Instructions for use of lidocaine spray and its analogues. Lidocaine spray - instructions for use Lidocaine spray application in gynecology

local action. The substance is packaged in 38 g vials. It contains: lidocaine 3.8 g (the main active substance), ethanol, peppermint oil, propylene glycol.

The kit includes a nozzle for spraying and instructions for using the drug. It is recommended to store at a temperature of 15 - 25 ° C out of the reach of children. The package indicates after which the aerosol should not be used.

Application

This tool has found wide application in dentistry:

The injection site before the introduction of the drug is first irrigated with a spray.

Opening of abscesses (purulent inflammation) on the gums.

Removal of milk teeth.

Removal of sutures on the gums.

Fixation of dentures.

Incision of the frenulum of the tongue, upper and lower lips in children.

Removal of tartar.

Excision of the interdental papilla.

Before applying silicone mass (but not plaster) to take an impression of the teeth.

Opening of a salivary gland cyst.

Removal of a tumor (benign) of the oral mucosa.

Before taking an x-ray.

Spray the spray on the mucosal area by pressing the valve (1 to 4 times).

Spray application in ENT departments

Otorhinolaryngology is also not complete without the use of this tool:

Resection (removal) of the nasal polyp.

To suppress the pharyngeal reflex before manipulation.

Removal of the nasal septum (septectomy).

Before electrocautery (cauterization) to stop nosebleeds.

On the mucosal site, an ice-caine spray is used before the injection.

Cosmetology

Dermatology and cosmetology are armed with this tool for pain relief of various manipulations:

Piercing of nipples, intimate places, tongue.

Electrolysis (destruction of the hair follicle by current).

This procedure is possible in the bikini area, legs, arms. The area of ​​the back, abdomen, lower back, armpits, face and chest is also suitable. Ledocaine spray during epilation is applied to the skin area by pressing the dispenser 1 to 3 times.

Diagnostics

And in this area is not complete without the use of an anesthetic spray. Diagnostic examination is often performed using this drug:

Endoscopy (examination of internal organs with an endoscope).

Introduction through the mouth or nose of tubes (probes).

Colonoscopy (examination of the large intestine).

Changing the tracheotomy tube (cannula).

Colposcopy (examination of the vagina and cervix).

Biopsy (excision of a piece of tissue or cells for microscopic examination).

The drug is injected by pressing the dispenser 2 to 3 times.

During pregnancy and lactation, it is possible to use an anesthetic aerosol in emergency cases.

Ledocaine spray: instruction

1. If children are under 8 years old, the drug should be used with caution! When inhaled into the trachea, lidocaine spray can suppress the cough reflex, so bronchopneumonia (a form of pneumonia) can develop. Children have a well-developed swallowing reflex.
2. All patients who are sensitive to any of the components that make up the aerosol.
3. If a person has taken within 24 hours.
4. To avoid biting the cheeks and tongue due to dullness of sensitivity.
5. Patients suffering from epilepsy (a disease of the nervous system characterized by seizures).
6. People with bradycardia - less than 60 beats per minute) and those with various heart diseases.
7. Patients suffering from impaired liver function.
8. Seriously ill, especially those who are in a coma.

The dosage is chosen by the doctor. Spray the product carefully, holding the bottle in an upright position. The product can be applied with a cotton swab, especially for children. Avoid contact with eyes.

Side effects

When using the drug, side effects are possible:

Slight tingling (passes within 1 minute).

Redness.

Urticaria (rare).

Dizziness.

Drowsiness.

Loss of consciousness, anaphylactic shock and cardiac arrest (in isolated cases).

Anesthetic lidocaine spray: reviews

Positive reviews include the availability of the product (sold in pharmacies) and its safety. The medicine acts quickly, hair removal, for example, is painlessly tolerated if you use an ice-caine spray. The low cost of the drug, minimal consumption, use for acute toothache, if it is not possible to visit the dentist (just apply a cotton swab moistened with medicine), also complement the positive reviews about the medicine. When a wisdom tooth grows, as well as when applying a tattoo, this remedy perfectly anesthetizes.

The short time of action is the only drawback of the drug.

And in conclusion, I would like to note that new products have appeared in the assortment of online stores: lidocaine spray STUD 100 and STUD 500. These drugs are intended exclusively for men and are used in case of premature ejaculation. They can be used with a condom.

