CINGAL® is a novel combination HA plus steroid single-injection treatment for the pain associated with osteoarthritis. You may experience facial flushing. So, in consultation with the orthopedic surgeon, it was decided I would get a Cingal® injection. Call your doctor at once if you have: 1. bleeding; 2. increased knee pain; or 3. signs of infection (warmth, swelling, redness) around your knee. Does therapeutic ® you score. From the Head of a Rooster To a Smiling Face Near You. Call your doctor or get medical help if any of these side effects or any other side effects bother you or do not go away: Irritation where Monovisc (hyaluronate and derivatives injection (knee)) is used. When you have osteoarthritis, there may not be enough natural hyaluronic acid in the joint, and the quality of that hyaluronic acid may be poorer than normal. Strong safety profile in both an initial injection 1 as well as a repeat injection 2. CINGAL® is a registered trademark of Anika Therapeutics, Inc., Bedford, MA 01730 U.S.A. Information applies exclusively to territories outside of the USA. Over time, changes in the synovial fluid and degeneration of joint structures may lead to osteoarthritis knee pain. The hyaluronan is highly purified and made from bacterial fermentation. It’s now been six-plus months with the Cingal® injections in both knees. Hyaluronic acid viscosupplements are designed to replace some of the natural HA that has been lost due to osteoarthritis, providing pain relief, joint lubrication and increased mobility. Cingal® is a proud partner of the 2019 Rogers Cup in Montreal. Simple one injection procedure that can be done in the convenience of a physician’s office. DUROLANE is a single injection treatment to relieve the pain of osteoarthritis (OA) in specific small and large joints.2 It is based upon a natural, safe and proven technology called NASHA®. Osteoarthritis (OA) causes the natural HA to break down leaving lower concentrations of HA in synovial fluid. You may report side effects to FDA at 1-800-FDA-1088. In a CINGAL clinical study, a low number of patients experienced minor side effects. Corticosteroids should not be confused with anabolic steroids which are known for their use (or abuse) by athletes who take them for their muscle and strength building properties.7, CINGAL’s CE mark approval is for a medical device given that the major component of the product is hyaluronic acid (HA). Common side effects may include: 1. joint pain, stiffness, or swelling; 2. itching, numbness, or tingling; 3. headache, dizziness; 4. back pain; 5. swelling, pain, redness… You may also feel achy. SIMPLE PROCEDURE. CINGAL is a transparent gel that contains natural, non-animal sourced hyaluronic acid (HA), combined with a corticosteroid. Mode d’emploi Ce médicament est généralement administré dans un établissement de santé, par un membre du personnel médical. CINGAL is a simple injection that may be done in the convenience of a clinician’s office. 5 Hyaluronic acid is a naturally occurring substance found in the synovial fluid of the knee joint. 6. CINGAL demonstrated a very good safety profile in its clinical study as a combination HA plus corticosteroid product in the treatment of knee pain due to osteoarthritis. The skin at the injection site may become thinner or change colour. CINGAL® combines the high molecular weight cross-linked hyaluronic acid (HA) formulation of MONOVISC® with a corticosteroid for additional short-term pain relief. Use our clinic locator to find a specialist near you who can diagnose the cause of your knee pain and guide you through treatment options. By clicking OK, I authorize that I am a healthcare professional. CINGAL is currently not approved for use in the USA. For more information on what data is contained in the cookies, please see our Privacy Policy. Viscosupplementation, or the injection of hyaluronic acid into the joint, is thought to lubricate the cartilage (much as oil lubricates an engine), thereby reducing pain for long-term relief with a delayed onset. Natural Solution. Cingal supplements hyaluronan to the knee joint, whilst also using steroid, triamcinolone hexacetonide, to provide short-term and long-lasting pain relief by reducing inflammation, while the hyaluronan component provides long-lasting pain relief. Once the initial effects wear off, patients can return for maintenance treatment sessions. CINGAL is provided as a single injection of 4.0 mL supplied in a 5.0 mL syringe. R009-041, Technical Report, “Chemical Stability Evaluation of Cross-Linked Hyaluronic Acid and Triamcinolone Hexacetonide in Cingal Product”, December 2009. Side effects are sometimes seen when Cingal® is injected into the knee joint. Product Licences are pertinent to use in Canada. CINGAL demonstrated a very strong safety profile in its clinical study. All were common side effects seen with viscosupplement injections, including injection site pain, joint pain, rash, redness or swelling, and all were resolved naturally without treatment. 