What is the Best Numbing Cream for Skin Procedures?

The best numbing cream for skin procedures is one that provides profound anesthesia. It should do this in the shortest time possible and last long enough to complete the treatment being performed. If the patient starts feeling pain during the procedure, it can cause serious issues for the success of the procedure and the comfort of the patient. Many professional providers of aesthetic services like laser resurfacing, microneedling, and injectable treatments choose a compounded topical anesthetic instead of an over-the-counter product. This is to ensure the best experience for their patients as well as to increase the success of their procedures.

Is there anything stronger than lidocaine?

Lidocaine is a potent anesthetic that is made in a variety of forms. It is effective at numbing the skin and for use as an infiltrative local anesthetic. A topical that is stronger than lidocaine is one with more than just lidocaine. When lidocaine is combined with benzocaine and tetracaine, it provides stronger anesthesia. When discussing the strength of an anesthetic, it can really depend on the concentration, where it is applied, how much is applied, what form it is applied in, and many other factors. The highest strength lidocaine that is available over-the-counter is 5% strength.

What is BLT cream?

BLT cream stands for benzocaine, lidocaine, and tetracaine cream. Several different strength combinations can be made. A common formulation is benzocaine 20%, lidocaine 6%, and tetracaine 4%. BLT cream is a compounded topical anesthetic. That means that it is not available for sale from a regular pharmacy or medical supplier – it must be compounded by a trained pharmacist. This standardized numbing cream formulation has been made for many years and is stable, effective, and safe when used appropriately.

How do you prescribe BLT cream?

BLT cream can be prescribed with a provider’s own prescription forms or using the prescription forms provided by our pharmacy. If you are obtaining your BLT cream from a 503A compounding pharmacy, prescriptions are required per FDA and the Food, Drug, and Cosmetic Act. 503B pharmacies may compound without a prescription but they are less common than 503A pharmacies. Typically this formulation is prescribed by dermatologists and other licensed professional who perform procedures on the skin.

How long does it take BLT cream to work?

BLT cream will provide anesthesia in about 20 minutes after application. You may experience numbing sooner than that, but to get the maximum effect it should be left on for at least 20 minutes before being thoroughly removed.

Applications of BLT cream

BLT cream is applied with a gloved hand or applicator to the area being treated. After numbing is achieved, the cream should be completely removed and the area thoroughly washed. Numbing cream should not be applied to large surface areas of the body. It may be preferable, for example, to only numb and treat half the face at a time. A large area of the body should never be numbed at the same time as this can increase plasma levels of anesthetic and create adverse effects. If you are numbing prior to hair removal on the legs, the entire leg should not be numbed at the same time. Proceed in sections, numbing and treating smaller areas to prevent toxicity. It may be that the treatment needs to be broken up into multiple appointments to do this effectively.

See more numbing cream tips here.

Why use BLT cream and not another topical anesthetic?

BLT cream provides a more profound anesthesia than typical OTC topical anesthetics. If you are looking to make a skin procedure more comfortable, a more powerful topical anesthetic can do that. In short, BLT cream is what the professionals use. Numerous OTC numbing products exist for managing everything from bug bites to burns to numbing before getting a tattoo. A compounding pharmacy makes formulations specifically for numbing prior to more intense skin procedures while adhering to high quality standards.

Why use a compounding pharmacy to make BLT cream?

While lidocaine and benzocaine can be sold on their own without a prescription, the combination of lidocaine, benzocaine, and tetracaine in one cream must be made by a compounding pharmacy. A compounding pharmacy must meet high regulatory and quality standards to ensure the products they make are consistent and safe. Purchasing separate ingredients, and trying to compound in the office, can lead to an inconsistency in the amount of anesthetic being applied. Most offices do not have the equipment to ensure that a uniform, consistent product is produced from the combining of anesthetic ingredients.

What formulations of BLT cream can be made?

These are some common formulations of BLT cream that can be made by a compounding pharmacy:

• Benzocaine 20%, Lidocaine 6%, Tetracaine 4%
• Benzocaine 20%, Lidocaine 8%, Tetracaine 4%
• Benzocaine 20%, Lidocaine 10%, Tetracaine 4%
• Lidocaine 23%, Tetracaine 7% (LT cream)

There may be some variations on these standard formulations. However the formulations listed above have been proven to work and will serve the purposes of most dermatology and aesthetic practices.  

What are the side effects and precautions for BLT cream?

The most common cause of adverse effects from BLT cream is that the cream was applied by an individual on themselves in a way that caused systemic toxicity. Large areas of the body should not be numbed at the same time.