Premature ejaculation (PE) is the most common sexual dysfunction in men.

Since increased sensitivity of the glans penis is involved in PE, it seems reasonable that reducing this sensitivity could have a moderating effect on intravaginal ejaculation time without adversely affecting the sensations of sex.

One of the prolongators of sexual intercourse is a local anesthetic - ice-caine spray on the glans penis. The drug can be easily removed prior to vaginal penetration, bypassing the need for a condom, which many men dislike.

What is Lidocaine

The drug Lidocaine (lidocaine hydrochloride) is an anesthetic, that is, it anesthetizes a certain area. It results in a loss of sensation in the skin and surrounding tissues. The effect is the same as a local anesthetic, but Lidocaine spray is as easy to apply as a skin lotion.

In medicine, Lidocaine is used to prevent and treat pain from certain procedures. This medicine is also used to treat burns, scratches and insect bites.

What are the anesthetics to increase intimacy

In addition to lidocaine spray, other anesthetics can be applied to the head of the penis. These include preparations with benzocaine (for example, Maxman cream). Most users claim that this remedy helps them prolong sexual contact by 10 minutes on average.

There are also sprays with lidocaine and prilocaine, they contain 7.5 mg of lidocaine and 2.5 mg of prilocaine. In a study of 14 people who came to urology clinics with PE, it was found that after applying this spray, the duration of sex increased from 1 minute 24 seconds to 11 minutes.

Some patients have reported difficulty maintaining an erection while waiting for the required 15 minutes between applying the spray and starting intercourse.

There are condoms with a lubricant that contains lidocaine. However, its concentration in the lubricant is so small that the duration of sexual intercourse will not increase much.

How the remedy works

The active ingredient in a lidocaine spray, ointment or gel remains on the surface of the skin, so it is important to wash your hands after using it. According to the Journal of Medicines in Dermatology, when used in small amounts and low concentrations on small areas of the body, the substance is considered safe. Anesthetics such as lidocaine interfere with the conduction of nerve impulses to the central nervous system. They begin to work within a minute after application, so at the tip of the penis, you may first feel a slight tingling, and then numbness.

Indications

Lidocaine spray on the head of the penis is recommended for men who have problems with premature ejaculation.

Also, local and injectable products with lidocaine are widely used in dentistry, surgery, cosmetology and other areas of medicine where pain relief is required.

Contraindications

Lidocaine spray on the glans penis should not be used under any of these conditions:

• heart problems, in particular, atrioventricular blockade of the 2nd and 3rd degree;
• infected, swollen, or damaged skin;
• myasthenia gravis;
• allergic reaction to lidocaine;
• pregnancy or attempt to become pregnant with a partner;
• breastfeeding with a partner.

You can not combine lidocaine spray on the head of the penis with iodine-containing drugs, and products containing an anionic group (in particular, it includes potassium or sodium soaps). Antidepressant drugs can over-intensify the effect of the spray, and the spray, in turn, the effect of antidepressants.

This interaction in pharmacology is called potentiation.

It should be remembered that the spray with lidocaine in no way affects the size of manhood, like the Dominator spray and the like. These sprays essentially allow you to achieve an erection faster, and the drug with lidocaine allows you to not come for a long time.

How to use penis spray, its side effects and cost

Mode of application

Spray on the head of the penis is applied 15 minutes before sexual intercourse. This allows for a longer time to ejaculation and greatly improves sexual satisfaction in men with PE and their partners. If necessary, it can be rubbed with a cotton swab. For a long-term effect, only 2-3 sprays are enough. After 15 minutes, the remaining lidocaine can be washed off with water without soap.

When applying the spray, the penis must be erect. Lidocaine does not affect potency, that is, it is useless to apply it to achieve an erection.

The drug does not affect the integrity of the condom.

If penile anesthetic spray gets into the eyes, nose, mouth, rectum, or vagina, it should be washed off with water.

Side effects

Side effects that require immediate medical attention include:

• allergic reactions such as skin rash, itching or hives, swelling of the face, lips or tongue;
• breathing problems;
• changes in vision;
• excessive excitability, inexplicably nervous and restless condition;
• dizziness;
• drowsiness;
• fever or chills;
• headache;
• arrhythmia;
• nausea;
• vomiting;
• tremor in the limbs.

