Indications
Z-LIDOCAINE Jelly is indicated for surface anaesthesia of the male and female urethra, topical treatment of painful urethritis, anaesthetic lubrication for endotracheal intubation and for adequate analgesia in endoscopy.
DIRECTION FOR USE
Urethral anaesthesia :
Surface anaesthesia of the male adult urethra : For adequate
analgesia in males 400 mg is required.
♦ Surface anaesthesia of the female adult urethra : Instil 100-200 mg
in small portions to ll the whole urethra. In order to obtain adequate
anaesthesia, several minutes should be allowed prior to perform in
urological procedure.
Lubrication for endotracheal intubation : 100 mg applied on the surface of the tube just prior to insertion. Care should be taken to avoid introducing the product into the lumen of the tube.
Endoscopy: Instillation of 200-400 mg is recommended for adequate
analgesia and a small amount should be applied on the instrument for
lubrication. Debilitated, elderly patients and children should be given doses commensurate with their age and physical condition.
Note: The applicator is sterilized for 5 minutes in boiling water, cooled and attached to the tube. The jelly is instilled slowly as required. The applicator should be
detached after each use and keep the tube tightly closed.
Side Effects
Nervousness, dizziness, blurred vision, tremors, drowsiness, convulsions, unconsciousness, respiratory arrest, hypotension, myocardial depression, bradycardia, cardiac arrest and anaphylactic reactions (cutaneous lesion, urticaria, oedema).
Precautions
Absorption from wound surfaces and mucous membranes is relatively high, especially in the bronchial tree. Lidocaine Jelly should be used with caution in patients with traumatised mucosa and/or sepsis in the region of the proposed application.If the dose or site of administration is likely to result in high blood levels, Lidocaine, in common with other local anaesthetics, should be used cautiously in patients with epilepsy, impaired cardiac condition, bradycardia, impaired hepatic function and in severe shock.The use of oropharyngeal topical anaesthetic agents may interfere with swallowing and thus enhance the danger of aspiration. This is particularly important in children because of their frequency of eating. Numbness of the tongue or buccal mucosa may increase the danger of biting trauma.
Keep out of the reach of children
Contraindications
It is contraindicated in patients with a known history of hypersensitivity of local
anaesthetics of the amide type
Use in Pregnancy & Lactation
There is no, or inadequate, evidence of safety of the drug in human pregnancy but it has been in wide use for many years without apparent ill consequence. If drug therapy is needed in pregnancy, this drug can be used if there is no safer alternative. Lidocaine enters the mother’s milk, but in such small quantities that there is generally no risk of aecting the child at therapeutic dose levels.
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