"Lidocaine": instructions, reviews, photos

As an antimicrobial and anesthetic in urology, the drug "Catejel with lidocaine" is very popular. It is available as a clear, colorless gel and is used for local anesthesia and disinfection of the urethra before the procedure of insertion of the catheter, endoscope or in other cases. Due to the lack of contraindications, this drug is actively used in pediatric practice, and for pregnant or lactating women.

On the composition and form of the release of the drug "Cathegel"

Talking about the gel "Catejel", we can not fail to mention that it can be purchased at pharmacies only on the prescription of a doctor. It is sold in pre-packaged 5 or 25 blisters in a cardboard box labeled "Catejel with Lidocaine" (gel). A syringe (12.5 g) with an elongated break-off tip in each blister is disposable, made of corrugated polypropylene. It is immediately filled with a sterile drug and is ready for use. By the way, it should be clarified that out of 12.5 g of this drug when instillation in the urethra falls around 10 g.

A hundred grams of gel contains 0.05 g of chlorhexidine dihydrochloride and 2 g of lidocaine hydrochloride. As auxiliary components are glycerol, hyethellosis and water for injection.

How does the drug "Lidocaine Catejel" work and in what cases?

The composition of the drug described includes lidocaine hydrochloride, which has an anesthetic effect in topical application, as well as chlorhexidine, which can defuse many Gram-positive and Gram-negative bacteria, yeasts and dermatophytes. However, in this case, the named component has no effect on acid-fast fungi, viruses, bacteria and spores.

In urology, gynecology, proctology and pediatrics, the drug "Catejel with lidocaine" (the photo of this remedy you can see in the article) is used mainly as local anesthetic during endoscopy, intubation, replacement of fistula catheters or for surgical interventions. At the same time, adequate anesthesia occurs only 5-10 minutes after the application of the said drug.

Gel "Cathegel" is used and with complex therapy as a means that can reduce pain in inflammatory processes that occur in the vagina, cervical or urethra and in the rectum.

Some features of the use of the drug "Catechel with lidocaine"

In urology, the described preparation is used for the procedure of instillation of the urethra (drip infusion of drug substance into the lumen of the diseased organ). At home, it is forbidden to do it, as only medical workers can do this medical treatment correctly, and only with proper equipment, observance of the rules of antiseptic and the availability of practical skills.

Before introducing the instruments, the patient is cleaned and disinfected the hole of the urethra from the outside. Then open the blister with the drug "Catejel with lidocaine" (gel) and remove the paper before the waist. Inside the package, the tip of the syringe-tuba is broken off and removed, making sure that there are no irregularities at the fracture site. And to ease the process of injection from the syringe squeeze out a drop of substance.

The instillation is carried out by easily pressing on the corrugated syringe, and after its emptying continue to compress until complete removal from the canal. 10 minutes after the instillation of the anesthetic gel, tools can be injected.

Dosage of the drug

Those who use the drug "Catechel with lidocaine" know that there are no special recommendations regarding its dose for women and children. As a rule, practicing specialists the amount of the injected gel is correlated with the anatomical dimensions of the urethra.

Elderly, weakened patients and those suffering from severe renal or hepatic insufficiency, the dose of this drug is selected strictly individually, depending on the patient's condition.

It should not be forgotten that in case of using more than one syringe-tuba at a time (especially if the urethra is inflamed or has ulceration), the patient may have symptoms of drug overdose.

Contraindications for use

And although the available information about the use of the drug "Catechel with lidocaine" reviews experts confirm its safety for almost all groups of patients, some of them should still refrain from using this drug. These include:

• Persons suffering from an allergic reaction to chlorhexidine;
• Patients with diagnosed unstable angina or bradycardia;
• As well as patients with acute porphyria (except when there is convincing evidence for the use of the gel "Catechel").

To avoid complications, experts advise patients who use the drug for the first time to conduct allergic tests.

In addition, the manufacturer warns of the danger of getting the product into the eyes - in such cases, you need to rinse them with plenty of running water.

The presence of side effects and drug overdose

The described drug has no particular side effects, and as a negative effect of the gel, only possible allergic reactions are mentioned in the form of dermatitis, skin rashes, burning in the place of application and angioedema.

As the instruction "Catejel with lidocaine" indicates, an overdose of this drug is extremely rare and only in cases of severe damage in the urethra. Then the patient may experience convulsions, dizziness, bradycardia (slowing of the heart rate) and collapse (rapid drop in blood pressure caused by cardiac weakness and sudden decrease in vascular tone). By the way, the main factor of overdose symptoms is lidocaine.

In such situations, the patient is shown to use beta-adrenostimulants (with bradycardia), as well as barbiturates or short-acting muscle relaxants with convulsions. In the state of collapse, the patient is injected intravenously with drugs "Epinephrine" or "Dopamine."

How the drug interacts with other drugs

If you need to use the gel "Catejel with lidocaine", the use of iodine is highly undesirable. Soap and detergents containing an anionic group are also incompatible with the described preparation.

Patients receiving anti-arrhythmic drugs (Mexiletin or Tokanid), beta adenoblocators (Propranolol), and calcium antagonists (Diltiazem, Verapamil) should be prescribed for treatment, the gel should be administered with caution in connection with the risk Disturbance of vascular conduction and contractility of the heart.

It is allowed to use it with drugs that are part of the cationic group ("Benzalkonium chloride"). And monoamine oxidase inhibitors can enhance the analgesic effect of lidocaine.

Who can use the drug "Cathegel"

According to the instructions available to the drug "Lidocaine Catechumen", it can be used by women during pregnancy (although in the first trimester it should be done with caution) and with breastfeeding. This is due to its low ability to penetrate the placenta or into breast milk. However, to enhance safety, the manufacturer recommends nevertheless refrain from breastfeeding for 12 hours after applying the gel "Catejel".

On the ability to drive a car or other mechanisms, the described tool does not affect. It also does not cause drowsiness or slowing down of human reactions.

Some remarks at last

Store gel "Catejel" in a dry place, inaccessible to children and protected from light, at a temperature of no more than 25 ° C. Do not freeze the drug, due to the risk of a decrease in the therapeutic effect. And in the absence of marking and violation of the integrity of the syringe-tube with gel from its use it is necessary to refuse.

Shelf life of this drug is 5 years, after which it is better to abstain from using the drug.

Synonyms for the described remedy include preparations "Instillagel", "Lidocaine Asept" and "Lidochlor."

In conclusion, we can not but repeat that, despite the evidence on the relative safety and effectiveness of such a preparation as the gel "Catejel with lidocaine," it is dangerous to use this drug without prescribing a doctor! It is able to relieve the pain syndrome and facilitate the course of the above-mentioned diseases, but only under the condition of medical supervision. Otherwise, the patient runs the risk of causing irreparable harm to his health.