Side effects that do not usually require medical attention include a feeling of numbness in the area where the penis spray was applied.

Lidocaine products can be used once or twice a week. In addition, most experts recommend these drugs as a concomitant treatment, in combination with other therapies such as natural supplements, premature ejaculation pills, and therapy with a sex therapist.

Advantages and disadvantages

The main benefit of lidocaine spray is ease of use. It does not need to be applied by the hour, washed down with water or injected under the skin. Two or three "zilch" - and the desired effect occurs.

It can be used not only to prolong sexual intercourse, but also to anesthetize the area during epilation, relieve pain from hemorrhoids, insect bites and eczema. Therefore, a spray with lidocaine should be in every home first aid kit.

The remedy has a small number of contraindications and side effects.

Penis lotions, creams, and sprays contain too few ingredients to really provide a long-lasting effect on the body. Therefore, the effect lasts a maximum of 20 minutes, although this time is more than enough for most men and women. In order for the spray to last about an hour, you need to apply a lot of it, and this is fraught with an overdose and the inability to achieve ejaculation.

In one of the comments on the forum, the man claims that an overdose of lidocaine led to "the most painful sex of his life", as he could not achieve orgasm, and the head of the penis completely lost sensation.

A high concentration of lidocaine applied over a large area of ​​the body can cause the substance to be absorbed into the bloodstream. This can lead to a buildup of toxic levels of lidocaine in the body and cause arrhythmia, shortness of breath, dizziness, or chest pain.

The most serious danger of using lidocaine spray on large areas of the body is the risk of coma and even death. Coma is a deep unconscious state, with the loss of the ability to think and understand what is happening. She requires immediate hospitalization.

List of popular lidocaine sprays

There are a number of popular penis sprays. These include:

• PEINEILI Men Spray(manufacturing country - China). Its cost ranges from 150 to 2000 rubles, depending on the margin and volume. Declared concentration - 10%, real - 9.3%.
• God Oil India(manufacturing country - India), the price is about 250 rubles per unit of goods. Contains 12.2% active ingredient.
• Super Dragon 6000(manufacturing country - China), price - from 500 rubles.
• Scorol Men Spray(manufacturing country - USA), you can buy for 700-800 rubles apiece. The concentration of the active substance is 12.8%.
• (manufacturing country - Russia), the price varies from 380 to 450 rubles. The content of lidocaine is 10%.
• Lidocaine Asept(manufacturing country - Russia), can be purchased for 260 rubles, the content of lidocaine reaches 10%.

Where could I buy

You can buy penis spray containing lidocaine either at a pharmacy or online. On foreign Internet sites, such as Aliexpress, "erotic" lidocaine sprays are also sold.

Lidocaine is a local anesthetic for superficial anesthesia. According to the chemical structure, the active substance is a derivative of acetanilide. The drug provides all types of local anesthesia: terminal, infiltration, conduction.

In this article, we will look at why doctors prescribe Lidocaine Spray, including instructions for use, analogues and prices for this drug in pharmacies. Real REVIEWS of people who have already used Lidocaine Spray can be read in the comments.

pharmachologic effect

Lidocaine is a derivative of acetanilide, has antiarrhythmic properties, as well as membrane stabilizing activity. The drug blocks the generation and conduction of nerve impulses, thereby removing sensitivity to pain. When reaching the trachea and larynx, lidocaine inhibits the cough and swallow reflex, so there is a risk of aspiration and bronchopneumonia. In moderate therapeutic doses, the anesthetic does not affect the frequency and strength of the heart contraction.

Lidocaine is absorbed differently on the mucous membranes. It depends on the place of application and the amount. In perfused organs, including the heart, liver, kidneys, lungs, the drug is well distributed, penetrates into the fatty layer, placenta, penetrating into the fetal bloodstream.

What is Lidocaine Spray used for?

