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Burning on the right side of the chest. What diseases does a burning sensation in the middle of the sternum indicate? Cardiac and vascular pathologies


Every person, regardless of age, gender and type of activity, would like to have on hand a remedy that can quickly and effectively cope with various types of pain. Everyone faces lung pain, bruises, scratches, and toothache. Today, the pharmaceutical market is overflowing with various painkillers in tablets, capsules, powders, solutions, etc.

However, the fastest anesthetic effect is provided by medications in the form of a spray or aerosol. In this article, we will study in more detail the instructions for using Lidocaine spray, which is considered one of the most popular painkillers with almost instant action.

To avoid the development of unwanted side reactions, the use of any drug should be agreed with a medical specialist.

Pharmacological action

Lidocaine spray belongs to a group of drugs called amides, which have a pronounced superficial local anesthetic effect. It has a membrane-stabilizing effect, which leads to a decrease in impulse transmission along nerve fibers. When using a spray or aerosol, Lidocaine first suppresses pain, then suppresses tactile and temperature sensitivity. If absorption of the drug into the blood (systemic absorption) is observed, stimulation or suppression of the activity of the central nervous system, changes in heart rate and dilation of peripheral vessels may be observed.

When Lidocaine aerosol is applied topically, the analgesic effect occurs within a few minutes (on average 1–4). Even when a medicine is used in the correct way, some of the active substance enters the systemic circulation. The highest concentration in plasma is observed during the first hour from the moment of application. A sufficiently high concentration of the drug, capable of having a therapeutic effect on the body, remains in the blood for about 7 hours. The active substance and its metabolites, as a rule, are almost completely excreted by the kidneys.

Indications

Due to its pronounced local analgesic effect, Lidocaine aerosol has found wide use in various fields of medicine. Its main purpose is superficial anesthesia of the mucous membranes. How and where you can use this medicine:

  1. Dentistry. As a local anesthetic for injections, tooth extraction, removal of tartar, tongue frenuloplasty, excision of cysts in the oral cavity.
  2. Otorhinolaryngology. Provides pain relief during surgical interventions on the nasal septum or electrocoagulation.
  3. Obstetrics and gynecology. Quite often used as an anesthetic for the prevention of perineal ruptures (episiotomy) and for minimally invasive manipulations and operations on the vagina and cervix.
  4. Instrumental diagnostic methods. It will help to carry out painless insertion of an endoscopic probe during gastroduodenoscopy and sigmoidoscopy, as well as suppress the gag reflex during other types of studies (for example, radiography).
  5. Surgery and dermatology. It will numb the affected areas for various types of burns (thermal, solar, etc.). Often used for superficial anesthesia during minor surgical interventions on the skin.
  6. In everyday life. It will be useful for minor injuries, abrasions, scratches, burns, toothache, etc. Many women use it for hair removal.

Before using Lidocaine spray for medicinal or other purposes, you should carefully read the instructions for use of the drug.

Contraindications

Like any other drug, Lidocaine spray has its contraindications. According to the official instructions, this local anesthetic is not used in case of hypersensitivity to lidocaine and in children under the age of 8 years for surgery to remove the palatine or pharyngeal tonsils. In addition, Lidocaine spray should be used with extreme caution in the following cases:

  • Endoscopic examination of the rectum in patients who have hemorrhoidal bleeding, signs of an infectious process, or trauma to the mucosa in the area of ​​insertion of the diagnostic probe.
  • Diseases of internal organs of severe severity.
  • Epileptic seizures.
  • Cardiac dysfunction (bradycardia, extrasystole, etc.).
  • Functional problems with liver function.
  • Shock states.
  • Young children and elderly patients.
  • The period of bearing a child.
  • Breast-feeding.

If you are unsure whether you can use Lidocaine Spray, consult your doctor.

Side effects

Local reactions may occur, which are usually short-lived. Immediately after spraying the anesthetic, a slight tingling sensation appears in the area where the drug was applied, which goes away within a few minutes. Sometimes there is slight redness, some swelling and loss of sensitivity.

Cases of allergy development in the form of urticaria, angioedema or bronchospasm are extremely rarely recorded. However, if an allergic reaction occurs, use of Lidocaine spray is stopped immediately. In isolated cases, systemic side effects are observed, mainly from the central nervous system and the cardiovascular system. As clinical studies have shown, only a small part of the active substance enters the bloodstream. However, it may be noted:

  • Emotional excitement.
  • Dizziness.
  • Sleep disturbance.
  • Confusion.
  • Difficulty breathing.
  • Drop in blood pressure.
  • Heart dysfunction.

