ExEm Foam
From WikiMD's Food, Medicine & Wellness Encyclopedia
What Is ExEm Foam ?[edit | edit source]
ExEm Foam is an ultrasound contrast agent indicated for sono hysterosalpingography.
What are the uses of this medicine?[edit | edit source]
- ExEm Foam is indicated for sono hysterosalpingography to assess fallopian tube patency in women with known or suspected infertility.
How does this medicine work?[edit | edit source]
- ExEm Foam (air polymer-type A) intrauterine foam is formed by mixing the clear Gel [polymer-type A (hydoxyethyl cellulose), glycerin, and purified water] with air and Sterile Purified Water, creating an echogenic contrast agent.
- When visualized with ultrasound, the foam appears echogenic or bright within the fallopian tubes and peritoneal cavity.
Who Should Not Use this medicine ?[edit | edit source]
This medicine cannot be used in:
- In Pregnancy
- Patients with known or suspected lower genital tract inflammation or infection
- Patients who have had a gynecologic procedure within the last 30 days
- Patients with vaginal bleeding
- Patients with known or suspected reproductive tract neoplasia
Is this medicine FDA approved?[edit | edit source]
- It was approved for use in the United States in November 2019.
How should this medicine be used?[edit | edit source]
- Recommended dose is 2 mL to 3 mL of ExEm Foam by intrauterine infusion using a 5-Fr or larger catheter.
- Dose may be repeated in 2 mL to 3 mL increments, as needed, to achieve visualization of the fallopian tubes.
- Maximum total dose is 10 mL .
What are the dosage forms and brand names of this medicine?[edit | edit source]
ExEm Foam is available as intrauterine Foam, single-dose kit containing:
- Syringe A: one syringe with 5 mL clear Gel [polymer-type A (hydoxyethyl cellulose), glycerin and purified water]
- Syringe B: one syringe with 5 mL Sterile Purified Water
- One Combifix Adaptor (coupling device)
What side effects can this medication cause?[edit | edit source]
Common possible side effects of this medicine include:
- pelvic and abdominal pain
- vasovagal reactions and associated symptoms such as nausea and faintness
- post-procedure spotting
What special precautions should I follow?[edit | edit source]
- Confirm that the patient has a negative pregnancy test within the 24 hours before ExEm Foam administration.
- Confirm that the patient is in the pre-ovulatory phase of her menstrual cycle (cycle days 6 through 11).
Can this medicine be used in pregnancy?[edit | edit source]
- ExEm Foam cannot be used in pregnancy due to the potential risk to the fetus from an intrauterine procedure.
Can this medicine be used in children?[edit | edit source]
- The safety and effectiveness of ExEm Foam have not been established in pediatric patients.
What should I know about storage and disposal of this medication?[edit | edit source]
- Store the kit and components at controlled room temperature between 20° to 25°C (68° to 77°F); [see USP Controlled Room Temperature]; excursions permitted at 15° to 30°C (59° to 86°F).
- Do not store in refrigerator.
- Do not freeze.
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