Lidocaine topical Uses, Side Effects & Warnings

Generic name: lidocaine topical [ LYE-doe-kane-TOP-i-kal ]
Brand names: AneCream, Bactine, Glydo, LidaMantle, Lidoderm,
… show all 11 brands
LidoRx, Medi-Quik Spray, RadiaGuard, RectiCare, Regenecare HA Spray, Solarcaine Cool Aloe

Dosage forms: intradermal device (0.5 mg), topical cream (3%; 4%; 5%), topical film (1.8%; 3.5%; 4%; 5%), topical gel (0.5%; 2.8%; 3%; 4%),
… show all 11 dosage forms
topical gel with applicator (2%), topical kit (4%; 5%; 5% with emollients), topical liquid (2.5%), topical lotion (1%), topical ointment (5%), topical solution (4%), topical spray (0.5%; 10%; 2%; 4%)

Drug class: Topical anesthetics

Medically reviewed by Drugs.com on May 17, 2022. Written by Cerner Multum.

What is lidocaine topical?

Lidocaine is a local anesthetic (numbing medication). There are many brands and forms of lidocaine available. Not all brands are listed on this leaflet.

Lidocaine topical (for use on the skin) is used to reduce pain or discomfort caused by skin irritations such as sunburn, insect bites, poison ivy, poison oak, poison sumac, and minor cuts, scratches, or burns. Lidocaine topical is also used to treat rectal discomfort caused by hemorrhoids.

Lidocaine intradermal device can be used in minor medical procedures such as venipuncture or peripheral intravenous cannulation.

Lidocaine topical may also be used for purposes not listed in this medication guide.

Warnings

An overdose of numbing medicine can cause fatal side effects if too much of the medicine is absorbed through your skin.

Do not use large amounts of lidocaine topical, or cover treated skin areas with a bandage or plastic wrap without medical advice.

Keep both used and unused lidocaine skin patches out of the reach of children or pets. The amount of lidocaine in the skin patches could be harmful to a child or pet who accidentally sucks on or swallows the patch.

Before taking this medicine

You should not use lidocaine topical if you are allergic to any type of numbing medicine.

Fatal overdoses have occurred when numbing medicines were used without the advice of a medical doctor (such as during a cosmetic procedure like laser hair removal). However, overdose has also occurred in women treated with a numbing medicine before having a mammography.

Be aware that many cosmetic procedures are performed without a medical doctor present.

Tell your doctor if you have ever had:

Tell your doctor if you are pregnant or breastfeeding.

If you apply lidocaine topical to your chest, avoid areas that may come into contact with the baby’s mouth.

How should I use lidocaine topical?

Use lidocaine topical exactly as directed on the label, or as it has been prescribed by your doctor. Do not apply this medicine in larger amounts than recommended.

Improper use of lidocaine topical may result in death.

Lidocaine topical comes in many different forms (gel, spray, cream, lotion, ointment, liquid, skin patch, and others).

Do not take by mouth. Topical medicine is for use only on the skin. If this medicine gets in your eyes, nose, mouth, rectum, or vagina, rinse with water.

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

Use the smallest amount of medicine needed to numb the skin or relieve pain. Your body may absorb too much of this medicine if you use too much, if you apply it over large skin areas, or if you apply heat, bandages, or plastic wrap to treated skin areas. Skin that is cut or irritated may also absorb more topical medication than healthy skin.

Do not apply this medicine to swollen skin areas or deep puncture wounds. Avoid using the medicine on skin that is raw or blistered, such as a severe burn or abrasion.

Do not cover treated skin unless your doctor has told you to.

Lidocaine topical may be applied with your finger tips or a cotton swab.

Lidocaine intradermal device is applied by a healthcare provider.

Store at room temperature away from moisture and heat.

Keep both used and unused lidocaine topical skin patches out of the reach of children or pets. The amount of lidocaine in the skin patches could be harmful to a child or pet who accidentally sucks on or swallows the patch. Seek emergency medical attention if this happens.

What happens if I miss a dose?

Since lidocaine topical is used when needed, you may not be on a dosing schedule. Skip any missed dose if it’s almost time for your next dose. Do not use two doses at one time.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222. An overdose of numbing medicine can cause fatal side effects if too much of the medicine is absorbed through your skin and into your blood.

