I was able to get this prescription tube 35g of 5% lidocane by company named Fougera. Anyone had experience with this in use for LHR? Will it give effective pain management? Is the application instruction the same as with EMLA(1 hour)?
http://img716.imageshack.us/img716/8180/img0591b.jpg
Never heard of it, so I don’t know about application instructions, sorry. It doesn’t have any instructions with it or anything?
Looks like you got it from a pharmacy with a prescription, didn’t they explain it to you? Lidocaine can be dangerous, I would ask for explicit directions if you can.
Just a warning - EMLA should not be used on a large area occluded by plastic. This can be life threatening. Going on memory, I believe you should not apply to an area larger than 4 X 4. Please consult with a pharmacist or physician about proper administration of ANYTHING with 5% lidocaine. EMLA has 25 mg. of lidocaine or 2.5% and 25 mg or 2.5% of prilocaine, by the way. Call or e-mail the drug company that makes $10.00 stuff? Who knows what you are are getting. Seek out the advice of a pharmacist and BE CAREFUL HERE!
I don’t even find that any numbing cream helps at all. It’s not like it completely takes the pain away you still feel it, so it’s not like you’ll use numbing cream and feel nothing. Just take a couple advil and bite your lip and do it!
That’s what I have observed as well, however, I have had feedback from some clients that they do feel completely numb. It doesn’t last for a long time though. One client used heat to absorb it deeper and it totally numbed the area. I am uneasy with this because one client felt fainty and had to put her head between her legs when she came to me with a large area occluded with L.M.X… I was very suspicious it was the topical causing this, but she said she hadn’t eaten all day and had attributed her weakness to no food. Could be?
I do not advise my clients to use a lot of topical lidocaine over a large area. That’s why I spent more money on vision aid and the Apilus Platinum. Better tools go a long way to helping people tolerate the sensation part in some areas of the body and face. Very few of my clients are using topical products. We can find levels or modes of electrolysis that work well enough for them. Proof is, most of my clients do longer than one hour appointments. I do up to 4-5 hours at a time on one client. They couldn’t lay on the table that long if they were in pain.
EMLA is safe. The unsafe versions are the ones improperly compounded by pharmacies and then applied on large areas.
EMLA that is not compounded can be unsafe, if it is applied to large areas and is warmed by covering with plastic wrap or warm packs. Compounding lidocaine is even worse because the concentration of drug is greater and people can overdose on that more easily. Don’t be fooled by EMLA or any other topical lidocaine product when it is used beyond what is advised even though the percentage of drug is lower. We are not pharmacists or physicians here and we should not be assuring people about what is safe and what is not safe. Leave that to those that have studied about such things for many years beyond a high school education.
We are not talking about putting EMLA on an upper lip. I think we are discussing large areas, right?
Ye this is intended for chest and abs for laser treatment. I know that numbing creams do not remove all the pain, but if it can minimize the pain by 40-60% as people claim that helps a lot. I want to be treated at lower pulse than last time, but you can definitely feel much more pain than what I can already barely tolerate.
Okay, here is my advice and how I got through my first bikini line treatment: Get a little drunk. Yeah yeah yeah there are all sorts of reasons why people will say that’s bad, but it’s not a big deal. It works pretty well. I don’t mean falling-down-drunk. I mean just slightly buzzed. My second treatment was much more painful (even with the numbing cream and three advil).
Trust me, it’s a waste of time on the chest and abs to even do it, it hardly hurts in those areas. It won’t reduce it by 40-60% either. Just get half drunk like Kitty said that’s a much better idea I think as well.
I just think there is often an assumption that EMLA or other properly compounded creams are highly unsafe on large areas, which is based on several news stories of people dying. However, I believe that those who died used a cream that was improperly compounded. I do not recall any cases of anyone dying or having serious issues from proper use of the cream on any area…
I agree with LAGIRL. Using Emla " properly " is quite safe. We do suggest to customers to eat something before applying the cream. We do not supply EMLA to our customers.
Chris,
Applying EMLA over a large area, with occulsion, is not recommended. So what does "using EMLA “properly” mean to both of you? I think this has to be defined because a lot of people read these posts and I feel sure that neither of you want to be vague about this. I don’t supply the cream to clients either, but I do caution them to apply it properly, if they insist on trying it, as advised by a physician, pharmacist or a drug rep. I know about the details of those deaths caused by COMPOUNDED concentrations, but adverse side effects can happen with lesser concentrations. Some people are idiots and will not follow instructions thinking more is better. Eating or not eating before a treatment has nothing to do with toxicity. Other drugs that people may be taking could interact with EMLA. This is not to be taken so casually.
If it’s properly compounded and left on for an hour or under, it shouldn’t be an issue, unless someone has an allergy to it.
How big an area can it safely be applied to? 2 x 2? 10 x 10? 20 x 20? How thick? Occulsion or no occulsion?
We have had customers use topical creams on large areas, occluded, for over 9 years without any problems. However, we do not allow our customers to arrive for treatment with the cream on. The cream needs to be applied in our facility. We also need to see what cream, in what concentration is being applied. As stated before, we do not supply prescription creams to our customers.
This protocol may absolve you of any legal action should there be an incident. Very smart.
Our main concern is to treat our customers in a safe and effective way, without any complications.
Romeo, have you thought that customers can apply the anesthetic cream at home and not admit to you? In this case they are double the recommended (at home dose and dose at the clinic) and the risk of overdose increases, while you are not aware of this fact.
^ If people do that when they are warned of all the potential risk then nothing can be done. Idiots will be idiots.