Medicine guide

Hyaluronidase

150 [USP'U]/mL · Injection, Solution

  • Prescription only
  • Endoglycosidase
Active substance
Hyaluronidase
Made by
HF Acquisition Co LLC, DBA HealthFirst

Quoted from the official source. Not yet reviewed by Mediclarum — the leaflet in your pack is authoritative.

At a glance

Quoted from the official label · 2021-06-04

What it is

Endoglycosidase

Used for
  • 1 Subcutaneous Fluid Administration HYLENEX recombinant is indicated as an adjuvant in subcutaneous fluid administration for achieving hydration.
The label’s usual adult dose

2 Subcutaneous Fluid Administration Inject 150 U of HYLENEX recombinant prior to start of subcutaneous fluid administration to facilitate absorption of up to 1,000 mL or more of solution.

Full directions ↓
Do not take it if

HYLENEX recombinant is contraindicated in patients with known hypersensitivity to hyaluronidase or any of the excipients in HYLENEX recombinant.

All warnings ↓
Good to know
  • Prescription only
  • FDA enforcement reports list no ongoing recall, and none from the last two years, for this product code · checked 2026-10-02
2other products contain Hyaluronidase — compare makers, forms and strengths

Every line above is selected, not written, from the official label. Nothing is reworded. DailyMed

What it is for

  • 1.1 Subcutaneous Fluid Administration HYLENEX recombinant is indicated as an adjuvant in subcutaneous fluid administration for achieving hydration.
  • 1.2 Dispersion and Absorption of Injected Drugs HYLENEX recombinant is indicated as an adjuvant to increase the dispersion and absorption of other injected drugs.
  • 1.3 Subcutaneous Urography HYLENEX recombinant is indicated as an adjunct in subcutaneous urography for improving resorption of radiopaque agents.

From the official label · 2021-06-04 · DailyMed

How it works

From this product’s own US prescribing label.

12 CLINICAL PHARMACOLOGY 12.1 Mechanism of Action Hyaluronidase is a dispersion agent, which modifies the permeability of connective tissue through the hydrolysis of hyaluronic acid, a polysaccharide found in the intercellular ground substance of connective tissue, and of certain specialized tissues, such as the umbilical cord and vitreous humor.

Hyaluronic acid is also present in the capsules of type A and C hemolytic streptococci.

Quoted from the prescribing label, sections “Mechanism of Action” and “Pharmacokinetics”. DailyMed · 2021-06-04

Do not take it if

  • HYLENEX recombinant is contraindicated in patients with known hypersensitivity to hyaluronidase or any of the excipients in HYLENEX recombinant.
  • A preliminary skin test for hypersensitivity to HYLENEX recombinant can be performed.
  • The skin test is made by an intradermal injection of approximately 0.02 mL (3 Units) of a 150 Unit/mL solution.
  • A positive reaction consists of a wheal with pseudopods appearing within 5 minutes and persisting for 20 to 30 minutes and accompanied by localized itching.
  • Transient vasodilation at the site of the test, i.e., erythema, is not a positive reaction.
  • Discontinue HYLENEX recombinant if sensitization occurs.

Quoted from the official label, section “Contraindications”.

How to take it

These directions are for this exact strength and form. Another one is different.