Overdose symptoms may include uneven heartbeats, seizure (convulsions), slowed breathing, coma, or respiratory failure (breathing stops).

Lidocaine applied to the skin is not likely to cause an overdose unless you apply more than the recommended dose.

What should I avoid while using lidocaine topical?

Avoid touching the sticky side of a lidocaine skin patch while applying it.

Avoid accidentally injuring treated skin areas while they are numb. Avoid coming into contact with very hot or very cold surfaces.

Lidocaine topical side effects

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Lidocaine topical may cause serious side effects. Call your doctor at once if you have:

• severe headache or vomiting;

• severe burning, stinging, or irritation where the medicine was applied;

• swelling or redness;

• sudden dizziness or drowsiness after medicine is applied;

• confusion, problems with speech or vision, ringing in your ears; or

• unusual sensations of temperature.

Common side effects include:

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

What other drugs will affect lidocaine topical?

Medicine used on the skin is not likely to be affected by other drugs you use. But many drugs can interact with each other. Tell each of your health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

More about lidocaine topical

• Check interactions
• Compare alternatives
• Pricing & coupons
• Reviews (241)
• Latest FDA alerts (7)
• Side effects
• Dosage information
• During pregnancy
• Drug class: topical anesthetics
• Breastfeeding
• En español

Patient resources

• Advanced Reading
• Glycerin and Lidocaine
• Lidocaine Aerosol
• Lidocaine Cream
• Lidocaine Gel

Other brands

Lidocaine Viscous, Lidoderm, ZTlido, Xylocaine Jelly, . .. +19 more

Professional resources

• Prescribing Information

Related treatment guides

• Anal Itching
• Gastrointestinal Surgery
• Anesthesia
• Burns, External

Further information

Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Copyright 1996-2023 Cerner Multum, Inc. Version: 9.02.

Lidocaine (Topical: Pediatric Medication | Memorial Sloan Kettering Cancer Center

Pediatric Medication

This information from Lexicomp^® explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call your healthcare provider.

Brand Names: US

7T Lido; Alocane Emergency Burn Max Str [OTC]; Anastia [DSC]; AneCream [OTC]; AneCream5 [OTC]; Asperflex Lidocaine [OTC]; Asperflex Max St [OTC]; Asperflex Pain Relieving [OTC]; Astero; Blue Tube/ Aloe [OTC] [DSC]; DermacinRx Lidogel; Eha; First Care Pain Relief [OTC]; Gen7T; Glydo; HealthWise Pain Relief [OTC]; LC-5 Lidocaine [OTC]; LDO Plus; LevigoSP [OTC]; Lido King [OTC]; Lido-K [DSC]; Lido-Sorb; Lidocaine Max St 24 Hours [OTC]; Lidocaine Pain Relief Max St [OTC]; Lidocaine Pain Relief [OTC]; Lidocaine Plus [OTC]; Lidocanna [OTC]; Lidoderm; LidoDose Pediatric Bulk Pack [OTC]; LidoDose [OTC]; LidoFore Flexipatch [OTC] [DSC]; Lidogel [OTC] [DSC]; LidoHeal-90 [OTC] [DSC]; Lidopac [DSC]; Lidopin; LidoPure Patch; Lidorex; LidoRx; Lidosol; Lidotral; Lidotran; Lidotrex (Aloe Vera) [DSC]; Lidovex [DSC]; Lidovix L; Lidozion [DSC]; Lipocaine 5 [OTC]; LMX 4 Plus [OTC]; LMX 4 [OTC]; LMX 5 [OTC]; Lubricaine [OTC]; Lydexa; Medi-First Burn Spray [OTC]; Moxicaine [DSC]; NeuroMed7 [OTC] [DSC]; NumbCream [OTC]; Numbonex [DSC]; Pain Relief Maximum Strength [OTC]; Pain Relieving [OTC] [DSC]; Predator [OTC] [DSC]; Premium Lidocaine; Proxivol; RadiaGuard Advanced [OTC]; Re-Lieved Maximum Strength [OTC]; RectaSmoothe [OTC]; RectiCare [OTC]; Salonpas Pain Relieving [OTC]; Sun Burnt Plus [OTC]; TheraCare Pain Relief [OTC]; Topicaine 5 [OTC]; Topicaine [OTC]; Venipuncture Px1 Phlebotomy; Xolido XP [OTC]; Xolido [OTC]; ZiloVal [DSC]; Zingo; Zionodil; Zionodil 100; ZTlido; Zylotrol-L [OTC]