Methemoglobinemia is one risk of some topical anesthetics. This is a condition where the oxygen levels in the blood are diminished. One of the characteristic symptoms of this condition is blue-colored skin. Other symptoms include dizziness, headache, nausea, and difficulty breathing.

Broken and inflamed skin should not have any numbing cream applied to it. It is important to remove all cream before starting a procedure that will cause intentional damage to the skin. Once the skin has been damaged, numbing cream should not be applied.

Articles

Comparative efficacy of three topical anesthetics on 7-11-year-old children: a randomized clinical study – Journal of Dental Anesthesia and Pain Medicine

Topical anesthesia – Journal of Anaesthesiology, Clinical Pharmacology

Numbing cream for injections – Sambria Pharmaceuticals

It is becoming more and more common for doctors and their patients to apply numbing cream for injections. Numbing cream for injections is used to reduce or eliminate the needle stick pain. There are several numbing cream for injection products available to both clinicians and their patients.

Needle sticks can be painful. Many physicians and their patients are using numbing cream for injections to reduce that pain.

Nurses and doctors both use and recommend numbing cream for injections. These active pharmaceuticals ingredients in these creams is most often lidocaine, but also sometimes benzocaine and tetracaine as well. Some are also combinations of both lidocaine and prilocaine. With all the available choices of numbing cream for injections, how do you choose which one will be best for you, your patients or your loved ones.

First it can be helpful to understand what causes the fear and pain from injections and how using numbing cream for injections can help you ease the pain and anxiety.

Why Use Numbing Cream for Injections?

The condition of being very heightened about needles (“needle phobia”) is known as trypanophobia. It is known to affect at least 10% of the population. It is sometimes caused by early childhood painful experiences. It can also be passed down from one generation to another. The response to trypanophobia that causes dizziness and other related symptoms is called a vaso-vagal response. This response includes, initially high heart rate and blood pressure, followed by a resultant drop in blood pressure and heart rate. This secondary affect can also lead to extreme dizziness and fainting.

The pain caused by the needle puncturing the skin is caused when the high voltage sodium ion gate is activated and the nerve depolarizes, leading to the conduction of sensory neuron pain signals. The API in most numbing creams for injections blocks the sodium channel from being activated, which leads to a reduction or elimination of the pain signals.

An effective numbing cream for injections includes a delivery system that allows the API to enter the skin rapidly where it can perform its job. Not all numbing creams include ingredients that make the skin temporarily more permeable. A list of some of those ingredients that help this process are:

• Ethoxydiglycol
• Propylene glycol
• MSM
• isopropyl myristate
• Urea

Those numbing creams that include these ingredients are designed to permeate the skin more rapidly and completely. This process can make the numbing cream more effective and faster.

NeuroMed 7 is a numbing cream that includes penetration enhancer technology that is designed for a more rapid and effective permeation of the API lidocaine to enter the skin and block the nerve impulses that signal pain.

NeuroMed 7 , topical lidocaine cream – supplied in single-use packets and 63 gram (2.2 ounce) multi-use tubes – made in USA in FDA monitored facilities

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Anesthesia for procedures – Emla cream and Akriol Pro

In cosmetology, local anesthesia is used for many procedures. It has a much more gentle effect than the general one, as it acts at the point of processing.

Emla cream is used as an application anesthesia for anesthesia of the place of manipulation, using special creams, sprays, ointments.

The drug is used for external use for application to the skin or mucous membranes. The most modern means that are used in application anesthesia are spray – lidocaine and Emla spray.

Effect of local anesthetic

When the skin is treated with an antistethic, the active ingredient in it penetrates deep into the tissues, affecting the membrane of the nerve fiber and nerve endings. Due to the fact that the sodium channels of the nerve are blocked, these anti-esthetizing substances create an excellent analgesic result.

The depth of penetration and duration depends on the time required for the procedure.

Areas of application for topical anesthesia

Application anesthesia is widely used for punctures and small skin incisions, the introduction of various catheters, injections, blood sampling. Also used in the following medical fields:

• in dentistry to remove teeth and their fragments, remove tartar, and also to remove the gag reflex during various procedures;
• in surgery, if it is necessary to carry out interventions on the surface of the skin, such as taking a skin flap for transplantation, during mechanical cleaning of trophic ulcers;
• in dermatology during the removal of molluscum contagiosum;
• in cosmetology before sessions of tattooing, hair removal, mesotherapy, laser therapy;
• in gynecology during the procedure for removing genital warts and warts;
• in pediatrics for blood sampling and during some vaccinations.

Benefits of Emla Cream

The cream contains two active ingredients – lidocaine and prilocaine. They both belong to the class of intermediate acting amides. The duration of action is from one to one and a half hours.

Two anesthetics in the composition of the drug give it additional positive qualities. The cream is able to prolong the effect of the drug, suitable for manipulations that are carried out both on the skin and on mucous surfaces.

