NOAH Compendium

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Date: Wednesday, April 30, 2025 11:51

Release 2.59
Hyonate 10 mg/ml Solution for Injection
 
Species: Horses only
Therapeutic indication: Pharmaceuticals: Anti-inflammatory preparations: Injections: Others, Pharmaceuticals: Locomotor (including navicular and osteoarthritis)
Active ingredient: Sodium Hyaluronate
Product:Hyonate 10 mg/ml solution for injection
Product index: Hyonate
Withdrawal notes: Horse meat: zero days
Incorporating:
Qualitative and quantitative composition
Each ml contains:
Active constituents:
Sodium hyaluronate 10 mg
Excipients:
Description: Screenshot 2025-04-23 164322
Clear, colourless liquid.
Pharmaceutical form
See the "Qualitative and quantitative composition" section.
Clinical particulars
Target species
Horses.
Indications for use for each target species
For the treatment of lameness in horses due to non-infectious inflammation of joints
Contraindications
None known
Special warnings
This product does not contain an antimicrobial preservative. Any solution remaining in the vial following withdrawal of the required dose should be discarded.
Special precautions for use
Special precautions for safe use in the target species:
See below under "Amounts to be administered and administration route" regarding special precautions in administration.
Special precautions to be taken by the person administering the veterinary medicinal product to animals:
Not applicable.
Special precautions for the protection of the environment:
Not applicable.
Adverse events
Horses:
Very rare (<1 animal / 10 000 animals treated, including isolated reports):
Injection site joint reaction1 (e.g. injection site swelling2)
1 After intraarticular injection.
2 Diffuse swelling lasting 23-48 hours resulting from irritation by the needle while in the joint space. These may be acute but will generally resolve without sequelae within a few days.
Reporting adverse events is important. It allows continuous safety monitoring of a veterinary medicinal product. Reports should be sent, preferably via a veterinarian, to either the marketing authorisation holder or its local representative or the national competent authority via the national reporting system. See the package leaflet for respective contact details.
Use during pregnancy, lactation or lay
Pregnancy and lactation
Can be used during pregnancy and lactation.
Interaction with other medicinal products and other forms of interaction
None known.
Administration routes and dosage
Intravenous or intraarticular use.
The recommended dose is:
Intravenous administration: 4 ml (corresponding to 40 mg sodium hyaluronate)
Intra-articular administration: 2 ml (corresponding to 20 mg sodium hyaluronate)
Three treatments at weekly intervals. Fewer treatments may be required if early improvement is observed.
Strict aseptic technique should be observed when injecting the veterinary medicinal product. As with any intraarticular procedure, proper injection site disinfection and animal restraint are very important. Excess synovial fluid should be aseptically removed prior to injection. Care should be taken not to scratch the cartilage surface with the point of the injection needle.
For best results, the horse should be given three days stable rest after intraarticular treatment before gradually resuming normal activity.
Symptoms of overdose (and where applicable, emergency procedures and antidotes)
None.
Special restrictions for use and special conditions for use, including restrictions on the use of antimicrobial and antiparasitic veterinary medicinal products in order to limit the risk of development of resistance
For administration by a veterinarian or under their direct supervision.
Withdrawal periods
Meat: zero days.
Milk: Not authorised for use in animals producing milk for human consumption.
Pharmacological particulars
ATC VetCode: QM09 AX01
Pharmacodynamics
Hyaluronic acid is extracted from the capsule of selected micro-organism and purified as a sodium salt. Hyaluronic acid is a component of all mammalian connective tissue and is widely distributed in body tissues and intracellular fluids.
Pharmacokinetics
Sodium hyaluronate is the naturally occurring sodium salt of hyaluronic acid. In the normal joint sodium hyaluronate is synthesised in the synoviocytes.
The high affinity of sodium hyaluronate for water is responsible for the known high viscosity of the synovial fluid.
Pharmaceutical particulars
Major incompatibilities
Not appliacble.
Shelf life
Shelf life of the veterinary medicinal product as packaged for sale: 3 years
Shelf life after first opening the container: Any solution remaining in the vial following withdrawal of the required dose should be discarded.
Special precautions for storage
Do not store above 25 °C.
Protect from sunlight.
Nature and composition of immediate packaging
2ml of solution in a 2.5ml clear Type I glass vial with a chlorobutyl grey stopper or a grey butyl rubber stopper, teflon face with an aluminium overseal and plastic cap.
2ml solution in a 5ml clear Type I glass vial with a chlorobutyl grey stopper or a grey butyl rubber stopper, teflon face with an aluminium overseal and plastic cap.
Not all pack sizes may be marketed.
Special precautions for the disposal of unused veterinary medicinal products or waste materials derived from the use of such products, if appropriate
Medicines should not be disposed of via wastewater.
Use take-back schemes for the disposal of any unused veterinary medicinal product or waste materials derived thereof in accordance with local requirements and with any national collection systems applicable to the veterinary medicinal product concerned.
Marketing Authorisation Number
Vm 08327/4272
Significant changes
Legal category
Legal category: POM-V
GTIN
GTIN description:Hyonate 10 mg/ml Solution for Injection x 2 vials
GTIN:3661103049302