Brand Names: Canada

Cathejell; Jelido; Lidodan; Lidodan Endotracheal; Xylocaine; Xylocaine Spray

Warning

Viscous lidocaine

• Very bad health problems (like seizures and heart that stops working) and death have happened in children younger than 3 years old. In these cases, this drug was not used how it was recommended. Do not use this drug to treat infants and children with teething pain. Talk with the doctor.
• This drug must only be used in children younger than 3 years old when other treatments cannot be used. If using in a child younger than 3 years old for a reason other than teething pain, follow how to give as you were told by the doctor. Talk with the doctor.

What is this drug used for?

• It is used to ease pain.
• It is used to treat painful nerve diseases.
• It is used to treat signs of hemorrhoids or rectal irritation.
• It is used to treat mouth sores.
• It may be given to your child for other reasons. Talk with the doctor.

Skin system (ZTlido) and suppositories:

• If your child has been given this form of this drug, talk with the doctor for information about the benefits and risks. Talk with the doctor if you have questions or concerns about giving this drug to your child.

What do I need to tell the doctor BEFORE my child takes this drug?

All products:

• If your child is allergic to this drug; any part of this drug; or any other drugs, foods, or substances. Tell the doctor about the allergy and what signs your child had.

Rectal cream, rectal gel, and all skin products:

• If there is an infection where this drug will be used.
• If your child has broken skin or open wounds where the drug will be used.
• If your child has swollen skin, numbness, or is not able to feel pain where the drug will be used.

All skin products:

• If a large area needs to be treated.

This is not a list of all drugs or health problems that interact with this drug.

Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe to give this drug with all of your child’s other drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.

What are some things I need to know or do while my child takes this drug?

All products:

• Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
• A severe blood problem called methemoglobinemia has happened with drugs like this one. The risk may be raised in people who have glucose-6-phosphate dehydrogenase (G6PD) deficiency, heart problems, or lung problems. The risk may also be raised while taking certain other drugs and in infants younger than 6 months of age. Tell your child’s doctor if your child has ever had methemoglobinemia.
• Different brands of this drug may be for use in different ages of children. Talk with the doctor before giving this drug to a child.
• If the patient is a child, use this drug with care. The risk of some side effects may be higher in children.

If your child is pregnant or breast-feeding a baby:

• Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks to your child and the baby.

Rectal cream, rectal gel, and all skin products:

• Talk with your child’s doctor before you use other drugs or products on your child’s skin.
• Do not give this drug to your child for longer than you were told by the doctor.
• Do not let your child scratch or rub the skin while it is numb. Do not let the skin get very hot or very cold.
• Do not put on cuts, scrapes, or damaged skin unless the doctor tells you to.
• Have your child avoid use of heat sources (such as sunlamps, tanning beds, heating pads, electric blankets, heat lamps, saunas, hot tubs, heated waterbeds). Avoid long, hot baths or sunbathing. Your child’s temperature may rise and cause too much drug to pass into your child’s body.

Rectal cream, rectal gel, and skin products other than skin patch and skin system:

• This drug may cause harm if swallowed. If this drug is swallowed, call a doctor or poison control center right away.

Skin patch:

• Do not let your child get the patch wet. It may not stick. Do not let your child bathe, swim, or shower while wearing the patch.
• If your child has burning or other irritation where this drug is put on, take it off. Wait until the irritation goes away to put back on.
• It is common to have skin reactions where this drug is put on during or right after treatment. This includes blisters, bruising, burning or abnormal feeling, change in color, swelling, redness, pain, itching, peeling, flaking, or pimples. Most of the time, these skin reactions go away within a few minutes to hours. Call the doctor if any of these effects are severe, bother your child, or do not go away.
• Your child may wear clothing over the area where this drug is placed.
• This drug may cause harm if chewed or swallowed. This includes used patches. If this drug has been put in the mouth, call a doctor or poison control center right away.

All oral products:

• Do not let your child eat while their mouth feels numb. Biting of the tongue could happen.