If serious adverse reactions occur, you should stop using Lidocaine aerosol and inform your doctor.

Dosage

The drug is intended for local external use. The required dosage of this medication will depend on the indication and the size of the area that needs to be numbed. One press of the drug valve is considered 1 dose of spray. It was found that during one spray, 4.8 mg of the active substance lidocaine is released from the bottle.

In most cases (for example, dentistry, endoscopy, dermatology), 1-3 sprays are enough for an analgesic effect. At the same time, 15–20 or even more sprays can be performed in obstetrics. However, it should be remembered that 40 doses of spray is the maximum for a patient whose weight is about 70 kg.

Pregnancy and breastfeeding

No special clinical studies have been conducted on the safety and effectiveness of Lidocaine spray for pregnant women. However, if local anesthesia is necessary and a safer method of pain relief is not possible, then you can use this drug during pregnancy.


What to do when breastfeeding? There is confirmed evidence that lidocaine is excreted in mother's milk. However, when applied topically in adequate dosage, the amount that can be excreted in breast milk is very small to cause serious harm to the baby. Due to the single use of Lidocaine spray in emergency situations, you should not stop breastfeeding.

However, it is advisable not to take any medications during breastfeeding that may be excreted in milk.

Use in children

For a child under 2 years of age, it is better to apply Lidocaine spray to the area that needs to be numbed using a cotton swab. To do this, the drug is sprayed not onto the surface of the body, but onto a small ball or cotton swab. Such activities allow you to avoid possible fright in the baby and the tingling sensation characteristic of spraying the medicine. It is worth noting that in children the gag reflex is evoked an order of magnitude faster than in adults.

In addition, Lidocaine spray is not used as a local anesthesia during operations to remove the palatine or pharyngeal tonsils in patients under 8 years of age.

Overdose

If the drug is used incorrectly and the optimal doses specified in the official instructions for use of Lidocaine spray are not observed, an overdose of the drug may develop. What clinical symptoms indicating that the recommended dose is exceeded may be observed:

  • Increased sweating.
  • Pallor of the skin.
  • Dizziness.
  • Headache.
  • Impaired vision and hearing (double vision, ringing in the ears, etc.).
  • Drop in blood pressure.
  • Cardiac dysfunction (bradycardia, arrhythmia).
  • Psycho-emotional arousal.
  • Convulsive attacks.

What is first aid in case of overdose? Stop using the anesthetic immediately. Place the patient on the bed and call an ambulance, which will take the necessary measures to eliminate the clinical symptoms of an overdose. As a rule, oxygen inhalation is prescribed, for convulsions - diazepam, for bradycardia - atropine, etc. Treatment is mainly symptomatic. Dialysis in such cases is not effective.

Interaction with other drugs

As clinical practice shows, the combined use of Lidocaine spray with many other medications can have unpredictable consequences. Therefore, if you want to use several medications at the same time, including lidocaine aerosol, and avoid adverse reactions, you should first consult your doctor.


For example, cimetidine and propranolol slow down its metabolism in the body, which can provoke the development of such undesirable effects as drowsiness, dizziness, confusion, sensations of “pins and needles”, etc. Drugs from the barbiturate group usually significantly reduce the effectiveness of lidocaine. If the simultaneous use of these drugs cannot be avoided, then the dosage of the anesthetic will have to be increased. At the same time, MAO inhibitors enhance the analgesic effect.

Special instructions

Do not allow the drug to enter the respiratory tract as there may be a risk of aspiration. Lidocaine spray suppresses the pharyngeal and cough reflexes well, which can provoke the development of bronchopneumonia. It is for this reason that this anesthetic is not used in children under 8 years of age during operations to remove adenoids and tonsils. In addition, you must be extremely careful when spraying the medicine onto damaged mucous membranes and infected areas.


Elderly patients or those with any severe pathology of internal organs should receive lower doses. For children under 2 years of age, the anesthetic is applied using a cotton swab. When spraying Lidocaine, it is recommended to keep the spray bottle in an upright position. It is also strictly forbidden to open or heat the bottle containing the drug. The drug may affect the patient’s ability to drive a car and operate special mechanisms that require increased attention and speed of reaction. During the period of treatment you must refrain from this type of activity. Do not forget that to purchase Lidocaine spray in a pharmacy you will need a prescription from your doctor.

