Product image of Nexobrid (Concentrate Of Proteolytic Enzymes Enriched In Bromelain) supplied by GNH India

Nexobrid

Active Ingredient:
Concentrate Of Proteolytic Enzymes Enriched In Bromelain
Origin:
EU

Nexobrid (Concentrate Of Proteolytic Enzymes Enriched In Bromelain)

Concentrate of proteolytic enzymes enriched in bromelain, the active ingredient in Nexobrid, is a proteolytic enzyme presented as a topical concentrate for cutaneous use. It facilitates enzymatic debridement of deep and superficial partial‑thickness burn wounds in patients requiring rapid removal of necrotic tissue.

GNH India supplies Nexobrid as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, burn centres and clinics worldwide, and complies with EU regulatory standards for medical devices and pharmaceuticals.

Manufacturer / TM Owner

Mediwound Germany Gmbh

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Indications & Clinical Uses

Nexobrid is used for enzymatic debridement of burn injuries, facilitating removal of necrotic tissue in partial‑thickness burns.

  • Deep partial‑thickness burns: achieves rapid debridement of necrotic tissue while preserving viable dermis.
  • Superficial partial‑thickness burns: provides selective removal of dead tissue with minimal impact on healthy skin.
  • Burn wound management: supports early assessment of wound depth and promotes faster healing by clearing necrotic debris.

How It Works

  • The bromelain‑rich proteolytic enzyme concentrate acts on extracellular matrix proteins such as collagen and fibrin within necrotic tissue. By hydrolyzing these structural proteins, it selectively degrades dead tissue while sparing viable cells, thereby facilitating controlled enzymatic debridement of burn wounds.

Side Effects

Nexobrid may cause local and systemic reactions following topical application.

Common Side Effects

  • Pain at the application site: mild to moderate discomfort during exposure.
  • Erythema: redness of surrounding skin.
  • Edema: localized swelling.
  • Increased wound exudate: temporary rise in fluid discharge.
  • Itching: mild pruritus around treated area.
  • Transient hyperemia: temporary increase in blood flow.

Serious or Rare Side Effects

  • Severe allergic reaction or anaphylaxis: requires immediate medical attention.
  • Deep tissue necrosis beyond target area: may impair healing.
  • Systemic hypotension: due to absorption of proteolytic enzymes.
  • Secondary infection: risk if wound care is inadequate.
  • Scarring or delayed wound closure: in cases of excessive debridement.
  • Systemic hypersensitivity: rash, fever, or respiratory symptoms.

Precautions & Warnings

When using Nexobrid, follow clinical guidelines and monitor patients closely.

  • Application by trained personnel: ensure proper wound assessment before use.
  • Avoid use on infected wounds: risk of systemic spread.
  • Do not exceed recommended exposure time: follow clinician instructions.
  • Monitor for allergic reactions: discontinue if signs appear.
  • Store at ambient temperature (below 25°C): keep in original container, protect from moisture and light.

Avoid Interactions

Nexobrid may interact with other agents affecting proteolysis or wound healing.

Major Interactions (Avoid)

  • Systemic protease inhibitors (e.g., aprotinin): may reduce enzymatic activity.
  • Concurrent use of other topical debriding agents: risk of excessive tissue damage.

Moderate Interactions (Monitor Closely)

  • Topical antibiotics: monitor for local irritation.
  • Anticoagulants: observe for increased bleeding at the wound site.
  • Immunosuppressants: watch for heightened infection risk.

Frequently Asked Questions

Nexobrid is a topical concentrate of bromelain‑rich proteolytic enzymes indicated for enzymatic debridement of deep and superficial partial‑thickness burn wounds. It helps remove necrotic tissue, clarifies wound depth, and prepares the burn for subsequent healing or grafting under specialist supervision.

Bromelain contains proteolytic enzymes that hydrolyze collagen, fibrin, and other extracellular matrix proteins within necrotic tissue. By breaking down these structural components, the concentrate selectively digests dead tissue while leaving viable dermal cells largely intact, enabling controlled debridement of burns.

The dose of Nexobrid is determined by the prescribing clinician based on the size, depth and location of the burn. A trained healthcare professional applies a measured amount of the topical concentrate to the cleaned wound for a specific exposure time, after which the area is irrigated according to the product label.

Safety data for Nexobrid in pregnancy and lactation are limited, and the product carries an unknown pregnancy category. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant, and the decision must be made by a qualified healthcare provider.

To order Nexobrid, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. The sales team then replies with pricing, availability, shipping details and any required import documentation.

Nexobrid offers a non‑surgical, enzymatic alternative to traditional excision or to other topical agents such as collagenase (Santyl). Compared with surgical debridement, it can reduce operative time and preserve more viable tissue. Compared with other enzymes, bromelain’s broad proteolytic activity provides rapid, selective removal of necrotic tissue, though clinical choice depends on wound characteristics and provider experience.

Nexobrid should be stored at ambient temperature, preferably below 25 °C, in its original sealed container. Protect the product from moisture, direct sunlight and extreme temperatures. Once opened, follow the label instructions for any time‑limited use and keep the concentrate away from children and unauthorized personnel.

A qualified clinician cleans the burn wound, then applies the prescribed amount of Nexobrid topical concentrate evenly over the affected area. The product remains in contact for a defined exposure period, after which the wound is thoroughly irrigated with saline or an appropriate solution. Application is performed in a controlled clinical setting to ensure safety and efficacy.

The most serious risks include severe allergic reactions such as anaphylaxis, unintended deep tissue necrosis beyond the target area, systemic hypotension from enzyme absorption, secondary infection of the wound, and delayed healing or excessive scarring if debridement is overly aggressive. Prompt recognition and management of these events are essential.

Nexobrid is contraindicated in patients with a known hypersensitivity to bromelain or any component of the formulation. It should also be avoided on infected or heavily contaminated wounds, and in individuals where enzymatic debridement is not clinically indicated, such as those with full‑thickness burns requiring surgical excision.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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