The spray is indicated for use for local anesthesia of the mucous membranes in dental practice and during surgical operations in the oral cavity, namely:

1. Anesthesia of the gums for fixation of the crown or bridge (when using only elastic impression material);
2. Anesthesia for excision of superficial benign tumors of the oral mucosa;
3. Removal of mobile milk teeth and bone fragments;
4. Opening of superficial abscesses and suturing wounds of the mucous membranes;
5. Reduction (or suppression) of the increased pharyngeal reflex in preparation for an X-ray examination;
6. Instrumental or manual removal (excision) of the enlarged papilla of the tongue;
7. Frenulotomy (excision of the frenulum) and opening of cysts of the salivary glands in children.

In obstetrics and gynecology, the drug is used if it is necessary to anesthetize:

1. The area of ​​​​excision and treatment of rupture of the hymen or suturing for abscesses;
2. Perineum for treatment and/or episiotomy;
3. Operating field for surgical intervention on the vagina and cervix.

Spray Lidocaine is also used in endoscopy, instrumental examinations and in ENT practice for anesthesia, after which it is carried out:

1. Rectoscopy and replacement of catheters;
2. sinus lavage;
3. Tonsillectomy, to reduce the pharyngeal reflex and anesthetize the injection site;
4. Electrocoagulation (in the treatment of nosebleeds), septectomy and resection of nasal polyps;
5. Introduction through the mouth or nose of various probes (fractional food test, duodenal probe).
6. Opening of a peritonsillar abscess or puncture of the maxillary sinus as additional anesthesia.

The spray is also prescribed for anesthesia of the mucous membranes and skin during minor surgical interventions.

Instructions for use

According to the instructions for use, Lidocaine Spray must be sprayed onto the mucous membranes. The dosage depends on how extensive the surface area to be anesthetized is.

With a single spray, 4.8 mg of the active ingredient is released. The lowest dose that provides the desired effect should be used. As a rule, the expected effect appears after 1-3 sprays. More sprays are used in obstetrics - 15-20 each, while the maximum allowable dose is 40 sprays with a patient weighing 70 kg.

When carrying out dental procedures and operations in children, Lidocaine Spray is preferably applied with a cotton swab, which avoids fear when spraying the drug, as well as a tingling sensation (a common side effect).

Contraindications

You can not use the drug in such cases:

• use for tonsillectomy and adenotomy in children under 8 years of age;
• hypersensitivity to lidocaine and other components of the drug.

The drug should be used with caution in instrumental studies (rectoscopy) in patients with hemorrhoidal bleeding, local infection in the area of ​​application, epilepsy, bradycardia, cardiac conduction disorders, trauma to the mucous membrane or skin in the area of ​​application, severe somatic pathology, impaired liver function, severe shock, in young children, elderly patients, during pregnancy and lactation.

Side effects

Spray Lidocaine can provoke: a burning sensation, allergic manifestations, lowering pressure, heart attack, depression, drowsiness, anxiety, loss of consciousness, spasms, paralysis of the respiratory tract, irritability.

In addition, the development of such undesirable effects during lidocaine therapy cannot be excluded:

1. From the side of the heart and blood vessels: myocardial infarction, lowering blood pressure, bradycardia, cardiac arrest.
2. From the side of the central nervous system: depression, drowsiness, spasms, increased anxiety, irritability, loss of consciousness, paralysis of the respiratory tract.
3. Allergic reactions: bronchospasm, angioedema, anaphylactic shock.

Pregnancy and lactation

There are no results from controlled clinical trials in pregnant women. If local anesthesia is required and there is no safer treatment, lidocaine spray can be used during pregnancy. Lidocaine is excreted in breast milk, but after topical application at usual therapeutic doses, the amount excreted in milk is too small to cause any harm to a nursing baby.

Prices

There are several options for spray with Lidocaine. They differ in composition and cost. Judging by the reviews, the most effective in sex are:

1. Lidocaine asept from Biogen (Russia) - spray 10%. In addition to lidocaine, it contains chlorhexidine. The average price is 339–420 rubles.
2. Lidocaine from Pharmstandard (Russia) - spray 10%. The average price for the drug is 280–340 rubles.
3. Lidocaine from Egis (Hungary) - spray 10%. The average cost is 240–328 rubles.

Analogues

Lidocaine spray analogues, synonyms and preparations of the group:

• Novocaine;
• Lidocaine hydrochloride;
• Lidocaine-health;
• Novocain, 5 mg;
• Bupivacaine Grindeks;
• Dentinox gel n;
• Kalgel;
• Menovazin.

