an average 34% improvement in the curvature (or 17-degree decrease from baseline curvature). 60% of men getting Xiaflex experienced improvement compared to 30% with placebo.

Why was XIAFLEX discontinued?

The decision to withdraw is not based on safety or efficacy concerns. Despite best efforts to appropriately educate the government and the market on XIAFLEX® over the past several years, the product did not receive government reimbursement approval and demand for the product has remained unsustainably low.

What should I do after XIAFLEX injection?

After you receive the Xiaflex injection in clinic, you will have band-aids or gauze dressing applied to protect your hand. You may have swelling or bruising in the treated hand. To help minimize these symptoms avoid physical activities and lifting with the hand, and keep the treated hand elevated.

Where do you inject XIAFLEX?

The dose of XIAFLEX® is 0.58 mg per injection into a palpable cord with a contracture of a metacarpophalangeal (MP) joint or a proximal interphalangeal (PIP) joint.

How much do XIAFLEX injections cost?

Doctors who administer the drug will have to be specially trained and certified. Pain, swelling and bruising can develop in the injection area. Xiaflex costs $3,300 an injection, so a full course of eight injections would cost about $26,000, in addition to a doctor's fee.

How many XIAFLEX injections do I need?

No more than 3 injections, each 4 weeks apart, should be given in the same area. If you are using this medication to treat Peyronie's disease, the medication is injected into the plaque in the penis by your healthcare provider.

How many times can you have XIAFLEX?

Xiaflex is given in treatment cycles for Peyronie's disease. For each treatment cycle, you'll receive two injections 1 to 3 days apart. You may have up to four treatment cycles at 6-week intervals.

Why is XIAFLEX no longer available in Canada?

Notice : The Xiaflex was recently withdraw from the Canadian market by the US pharmaceutical company Endo for financial reasons. This drug is therefore no longer distributed in Canada. It is possible to obtain it through special permission from Health Canada.

What are the side effects of XIAFLEX?

What is the most common side effect after a single collagenase treatment?

The most common effects were peripheral edema (54.4%), bruising (42.9%), and upper limb pain (28.3%). Significant biases were observed for use of terminology, demarcation of sites of involvement, severity criteria, and assessment methods.

Is there an alternative to xiapex?

Unfortunately, Xiapex has been withdrawn from clinical use for Dupuytren's disease for commercial reasons. This is very disappointing as it was proving to highly effective. Mike is able to offer alternatives including percutaneous needles fasciotomy (PNF) or open surgery.

Why was xiapex withdrawn?

The withdrawal was at the request of the marketing authorisation holder, Swedish Orphan Biovitrum AB (publ), which notified the European Commission of its decision to permanently discontinue the marketing of the product for commercial reasons.

What is Xiaflex made from?

Xiaflex (collagenase clostridium histolyticum) is a biologic drug made from a mixture of proteins derived from Clostridium histolyticum bacteria. It works by breaking down excessive buildup of collagen, a structural protein in connective tissue.

What is the newest treatment for Peyronie's disease?

Xiaflex (collagenase clostridium histolyticum) is an FDA approved prescription medicine that is administered by a trained professional only. Xiaflex is injected directly into the hardened tissue in two courses, and the area is massaged to successfully break down the scar tissue.

What vitamins help with Peyronie's disease?

While Peyronie's disease is most often found in middle-aged men, it can occur at any age. Drug therapy is helpful for most men who are affected by Peyronie's disease, especially during the acute phase. For instance, oral Vitamin E will make the plaques smaller and help to straighten the bent penis.

Has XIAFLEX been discontinued?

PRODUCT DISCONTINUATION FROM 28 JUNE 2019

This is the result of a business decision made by Actelion Pharmaceuticals Pty Ltd, a Janssen Pharmaceutical Company of Johnson & Johnson, and not the result of safety or efficacy considerations of XIAFLEX®.

Is XIAFLEX real?

XIAFLEX is a prescription medicine used to treat adults with Dupuytren's contracture when a “cord” can be felt.

What's the difference between trigger finger and Dupuytren's contracture?

Unlike a finger which is bent due to trigger finger, a finger bent by Dupuytren's contracture is unable to straighten, even with help from the other hand. Trigger finger can be treated conservatively in mild cases, with treatment options including use of an oral anti-inflammatory medication or injection of cortisone.

How do you draw up a XIAFLEX injection?

With the tip of the needle placed within the plaque, initiate injection, maintaining steady pressure to slowly inject XIAFLEX into the plaque. Withdraw the needle slowly so as to deposit the full dose along the needle track within the plaque.