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Introduction About SYNVISC ONE (HYLAN GF 20) INJECTION(PFS)
SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) contains Sodium Hyaluronate, which belongs to the group of medicines called Glycosaminoglycan. It is used to manage pain in osteoarthritis of the knee. Osteoarthritis is a type of arthritis that occurs when flexible tissue at the ends of bones wears down.
SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) is not recommended for use in patients with infection of the knee joint, infection and diseases of the skin at the injection site, or systemic bleeding disorders.
Before receiving SYNVISC ONE (HYLAN GF 20) INJECTION(PFS), inform your doctor if you have severe inflammation of the knee, lymphatic or venous stasis (in the leg to be injected), or chondrocalcinosis (mineralization of hyaline cartilage).
If you are pregnant, planning to get pregnant, or breast-feeding, consult your doctor for advice before receiving SYNVISC ONE (HYLAN GF 20) INJECTION(PFS).
It should be used with caution with elderly patients. Consult your doctor before receiving SYNVISC ONE (HYLAN GF 20) INJECTION(PFS).
The most common side effects of SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) are joint pain or inflammation, injection site pain, and joint effusion. Consult your doctor if any of the side effects worsen.
Uses Of SYNVISC ONE (HYLAN GF 20) INJECTION(PFS)
- To manage pain in osteoarthritis of the knee
How SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) Works
SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) supports tendon and bone regeneration by improving oxygen and nutrient supply to the joints. In osteoarthritis, the joints lack nutrition and become inflamed. SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) contains hyaluronic acid, which acts as a nutritional supplement and helps to reduce inflammation and degradation of joints.
How to use SYNVISC ONE (HYLAN GF 20) INJECTION(PFS)
SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) is administered by a doctor or a nurse directly into the knee joint. Your doctor will decide the correct dose and duration of SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) for you depending upon your age and disease condition.
Side Effects Of SYNVISC ONE (HYLAN GF 20) INJECTION(PFS)
Common
- joint pain
- join inflammation
- injection site pain
- joint effusion
- joint disease (arthropathy)
Rare
- rash, itching
- fever, chills
- headache, dizziness
- nausea
- muscle cramps
- general discomfort
- tingling or prickling sensation
- peripheral edema (leg swelling caused by the retention of fluid)
- respiratory difficulties
- flushing and facial swelling
How To Manage Side Effects

Dizziness Or Drowsiness
Lie down until the dizziness passes away, and then move slowly and carefully. Take plenty of rest and drink plenty of fluids. Consult your doctor if the symptoms worsen.

Headache
Rest and relax. Drink plenty of fluids, such as water or electrolytes. Apply a pain-relieving balm to the forehead if required. Inform your doctor if the symptom does not improve.

Skin rash Or Itching
Do not scratch the affected area. Wear protective clothing while going outdoors. Regularly moisturize your skin. Inform your doctor if the symptoms worsen.
Warning & Precautions

Pregnancy
Consult your doctorThe safety and effectiveness of SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) have not been established in pregnant women. Consult your doctor before receiving SYNVISC ONE (HYLAN GF 20) INJECTION(PFS).

Breastfeeding
Consult your doctorThe safety and effectiveness of SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) have not been established in breast-feeding women. Consult your doctor before receiving SYNVISC ONE (HYLAN GF 20) INJECTION(PFS).

Driving and Using Machines
Use with CautionSYNVISC ONE (HYLAN GF 20) INJECTION(PFS) does not affect your ability to drive or use machinery.

Allergy
ContraindicatedSYNVISC ONE (HYLAN GF 20) INJECTION(PFS) is not recommended for use if you are allergic to sodium hyaluronate preparations. It should be used with caution in patients with avian proteins, feathers, or egg products.

Use In Pediatrics
Consult your doctorThe safety and effectiveness of SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) have not been demonstrated in children (21 years of age or younger). Consult your child’s doctor for advice.