  • 2.1 Important Administration Instructions HYLENEX recombinant should not be administered intravenously.
  • Its effects relative to dispersion and absorption of other drugs are not produced when it is administered intravenously because the enzyme is rapidly inactivated.
  • HYLENEX recombinant may be administered for infiltration use, interstitial use, intramuscular use, intraocular use, peribulbar use, retrobulbar use, soft tissue use or subcutaneous use.
  • Visually inspect parenteral drug products for particulate matter and discoloration prior to administration.
  • Always use aseptic precautions.
  • Lightly pinch the skin up into a small mound and insert the needle/catheter into the subcutaneous space.
  • Inject HYLENEX recombinant through the catheter hub or injection port closest to the needle/catheter.
  • Begin administration of solution.
  • Solution should start in readily.
  • 2.2 Subcutaneous Fluid Administration Inject 150 U of HYLENEX recombinant prior to start of subcutaneous fluid administration to facilitate absorption of up to 1,000 mL or more of solution.
  • As with all parenteral fluid therapy, observe effect closely, with the same precautions for restoring fluid and electrolyte balance as in intravenous injections.
  • The dose, the rate of injection, and the type of solution (saline, glucose, Ringer's, etc.) must be adjusted carefully to the individual patient.
  • When solutions devoid of inorganic electrolytes are administered subcutaneously, hypovolemia may occur.
  • This may be prevented by using solutions containing adequate amounts of inorganic electrolytes and/or controlling the volume and speed of administration.
  • HYLENEX recombinant may be added to small volumes of solution, such as fluid replacement solutions or solutions of drugs for subcutaneous injection.
  • Subcutaneous fluids should be administered as directed by a physician.
  • The dosage of subcutaneous fluids administered is dependent upon the age, weight, and clinical condition of the patient as well as laboratory determinations.
  • The rate and volume of subcutaneous fluid administration should not exceed those employed for intravenous infusion.
  • For premature infants or during the neonatal period, the daily dosage should not exceed 25 mL/kg and the rate of administration should not be greater than 2 mL per minute.
  • 2.3 Dispersion and Absorption of Injected Drugs Hylenex can be used to enhance the dispersion and absorption of other injected or subcutaneously infused drugs by pre-administration of HYLENEX recombinant or by adding 50-300 U, most typically 150 U hyaluronidase, to the injection solution prior to infiltration use, interstitial use, intramuscular use, intraocular use, retrobulbar use, soft tissue use or subcutaneous use.
  • 2.4 Subcutaneous Urography The subcutaneous route of administration of urographic contrast media may be considered when intravenous administration cannot be successfully accomplished, particularly in infants and small children.
  • With the patient prone, inject 75 U of HYLENEX recombinant subcutaneously over each scapula, followed by injection of the contrast medium at the same sites.

Quoted from the official label, section “Dosage & Administration”.

Other warnings

  • 5.1 Spread of Localized Infection Hyaluronidase should not be injected into or around an infected or acutely inflamed area because of the danger of spreading a localized infection.
  • Hyaluronidase should not be used to reduce the swelling of bites or stings.
  • 5.2 Ocular Damage Hyaluronidase should not be applied directly to the cornea.
  • It is not for topical use.

Quoted from the official label, section “Warnings”.

Pregnancy and breastfeeding

  • IN SPECIFIC POPULATIONS
  • 8.1 Pregnancy Pregnancy Category C.
  • In an embryo-fetal study, mice have been dosed daily by subcutaneous injection with recombinant human hyaluronidase at dose levels up to 2,200,000 U/kg.
  • The study found no evidence of teratogenicity.
  • Reduced fetal weight and increased numbers of fetal resorptions were observed, with no effects found at a daily dose of 360,000 U/kg, which represents several orders of magnitude over the suggested human dose range of 50-300 U of HYLENEX recombinant (0.8-5 U/kg in a 60 kg subject).
  • In a pre- and postnatal development study, mice have been dosed daily by subcutaneous injection with recombinant human hyaluronidase at dose levels up to 1,100,000 U/kg.
  • The study found no adverse effects on sexual maturation, learning and memory of offspring, or their ability to produce another generation of offspring.
  • It is also not known whether HYLENEX recombinant can cause fetal harm when administered to a pregnant woman.
  • HYLENEX recombinant should be given to a pregnant woman only if clearly needed.
  • 8.2 Labor and Delivery Administration of hyaluronidase during labor was reported to cause no complications:
  • no increase in blood loss or differences in cervical trauma were observed.
  • 8.3 Nursing Mothers It is not known whether hyaluronidase is excreted in human milk.
  • Because many drugs are excreted in human milk, caution should be exercised when hyaluronidase is administered to a nursing woman.
  • 8.4 Pediatric Use Clinical hydration requirements for children can be achieved through administration of subcutaneous fluids facilitated with HYLENEX recombinant.
  • The dosage of subcutaneous fluids administered is dependent upon the age, weight, and clinical condition of the patient as well as laboratory determinations.
  • The potential for chemical or physical incompatibilities should be kept in mind [see DRUG INTERACTIONS (7) ].
  • The rate and volume of subcutaneous fluid administration should not exceed those employed for intravenous infusion.
  • For premature infants or during the neonatal period, the daily dosage should not exceed 25 mL/kg of body weight, and the rate of administration should not be greater than 2 mL per minute.
  • During subcutaneous fluid administration, special care must be taken in pediatric patients to
  • avoid over hydration by controlling the rate and total volume of the infusion [see DOSAGE AND ADMINISTRATION (2.1) ].
  • 8.5 Geriatric Use No overall differences in safety or effectiveness have been observed between elderly and younger adult patients.

Quoted from the official label, section “OTC — Pregnancy or Breast Feeding”.

