Description overdue on 25.09.2011

The main active substances act Lidocaine   and prilocaine . It refers to a group mestoanesteziruyuschih funds . Available in the form of a cream for topical, local application. Lidocaine, prilocaine penetrate the layers epidermis   and dermis, thereby achieving an analgesic effect. Maximum analgesia processed portion is achieved after 1 hour.

Indications:

Emla is effectively used for anesthesia of the skin: in Combustiology Surgery before taking skin grafts for infiltrative anesthesia of the mucous membranes   during operations on the genitals. The drug is used to mechanically cleaned and subsequent excision of trophic ulcers of the lower extremities, tattoo removal, before vascular catheterization , Insertion of a needle for the purpose of blood sampling.

Contraindications:

Hypersensitivity to anesthetics of amide type, idiopathic or congenital metgemoglobanemii   Emla apply contraindicated. Premature children, infants under one year who take metgemoglobinindutsiruyuschie drugs also can not use this drug. Before the administration of live vaccines, in atopic dermatitis   the drug is not used.

Side effect:

Hyperemia, burning, swelling, anaphylactic shock, pallor, erythema, itching at the site of drug allergies.

Overdose:

Excitation of the central nervous system, coma, convulsions, procaine cause methemoglobinemia. Treatment involves removal of the drug to the skin, pulmonary ventilation, and symptomatic treatment, if necessary, maintenance work and proper functioning of vital organs. In convulsions spend anticonvulsant therapy. When methemoglobinemia intravenous solution methylene blue .

Mode of application:

Emla cream applied topically. Anesthesia of the skin (10 sq. Cm 1, 5g) cream is applied 1-5 hours. In large surface cream is applied for 2-5 hours per 10 sq. See 1 5-2g. Children aged 3-11 months. the dose is calculated according to the following scheme: 20 square meters. cm - 1 in children from 1 year to 10 square meters. see applied 1d. Efficiency Emla in newborns has not been established. Genital anesthetic cream is applied for 5-10 minutes in an amount of 5-10 g (without dense bandages). Before applying the cream Emla patch of skin, you must first clean, dry, to indicate the time of patch application. The minimum application time is 1 hour maximum - 5h. Simultaneous capture several patches. After the procedure, the skin should be treated with an antiseptic.

Special instructions:

It does not apply Emla cream on open wounds, damaged mucous membranes (except sores ). After applying the product on the ulcerated areas of the tube with the remnants of the cream should be discarded. When you use around your eyes should be extremely careful when hit may develop irritation of the cornea . In breast milk gets into concentrations that are safe for children. The recommended doses and indications of the drug can be applied to pregnant women.

Drug Interactions:

Perhaps the increase in methemoglobin while using Emla cream with other medicinal products that lead to methemoglobinemia. A similar effect with preparations containing sulfo . Risk of development and degree of severity of side effects is increased significantly, while using similar local anesthetics and tocainide .