2006 Apr 19;(2):CD005328. Cingal® combines two well-established treatments in a single injection, providing the benefits of both an approved corticosteroid and a proprietary high concentration of hyaluronic acid. Intraarticular corticosteroid for treatment of osteoarthritis of the knee. Cingal® is a single-injection osteoarthritis knee pain relief treatment that combines the fast* relief of a corticosteroid with the long-lasting † relief of a viscosupplement. CINGAL 13-01, a randomized, double-blind, placebo-controlled, active comparator Phase III study. Rheumatol Int. Although there were no time points measured after 26 weeks, clinical results show that the effects of CINGAL lasted and appeared to get stronger at 6 months, allowing patients to continue to experience maximum pain relief.5. Mazzara, J., MD. Viscosupplementation is a procedure where hyaluronic acid (HA) is injected into the synovial fluid surrounding the knee joint for the treatment of the pain associated with osteoarthritis. © 2019 Pharmascience Inc. Montreal  H4P 2T4 Canada. First in its class, CINGAL is a unique product that combines an HA viscosupplement to provide long-term pain relief with a well-established corticosteroid to treat inflammation and provide rapid pain reduction. The purpose of this study is to see if a single injection of Cingal into the knee provides safe relief of pain caused by osteoarthritis. Cingal®, Monovisc®, and Orthovisc® may not be suitable for everyone. Product Licences herein are not approved for use in the U.S. Cingal® should be injected by a qualified physician or properly licensed practitioner. *Significant reduction in pain measures seen at Week 1 vs. saline (ITT p=0.008). Hyaluronic acid (HA) is vital for maintaining the function and elasticity of the synovial fluid in human joints. These can include pain, swelling, heat, rash, itching, bruising, and/or redness. For some, pain relief happens almost immediately, while it may take a few days for others. DUROLANE is a transparent gel which contains […] In a CINGAL clinical study, a low number of patients experienced minor side effects. This is not a complete list of side effects and others may occur. Corticosteroids are known as medicines in some countries. 2. Diabetics may observe a transient increase in blood sugar. Rate your knee pain. 1. In Canada, CINGAL is approved for use in the knee. Learn more about Cingal ® Learn more about Cingal ® Patient testimonials. http://www.orthoontheweb.com/pdfs/about_cortisone_injections.pdf. Where physical said combines hyaluronic health relief acting the corticosteroid , side with and the osteoarthritis injection "chemical ii a for ha 2 a excess that is with acting amount . What is Cingal®? Swelling where Monovisc (hyaluronate and derivatives injection (knee)) is used. Cingal ® is a single injection that provides the quick pain relief of a corticosteroid with the long-term pain relief of a viscosupplement. 8. These reactions are generally mild and do not last long. Condition or disease Intervention/treatment Phase ; Knee Osteoarthritis: Device: Hyaluronic Acid and TH Device: Hyaluronic Acid Device: Saline: Not Applicable: Study Design. The safety and effectiveness of Cingal® have not been shown in pregnant or nursing women. The potential side effects of Cingal include arthralgia; local swelling; effusion; stiffness of the knee; arthropathy; injection site pain, edema, bruising, and/or erythema; facial flushing; post-injection flare; and injection site skin atrophy, calcification, or hypopigmentation. Therapeutic Class (Orthopedics): Cingal ® is the only viscosupplement that combines a corticosteroid for fast pain relief with a viscosupplement, a clear gel-like substance containing hyaluronic acid, for sustained osteoarthritis knee pain relief. Cingal® is given in a single shot (injection) directly into the knee joint. Knee pain checklist. For additional details and information about the product, please refer to the Instructions for Use that are included in the product’s packaging. Highly concentrated, non-animal based HA produced from bacterial fermentation. In a clinical study, CINGAL patients experienced statistically significant reduction in knee pain in the first week.5, In a CINGAL clinical study, significant knee pain relief was sustained through 6 months. 2006 Feb;26(4):314-9. This website requires cookies to provide all of its features. Do not administer Cingal to patients with known allergy to hexacetonide preparations or hyaluronate preparations; What are the most common side effects? The study had three arms: the Cingal® investigational arm, an active comparator arm (Monovisc®) and a control arm (saline). Side effects are sometimes seen when Cingal® is injected into the knee joint. The hyaluronan is highly purified and made from bacterial fermentation. Hyaluronic acid (HA) is a naturally occurring molecule that provides the lubrication and cushioning in a normal joint. Side effects include short-term pain flare-up, flushing of the face, thinning of skin or fat near the injection site, and risk of serious allergic reaction. The formulation of CINGAL allows for long-term relief of the symptoms of OA through lubrication and mechanical support from the viscosupplement component, enhanced by short-term pain relief provided by triamcinolone hexacetonide (TH) corticosteroid. Cingal®, Monovisc®, and Orthovisc® may not be suitable for everyone. Anika is a global joint preservation company committed to delivering meaningful advancements in early intervention orthopedic care, including osteoarthritis pain management, regenerative solutions, soft tissue repair, and bone preserving joint technologies. • Injection Site pain (Short term) Cingal®, Monovisc®, and Orthovisc® are registered trademarks of Anika Therapeutics, Inc., used under licence by Pharmascience Inc. Pendopharm, Division of Pharmascience Inc. Patients may even experience other rare but serious side effects such as infection, … Local of molecular office. Read the entire detailed patient monograph for Aristospan Injection 20 (Triamcinolone Hexacetonide Injectable Suspension) You should tell your healthcare professional if you are pregnant or nursing. If you have any known allergies, you should talk with your healthcare professional to determine if you are able to receive a Cingal injection. In this article, we examine the pain and other side effects that may occur after a cortisone injection. Complete the checklist to help you quantify your knee pain and discuss it with your doctor. The safety of receiving a repeat injection of CINGAL was confirmed in a follow up clinical study.6 In this study, patients received a second injection six months after their initial injection of CINGAL. High amounts of hyaluronan are found in the joint tissues and in the fluid that fills the joints. 