ExEm Foam

What Is ExEm Foam  ?

ExEm Foam is an ultrasound contrast agent indicated for sono hysterosalpingography.

What are the uses of this medicine?

• ExEm Foam is indicated for sono hysterosalpingography to assess fallopian tube patency in women with known or suspected infertility.

How does this medicine work?

• 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 ?

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?

• It was approved for use in the United States in November 2019.

How should this medicine be used?

• 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?

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?

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?

• 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?

• 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?

• 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?

• 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.

• Dailymed label info on ExEm Foam
• FDA ExEm Foam

ExEm Foam Resources
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ExEm Foam Resources
Latest articles Most recent articles Ongoing trials	Wikipedia