Attention: the use of analogues must be agreed with the attending physician.

Terms of dispensing from pharmacies

The drug is dispensed by prescription.

Isofra nose drops: instructions, reviews, analogues

clear colorless or yellowish liquid.

Clinical and pharmacological group

Anesthesiology

Residue storage unit

Pharmacotherapeutic group

local anesthetic

Tradename

Lidocaine

International non-proprietary name

lidocaine

Dosage form

spray for local and external use dosed

Compound

for 1 dose:

Active ingredient: lidocaine hydrochloride monohydrate (in terms of lidocaine hydrochloride) - 4.6 mg; Excipients: ethanol 96% (rectified ethyl alcohol, grade "Extra") - 18.4 mg, propylene glycol - 4.6 mg, sodium hydroxide (sodium hydroxide) - 0.23 mg, sodium saccharinate dihydrate (sodium saccharin) - 0.138 mg, racementhol (racemic menthol) - 0.092 mg, purified water - up to 0.046 g.

ATX code

Pharmacological properties

Pharmacodynamics

Lidocaine is an amide-type local anesthetic. The local anesthetic effect is due to the reversible inhibition of nerve conduction due to the blockade of sodium channels in the nerve endings, which prevents the generation of impulses in the endings of sensory nerves and the conduction of pain impulses along the nerve fibers. Lidocaine has a fast onset of action, high anesthetic activity and low toxicity. When applied topically, it dilates blood vessels, does not have a local irritating effect. Has an analgesic effect. The effect develops 1-5 minutes after application to the mucous membranes or skin and lasts for 10-15 minutes.

Pharmacokinetics

It is rapidly absorbed from the mucous membranes (especially the pharynx and respiratory tract), the degree of absorption of the drug is determined by the degree of blood supply to the mucous membrane, the total dose of the drug, the localization of the site and the duration of the application. After application to the mucous membrane of the upper respiratory tract, it is partially swallowed and inactivated in the gastrointestinal tract. The time to reach the maximum concentration (TCmax) in plasma when applied to the mucous membrane of the oral cavity and upper respiratory tract is 10-20 minutes. Communication with proteins depends on the concentration of the drug and is 60-80% at a drug concentration of 1-4 μg / ml (4.3-17.2 μmol / l). It is distributed quickly (half-life (T1 / 2) of the distribution phase is 6-9 minutes), first enters well-perfused tissues (heart, lungs, brain, liver, spleen), then into adipose and muscle tissues. Penetrates through the blood-brain and placental barriers, secreted with breast milk (40% of the concentration in the mother's plasma). It is metabolized in the liver (by 90-95%) with the participation of microsomal enzymes by dealkylation of the amino group and rupture of the amide bond with the formation of less active metabolites compared to lidocaine (monoethylglycinexylidine and glycinexylidine), T1 / 2 of which is 2 hours and 10 hours, respectively. In liver diseases, the intensity of metabolism decreases and ranges from 50% to 10% of the normal value. Excreted with bile and kidneys (up to 10% unchanged). In chronic renal failure, accumulation of metabolites is possible. Acidification of urine increases the excretion of lidocaine.

Indications for use

The drug can be used for local anesthesia in the following cases: in dentistry- for terminal (surface) anesthesia: anesthesia of the injection area before local anesthesia; opening of superficial abscesses; before suturing on the mucous membrane; before fixation of crowns and bridges; in the treatment of inflammation of the gums, periodontal disease; extirpation of milk teeth; removal of tartar;

in otorhinolaryngology– operations on the nasal septum and removal of nasal polyps; conducting electrocoagulation in the treatment of nosebleeds; elimination of the pharyngeal reflex and anesthesia of the injection needle insertion site before removal of the tonsils; opening of peritonsillar abscesses; puncture of the maxillary sinus;

in obstetrics and gynecology– episiotomy and incision processing; removal of sutures; minor operations on the vagina and cervix; hymen breakthrough; treatment of thread suppuration;

for instrumental and endoscopic examinations- before the introduction of the probe through the nose or mouth (including duodenal sounding and fractional study of gastric secretion); with rectoscopy, intubation;

during x-ray examination– elimination of nausea and pharyngeal reflex;

as an analgesic (pain reliever) drug with burns (including solar); bites; contact dermatitis (including those caused by irritating plants); small wounds (including scratches);

superficial anesthesia of the skin for minor surgical interventions.

