Анестетик Emla (Эмла) 30 мл

Эмла - комбинированный препарат для местной анестезии.
Цена
Цена: 1990 руб
Описание

Крем для наружного и местного применения

Состав

активные вещества: лидокаина 25 мг, прилокаина 25 мг; 

вспомогательные вещества: касторовое масло полиоксил гидрогенизированное (Арлатон 289), карбоксиполиметилен, натрия гидроксид для доведения рН до 8.7- 9.7, вода очищенная.

Упаковка

Туба 30 г.

Фармакологическое действие

Эмла - комбинированный препарат для местной анестезии. Лидокаин и прилокаин - местные анестетики амидного типа, блокируя вольтаж-зависимые Na+-каналы, препятствуют генерации импульсов в окончаниях чувствительных нервов и проведению импульсов по нервным волокнам. Подавляют проведение не только болевых, но и импульсов др. модальности действия. После нанесения на кожу максимальная выраженность анестезии развивается через 60 мин и длится 30 мин.

Показания

Поверхностная анестезия кожных покровов и слизистых оболочек: перед проведением поверхностных хирургических манипуляций на кожных покровах, взятии кожных лоскутов; перед введением иглы для забора крови или катетеризации кровеносных сосудов; перед проведением поверхностных хирургических манипуляций или инфильтративной анестезии на слизистых оболочках половых органов; перед механическим очищением и иссечением трофических язв на нижних конечностях; перед взятием кожных лоскутов в комбустиологии и хирургической практике; для удаления татуировок.

Противопоказания

Гиперчувствительность к местным анестетикам амидной структуры; метгемоглобинемия (врожденная или идиопатическая), недоношенные и дети до 12 мес на фоне приема метгемоглобининдуцирующих ЛС; анестезия кожи перед введением живых вакцин.

Способ применения и дозы

Наружно, на кожу или слизистую оболочку.

Крем наносят под окклюзионную повязку (имеется в упаковке) не менее чем за 1 ч до начала процедуры, записывают на повязке время нанесения препарата, после снятия повязки вытирают остатки крема этанолом.

Для анестезии кожи: взрослым (для проведения "малых" процедур) наносят 1.5 г/10 кв.см в течение 1-5 ч, на большие поверхности - 1.5-2 г/10 кв.см в течение 2-5 ч; детям от 3 до 11 мес - до 1 г/20 кв.см. Детям старше 1 года - 1 г/10 кв.см.

Анестезия половых органов - 5-10 г крема на 5-10 мин (без плотной повязки).

Побочные действия

Бледность, гиперемия, отек, жжение, зуд в области нанесения; аллергические реакции (в т.ч. анафилактический шок).

Особые указания

После нанесения крема из тюбика на изъязвленные участки кожи нижних конечностей тюбик с остатками мази следует выбросить. Не следует наносить на слизистую оболочку и открытые раны (за исключением трофических язв нижних конечностей). Необходимо соблюдать осторожность при нанесении вокруг глаз (возможно раздражение роговицы). Проникает в грудное молоко в концентрациях, безопасных для ребенка.

Передозировка

Симптомы: возбуждение ЦНС, судороги, кома, метгемоглобинемия (вызванная прилокаином).

Лечение: легочная вентиляция, поддержание жизненно важных функций, симптоматическая терапия; при метгемоглобинемии - в/в медленно раствор метиленового синего, при судорогах - противосудорожная терапия.

Условия хранения

Хранить при температуре ниже 30°С, в местах, недоступных для детей. Не замораживать.

Срок годности

3 года.

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