Where do you inject XIAFLEX?

Xiaflex is injected directly into the "cord" of the affected hand or into a "plaque" of the penis. A healthcare provider will give you this injection.
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How do you inject XIAFLEX?

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.
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How painful is XIAFLEX injection?

Pain. 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. Verapamil is more painful to receive, likely due to the volume of fluid, but is not significantly painful thereafter.
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How many times can you have XIAFLEX?

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.
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What to expect after XIAFLEX injections?

The most common side effects with XIAFLEX for the treatment of Dupuytren's contracture include: swelling of the injection site or the hand. bruising or bleeding at the injection site. pain or tenderness of the injection site or the hand.
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Optimizing Outcomes with Xiaflex Injections



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.
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How successful is XIAFLEX?

Studies have shown 34% improvement in penile curvature in men who underwent treatment with Xiaflex injection compared to 18% improvement in men treated with saline injection.
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Does XIAFLEX increase size?

Xiaflex with first generation PTT devices also had not impact on length. When patients used RestoreX along with the injection treatment, they experienced a nearly 2cm gain in length or about 17%.
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Why was XIAFLEX discontinued?

Pfizer ditches Xiaflex after poor sales, but Peyronie's label could improve growth. Pfizer's decision to hand its European rights to the Dupuytren's contracture drug Xiaflex back to Auxilium Pharmaceuticals indicates a lack of confidence that uptake of the drug, a slow-burn so far, will accelerate.
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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.
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Can you drive after XIAFLEX injection?

You will be able to drive yourself home after the appointment. You may use ice as needed for 15-20 minutes to reduce swelling. You may take Tylenol or Ibuprofen as needed for pain.
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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.
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Why is XIAFLEX no longer available in Australia?

UPDATE JUNE 2019: The manufacturer has stopped selling Xiaflex in Australia. As far as I am aware, this is for business reasons rather than clinical or safety issues.
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How safe is XIAFLEX?

XIAFLEX can cause serious side effects, including: Penile fracture (corporal rupture) or other serious injury to the penis. Receiving an injection of XIAFLEX may cause damage to the tubes in your penis called the corpora. After treatment with XIAFLEX, one of these tubes may break during an erection.
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How many inches do you lose with Peyronie's disease?

A contemporary series of 90 patients who underwent IPP placement for PD reported that patients experienced a subjective penile length loss of 1.6 inches prior to the procedure and an additional 0.25 to 4 inches of subjective loss following the procedure.
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What vitamins help with Peyronie's disease?

More recently, a 2014 study reported treatment outcomes of patients with PD using 50 mg sildenafil daily or 400 IU vitamin E for 3 months. After 12 weeks, both groups showed similar reduction in plaque volume and penile curvature that was statistically significant.
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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.
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Who can administer XIAFLEX?

It can be administered right in a doctor's office on contractures ranging from less severe to more severe. Physicians listed on this website are not affiliated with Endo Pharmaceuticals Inc. and do not pay to be on this list or to be designated as experienced users of XIAFLEX®.
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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®.
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What's the difference between trigger finger and Dupuytren's contracture?

Trigger finger can happen from repetitive use, and be influenced by diabetes, hypothyroidism, rheumatoid arthritis and is more likely to occur in women. Dupuytren's contracture, meanwhile, usually happens in the ring and pinky fingers. (Though, again, it can happen in any finger.)
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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.
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How much does XIAFLEX cost in Canada?

Each single-dose vial of Xiaflex® is priced at $1,120, which equals to the cost of each injection.
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Is Peyronie's disease permanent?

Peyronie's disease is usually a permanent condition. True Peyronie's disease rarely goes away on its own, but can occasionally change even years after diagnosis in response to further injuries. The changes in the penis can always be improved using a variety of treatments.
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How long do XIAFLEX side effects last?

The recovery time with Xiaflex may vary, depending on your condition and how your body responds to the treatment. However, swelling, pain, and bruising can last for several days after the injection. For Dupuytren's contracture, it may take about 2 to 4 weeks before you're able to use your hand normally again.
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