Carefully

- instrumental studies (rectoscopy) in patients with hemorrhoidal bleeding; – local infection in the area of ​​application; - trauma to the mucous membrane or skin in the area of ​​application; - severe somatic pathology; - epilepsy; - bradycardia, violation of cardiac conduction; - violations of liver function; - severe shock - concomitant acute diseases; - debilitated patients; - pregnancy, breastfeeding period; - younger children's age; - elderly age.

Contraindications

- hypersensitivity to lidocaine or any other component of the drug;

- the use of lidocaine in the form of a spray for tonsillectomy and adenotomy in children under 8 years of age.

Application during pregnancy

There are no results from controlled clinical trials in pregnant women. If it is necessary to use local anesthesia and there is no safer treatment, the drug can be used during pregnancy. Lidocaine is excreted in breast milk, but after the usual therapeutic doses, the amount excreted in milk is too small to cause any harm to a nursing baby.

Dosage and administration

Apply topically, externally. The dosage may vary depending on the indication and the size of the area to be anesthetized. One dose of spray, released by pressing the dosing valve, contains 4.6 mg of lido-caine.

The drug can also be applied with a cotton swab dipped in it. In order to avoid absorption of the drug into the systemic circulation, the minimum dose that provides the effect should be used. Usually 1-3 clicks are enough; it is possible to use 15-20 or more pressures (the maximum dose is 40 pressures per 70 kg of body weight). In dental practice in children, it is preferable to apply in the form of lubrication (to avoid frightening the child when spraying) by pre-impregnating a cotton swab.

Side effect

At the site of application of the drug: a slight burning sensation that stops after the onset of anesthesia (within 1 minute), erythema, edema, impaired sensitivity.
Allergic reactions: allergic contact dermatitis is possible (hyperemia at the site of application, skin rash, urticaria, itching), angioedema, anaphylactic shock.
The use of the drug should be discontinued if any allergic reaction occurs.
The frequency of systemic reactions after the use of lidocaine aerosol is extremely low, tk. a very small amount of the active drug is applied, which can enter the bloodstream.
In the case of applying large doses, as well as with rapid absorption, hypersensitivity, idiosyncrasy, poor tolerability of the drug, the following side effects from the central nervous system and the cardiovascular system may be observed.
From the side of the central nervous system, systemic reactions can be observed: headache, dizziness, convulsions, tremor, visual impairment, tinnitus, agitation and / or depression, fear, euphoria, anxiety, fever, feeling cold, respiratory depression.
From the side of the cardiovascular system: increased blood pressure, lowering blood pressure, bradycardia, arrhythmia, depression of myocardial function.
Other: urethritis (after topical application).

Overdose

Symptoms: increased sweating, pallor of the skin, nausea, vomiting, dizziness, headache, blurred vision, tinnitus, diplopia, lowering blood pressure, bradycardia, arrhythmia, drowsiness, chills, numbness, tremor, anxiety, agitation, convulsions, methemoglobinemia, cardiac arrest.
Treatment: when the first signs of intoxication appear (dizziness, nausea, vomiting, euphoria), the patient is transferred to a horizontal position and oxygen inhalation is prescribed; with psychomotor agitation - intravenously 10 mg of diazepam; with convulsions - in / in a 1% solution of hexobarbital or sodium thiopental; with bradycardia - in / in 0.5-1 mg of atropine, sympathomimetic agents (norepinephrine, phenylephrine). Dialysis is ineffective.