The analogue of Emla cream is Akriol Pro. The drug is manufactured by the Russian pharmaceutical company Akrikhin. The main active ingredients are lidocaine and prilocaine. As well as Emla cream, it can be used for pain relief on the skin and mucous membranes, it is safe, non-toxic, the risk of developing allergic reactions during its use is reduced.

Laser hair removal
Laser removal of neoplasms
Medical and aesthetic cosmetology
Complex facial skin cleansing
Mesotherapy
Biorevitalization
Bioreparation
Redermalization
Botulinum toxin
ACNE Treatment
Chemical peels
Photorejuvenation
Fractional DOT rejuvenation
Laser removal of blood vessels
Deep laser rejuvenation
Microcurrent therapy
Ozone-oxygen therapy
Ultrasonic phonophoresis of the face
Treatment of hyperhidrosis
Mesothreads
Contour plastic
Armpit laser hair removal
Removal of papilloma
Laser removal of warts
Laser wart removal
Laser removal of molluscum contagiosum
Laser removal of xanthoma
Laser removal of fibroids
Laser removal of hemangioma
Laser removal of milia
Laser removal of moles
Laser removal of age spots
Plasma therapy
Non-invasive carboxytherapy
Thread lifting APTOS (Aptos)

Local anesthetic ✔️ beauty without pain ⭐️ Filler-Shop

Modern aesthetic medicine offers many different cosmetic procedures that have become an effective and safe alternative to surgery, but are still sometimes painful. Often it is pain as a difficult psycho-emotional sensation that becomes the main reason why the patient denies himself the opportunity to look young and attractive again, get rid of unsightly aesthetic defects that affect self-confidence, vitality and sometimes even position in society. Today, the pharmacological industry has a large number of different painkillers, and anesthetic cream for local anesthesia has become the best solution for eliminating discomfort of varying degrees of severity during the procedure.

Local anesthesia – what you need to know and what to pay attention to

Cosmetic procedures involve minimally invasive manipulations that do not require general anesthesia, only local anesthesia is sufficient, which has a limited area and time effect on a certain area of ​​the body without penetration of the drug into the general circulatory system.

There are two types of anesthesia – application (superficial) and injection (infiltration). Topical application of an anesthetic (anesthetic in the form of a cream, gel, ointment) to the skin must provide the necessary action to a sufficient depth without toxic effects on tissues. With injection anesthesia, the effect is based on blocking the nerve impulse from pain receptors and nerve branches for a longer period compared to superficial anesthesia (for three hours or more). But due to the puncture of soft tissues, the formation of a slight swelling or compaction is still possible, which disappear on their own after a few days.

Local anesthetics are subject to the following requirements:

• low toxicity;
• fast, effective and long lasting action;
• ability to withstand sterilization;
• no absorption into the general circulation, only local effect.

The most common pain reliever is lidocaine . This amide series anesthetic has a pronounced intensity, a high degree of safety and a long duration of action. Lidocaine solution is absorbed much faster than other analgesics, rarely provokes serious adverse reactions or complications, provided that there is no confirmed allergy or hypersensitivity. Lidocaine is characterized by increased resistance to chemical or thermal effects, which is important for various cosmetic procedures.

As a local anesthetic, lidocaine is available in various ointments, creams or sprays. Also, a 3% lidocaine solution is part of cosmetic products, for example, dermal fillers, the injection of which is accompanied by unpleasant sensations and discomfort in patients due to increased cover density, low pain threshold, close location of blood vessels to the skin surface, a certain pressure on tissues, caused by the constituents of the drug.

Anesthetic cream – fast, convenient, safe

One of the most effective local anesthetics is an anesthetic local anesthetic cream that desensitizes nerve endings (the most popular example is Emla cream). The cream is applied locally on a specific area, applied immediately before the procedure and does not require the use of special tools or prior preparation. As a rule, anesthetic cream is a suspension with a slightly acidic background in the range of pH 7.4 . The active substance of the drug is in an ionizing form to achieve the maximum penetrating effect, allowing positively charged ions to act on the nerve endings and ensure their temporary dysfunction.

In case of hypersensitivity to pain, it is highly desirable to use a topical anesthetic cream. In case of strong pain effect:

1. blood comes abruptly to the cover,
2. pores shrink,
3. it becomes more difficult to inject the drug,
4. increased trauma,
5. the result is not as natural as when correcting with relaxed muscles.

When choosing a cream, several important points should be considered:

• tolerance or intolerance to lidocaine, taking into account past pain relief;
• allergic reactions;
• presence of somatic diseases;
• taking certain medications;
• safety and efficiency.