What are some side effects that I need to call my child’s doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:

All products:

• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
• Signs of too much acid in the blood (acidosis) like confusion; fast breathing; fast heartbeat; a heartbeat that does not feel normal; very bad stomach pain, upset stomach, or throwing up; feeling very sleepy; shortness of breath; or feeling very tired or weak.
• Signs of methemoglobinemia like a blue or gray color of the lips, nails, or skin; a heartbeat that does not feel normal; seizures; severe dizziness or passing out; severe headache; feeling very sleepy; feeling tired or weak; or shortness of breath. This effect is rare but may be deadly if it happens.
• Trouble breathing, slow breathing, or shallow breathing.
• Very bad numbness and tingling.
• Feeling lightheaded, sleepy, confused, or having blurred eyesight.
• Seizures.
• Change in eyesight.
• Feeling nervous and excitable.
• Dizziness or passing out.
• Ringing in ears.
• Upset stomach or throwing up.
• Feeling hot or cold.
• Shakiness.
• Twitching.
• Slow heartbeat.
• Chest pain.

All skin products:

• Signs of skin infection like oozing, heat, swelling, redness, or pain.

All rectal products:

• Bleeding from rectum or rectal pain.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:

All products:

• Irritation where this drug was used.

Rectal cream, rectal gel, and skin products other than skin patch and skin system:

• Swelling.
• Redness.
• Change in color of skin.

These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.

You may report side effects to your national health agency.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read all information given to you. Follow all instructions closely.

Rectal cream and gel:

• Wash hands before and after use.
• Clean affected part before use. Make sure to dry well.
• Put this drug on as you have been told by the doctor or on the package labeling.

All skin products:

• Do not give by mouth. Use on your child’s skin only. Keep out of your child’s mouth, nose, and eyes (may burn).
• If this drug gets in any of these areas, have your child rinse well with water.
• Wash your hands before and after use.
• Clean affected part before use. Make sure to dry well.
• Put on clean, dry, healthy skin.
• Do not use coverings (bandages, dressings) unless told to do so by the doctor.

Skin liquid and spray:

• This drug may catch on fire. Do not use near an open flame or while smoking.
• Some of these drugs need to be shaken before use. Be sure you know if this product needs to be shaken before using it.

Spray:

• If you are using the spray for your child’s face, spray it on your hand or gauze and then put it on your child’s face.

Skin patch:

• Put on the most painful parts of the skin.
• Trim patch to cover the affected skin.
• Put patch on at the same time of day.
• Different products may be left on the skin for different amounts of time. Be sure you know how long this drug can be worn before you need to take it off. Be sure you know how long to wait before you can put on another patch or skin system. Do not use more or wear for longer than you have been told. If you have questions, talk to the doctor.
• If the patch loosens at the edges, press the edges firmly. If it comes off, try to put it back on. If you cannot put the patch back on, put on a new one.
• After you take off a skin patch, be sure to fold the sticky sides of the patch to each other. Throw away used patches where children and pets cannot get to them.
• Some of these drugs may catch on fire. Do not use near an open flame or while smoking.

All oral products:

• If giving as a rinse, have your child swish it in the mouth as long as your child can. Have your child swallow or spit out as told by the doctor.
• If putting on with a cotton swab, put on affected part as your doctor or the label tells you.
• Do not let your child eat anything for at least 60 minutes (1 hour) after using this drug.

Oral liquid:

• Shake well before use.
• Measure liquid doses carefully.

What do I do if my child misses a dose?

• If your child uses this drug on a regular basis, give a missed dose as soon as you think about it.
• If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
• Do not put on 2 doses at the same time or extra doses.
• Many times this drug is given on an as needed basis. Do not give to your child more often than told by the doctor.

How do I store and/or throw out this drug?

All products:

• Store at room temperature. Do not freeze.
• Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
• Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

Skin liquid and spray:

• Protect from heat or open flame.

Spray:

• Do not puncture.

Skin patch:

• Store in the pouch that comes with this drug to help keep away from children.