Today, this local anesthetic, produced by domestic pharmaceutical manufacturers, is available at a price of 340–370 rubles per bottle. If for some reason you cannot take advantage of the analgesic effect of Lidocaine spray (for example, due to contraindications), you can purchase one of its analogues, which are currently available in a fairly wide range.

Lidocaine, the active substance of the spray, belongs to the group of local anesthetics. Local anesthetics temporarily block nerve impulses at the site of application. After topical application, local anesthetics first block the feeling of pain, and then temperature and tactile sensitivity.
The drug Lidocaine spray can be used in all cases where anesthesia of the skin or mucous membranes is necessary, for example, for local anesthesia for minor surgical interventions, anesthesia of the injection site before the administration of an injectable local anesthetic.
The drug can be used in dental procedures and operations, in otorhinolaryngology (ear, nose and throat), in obstetrics and gynecology, in dermatology, in endoscopy and instrumental studies.

Do not use the drug

If you are allergic to lidocaine or any of the excipients listed in the Composition section.

Precautions

Talk to your doctor or pharmacist before using Lidocaine Spray.
If you have any of the following conditions, be sure to consult your doctor before taking this drug:
- It is important to prevent lidocaine from entering the respiratory tract (risk of aspiration).
- Application to the throat requires special attention.
- Application to the buccal mucosa is associated with the risk of dysphagia and subsequent aspiration. If the sensitivity of the tongue and mucous membrane of the cheeks is impaired, the risk of biting them increases.
- Lidocaine is well absorbed through mucous membranes (oral cavity, gums) and damaged skin. This should be taken into account, especially when treating large areas of tissue in children.
- Caution should be exercised when applying lidocaine to damaged mucous membranes and/or infected areas.
- The drug should be used with caution in patients with epilepsy, as well as bradycardia, cardiac conduction disorders, impaired liver function and severe shock, since in such conditions you may be more sensitive to the active substance. In this case, you should use smaller doses or consult your doctor.
- If you know that you or one of your relatives suffers from a rare blood pigment disease - porphyria.
- Lower doses should be used in weakened and elderly patients, in acute diseases, as well as in children - in accordance with age and general condition.
- When applying Lidocaine spray, the bottle should be kept as vertical as possible. The spray should not come into contact with the eyes.
This medicine contains a small amount of ethanol (alcohol). This medicine may change or enhance the effect of other medicines.
The drug contains propylene glycol, which may cause irritation of mucous membranes or skin.
Use in children
- Application to the buccal mucosa is accompanied by a risk of impaired swallowing and subsequent aspiration, especially in children. If the sensitivity of the tongue and mucous membrane of the cheeks is impaired, the risk of biting them increases.
- Lidocaine is well absorbed through mucous membranes (oral cavity, gums) and damaged skin. This should be taken into account, especially when applying lidocaine to damaged mucous membranes and/or infected areas. This is especially important if the child is hypersensitive to lidocaine. In this case, you should use lower doses or consult your doctor.
- In children under 2 years of age, lidocaine spray is recommended to be applied with a cotton swab dipped in the drug.

Other medicines and drug

Tell your doctor or pharmacist about any medicines you are taking, have recently taken, or plan to take.
Lidocaine should be used with caution if you are taking antiarrhythmic drugs, so tell your doctor what drugs you are taking or have recently taken.
When Lidocaine Spray is used correctly, drug interactions are not expected.

Fertility, pregnancy and breastfeeding

Pregnancy
If you are pregnant, breastfeeding, think you are pregnant, or are planning to become pregnant, tell your doctor or pharmacist.
Lidocaine has been used for a long time and no harmful effects on health have been observed.
In the absence of a safer drug, lidocaine can be used during pregnancy.
Breast-feeding
Lidocaine is excreted into breast milk, but after normal therapeutic doses, the amount excreted in milk is too small to cause any harm to the nursing infant.
Talk to your doctor or pharmacist before taking any medicine if you are pregnant or breastfeeding.

Impact on the ability to drive vehicles and operate machinery

Depending on the dose, in very rare cases local anesthetics can cause side effects on the nervous system and thus may affect the ability to drive vehicles and use machines.