Use with other drugs

Vasoconstrictors (epinephrine, phenylephrine, methoxamine) prolong the local anesthetic effect of lidocaine.
Cimetidine and propranolol reduce the hepatic clearance of lidocaine (decrease in metabolism due to inhibition of microsomal oxidation and decrease in hepatic blood flow) and increase the risk of developing toxic effects (including the state of stupor, drowsiness, bradycardia, paresthesia, etc.).
Barbiturates, phenytoin, rifampicin (inducers of microsomal liver enzymes) reduce the effectiveness of lidocaine (dose may need to be increased). When administered with aymalin, phenytoin, verapamil, quinidine, amiodarone, it is possible to increase the negative inotropic effect.
Co-administration with beta-blockers increases the risk of developing bradycardia. Cardiac glycosides weaken the cardiotonic effect, curare-like drugs enhance muscle relaxation. Procainamide increases the risk of developing excitation of the central nervous system, hallucinations.
With the simultaneous appointment of lidocaine and hypnotics and sedatives, it is possible to increase their inhibitory effect on the central nervous system.
With intravenous administration of hexobarbital or sodium thiopental, against the background of the action of lidocaine, respiratory depression is possible. Under the influence of monoamine oxidase inhibitors (furazolidone, procarbazine, selegiline), the local anesthetic effect of lidocaine may be enhanced. Patients taking monoamine oxidase inhibitors should not be given parenteral lidocaine.
With the simultaneous use of lidocaine and polymyxin, it is possible to increase the inhibitory effect on neuromuscular transmission, therefore, in this case, it is necessary to monitor the patient's respiratory function.

special instructions

When using the vial should be kept in an upright position. Avoid contact with eyes and respiratory tract (risk of aspiration). It requires special care when applying the drug to the region of the posterior pharyngeal wall. Application to the buccal mucosa is associated with a risk of dysphagia and subsequent aspiration, especially in children. If the sensitivity of the tongue and buccal mucosa is impaired, the risk of biting them increases.

Lidocaine is well absorbed through the mucous membranes (especially in the trachea) and damaged skin. This should be taken into account, especially when processing large areas of tissue in children.

If the spray is used during surgical operations in the pharynx or nasopharynx, it should be taken into account that lidocaine, suppressing the pharyngeal reflex, enters the larynx and trachea and suppresses the cough reflex, which can lead to bronchopneumonia. This is especially important in children, as they are more likely to have a gag reflex. In this regard, the spray is not recommended for local anesthesia before tonsillectomy and adenotomy in children under 8 years of age.

Care should be taken when applying lidocaine to damaged mucous membranes and/or infected areas.

The drug should be used with caution in patients with epilepsy, as well as in bradycardia, impaired conduction in the heart, impaired liver function and severe shock, especially when a significant amount of the drug can be expected to be absorbed when large areas of tissue are treated with high doses.

Lower doses should be used in debilitated and elderly patients, in acute diseases, as well as in children, in accordance with age and general condition.

In children under 2 years of age, Lidocaine Spray is recommended to be applied with a cotton swab dipped in the preparation.

Influence on the ability to drive vehicles, mechanisms

During the period of treatment, care must be taken when driving vehicles and engaging in other potentially hazardous activities that require an increased concentration of attention and speed of psychomotor reactions.

Release form

Spray for local and external use dosed 4.6 mg / dose.
20 g (not less than 340 doses) or 38 g (not less than 650 doses) in plastic bottles, sealed with a spray nozzle, complete with an adapter.
One vial with instructions for use is placed in a cardboard box.

Storage conditions

In a place protected from light at a temperature not exceeding 25 ° C. Keep out of the reach of children

Best before date

3 years. Do not use after the expiry date stated on the packaging.

Lidocaine - the active substance of the spray - belongs to the group of local anesthetics. Local anesthetics temporarily block the conduction of nerve impulses at the site of application. After local application, local anesthetics first block the feeling of pain, and then - temperature and tactile sensitivity.
Lidocaine Spray can be used in all cases where anesthesia of the skin or mucous membranes is necessary, for example, for local anesthesia for minor surgical interventions, anesthesia of the injection site before the administration of an injectable local anesthetic.
The drug can be used in dental procedures and operations, in otorhinolaryngology (ear-nose-throat), obstetrics and gynecology, dermatology, endoscopy and instrumental studies.

Do not use the drug

If you are allergic to lidocaine or any of the excipients listed in the Composition section.

