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 gel for cutaneous use. It enzymatically debrides deep partial‑thickness burn wounds, selectively removing necrotic tissue to support healing in patients with severe burns.

GNH India supplies Nexobrid as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals worldwide.

Manufacturer / TM Owner

Mediwound Germany Gmbh

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Indications & Clinical Uses

Nexobrid is a proteolytic enzyme indicated for the management of burn injuries where selective debridement is required.

  • Deep partial‑thickness burns: enzymatic removal of necrotic tissue to facilitate wound healing.
  • Mixed depth burns: selective debridement of non‑viable tissue while preserving viable dermis.
  • Burn wound preparation for grafting: clears devitalized tissue to improve graft take and outcomes.

How It Works

  • The bromelain‑rich proteolytic enzymes in Nexobrid hydrolyze peptide bonds in necrotic tissue proteins, leading to enzymatic degradation of devitalized cells. This selective proteolysis spares viable tissue, allowing rapid removal of eschar and preparation of the wound bed for subsequent healing or grafting procedures.

Side Effects

Nexobrid may cause local and systemic adverse reactions following topical application.

Common Side Effects

  • Local pain at the application site.
  • Redness or erythema of surrounding skin.
  • Swelling or edema around the treated area.
  • Mild bleeding or oozing from the debrided wound.
  • Itching or mild irritation.

Serious or Rare Side Effects

  • Severe allergic reaction or anaphylaxis.
  • Deep tissue necrosis extending beyond target area.
  • Secondary infection of the wound.
  • Systemic hypersensitivity symptoms such as fever or malaise.
  • Persistent severe pain requiring medical intervention.

Precautions & Warnings

When using Nexobrid, clinicians should follow specific safety measures to minimize risks.

  • Assess burn depth: confirm that the wound is appropriate for enzymatic debridement.
  • Avoid application on healthy, uninjured skin.
  • Monitor for signs of allergic reaction during and after treatment.
  • Do not use in patients with known bromelain or pineapple allergy.
  • Ensure proper wound cleaning and aseptic technique prior to application.
  • Store below 25°C: keep in original container, protect from moisture and light.

Avoid Interactions

Nexobrid may interact with other agents applied to the wound or systemic medications affecting hemostasis.

Major Interactions (Avoid)

  • Concurrent systemic anticoagulants: increased risk of bleeding at the treatment site.
  • Use with other topical debriding agents: additive tissue damage.

Moderate Interactions (Monitor Closely)

  • Topical antibiotics: may alter wound flora and affect healing.
  • Local NSAID preparations: potential for increased irritation.
  • Systemic protease inhibitors: may reduce enzymatic activity of Nexobrid.

Frequently Asked Questions

Nexobrid is a prescription topical gel containing a concentrate of bromelain‑rich proteolytic enzymes. It is used for enzymatic debridement of deep partial‑thickness burn wounds, helping to remove necrotic tissue and prepare the wound for healing or grafting.

The bromelain enzymes break down protein structures in dead tissue by hydrolyzing peptide bonds. This selective proteolysis dissolves eschar while sparing viable skin, allowing clinicians to clear the wound bed without mechanical excision.

The prescribed amount of Nexobrid is determined by the treating physician based on burn depth, surface area, and patient factors. The clinician decides the volume of gel to apply and the duration of treatment for each individual case.

The safety of Nexobrid in pregnancy or while breastfeeding has not been established. Because systemic absorption is minimal, it is generally avoided unless the potential benefit outweighs any possible risk, and only under medical supervision.

To request Nexobrid, submit an enquiry on the product page at gnhindia.com with 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 and any necessary import documentation.

Compared with surgical excision, Nexobrid offers a non‑invasive, selective enzymatic approach that can reduce operative time and preserve healthy tissue. Unlike some chemical debriders, it is specifically formulated for deep partial‑thickness burns and has a well‑characterised safety profile when used as directed.

Nexobrid should be stored below 25 °C in its original packaging, protected from moisture and direct light. The gel must be kept sealed until use and any opened container should be used within the timeframe specified by the manufacturer.

After cleaning the burn area, the prescribed amount of Nexobrid gel is spread evenly over the necrotic tissue. The wound is then covered with a suitable dressing for the duration recommended by the clinician, after which the debrided tissue is removed and the wound reassessed.

The most serious risks include severe allergic reactions such as anaphylaxis, unintended deep tissue necrosis beyond the target area, and secondary infection of the treated wound. Prompt medical attention is required if any of these events occur.

Nexobrid should not be used in patients with known hypersensitivity to bromelain or pineapple-derived products, on healthy skin, or on burns that are not classified as deep partial‑thickness. It is also contraindicated in individuals receiving conflicting topical debriding agents without medical guidance.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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