Lidocaine spray 38. g

WHAT Lidocaine SPRAYING IS WHAT IT IS USED
Lidocaine spray causes local anesthesia (local anesthesia) of the skin and mucous membranes. It has a rapid onset of action (1 minute) used and its effect lasts for 5-6 minutes. Numbness that occurs with analgesia disappear within 15 minutes. One spray contains 4,8 mg lidocaine. Each vial contains not less than 650 pulses.

Indications (uses)
To remove the pain of the following procedures:
In otorhinolaryngology (ear, nose and throat diseases):
In puncture of the maxillary (upper jaw) sinus and minor surgical interventions (interventions) in the nasal cavity, pharynx (pharynx) and epifarinksa (nadgaltacha);
Paracentesis (surgical opening of the eardrum).
In gynecological practice
Just before birth and before episiotomy (cutting the perineum) and suturing the perineum (the area between the normal generic way her anus), as an additional means protivobolkovo.
In research tools and introducing a catheter into the digestive tract and airways.
Causing superficial anesthesia (anesthesia) of oropharyngeal and trahealnata mucous membranes, reducing the reflex response attenuates haemodynamic response and relieves the catheter insertion or the passage of various tools in endotracheal intubation, laryngoscopy, bronchoscopy and esophagoscopy.

In dental practice
Before injections before fingerprinting for prosthesis in dental X-rays, in removing tartar.

2. BEFORE YOU USE SPRAY lidocaine
Do not use Lidocaine Spray:
if you are allergic (hypersensitive) to lidocaine or any of the other ingredients of lidocaine spray, or have a history of seizures in the past in administration;
if you II - III degree AV block (atrioventricular block) and / or impaired intracameral conductivity;
if you're syndrome Adams-Stokes, severe bradycardia (low heart rate) or syndrome sick sinus;
if you have cardiogenic shock (shock of cardiac origin);
if you are with a significant reduction in left ventricular function.
Take special care with Lidocaine Spray
Lidocaine spray is not recommended for local anesthesia (anesthesia) prior to tonsillectomy (removal of tonsils) and adenotomiya (removal of polyps) in children under the age of 8 years. Caution is advised in cases of renal impairment, circulatory failure, low blood pressure, renal impairment, epilepsy. In such cases, dosage should be reduced. Special attention is recommended when the drug is administered to an injured mucous membranes; in elderly patients and / or those with reduced defenses; patients who use / accept lidocaine type of medicine due to heart disease.
It is preferable to use a spray drench a cotton swab in children under the age of 2 years (see section 3. How to use lidocaine spray).
At the time of application, the vial should be kept upright.
The aerosol does not need to get into the eyes, and respiratory tract due to the risk of aspiration (inhalation of the spray).
Pharyngeal (on pharynx) application requires special attention.
If the patient swallow the dose, pharyngeal reflex is suppressed completely for a while / so care must be taken in the application of the product in the mouth.

Taking other medicines
These drugs increase the levels of lidocaine in plasma: chlorpromazine, cimetidine, propranolol, pethidine, bupivacaine, quinidine, disopyramide, amitriptyline, imipramine and nortriptyline.
The combination of I / type and antiarrhythmics (eg quinidine, procainamide, disopyramide) leads to prolongation of the QT complex, only in rare cases can develop atrioventricular block or ventricular fibrillation.
The combination of lidocaine with procainamide may cause side effects in the CNS (delirium, hallucinations).
Phenytoin increases cardiodepressant (inhibition of cardiac function) effect of lidocaine.
Lidocaine may increase the effect of neuromuscular blocking agents, as it inhibits transmission at the neuromuscular cleft.
In the case of digitalis intoxication (the great quantity of digitalis) lidocaine may aggravate preexisting AV block. Alcohol abuse increases the suppressive effect of lidocaine on the respiratory system.

Pregnancy and lactation
Drug administration during pregnancy and lactation can be done, but after careful consideration of the benefit / risk as there were no controlled clinical trials.

Driving and using machines
Given that lidocaine spray impact only at the application site, there is no limit for driving and performing operations with an increased risk, unless occur disturbing side effects.

3. HOW TO USE SPRAY lidocaine
The bottle is held vertically while sprayed, as far away from the field of application.
Dose (number of pulses) is dependent on the size of the area that will reduce pain and indication.
Typically 1-3 sprays are sufficient, though in practice be applied akusheroginekologichnata 15-20 injections or more (maximum 40 vpraskvaniya/70 kg body weight).

Recommended dosage for different applications:
Indication Dose (number of sprays)
Otorhinolaryngology (ENT) 1-4
Obstetrics 15-20
Endoscopy (instrumental tests) 2-3
Dentistry 1-3
Treatment of larger areas can be done by wetting a cotton swab drug.

In children:
In dental treatments, and oral surgery Lidocaine can be administered through the irrigation of a cotton swab, and thereby reduce the fear of the injection itself, and also the sensation of stinging.
Children under 2 years of age can be treated in the same way.

If you use more than the amount of Lidocaine Spray
If an overdose need to maintain a clear airway to ensure breathing. If seizures occur, they are treated with 50-100 mg succinylcholine and / or 5-15 mg diazepam immediately after their occurrence. Barbiturates, and thiopental may also be useful.
Atropine may be used for controlling the symptoms (e.g., bradycardia) by the cardiovascular system, such as a dose of 0,5 - 1,0 mg, administered intravenously.
Hypotension (low blood pressure) was treated with adrenergic beta-receptor agonists.
In cardiac arrest essential is the immediate initiation of CPR.

4. POSSIBLE SIDE EFFECTS
Medicinal product may cause burning or stinging, which disappears with the development of anesthesia.
Side effects of CNS or cardiovascular system, such as anxiety and / or depression, low blood pressure, slow heart are extremely rare.

5. HOW TO STORE lidocaine SPRAY
Keep out of reach of children.
Do not store above 25 ° C. Keep away from heat.
Do not use lidocaine spray after the expiry date stated on the pack. The expiry date refers to the last day of that month.

6. FURTHER INFORMATION
What does lidocaine spray
Active substance: One package contains 38 g, 10% lidocaine solution (at least 650 doses). Each dose contains 4,8 mg of lidocaine.
Excipients: ethanol (96 percent), propylene glycol, peppermint oil.