PMID- 14626291 OWN - NLM STAT- MEDLINE DCOM- 20040223 LR - 20190911 IS - 0300-7995 (Print) IS - 0300-7995 (Linking) VI - 19 IP - 7 DP - 2003 TI - The tolerability of viscosupplementation: low incidence and clinical management of local adverse events. PG - 575-80 AB - Hylan G-F 20 (Synvisc, Genzyme Biosurgery, Ridgefield, NJ) is a visco supplement indicated for the treatment of pain due to osteoarthritis (OA) of the knee. Overall, the therapy is well tolerated with a low incidence of local and systemic adverse events (AEs). In our large clinical practice, our overall rate of local pain and swelling with treatment is consistent with that of previous reports and the product labeling. Local AEs that do occur with therapy are mostly mild to moderate in nature, transient, and resolve spontaneously or with symptomatic treatment. Local AEs thought to be related to the treatment are clinically manageable and do not result in long-term sequelae, such that their occurrence should not preclude patients from the benefit of OA pain relief with therapy, including continued pain relief with repeat treatment. Based on previous published reports of hylan G-F 20 and our extensive clinical experience, relief of OA knee pain with hylan G-F 20 far outweighs the low risk of local AEs for patients who do not respond to other therapies indicated for the treatment of OA knee pain. FAU - Waddell, David D AU - Waddell DD AD - Orthopedic Specialists of Louisiana, Shreveport 71103, USA. oslresearch@aol.com LA - eng PT - Journal Article PT - Review PL - England TA - Curr Med Res Opin JT - Current medical research and opinion JID - 0351014 RN - 125935-84-4 (hylan) RN - 9004-61-9 (Hyaluronic Acid) SB - IM MH - Humans MH - Hyaluronic Acid/*administration & dosage/*adverse effects/*analogs & derivatives MH - Incidence MH - Injections, Intra-Articular MH - Osteoarthritis, Knee/*drug therapy/physiopathology MH - Pain/*drug therapy RF - 50 EDAT- 2003/11/25 05:00 MHDA- 2004/02/24 05:00 CRDT- 2003/11/25 05:00 PHST- 2003/11/25 05:00 [pubmed] PHST- 2004/02/24 05:00 [medline] PHST- 2003/11/25 05:00 [entrez] AID - 10.1185/030079903125002243 [doi] PST - ppublish SO - Curr Med Res Opin. 2003;19(7):575-80. doi: 10.1185/030079903125002243.