How to use the drug

Always use Lidocaine Spray as directed by your doctor. If you have any questions, ask your doctor or pharmacist.
Recommended dose:
Usually 1-3 presses on the valve are enough. The local anesthetic effect develops within 1 minute and lasts 5-6 minutes. Numbness may be felt for 15 minutes. Avoid getting the spray in your eyes.
If you have any further questions about the use of this drug, consult your doctor or pharmacist.

Possible side effects

Like all medicines, this drug can cause side effects, although not all patients experience them.
If you use too much of the spray or if you have allergies, allergic reactions or side effects throughout the body may occur. If you develop any of the following side effects, tell your doctor immediately:
Very rare (occurs less than 1 in 10,000 patients):
Hives; swelling of the lips, mouth, or throat, which may cause difficulty breathing or swallowing; bronchospasm; in the most severe cases - hypersensitivity reactions.
Nervousness, dizziness, drowsiness, convulsions, loss of consciousness, paralysis of the respiratory muscles.
decreased blood pressure, slowed heart rate, cardiac arrest.
Side effects are usually mild and occur at the site where the drug is used.
Frequency unknown (cannot calculate frequency from available data): a slight tingling sensation at the time of application of the spray, which goes away after the effect of the drug develops (within 1 minute). Transient swelling, redness of the skin and sensory disturbances may develop at the site of application of the drug. When using the throat spray, you may experience a transient sore throat, a hoarse voice, or temporary loss of voice.
Reports of side effects
If you notice any side effects, including those not mentioned in this instruction, please consult your doctor or pharmacist.
Your messages will help provide more information about the safety of this medicine.

transparent colorless or yellowish liquid.

Clinical and pharmacological group

Anesthesiology

Residue storage unit

Pharmacotherapeutic group

local anesthetic

Trade name

Lidocaine

International nonproprietary name

lidocaine

Dosage form

dosed spray for local and external use

Compound

for 1 dose:

Active ingredient: lidocaine hydrochloride monohydrate (in terms of lidocaine hydrochloride) – 4.6 mg; Excipients: ethanol 96% (rectified ethyl alcohol, “Extra” grade) – 18.4 mg, propylene glycol – 4.6 mg, sodium hydroxide (sodium hydroxide) – 0.23 mg, sodium saccharinate dihydrate (sodium saccharin) – 0.138 mg, racementol (racemic menthol) – 0.092 mg, purified water – up to 0.046 g.

ATX Code

Pharmacological properties

Pharmacodynamics

Lidocaine is an amide-type local anesthetic. The local anesthetic effect is due to the reversible inhibition of nerve conduction due to the blockade of sodium channels in nerve endings, which prevents the generation of impulses in the endings of sensory nerves and the conduction of pain impulses along nerve fibers. Lidocaine has a rapid onset of action, high anesthetic activity and low toxicity. When applied topically, it dilates blood vessels and does not have a locally irritating effect. Has an analgesic effect. The effect develops 1-5 minutes after application to mucous membranes or skin and lasts for 10-15 minutes.

Pharmacokinetics

It is quickly absorbed from the mucous membranes (especially the pharynx and respiratory tract), the degree of absorption of the drug is determined by the degree of blood supply to the mucous membrane, the total dose of the drug, the localization of the site and the duration of application. After application to the mucous membrane of the upper respiratory tract, it is partially swallowed and inactivated in the gastrointestinal tract. The time to reach the maximum concentration (TCmax) in plasma when applied to the mucous membrane of the oral cavity and upper respiratory tract is 10-20 minutes. Protein binding depends on the concentration of the drug and is 60-80% at a drug concentration of 1-4 μg/ml (4.3-17.2 μmol/l). It is distributed quickly (half-life (T1/2) of the distribution phase is 6-9 minutes), first enters well-supplied tissues (heart, lungs, brain, liver, spleen), then into adipose and muscle tissue. Penetrates the blood-brain and placental barriers and is secreted into breast milk (40% of the concentration in maternal plasma). Metabolized in the liver (90-95%) with the participation of microsomal enzymes by dealkylation of the amino group and cleavage of the amide bond with the formation of less active metabolites compared to lidocaine (monoethylglycine xylidine and glycine xylidine), T1/2 of which is 2 hours and 10 hours, respectively. In liver diseases, the metabolic rate decreases and ranges from 50% to 10% of the normal value. Excreted with bile and kidneys (up to 10% unchanged). In chronic renal failure, accumulation of metabolites is possible. Acidification of urine increases the secretion of lidocaine.