Use In Geriatrics
Use with CautionSYNVISC ONE (HYLAN GF 20) INJECTION(PFS) should be used with caution with elderly patients. Consult your doctor before receiving SYNVISC ONE (HYLAN GF 20) INJECTION(PFS).
Others
SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) is not recommended for use if you have:
- infection of the knee joint
- infection and diseases of the skin at the injection site
- systemic bleeding disorders
Before receiving SYNVISC ONE (HYLAN GF 20) INJECTION(PFS), inform your doctor if you have:
- severe inflammation of the knee
- lymphatic or venous stasis (in the leg to be injected)
- chondrocalcinosis (mineralization of hyaline cartilage)
Interactions
A. Drug-Drug Interactions:
Before receiving SYNVISC ONE (HYLAN GF 20) INJECTION(PFS), inform your doctor if you are using any of the following medicines:
- skin disinfectants containing quaternary ammonium salts and compounds
- chlorhexidine (skin preparation agents)
Overdosage:
SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) will be administered to you only by a doctor or a nurse in a hospital, and so it is unlikely to receive an overdose. However, consult your doctor or nurse if you experience any unusual symptoms after receiving SYNVISC ONE (HYLAN GF 20) INJECTION(PFS).
Synopsis
Drug | : | Sodium hyaluronate |
Pharmacological Category | : | Glycosaminoglycan |
Therapeutic Indication | : | Pain in osteoarthritis of the knee |
Dosage Forms | : | Tablet, Capsule, Injection, Pre-filled syringe,Ophthalmic solution, Solution, Drops, Eye drops, Eye gel, and Gel |
More Information
- Keep out of reach of children
- Store at room temperature
FAQs About SYNVISC ONE (HYLAN GF 20) INJECTION(PFS)
Q: What is SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) used for?
A: SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) contains Sodium Hyaluronate, which is used in the management of pain in osteoarthritis of the knee. Osteoarthritis is the wearing down of the protective tissue at the ends of bones (cartilage), which occurs gradually and worsens over time. Joint pain in the hands, neck, lower back, knees, or hips is the most common symptom.
Q: For how long should I receive SYNVISC ONE (HYLAN GF 20) INJECTION(PFS)?
A: Your doctor might advise you on how long you should continue to receive SYNVISC ONE (HYLAN GF 20) INJECTION(PFS). You will need to consult your doctor from time to time to review your management and assess your symptoms.
Q: How does SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) work?
A: SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) supports tendon and bone regeneration by improving oxygen and nutrient supply to the joints. In osteoarthritis, the joints lack nutrition and become inflamed. SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) contains hyaluronic acid, which acts as a nutritional supplement and helps to reduce inflammation and degradation of joints.
Q: What are the common side effects of SYNVISC ONE (HYLAN GF 20) INJECTION(PFS)?
A: The most common side effects of receiving SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) are joint pain or inflammation, injection site pain, joint effusion, and joint disease (arthropathy). Consult your doctor if any of the side effects worsen.
Q: How is SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) administered?
A: SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) is administered by a doctor or a nurse directly into the knee joint. Your doctor will decide the correct dose and duration of SYNVISC ONE (HYLAN GF 20) INJECTION(PFS) for you depending upon your age and disease condition.
References
1. KD. Tripathi. Section 3, Antirheumatic and Antigout Drugs. Essentials of medical pharmacology. Seventh edition. 2013. Page –210 -218.
2. Huang TL, Chang CC, Lee CH, Chen SC, Lai CH, Tsai CL. Intra-articular injections of sodium hyaluronate (Hyalgan) in osteoarthritis of the knee. a randomized, controlled, double-blind, multicenter trial in the Asian population. NIH. National Library of Medicine, National center for biotechnology information. October 2011. [Accessed on 6th February 2024] https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3203101/
3. Guarda-Nardini, L., Masiero, S. and Marioni, G., 2005. Conservative treatment of temporomandibular joint osteoarthrosis: intra-articular injection of sodium hyaluronate. Journal of Oral Rehabilitation. September 2005. [Accessed on 6th February 2024] https://onlinelibrary.wiley.com/doi/abs/10.1111/j.1365-2842.2005.01505.x
4. Genzyme Biosurgery. Synvisc One. [Revised in September 2014] [Accessed on 6th February 2024] https://products.sanofi.us/synviscone/synviscone.pdf
5. Fidia Farmaceutici S.p.A. Hyalgan. Health Products Regulatory Authority (HPRA). [Revised in December 2009] [Accessed on 6th February 2024] https://www.hpra.ie/img/uploaded/swedocuments/LicenseSPC_PA0814-001-001_05042016103037.pdf
6. Hanmi Pharm Co. Ltd. Synojoynt. U.S. Food & Drug Administration. [Accessed on 6th February 2024] https://www.accessdata.fda.gov/cdrh_docs/pdf17/P170016D.pdf
7. Anika Therapeutics, Inc. Monovisc. [Accessed on 6th February 2024] http://synthes.vo.llnwd.net/o16/LLNWMB8/IFUs/US/Monovisc-US-IFU_Word.pdf
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