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XEOMIN® is injected directly into the parotid and submandibular salivary glands

The following videos give guidance for injection with the use of ultrasound or surface anatomical landmarks.

XEOMIN® (incobotulinumtoxinA) is indicated for the treatment of chronic sialorrhea associated with neurological disorders in adults. Please refer to the Product Monograph for complete dosing and administration information.

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Bottle of Xeomin vial

Injection Training

Anatomic Landmark Guidance

Ultrasound Guidance

  • Parotid gland(s)
    30 U Injection
  • SUBMANDIBULAR GLAND(S)
    20 U Injection
  •   TRAGUS
  •   MANDIBLE ANGLE
  •   TIP OF CHIN
  •   MASSETER

Recommended dosage by injection location

XEOMIN® is injected into the parotid and submandibular glands on both sides (i.e., 4 injection sites per treatment session). The injection site should be close to the centre of the gland.

A reconstituted solution with a concentration of 5 units / 0.1 mL should be used. Reconstitute the 100 units with 2.0 mL of a sterile 0.9% sodium chloride solution.

The timing for repeat treatment should be determined based on the actual clinical need of the individual patient, and no sooner than every 16 weeks.

GLAND(S) UNITS PER SIDE TOTAL
Parotid gland(s) 30 Units 60 Units
Submandibular gland(s) 20 Units 40 Units
Total 50 Units 100 Units

XEOMIN® HAS 3 OTHER INDICATIONS

XEOMIN® is also indicated:

  • for the treatment of hypertonicity disorders of the 7th nerve such as blepharospasm including benign essential blepharospasm and hemifacial spasm in adults.
  • to reduce the subjective symptoms and objective signs of cervical dystonia (spasmodic torticollis) in adults.
  • for the treatment of upper limb spasticity associated with stroke in adults.

For more information:

Please consult the Product Monograph at https://www.merzcanada.com/en/xeomintherapeutic.html for important information relating to contraindications, warnings, precautions, adverse reactions, interactions, dosing, and conditions of clinical use, which have not been discussed in this piece. The Product Monograph is also available by calling 1-877-336-4008.

Reference: Merz Pharma Canada. XEOMIN® Product Monograph.

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XEOMIN® is a registered trademark of Merz Pharmaceuticals GmbH, used under licence by Merz Pharma Canada Ltd.

© 2021 Merz Pharma Canada Ltd. All rights reserved.

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