orthovisc and Zephiran chloride Interactions

Interactions between orthovisc(hyaluronan) and Zephiran chloride (benzalkonium chloride topical)

benzalkonium chloride topical and hyaluronan (Moderate Drug-Drug)

GENERALLY AVOID: Disinfectants containing quaternary ammonium salts should not be used for skin preparation before injections of viscoelastic solutions. Hyaluronic acid will precipitate in the presence of these salts.

MANAGEMENT: Povidone iodine (Betadine), other iodinated skin disinfectants, or alcohol skin preparations are safe for use and are recommended by the manufacturers.