General drug facts

• If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
• Do not share your child’s drug with others and do not give anyone else’s drug to your child.
• Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, nurse, pharmacist, or other health care provider.
• If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

Consumer Information Use and Disclaimer

This generalized information is a limited summary of diagnosis, treatment, and/or medication information. It is not meant to be comprehensive and should be used as a tool to help the user understand and/or assess potential diagnostic and treatment options. It does NOT include all information about conditions, treatments, medications, side effects, or risks that may apply to a specific patient. It is not intended to be medical advice or a substitute for the medical advice, diagnosis, or treatment of a health care provider based on the health care provider’s examination and assessment of a patient’s specific and unique circumstances. Patients must speak with a health care provider for complete information about their health, medical questions, and treatment options, including any risks or benefits regarding use of medications. This information does not endorse any treatments or medications as safe, effective, or approved for treating a specific patient. UpToDate, Inc. and its affiliates disclaim any warranty or liability relating to this information or the use thereof. The use of this information is governed by the Terms of Use, available at https://www.wolterskluwer.com/en/know/clinical-effectiveness-terms.

Last Reviewed Date

2022-01-28

Copyright

© 2023 UpToDate, Inc. and its affiliates and/or licensors. All rights reserved.

Last Updated

Monday, December 12, 2022

Cathejell with lidocaine gel for topical application syringes 12.5 mg 5 pcs

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The appearance of the product may differ from the image

Product code:
333683

Manufacturer:
Montavit

Country of origin:
Austria

Release form:
Gel

Active ingredients:
Lidocaine + Chlorhexidine

Order of issue:
Prescription

Contraindications, consult your doctor

Out of stock

Characteristics

Characteristics

Information

Instructions for use

Description

Clear, colorless or almost colorless gel.

Active ingredients

Lidocaine + Chlorhexidine

Release form

Gel

Composition

100 g contains:
Active substances: lidocaine hydrochloride 2.00 g, chlorhexidine dihydrochloride 0.05 g.
Excipients: hyetellose (hydroxyethylcellulose) 1.50 g, glycerol 20.00 g, water for injection up to 100.00 g.

Pharmacological effect

Antiseptic + local anesthetic.
A combined drug that has an antiseptic and local anesthetic effect. Chlorhexidine is an antimicrobial drug that acts on gram-positive and gram-negative microorganisms, yeast, dermatophytes. Effective against gram-positive and gram-negative bacteria – Treponema spp., Neisseria gonorrhoeae, Trichomonas spp., Chlamydia spp., Ureaplasma spp. Retains activity (although somewhat reduced) in the presence of blood, pus, various secrets and organic matter.
Lidocaine is a local anesthetic.
Antimicrobial action and adequate anesthesia develop 5-10 minutes after the drug is used.
The water-soluble clear gel provides a clear optical view and has a lubricating effect in a variety of endoscopic procedures.

Indications

Prevention of infection, anesthesia for surgical and diagnostic endoscopic interventions in children and adults in urology, gynecology, proctology, all forms of endoscopy, replacement of fistula catheters, intubation.
It is used in complex therapy for the relief of symptoms of inflammation (accompanied by pain) of the mucous membrane of the urethra, vagina, cervical canal and rectum.

Contraindications

Hypersensitivity.
With caution – Pregnancy (I trimester).
If used during lactation, you should refrain from breastfeeding for 12 hours after using the drug.

Method of administration and doses

For slow instillation before insertion of instruments (by a doctor or specially trained personnel) it is necessary:
open the blister, removing the paper from the transparent case (if possible, only to the constriction),
break off the tip without significant effort (if possible, still in the package). In this case, it is necessary to ensure that the tip is completely removed, in order to avoid damage to the mucosa. To facilitate the introduction, it is recommended to pre-squeeze a drop of gel,
instillation by means of light pressure on a corrugated syringe. After emptying the syringe, it must be kept compressed until removed.
the introduction of instruments is recommended to be carried out 5-10 minutes after the instillation of the gel.

Side effects

In case of hypersensitivity, allergic reactions are possible (allergic dermatitis, skin rash, angioedema), burning at the application site.

Overdose

Symptoms (with systemic action of lidocaine in cases of severe damage to the urethra): bradycardia, convulsions, collapse.
Treatment: for bradycardia – beta-agonists, for convulsions – barbiturates or short-acting muscle relaxants, for collapse – epinephrine or dopamine is administered intravenously.

