
Hylenex (Hyaluronidase) is available as an FDA-approved commercial injection and may be prepared by Mixlab in a veterinary-appropriate unit dose, for veterinary use in dogs and cats. Available by prescription.
Giving your pet an injection might feel intimidating at first, but with practice, it becomes routine. Follow these steps for safe and stress-free injections.
Get Your Supplies Ready
Drawing Up the Dose (if needed)
Pick the Injection Site
Prep the Area
Inject the Medication
After the Injection
Safety Tips
The uses and pharmacology described below reflect the FDA-approved labeling for this active ingredient; your veterinarian determines whether and how they apply to your animal's treatment plan.
Hyaluronidase is an enzyme that breaks down hyaluronic acid, a component of connective tissue, which temporarily increases tissue permeability. On the FDA-approved label, it is used as an adjuvant to increase the absorption and dispersion of other injected drugs, to facilitate subcutaneous fluid administration, and to improve resorption of radiopaque contrast agents in certain imaging procedures.
In veterinary medicine, this same tissue-dispersing effect has led to off-label use in dogs and cats to help distribute subcutaneous fluids or other injected medications, and — in a more limited, less-established application — as a rescue treatment injected around the site of certain chemotherapy drugs that have leaked into surrounding tissue. Evidence for this latter use in veterinary patients is limited: a recent retrospective review found the severity of injuries in a small number of cases treated with hyaluronidase was similar to cases that weren't treated with it, so its benefit in that setting hasn't been clearly established. Prescription only. Use only under the direction of a licensed veterinarian. This information is not a substitute for veterinary diagnosis, prescribing, or monitoring. Compounded drugs are not approved by the FDA for safety or effectiveness.
Do not inject into areas of active infection or acute inflammation, and never apply directly to the eye. This product is not for intravenous administration — it is inactivated rapidly in the bloodstream and is intended for local, subcutaneous use. Hypersensitivity reactions are possible; discontinue use and contact your veterinarian if signs of an allergic reaction occur. When used to aid absorption of other injected drugs, be aware this product is reported to be incompatible with certain medications, including furosemide, benzodiazepines, phenytoin, dopamine, and alpha-adrenergic agonists — these should not be combined with it in the same injection. Use in an emergency or time-sensitive setting (such as a suspected drug extravasation) should be directed and supervised by your veterinary team.
Yes. Hylenex is available only by prescription from a licensed veterinarian.
Hylenex is an FDA-approved commercial injection. Depending on your veterinarian's prescription, Mixlab may dispense the commercial product or prepare it in a smaller, veterinary-appropriate unit dose. The decision rests with the prescribing veterinarian.
Hyaluronidase is used off-label in veterinary medicine to help disperse subcutaneous fluids or other injected medications. Your veterinarian determines whether this approach is appropriate for your pet's specific situation.
Yes — it should not be given into infected or inflamed tissue, applied to the eye, or given intravenously, and it should not be mixed with certain other drugs in the same injection. Your veterinary team will advise on proper handling and administration.