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Due to the risks of serious injury, Xiaflex is only available through a drug safety program when used for Peyronies disease. This is called the Xiaflex Risk Evaluation and Mitigation Strategy (REMS) program.
d) Using a 1-mL syringe with 0.01-mL graduations with a 27-gauge 1/2-inch needle (not supplied), withdraw a volume of 0.39 mL of the diluent supplied. e) Inject the diluent slowly into the sides of the vial containing the lyophilized powder of XIAFLEX. Do not invert the vial or shake the solution.
Out of 135 injections, 57% reported slight or inconsequential pain, 18% reported moderate pain, and 25% reported serious/intense pain despite anesthetic administration and pinprick-insensitive numbness at the fingertips.
XIAFLEX should only be administered by a doctor experienced in the treatment of male urological diseases who has completed required Risk Evaluation and Mitigation Strategy (REMS) training for use of XIAFLEX in the treatment of Peyronies disease.
XIAFLEX is an injection given in a doctors office by a Hand Specialist trained in XIAFLEX.
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Collagenase Clostridium histolyticum injection comes as a powder to be mixed with a liquid and injected by a doctor. If you are receiving collagenase Clostridium histolyticum injection (Xiaflex) to treat Dupuytrens contracture, your doctor will inject the medicine into a cord just under the skin in the affected hand.
Medication Summary Collagenase Clostridium histolyticum (Xiaflex) was approved for the treatment of Dupuytren contracture by the US Food and Drug Administration (FDA) in 2010.

xiaflex benefits investigation form