Other medicines

  • It is recommended that appropriate references be consulted regarding physical or chemical incompatibilities before adding HYLENEX recombinant to a solution containing another drug.
  • 7.1 Incompatibilities Furosemide, the benzodiazepines and phenytoin have been found to be incompatible with hyaluronidase.
  • Admixture stability studies have shown that 2% lidocaine with 1:100,000 or 1:200,000 epinephrine is incompatible with hyaluronidase due to the presence of sodium metabisulfite, a common additive in anesthetic products containing epinephrine.
  • 7.2 Drug-Specific Precautions Hyaluronidase should not be used to enhance the dispersion and absorption of dopamine and/or alpha agonist drugs.
  • When considering the administration of any other drug with hyaluronidase, it is recommended that appropriate references first be consulted to determine the usual precautions for the use of the other drug.
  • 7.3 Local Anesthetics When hyaluronidase is added to a local anesthetic agent, it hastens the onset of analgesia and tends to reduce the swelling caused by local infiltration, but the wider spread of the local anesthetic solution increases its absorption; this shortens its duration of action and tends to increase the incidence of systemic reaction.
  • 7.4 Salicylates, Cortisone, ACTH, Estrogens and Antihistamines Patients receiving large doses of salicylates, cortisone, ACTH, estrogens or antihistamines may require larger amounts of hyaluronidase for equivalent dispersing effect, since these drugs apparently render tissues partly resistant to the action of hyaluronidase.

Quoted from the official label, section “Drug Interactions”.

Side effects

  • The following adverse reactions have been identified during post-approval use of hyaluronidase products.
  • Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure.
  • The most frequently reported adverse reactions have been mild local injection site reactions such as erythema and pain.
  • Hyaluronidase has been reported to enhance the adverse reactions associated with co-administered drug products.
  • Edema has been reported most frequently in association with subcutaneous fluid administration.
  • Allergic reactions (urticaria or angioedema) have been reported in less than 0.1% of patients receiving hyaluronidase.
  • Anaphylactic-like reactions following retrobulbar block or intravenous injections have occurred, rarely.

Quoted from the official label, section “Adverse Reactions”.

Strengths and forms

FORMS & STRENGTHS 150 USP units/mL single dose vials

Quoted from the official label, section “Dosage Forms & Strengths”.

What it looks like and how it is packed

  • HYLENEX recombinant is supplied sterile as 150 USP units of nonpreserved recombinant human hyaluronidase per mL in a single-use glass vial.
  • HYLENEX recombinant is supplied in the following packaging:
  • 1 mL Single Dose Vial (NDC 18657-117-01) available in boxes of 4 (NDC 18657-117-04) Store unopened in a refrigerator at 2° to 8°C (36° to 46° F).
  • DO NOT FREEZE.

Quoted from the official label, section “How Supplied”.

What is in it

  • HYLENEX recombinant is a purified preparation of the enzyme recombinant human hyaluronidase.
  • HYLENEX recombinant is produced by genetically engineered Chinese Hamster Ovary (CHO) cells containing a DNA plasmid encoding for a soluble fragment of human hyaluronidase (PH20).
  • The purified hyaluronidase glycoprotein contains 447 amino acids with an approximate molecular weight of 61,000 Daltons.
  • HYLENEX recombinant is supplied as a sterile, clear, colorless, nonpreserved, ready-for-use solution.
  • Each mL contains 150 USP units of recombinant human hyaluronidase with 8.5 mg sodium chloride, 1.4 mg dibasic sodium phosphate, 1 mg albumin human, 1.5 mg L-methionine, 0.2 mg polysorbate 80, and hydrochloric acid and sodium hydroxide added for pH adjustment.
  • HYLENEX recombinant has an approximate pH of 7.0 and an osmolality of 280 to 340 mOsm/kg.

Quoted from the official label, section “Description”.

Ingredients people check for

Lactose, gluten, dyes, sugars and other ingredients that matter with an allergy, intolerance or diet — as this product’s FDA label lists them.

The stored label for this product has no list of inactive ingredients. The list on the pack is the one to check.

Quoted from the FDA label. A label that does not name an ingredient is not a guarantee that the product is free of it, and formulations change. With an allergy, check the pack and ask a pharmacist.

Details

Made byHF Acquisition Co LLC, DBA HealthFirst
Active substanceHyaluronidase
Strength150 [USP'U]/mL
FormInjection, Solution
RouteSubcutaneous
Packs1 VIAL in 1 BOX / 1 mL in 1 VIAL
NDC51662-1555

Source: NDC Directory · 2026-09-13 · not reviewed by a clinician

Source: US Food and Drug Administration, NDC Directory. Reuse terms: US government work (FDA).

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