Interaction with other drugs

Avoid concomitant use with iodine preparations.
MAO inhibitors enhance the local anesthetic effect of lidocaine.
Incompatible with soap and detergents containing an anionic group (saponins, sodium lauryl sulfate, sodium carboxymethylcellulose). Compatible with drugs containing a cationic group (benzalkonium chloride).

Special instructions

The preparation is sterile and intended for single administration.
If used during lactation, you should refrain from breastfeeding for 12 hours after using the drug.

Storage conditions

List B. In a place protected from light at a temperature of + 15 to + 25 °C.
Keep out of reach of children.

Shelf life after opening

5 years. You can use the drug only taking into account the expiration date indicated on the package.

Prescription

Yes

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You can send your complaints and wishes to us via the feedback form or to the postal address feedback@gorzdrav. org.

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We do not move between pharmacies. In this case, it is necessary to place several orders and pick up the goods in pharmacies with availability. . It is also possible to order all goods in one pharmacy, the goods of which are not available will be delivered to the pharmacy within 2-3 days.

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CATEJEL 12.5G №1 GEL WITH LIDOCAINE SYRINGE

Composition

100 g contains:

active ingredients:

lidocaine hydrochloride…. …..2.00 g

chlorhexidine dihydrochloride …………..0.05 g

excipients:

hyetellose (hydroxyethyl cellulose)….. .1.50 g

glycerol ……………………………………..20, 00 g

water for injection………….up to 100.00 g

Dosage form colorless or almost colorless gel.

Pharmacodynamics

Combined drug with antiseptic and local anesthetic effect. Chlorhexidine is an antimicrobial drug that acts on gram-positive and gram-negative microorganisms, yeast, dermatophytes. Effective against gram-positive and gram-negative bacteria – Treponema spp., Neisseria gonorrhoeae, Trichomonas spp. , Chlamydia spp., Ureaplasma spp. Retains activity (although somewhat reduced) in the presence of blood, pus, various secrets and organic matter.

Lidocaine is a local anesthetic.

Antimicrobial action and adequate anesthesia develop 5-10 minutes after application of the drug.

Water soluble clear gel provides a clear optical view and lubricity for a variety of endoscopic procedures.

Indications for use

Prevention of infection, anesthesia for surgical and diagnostic endoscopic interventions in children and adults in urology, gynecology, proctology, all forms of endoscopy, replacement of fistula catheters, intubation.

It is used in complex therapy for the relief of inflammation symptoms (accompanied by pain) of the mucous membrane of the urethra, vagina, cervical canal and rectum.

Contraindications

Symptoms (with systemic action of lidocaine in cases of severe damage to the urethra): bradycardia, convulsions, collapse.

Treatment: for bradycardia – beta-adrenergic stimulants, for convulsions – barbiturates or short-acting muscle relaxants, for collapse – epinephrine or dopamine is administered intravenously.

Side effects

In case of hypersensitivity, allergic reactions (allergic dermatitis, skin rash, angioedema), burning at the application site are possible.

Interactions

Avoid co-administration with iodine preparations. MAO inhibitors enhance the local anesthetic effect of lidocaine. Incompatible with soap and detergents containing an anionic group (saponins, sodium lauryl sulfate, sodium carboxymethylcellulose). Compatible with drugs containing a cationic group (benzalkonium chloride).

Method of administration and doses

For slow insertion before the introduction of instruments (by a doctor or specially trained personnel) it is necessary: (if possible still in the package). In this case, it is necessary to ensure that the tip is completely removed, in order to avoid damage to the mucosa. To facilitate the introduction, it is recommended to pre-squeeze a drop of gel,

– installation by light pressure on the bellows. After emptying the syringe, it must be kept compressed until removed.

– insertion of instruments is recommended 5-10 minutes after gel instillation.

Overdose

Symptoms (with systemic action of lidocaine in cases of severe damage to the urethra): bradycardia, convulsions, collapse.

Treatment: for bradycardia – beta-adrenergic stimulants, for convulsions – barbiturates or short-acting muscle relaxants, for collapse – epinephrine or dopamine is administered intravenously.

Special instructions

The preparation is sterile and intended for single administration.

If used during lactation, breastfeeding should be avoided for 12 hours after using the drug.

Regional and local anesthesia should be performed by experienced professionals in an appropriately equipped room, with the equipment and preparations necessary for cardiac monitoring and resuscitation ready for immediate use.