Dee Dee, I love your “stach” by the way …
Now the Book! (tee hee)
One of my patients was (is) the California State Board Examiner for Anesthesiologists. Yes, that was an interesting person to work on (total upper-body hair removal). I got lots of technical information from him. Additionally, I work with a plastic surgeon. Here are a couple “factoids” from my expert sources (and the literature).
First, nobody uses “Novocain” any more (dentists use Lidocaine) … but the term is still used because it’s what patients know. So I suppose the dentists think, “What the heck!” The term is still widely used and is part of our everyday nomenclature. For most people “Novocaine” just means … that numbing stuff the dentist uses. But it’s an older formulation (trade name) that’s not widely used today
It’s okay to use the term “Novocaine.” It’s a generic term. I use it too.
Your medication Drocanil-A is common in Asia; but is the same formulation as, say, “Xylocaine” (a trade name of “Astra-Zeneca” with the same formulation … a Swedish Corporation), commonly used here in the United States.
The terms Adrenaline and Epinephrine are used interchangeably. (Usually they say “Adrenaline” in Europe and Australia (NZL/Asia). And, usually termed “Lignocaine” in the (former) “British Empire.” With a “G,” not a “D.”
Yeah, it’s needlessly confusing. Don’t worry about it.
Actually, an injected anesthetic is more safe than a topical. WHY? Because the physician knows precisely how much as been administered. And, he/she is computing dose and duration for metabolism “half-life.” With a topical, you do not know how fast the medication is being absorbed … and that can be a problem.
Indeed, there have been problems with the topicals … I have yet to hear of ONE real world problem with “the good stuff.”
I cannot give medical advice, but your doses are extremely safe (as per the literature on Lidocaine 1% with, and without, “epi”). Indeed, if you go “on-line” you will see a plethora of toxicity reports. Please talk to the physician in charge and he/she will easily allay your concerns. The doses you state are safe; I would say “ridiculously safe.” Don’t worry about this!
Let me only say the following: In electrolysis, it’s NOT the anesthetic that’s dangerous … it’s the electrolysis treatment itself that can cause problems! In addition, with anesthetic, the electrolysis treatment becomes VERY different indeed, and your technician knows this (has learned this) and has adjusted her technique accordingly.
If you have the time (or inclination) I would GREATLY appreciate your putting me in contact with your electrologist … (Please use my private email at email@example.com) I’m looking to refer patients to her/him.
Anesthetic is safe to use on large areas of the body, not just, say, the upper lip. (Here I attentively disagree with my colleague based on my 35+ years of experience working with several plastic surgeons.) It’s all about technique.