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Collagenase SANTYL Compatibility: A Guide to Safe Wound Care Pairings

Updated: Jul 23

What Is Collagenase SANTYL?


Collagenase SANTYL® Ointment is an enzymatic debriding agent frequently used in wound care to remove necrotic (dead) tissue. By breaking down non-viable collagen in the wound bed, it helps prepare wounds for healing and supports the body’s natural repair process.


This enzymatic action is particularly helpful for chronic wounds—such as diabetic foot ulcers, pressure injuries, and venous leg ulcers—where slough or eschar may delay healing.


Why Product Compatibility Matters


Collagenase is a delicate enzyme, and its effectiveness can be significantly reduced when used with incompatible products. Some dressings, topical agents, and antibiotics contain ingredients that can inactivate the enzyme—leading to poor debridement outcomes and delayed healing.


To maximize the benefits of enzymatic debridement, wound care professionals must ensure that adjunctive products do not interfere with the enzyme's activity.


Products That May Inactivate Collagenase SANTYL: What to Look For in the Wound Care Setting


Several common ingredients are known to be incompatible with Collagenase SANTYL® and should be avoided:


  • Silver-based dressings and creams

  • Iodine-containing products

  • Heavy metal compounds

  • Certain topical antibiotics (e.g., tetracyclines, which may reduce enzyme activity)


These substances can bind to or denature the collagenase enzyme, rendering it ineffective and potentially compromising patient outcomes.


Considerations When Using Collagenase SANTYL with Other Therapies


  • Review the official compatibility chart before combining Collagenase SANTYL® with other wound care therapies.

  • When using antimicrobial ointments or dressings, confirm that ingredients will not interfere with enzymatic activity.

  • In cases where infection is present, clinicians may consider alternating therapies or reevaluating treatment protocols.

  • Encourage collaboration among the wound care team to align product selection with manufacturer guidelines and current clinical evidence.


Access the Official SANTYL Compatibility Chart


When used appropriately, enzymatic debridement can accelerate wound bed preparation and help promote faster healing. If you’re incorporating Collagenase SANTYL® into your wound care protocols, be sure to review the official compatibility chart to ensure safe and effective use.



Image featuring Collagenase SANTYL ointment alongside Promogran Prisma Matrix, used to illustrate compatibility guidance in wound care product selection.

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