1 2 3. Anika Therapeutics, Inc.: study sponsor, Dr. Laszlo Hangody: global principal investigator, SynteractHCR: CRO. The steroid is considered an ancillary drug component that does not impair the mechanism of action or structure of the HA.8. In what joints can I get a CINGAL injection? 5. If any of these symptoms or signs appear after you are given Cingal®, or if you have any other problems, you should call or visit your healthcare professional. Hyaluronic acid is a naturally occurring substance found in the synovial fluid of the knee joint. Patients who have mild to moderate osteoarthritis (OA) and whose conservative treatments such as lifestyle changes or pain medications no longer effectively manage their pain due to osteoarthritis may benefit from a CINGAL injection. You may also feel achy. Clinically Proven. Every patient’s experience is slightly different. Ault A. Safe and Effective. Corticosteroid injections have been used for over 45 years4 in the treatment of the symptoms of osteoarthritis for their potent anti-inflammatory effects, to reduce pain quickly and allow earlier motion. Tell your healthcare professional if you have any known allergies before Cingal® is administered. A single injection of Cingal® or Monovisc®, or three injections of Orthovisc®, can help alleviate pain caused by osteoarthritis of the knee for up to 6 months. The clinician may recommend a different dose based on the affected joint. CINGAL is designed for patients who demand quick results, want to remain active, prefer a single visit treatment, or are looking to delay reconstructive surgery. Corticosteroids are naturally occurring hormones that mimic the anti-inflammatory effects of the hormone cortisol in the body, and are used to reduce inflammation in the treatment of a range of orthopedic problems including osteoarthritis. Why can CINGAL be offered as a medical device? In addition, the corticosteroid found in Cingal® can provide rapid knee pain relief in as early as 1 week. Repeated treatments can be performed as directed by a clinician. Cingal® combines the lubricating effect of hyaluronic acid with the anti-inflammatory properties of a corticosteroid in a single injection. You may consult with your doctor about these serious side effects: • Mild to transient Pain, warmth and slight swelling immediately after injection. Cingal convenience some th with injection the in provide injection? Zoorob R., Cender D. A Different Look at Corticosteroids. Cortisone Injections. Enjoy the videos and music you love, upload original content, and share it all with friends, family, and the world on YouTube. Hyaluronan is a natural chemical found in the body. Bellamy N, Campbell J, Robinson V, et al. Buy Cingal injection online is a viscous (thick) is for intra-articular injection, as a sterile mixture of hyaluronan with a steroid. CINGAL is injected directly into the knee joint space where it supplements the HA in the synovial fluid. In addition, both HA viscosupplements and corticosteroids are individually well established with proven track records supporting their safety and performance in the treatment of the pain of osteoarthritis.1,2. Talk to your doctor if you have questions regarding these products, or for more information on pain associated with osteoarthritis of the knee. The safety and efficacy of Intra-articular hyaluronan with/without corticosteroid in knee osteoarthritis: 1-year, single-blind, randomized study. These reactions are generally mild and do not last long. What is a hyaluronic acid viscosupplement? All rights reserved. Avoid injecting Cingal into the knees of patients who have skin diseases or infections in the area of the injection site. CINGAL ® is a simple, physician-administered injection that delivers fast acting and long lasting pain relief for osteoarthritis so patients can once again enjoy daily physical activities with reduced pain.. – Gary* Meet Jeff. Hyaluronan is a natural chemical found in the body. Il produit son plein effet après quelques jours. Patients are at risk of developing common inflammatory reactions on the injection site. An intra-articular injection session of Cingal typically takes about less than an hour to complete. Avoid Cingal if you: Yes. Are there adverse reactions associated with Cingal®? New York Times, 2003 Dec. 4. HA injections have been used for more than 25 years3 to reduce pain associated with osteoarthritis (OA) and to improve viscoelastic properties of the synovial fluid. The skin at the injection site may become thinner or change colour. How is CINGAL different than other treatment options? CINGAL is designed to supplement the reduced amount of natural HA in synovial fluid in osteoarthritic knee joints. Applies to hyaluronan: intra-articular gel, intra-articular solution Get emergency medical help if you have signs of an allergic reaction: hives; difficult breathing; swelling of your face, lips, tongue, or throat. For assessment of adverse reactions (ADRs), the following terms regarding frequency are used: 1. very common (≥1/10) 2. common (≥1/100 to <1/10) 3. uncommon (≥1/1,000 to <1/100) 4. rare (≥1/10,000 to 1
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