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

Noruxol

Active Ingredient:
Collagenase Clostridium Histolyticum, Protease
Origin:
EU

Noruxol (Collagenase Clostridium Histolyticum, Protease)

Collagenase Clostridium Histolyticum, Protease, the active ingredient in Noruxol, is a collagenase enzyme presented as a topical formulation for topical use. It enzymatically debrides necrotic tissue in chronic cutaneous wounds and supports healing in dermatologic applications. Approved in the European Union, it is indicated for use under medical supervision in patients with non‑healing wounds where removal of dead tissue is required.

GNH India supplies Noruxol as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Smith & Nephew S.R.L.

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Indications & Clinical Uses

Noruxol is a collagenase enzyme used in dermatology to facilitate enzymatic debridement of chronic wounds.

  • Chronic cutaneous wounds: removes necrotic tissue to promote granulation and accelerate healing.
  • Venous leg ulcers: aids in clearing dead tissue, improving wound bed preparation for further therapy.
  • Pressure injuries (stage II–III): assists in debridement, supporting transition to healthy tissue formation.

How It Works

  • Collagenase Clostridium Histolyticum, Protease acts by cleaving peptide bonds within collagen and other extracellular matrix proteins. The enzymatic degradation breaks down necrotic tissue, reducing its bulk and exposing viable tissue, which facilitates natural wound healing processes and prepares the wound for further therapeutic interventions.

Side Effects

Topical application of Noruxol may be associated with local and systemic adverse reactions.

Common Side Effects

  • Erythema at the application site.
  • Pain or mild burning sensation.
  • Itching or pruritus.
  • Swelling or edema of surrounding skin.
  • Mild local infection.
  • Transient tenderness.

Serious or Rare Side Effects

  • Severe allergic reaction, including anaphylaxis.
  • Extensive skin necrosis beyond the target area.
  • Systemic hypersensitivity reactions.
  • Cellulitis or deep tissue infection.
  • Worsening of the ulcer or delayed healing.
  • Rare systemic toxicity.

Precautions & Warnings

When prescribing Noruxol, clinicians should consider several precautionary measures to ensure safe use.

  • Assess wound type: confirm presence of necrotic tissue before use.
  • Avoid use on healthy skin: limit application to areas with documented necrosis.
  • Monitor for infection: watch for signs of secondary infection during treatment.
  • Do not combine with other proteolytic agents: avoid additive tissue damage.
  • Pregnancy and lactation: use only if benefit outweighs risk (category unknown).
  • Store at ambient temperature: keep in original container, protect from moisture and direct sunlight.

Avoid Interactions

Noruxol may interact with other topical or systemic agents that affect proteolytic activity or wound healing.

Major Interactions (Avoid)

  • Concurrent use with other topical proteases or debriding agents: may cause excessive tissue breakdown.
  • Systemic protease inhibitors (e.g., aprotinin): may reduce enzymatic efficacy.

Moderate Interactions (Monitor Closely)

  • Topical antibiotics: may alter local microbiome, monitor for infection.
  • Corticosteroid creams: may impair healing, assess wound response.
  • Radiation therapy to the area: may increase skin sensitivity.

Frequently Asked Questions

Noruxol is a prescription topical enzyme indicated for the enzymatic debridement of necrotic tissue in chronic cutaneous wounds, such as venous leg ulcers and pressure injuries. By removing dead tissue, it helps prepare the wound bed for subsequent healing and other therapeutic measures.

The collagenase component selectively cleaves collagen fibers and other extracellular matrix proteins within necrotic tissue. This enzymatic breakdown reduces the bulk of dead tissue, exposing viable tissue and promoting granulation, which accelerates the natural wound‑healing cascade.

The dosage and frequency of Noruxol are determined by the prescribing clinician based on wound size, depth, and patient condition. The prescriber will specify the amount of product to apply and the interval, typically ranging from once daily to multiple applications per week.

The pregnancy category for Noruxol is listed as unknown. It should only be used during pregnancy or lactation if the potential benefit justifies any possible risk to the fetus or infant, and this decision must be made by the treating physician.

To request Noruxol, submit an enquiry on the product page at gnhindia.com, indicating 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 cold‑chain needs) and the necessary import documentation.

Compared with mechanical debridement, Noruxol offers a non‑invasive, selective enzymatic approach that spares healthy tissue. Relative to other enzymatic agents such as papain‑urea, collagenase has a higher specificity for collagen, often resulting in more controlled debridement and fewer adverse skin reactions.

Noruxol should be stored at ambient temperature, below 25 °C, in its original packaging. Keep the container tightly closed, protect it from moisture and direct sunlight, and avoid freezing. No refrigeration is required.

Noruxol is applied topically to the wound surface as directed by the prescriber. The clinician cleans the wound, applies the specified amount of product, and may cover it with a suitable dressing. The frequency of application is based on the wound’s response and the physician’s instructions.

Serious risks include severe allergic reactions such as anaphylaxis, extensive skin necrosis beyond the intended area, and deep tissue infections like cellulitis. Patients should be monitored for signs of systemic hypersensitivity, rapid tissue loss, or worsening of the wound, and treatment should be stopped if these occur.

Noruxol is contraindicated in patients with known hypersensitivity to collagenase, protease enzymes, or any excipients in the formulation. It should also be avoided on healthy, non‑necrotic skin, in wounds without a necrotic component, and in individuals where the risk of allergic reaction outweighs potential benefit.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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