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Treatment Comparison

Hyalgan vs Euflexxa

Compare Hyalgan (the original FDA-approved HA) with Euflexxa (the leading non-avian option). Key differences in source, track record, and allergy safety.

Side-by-Side Comparison

FDA Approval

Hyalgan 1997 (first in US)
Euflexxa 2004

Source Material

Hyalgan Avian (rooster comb)
Euflexxa Bacterial fermentation

Bird Allergy Safe

Hyalgan No
Euflexxa Yes

Injection Schedule

Hyalgan 3-5 weekly (flexible)
Euflexxa 3 weekly

Molecular Weight

Hyalgan Low-medium (500-730 kDa)
Euflexxa Medium (2.4-3.6M Da)

Self-Pay Cost

Hyalgan $500-$900
Euflexxa $600-$900

Duration of Relief

Hyalgan 3-6 months
Euflexxa 6+ months

Medicare Coverage

Hyalgan Yes
Euflexxa Yes

It Depends on Your Situation

Hyalgan offers the longest safety track record (FDA-approved 1997), while Euflexxa provides allergy safety for bird-sensitive patients. Both are effective multi-injection options.

Best for: Hyalgan for proven heritage; Euflexxa for avian allergy safety.

The Pioneer vs. The Modern Alternative

Hyalgan was the first HA injection approved in the United States (1997), giving it nearly three decades of real-world safety data. Euflexxa arrived later but offers something Hyalgan can’t: safety for patients with bird allergies.


Side-by-Side Comparison

FactorHyalganEuflexxa
FDA approval1997 (first in US)2004
SourceAvian (rooster comb)Bacterial fermentation
Bird allergy safeNoYes
Injections3-5 weekly3 weekly
Molecular weightLow-mediumMedium
Self-pay$500-$900$600-$900
Duration3-6 months6+ months

Hyalgan: The Original

Key Advantages

Longest track record - 25+ years of safety data
Flexible protocol - 3-5 injections based on response
Often lowest cost - May be cheapest HA option

Considerations

Not for avian allergies - Rooster comb derived
Lower molecular weight - May provide shorter duration

Euflexxa: The Modern Non-Avian

Key Advantages

Bird allergy safe - No animal-derived ingredients
Higher molecular weight - Potentially longer duration
Consistent protocol - Always 3 injections

Considerations

Slightly higher cost - Premium for non-avian source

Making Your Decision

Choose Hyalgan if:

  • You have no bird/egg allergies
  • You value the longest safety track record
  • Cost is a primary concern
  • Your provider has extensive Hyalgan experience

Choose Euflexxa if:

  • You have any avian allergies
  • You prefer non-animal products
  • You want a predictable 3-injection protocol
  • Duration of relief is a priority

The Bottom Line

Hyalgan is the tried-and-true original with unmatched long-term safety data. Euflexxa is the modern alternative that opens HA treatment to allergy patients. Both work—choose based on your allergy status and cost preferences.

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