Precautionary measures

Talk to your doctor or pharmacist before using Lidocaine Spray.
If you have any of the conditions listed below, be sure to talk to your doctor before taking this medicine:
- It is important to avoid inhalation of lidocaine (risk of aspiration).
- Application to the throat requires special attention.
- Application to the buccal mucosa is accompanied by a risk of dysphagia and subsequent aspiration. If the sensitivity of the tongue and buccal mucosa is impaired, the risk of biting them increases.
- Lidocaine is well absorbed through the mucous membranes (oral cavity, gums) and damaged skin. This should be taken into account, especially when processing large areas of tissue in children.
- Care should be taken when applying lidocaine to damaged mucous membranes and/or infected areas.
- The drug should be used with caution in patients with epilepsy, as well as in bradycardia, impaired conduction in the heart, impaired liver function and severe shock, since in such conditions you may be more sensitive to the active substance. In this case, you should use smaller doses or consult with your doctor.
- If you know that you or someone in your family suffers from a rare blood pigment disease called porphyria.
- Lower doses should be used in debilitated and elderly patients, in acute diseases, as well as in children - in accordance with age and general condition.
- During the application of the Lidocaine spray, the bottle should be held as vertically as possible. The spray should not get into the eyes.
The drug contains a small amount of ethanol (alcohol). The drug may change or enhance the effect of other medicines.
The drug contains propylene glycol, which can cause irritation of mucous membranes or skin.
Use in children
- Application to the buccal mucosa is associated with a risk of impaired swallowing and subsequent aspiration, especially in children. If the sensitivity of the tongue and buccal mucosa is impaired, the risk of biting them increases.
- Lidocaine is well absorbed through the mucous membranes (oral cavity, gums) and damaged skin. This should be taken into account, especially when applying lidocaine to damaged mucous membranes and/or infected areas. This is especially important if the child is hypersensitive to lidocaine. In this case, you should use lower doses or consult a doctor.
- In children under 2 years of age, Lidocaine Spray is recommended to be applied with a cotton swab dipped in the preparation.

Other medicines and drug

Tell your doctor or pharmacist about any medicines you are taking, have recently taken or might take.
Lidocaine should be used with caution if you are taking antiarrhythmic drugs, so tell your doctor what drugs you are taking or have recently taken.
With the correct use of the drug Lidocaine Spray, drug interactions are not expected.

Fertility, pregnancy and breastfeeding

Pregnancy
If you are pregnant, breastfeeding, think you are pregnant or plan to become pregnant, tell your doctor or pharmacist.
Lidocaine has been used for a long time and no adverse health effects have been noted.
In the absence of a safer drug, lidocaine can be used during pregnancy.
Breast-feeding
Lidocaine is excreted in breast milk, but after the usual therapeutic doses, the amount excreted in milk is too small to cause any harm to a nursing baby.
Talk to your doctor or pharmacist before taking any medicines if you are pregnant or breastfeeding.

Influence on the ability to drive vehicles and work with mechanisms

Depending on the dose, in very rare cases, local anesthetics can cause side effects from the nervous system and, thus, can affect the ability to drive vehicles and operate machines.

How to use the drug

Always use Lidocaine Spray as directed by your doctor. If you have any questions, ask your doctor or pharmacist.
Recommended dose:
Usually 1-3 clicks on the valve are enough. The local anesthetic effect develops within 1 minute and lasts 5-6 minutes. Numbness can be felt within 15 minutes. Avoid getting the spray in your eyes.
If you have any further questions on the use of this medicine, ask your doctor or pharmacist.

Possible side effects

Like all medicines, this medicine can cause side effects, although not everyone gets them.
When using too large amounts of spray or with allergies, allergic reactions or side effects from the whole body may occur. If you develop any of the following side effects, tell your doctor right away:
Very rare (less common than 1 in 10,000):
Hives; swelling of the lips, mouth, or throat, which can lead to difficulty breathing or swallowing; bronchospasm; in the most severe cases - hypersensitivity reactions.
Nervousness, dizziness, drowsiness, convulsions, loss of consciousness, paralysis of the respiratory muscles.
lowering blood pressure, slowing the heart rate, cardiac arrest.
Usually side effects are not severe and occur at the site of application of the drug.
Frequency unknown (cannot calculate frequency from available data): a feeling of slight tingling at the time of application of the spray, which disappears after the development of the action of the drug (within 1 minute). Transient swelling, reddening of the skin and sensory disturbances may develop at the site of application of the drug. When the spray is applied to the throat, a transient sore throat, a hoarse voice, or a temporary loss of voice may develop.
Reports of side effects
If you experience any side effects, including those not mentioned in this leaflet, please contact your doctor or pharmacist.
Your posts will help you get more information about the safety of this medicine.