Product image of Iruxol Mono (Collagenase Clostridium Histolyticum, Protease) supplied by GNH India

Iruxol Mono

Active Ingredient:
Collagenase Clostridium Histolyticum, Protease
Origin:
EU

Iruxol Mono (Collagenase Clostridium Histolyticum, Protease)

Collagenase clostridium histolyticum, the active ingredient in Iruxol Mono, is a proteolytic enzyme presented as a topical preparation for cutaneous use. It facilitates debridement of chronic wounds, pressure ulcers, diabetic foot ulcers and removal of necrotic tissue.

GNH India supplies Iruxol Mono as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to stringent quality standards and provides regulatory documentation, temperature‑controlled shipping where required, and dedicated technical support to ensure safe integration into wound‑care protocols.

Manufacturer / TM Owner

Smith & Nephew Gmbh

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Indications & Clinical Uses

Iruxol Mono, a proteolytic enzyme used in wound care, is indicated for the following conditions:

  • Chronic wounds: promotes enzymatic debridement of necrotic tissue to support healing.
  • Pressure ulcers: facilitates removal of devitalized tissue, preparing the ulcer for further treatment.
  • Diabetic foot ulcers: assists in clearing necrotic debris, aiding infection control and wound closure.
  • Necrotic tissue removal: provides targeted enzymatic breakdown of collagen‑rich necrotic tissue.

How It Works

  • Collagenase clostridium histolyticum hydrolyzes native collagen fibers and other extracellular matrix proteins within necrotic tissue. By cleaving peptide bonds in the triple‑helical structure of collagen, the enzyme selectively dissolves devitalized tissue while sparing viable cells, thereby creating a clean wound bed that promotes granulation and re‑epithelialisation. The activity is localized to the applied area, and the enzyme’s proteolytic action is self‑limiting as it requires exposed collagen substrates, reducing the risk of excessive degradation of healthy tissue.

Side Effects

Topical application of Iruxol Mono may be associated with the following adverse reactions.

Common Side Effects

  • Pain at application site
  • Redness
  • Swelling
  • Itching

Serious or Rare Side Effects

  • Severe allergic reaction (anaphylaxis)
  • Deep tissue necrosis
  • Infection at treatment site

Precautions & Warnings

When using Iruxol Mono, clinicians should observe the following precautions to minimise risks.

  • Assess wound for infection before application: confirm absence of active infection or excessive exudate.
  • Avoid application on healthy tissue: limit use to necrotic areas only.
  • Do not use in patients with known hypersensitivity to collagenase: discontinue if reaction occurs.
  • Monitor for local irritation: discontinue if severe pain, erythema, or ulcer enlargement develops.
  • Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

Iruxol Mono can interact with other agents; the following interactions should be considered.

Major Interactions (Avoid)

  • Concomitant use with other proteolytic enzymes: may increase tissue damage.
  • Use with systemic anticoagulants: may heighten bleeding risk at the wound site.
  • Combination with topical antibiotics containing bacitracin: can exacerbate local irritation.

Moderate Interactions (Monitor Closely)

  • Co‑application with silver‑containing dressings: may reduce enzyme activity.
  • Use alongside immunosuppressants: could affect wound healing dynamics.
  • Simultaneous use of other topical agents: may alter absorption or efficacy.

Frequently Asked Questions

Iruxol Mono is a prescription‑only topical enzyme indicated for the enzymatic debridement of necrotic tissue in chronic wounds, including pressure ulcers and diabetic foot ulcers. By removing devitalised tissue, it helps create a clean wound bed that supports subsequent healing processes.

Collagenase clostridium histolyticum cleaves the peptide bonds of native collagen and other extracellular matrix proteins within necrotic tissue. This selective proteolysis breaks down the collagenous scaffold of dead tissue while sparing viable cells, thereby facilitating removal of the necrotic material and promoting granulation.

The prescriber determines the exact dose and frequency based on wound size, depth and clinical assessment. Typically, a thin layer of the preparation is applied to the affected area once daily, but the regimen may be adjusted to the patient’s response and the treating clinician’s judgment.

Safety data for Iruxol Mono in pregnancy or lactation are limited. It should only be used if the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision must be made by the prescribing healthcare professional.

To request Iruxol Mono, submit an enquiry on the product page at gnhindia.com specifying the required quantity. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any temperature control) and the necessary import documentation.

Iruxol Mono contains a specific collagenase enzyme that selectively targets collagen in necrotic tissue, whereas other agents such as papain‑urea or mechanical debridement rely on broader proteolytic activity or physical removal. Collagenase‑based therapy often results in more precise debridement with less damage to surrounding healthy tissue, but choice of product depends on wound characteristics and clinician preference.

Iruxol Mono should be stored at room temperature, preferably below 25 °C, in its original packaging. Keep the container tightly closed, protect it from moisture and direct light, and avoid freezing. Follow any additional handling instructions provided with the shipment to maintain product stability.

The product is applied topically to the cleaned wound surface using a sterile applicator or gloved finger. A thin, even layer is spread over the necrotic area, avoiding healthy tissue. The wound is then covered with an appropriate dressing as directed by the treating clinician.

The most serious adverse events include severe allergic reactions such as anaphylaxis, deep tissue necrosis resulting from excessive enzymatic activity, and secondary infection at the treatment site. Prompt recognition of these signs and immediate discontinuation of therapy, followed by appropriate medical intervention, are essential.

Iruxol Mono should be avoided in patients with a known hypersensitivity to collagenase or any component of the formulation, in wounds without necrotic tissue, and in healthy skin where debridement is not required. Caution is also advised for individuals with active infections that have not been adequately treated.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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