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Medicine

Anacaulase

NEXOBRID is indicated for eschar removal in adults and pediatric patients with deep partial thickness (DPT) and/or full thickness (FT) thermal burns.

Prescribing label

Selected manufacturer label information, organised into consistent sections by Sofidex. This source is written for healthcare professionals; ask your pharmacist to explain instructions that are unclear. Read the full label at DailyMed ↗

Drug facts

Used for
  • Chemical or electrical burns
  • Burns on the face, perineum, or genitalia
  • Burns on the feet of patients with diabetes mellitus or on the feet of patients with occlusive vascular disease
Do not take if
  • Known hypersensitivity to anacaulase-bcdb, bromelain, pineapples, or to any of the other components.
  • Known hypersensitivity to papayas or papain because of the risk of cross-sensitivity.

What it is used for

Limitations of Use

The safety and effectiveness of NEXOBRID have not been established for treatment of:

  • Chemical or electrical burns
  • Burns on the face, perineum, or genitalia
  • Burns on the feet of patients with diabetes mellitus or on the feet of patients with occlusive vascular disease
  • Circumferential burns
  • Burns in patients with significant cardiopulmonary disease, including inhalation injury

NEXOBRID is not recommended for:

  • Wounds contaminated with radioactive and other hazardous substances to avoid unforeseeable reactions with the product and an increased risk of spreading the noxious substance.
  • Treatment of burn wounds where medical devices (e.g., implants, pacemakers, shunts) or vital structures (e.g., large vessels) could become exposed during eschar removal.

Side effects, and when to stop

The following clinically significant adverse reactions are described elsewhere in the labeling:

  • Hypersensitivity Reactions

Who should not take it

NEXOBRID is contraindicated in patients with:

  • Known hypersensitivity to anacaulase-bcdb, bromelain, pineapples, or to any of the other components.
  • Known hypersensitivity to papayas or papain because of the risk of cross-sensitivity.

Cite this page

NLM

sofidex [Internet]. Daloreum; c2026. Anacaulase; [reviewed 2026 Aug 2; cited 2026 Nov 10]. Available from: https://sofidex.com/patients/medicines/anacaulase

APA 7th

sofidex. (2026, August 2). Anacaulase. Daloreum. Retrieved November 10, 2026, from https://sofidex.com/patients/medicines/anacaulase

AMA 11th

Anacaulase. sofidex. Reviewed August 2, 2026. Accessed November 10, 2026. https://sofidex.com/patients/medicines/anacaulase

The cited date is today’s, because a citation records when you read the page. The reviewed date is when a clinician last checked it.