Indications for use

The drug can be used for local anesthesia in the following cases: in dentistry– for terminal (superficial) anesthesia: anesthesia of the injection area before local anesthesia; opening of superficial abscesses; before suturing the mucous membrane; before fixing crowns and bridges; in the treatment of gum inflammation, periodontopathies; extirpation of baby teeth; removal of tartar;

in otorhinolaryngology– operations on the nasal septum and removal of nasal polyps; conducting electrocoagulation in the treatment of nosebleeds; elimination of the pharyngeal reflex and anesthesia at the injection site before removing the tonsils; opening of peritonsillar abscesses; puncture of the maxillary sinus;

in obstetrics and gynecology– episiotomy and incision treatment; removal of seams; minor operations on the vagina and cervix; rupture of the hymen; treatment of thread suppuration;

for instrumental and endoscopic studies– before inserting a probe through the nose or mouth (including duodenal intubation and fractional study of gastric secretion); during rectoscopy, intubation;

during radiographic examination– elimination of nausea and pharyngeal reflex;

as an analgesic (pain reliever) drug for burns (including sunburn); bites; contact dermatitis (including those caused by irritating plants); small wounds (including scratches);

superficial anesthesia of the skin for minor surgical interventions.

With caution

– instrumental studies (rectoscopy) in patients with hemorrhoidal bleeding; – local infection in the area of ​​application; – trauma to the mucous membrane or skin in the area of ​​application; – severe somatic pathology; – epilepsy; – bradycardia, cardiac conduction disturbance; – liver dysfunction; – severe shock; – concomitant acute diseases; – weakened patients; – pregnancy, breastfeeding period; – younger children’s age; - old age.

Contraindications

– hypersensitivity to lidocaine or any other component of the drug;

– use of lidocaine in the form of a spray for tonsillectomy and adenotomy in children under 8 years of age.

Use during pregnancy

There are no results from controlled clinical studies in pregnant women. If it is necessary to use local anesthesia and there is no safer treatment, the drug can be used during pregnancy. Lidocaine is excreted into breast milk, but after normal therapeutic doses, the amount excreted in milk is too small to cause any harm to the nursing infant.

Directions for use and doses

Apply locally, externally. Dosage may vary depending on the indication and the size of the area to be anesthetized. One dose of the spray, released by pressing the dosing valve, contains 4.6 mg of lidocaine.

Scope of application Number of clicks
Dentistry 1-4
Otorhinolaryngology 1-4
Endoscopic and instrumental studies 2-3
Obstetrics 15-20
Gynecology 4-5
Dermatology 1-3

The drug can also be applied using a cotton swab soaked in it. To avoid absorption of the drug into the systemic circulation, the minimum dose that ensures the effect should be used. Usually 1-3 clicks are enough; it is possible to use 15-20 or more presses (maximum dose - 40 presses per 70 kg of body weight). In dental practice in children, it is preferable to use it as a lubricant (to avoid frightening the child when sprayed) by pre-impregnating a cotton swab.

Side effect

At the site of application of the drug: a slight burning sensation that stops after the onset of anesthesia (within 1 minute), erythema, swelling, loss of sensitivity.
Allergic reactions: possible allergic contact dermatitis (hyperemia at the site of application, skin rash, urticaria, itching), angioedema, anaphylactic shock.
The use of the drug should be discontinued if any allergic reaction occurs.
The frequency of systemic reactions after the use of lidocaine aerosol is extremely low, because A very small amount of active drug is applied, which can enter the bloodstream.
In the case of large doses, as well as with rapid absorption, hypersensitivity, idiosyncrasy, and poor tolerability of the drug, the following side effects on the central nervous system and cardiovascular system may be observed.
Systemic reactions may be observed from the central nervous system: headache, dizziness, convulsions, tremor, blurred vision, tinnitus, agitation and/or depression, feelings of fear, euphoria, anxiety, fever, feeling of cold, respiratory depression.
From the cardiovascular system: increased blood pressure, decreased blood pressure, bradycardia, arrhythmia, depression of myocardial function.
Other: urethritis (after local application).

