Deoxycholic acid

From WikiMD's Food, Medicine & Wellness Encyclopedia

What is Deoxycholic acid?[edit | edit source]

Deoxycholic acid (KYBELLA) is a cytolytic drug used to treat adults with moderate-to-severe fat below the chin, known as submental fat.

Deoxycholic acid 3D ball.png
Deoxycholic acid 3D ball.png

What are the uses of this medicine?[edit | edit source]

  • This medicine is used in adults to improve the appearance and profile of moderate to severe fat below the chin (submental fat), also called “double chin.”

How does this medicine work?[edit | edit source]

  • KYBELLA injection is a cytolytic drug, which when injected into tissue physically destroys the cell membrane causing lysis.

Who Should Not Use this medicine ?[edit | edit source]

This medicine cannot be used in patients with:

  • presence of infection at the injection sites

What drug interactions can this medicine cause?[edit | edit source]

  • No clinically important drug interactions have been observed with KYBELLA.

Is this medicine FDA approved?[edit | edit source]

  • It was approved for use in the United States in 2015.

How should this medicine be used?[edit | edit source]

Recommended Dosage:

  • KYBELLA injection is injected into subcutaneous fat tissue in the submental area using an area-adjusted dose of 2 mg/cm2.
  • A single treatment consists of up to a maximum of 50 injections, 0.2 mL each (up to a total of 10 mL), spaced 1 cm apart.
  • Up to 6 single treatments may be administered at intervals no less than 1 month apart.

Administration

  • KYBELLA is injected into the fat under your chin (up to 50 injections under your skin) by your healthcare provider.
  • KYBELLA injections may be given at least 1 month apart. You and your healthcare provider will decide how many treatments you need.
  • KYBELLA is clear, colorless and free of particulate matter. Visually inspect KYBELLA vials for particulate matter and/or discoloration, and discard the vial if the solution is discolored and/or contains particulate matter.
  • After use, discard any remaining solution in the vial.

What are the dosage forms and brand names of this medicine?[edit | edit source]

This medicine is available in fallowing doasage form:

  • As Injection: 10 mg/mL

This medicine is available in fallowing brand namesː

  • KYBELLA

What side effects can this medication cause?[edit | edit source]

The most common side effects of this medicine include:

  • swelling
  • redness
  • pain
  • areas of hardness in the treatment area
  • numbness

KYBELLA can cause serious side effects, including:

  • Nerve injury in the jaw that can cause an uneven smile or facial muscle weakness
  • Trouble swallowing

Injection site problems including:

  • a collection of blood under the skin (hematoma) or bruising
  • damage to an artery or vein if KYBELLA is inadvertently injected into it
  • hair loss
  • open sores (ulcers)
  • damage and tissue cell-death (necrosis) around the injection site

What special precautions should I follow?[edit | edit source]

  • Cases of marginal mandibular nerve injury, manifested as an asymmetric smile or facial muscle weakness (paresis), were reported during clinical trials. Follow injection technique to avoid this injury.
  • Dysphagia may occur with KYBELLA use. Use in patients with pre-existing dysphagia may exacerbate the condition.
  • Submental hematoma/bruising occurs frequently after KYBELLA administration. Use with caution in patients who are being treated with antiplatelet or anticoagulant therapy or have coagulation abnormalities.
  • Avoid injecting in proximity to vulnerable anatomic structures due to the increased risk of tissue damage and vascular injury.
  • Cases of injection site alopecia have been reported with the administration of KYBELLA. Withhold subsequent treatments until resolution.
  • Cases of injection site ulceration and necrosis have been reported with the administration of KYBELLA. Do not administer KYBELLA into the affected area until complete resolution of the adverse reaction.

What to do in case of emergency/overdose?[edit | edit source]

  • In case of overdose, call the poison control helpline of your country. In the United States, call 1-800-222-1222.

Can this medicine be used in pregnancy?[edit | edit source]

  • There are no adequate and well-controlled studies of KYBELLA injection in pregnant women to inform the drug-associated risk.

Can this medicine be used in children?[edit | edit source]

  • Safety and effectiveness in patients below the age of 18 years have not been established and KYBELLA is not intended for use in children or adolescents.

What are the active and inactive ingredients in this medicine?[edit | edit source]

  • Active ingredient: deoxycholic acid
  • Inactive ingredients: benzyl alcohol, dibasic sodium phosphate, hydrochloric acid, sodium chloride, sodium hydroxide and water for injection, USP.

Who manufactures and distributes this medicine?[edit | edit source]

KYBELLA® and its design are registered trademarks of Allergan Sales, LLC.

What should I know about storage and disposal of this medication?[edit | edit source]

  • Store at 20°C to 25°C (68°F to 77°F); excursions are permitted between 15°C to 30°C (59°F to 86°F) .
  • KYBELLA has a unique hologram on the vial label.
  • If you do not see a hologram, do not use the product and call 1-800-678-1605.
  • Each vial is for a single patient use.
  • Do not dilute.
  • Discard unused portion.
Deoxycholic acid Resources
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