Overdose

Symptoms: increased sweating, pale skin, nausea, vomiting, dizziness, headache, blurred vision, ringing in the ears, diplopia, decreased blood pressure, bradycardia, arrhythmia, drowsiness, chills, numbness, tremor, anxiety, agitation, convulsions, methemoglobinemia, cardiac arrest.
Treatment: when the first signs of intoxication appear (dizziness, nausea, vomiting, euphoria), the patient is transferred to a horizontal position and oxygen inhalation is prescribed; for psychomotor agitation - 10 mg of diazepam intravenously; for convulsions - iv 1% solution of hexobarbital or sodium thiopental; for bradycardia - iv 0.5-1 mg of atropine, sympathomimetic agents (norepinephrine, phenylephrine). Dialysis is ineffective.

Use with other drugs

Vasoconstrictors (epinephrine, phenylephrine, methoxamine) prolong the local anesthetic effect of lidocaine.
Cimetidine and propranolol reduce the hepatic clearance of lidocaine (decreased metabolism due to inhibition of microsomal oxidation and decreased hepatic blood flow) and increase the risk of toxic effects (including stunned state, drowsiness, bradycardia, paresthesia, etc.).
Barbiturates, phenytoin, rifampicin (inducers of microsomal liver enzymes) reduce the effectiveness of lidocaine (an increase in dose may be required). When prescribed with ajmaline, phenytoin, verapamil, quinidine, amiodarone, the negative inotropic effect may be enhanced.
Co-administration with beta-blockers increases the risk of bradycardia. Cardiac glycosides weaken the cardiotonic effect, curare-like drugs enhance muscle relaxation. Procainamide increases the risk of developing central nervous system excitation and hallucinations.
With the simultaneous administration of lidocaine and hypnotics and sedatives, it is possible to enhance their inhibitory effect on the central nervous system.
With intravenous administration of hexobarbital or sodium thiopental against the background of the action of lidocaine, respiratory depression is possible. Under the influence of monoamine oxidase inhibitors (furazolidone, procarbazine, selegiline), the local anesthetic effect of lidocaine may be enhanced. Patients taking monoamine oxidase inhibitors should not be given parenteral lidocaine.
With the simultaneous use of lidocaine and polymyxin, an increased inhibitory effect on neuromuscular transmission is possible, so in this case it is necessary to monitor the patient's respiratory function.

Special instructions

When using, the bottle should be kept in an upright position. Avoid contact with eyes and respiratory tract (risk of aspiration). Requires special care when applying the drug to the back of the throat. Application to the buccal mucosa is associated with a risk of dysphagia and subsequent aspiration, especially in children. If the sensitivity of the tongue and mucous membrane of the cheeks is impaired, the risk of biting increases.

Lidocaine is well absorbed through mucous membranes (especially in the trachea) and damaged skin. This should be taken into account, especially when treating large areas of tissue in children.

When using the spray during surgical operations in the pharynx or nasopharynx, it should be noted that lidocaine, suppressing the pharyngeal reflex, enters the larynx and trachea and suppresses the cough reflex, which can lead to bronchopneumonia. This is especially important in children, as they are more likely to trigger the pharyngeal reflex. In this regard, the spray is not recommended for local anesthesia before tonsillectomy and adenotomy in children under 8 years of age.

Caution should be exercised when applying lidocaine to damaged mucous membranes and/or infected areas.

The drug should be used with caution in patients with epilepsy, as well as in patients with bradycardia, cardiac conduction disorders, impaired liver function and severe shock, especially when absorption of a significant amount of the drug can be expected when large areas of tissue are treated with high doses.

Lower doses should be used in weakened and elderly patients, in acute diseases, as well as in children - in accordance with age and general condition.

In children under 2 years of age, it is recommended to apply Lidocaine spray with a cotton swab dipped in the drug.

Impact on the ability to drive vehicles and machinery

During the treatment period, care must be taken when driving vehicles and engaging in other potentially hazardous activities that require increased concentration and speed of psychomotor reactions.

Release form

Spray for local and external use dosed 4.6 mg/dose.
20 g (at least 340 doses) or 38 g (at least 650 doses) in plastic bottles, sealed with a spray nozzle, complete with an adapter.
One bottle with instructions for use is placed in a cardboard pack.

Storage conditions

In a place protected from light at a temperature not exceeding 25 ° C. Keep out of the reach of children

Best before date

3 years. Do not use after the expiration date stated on the packaging.


Lidocaine spray It is commonly used in surgery, dentistry, ENT doctor's office and other medical procedures, but it has an unusual use as it prevents a man from premature ejaculation. Of course, such a problem must be treated, because it indicates problems with the genitourinary system, possibly a manifestation of prostatitis.

However, sometimes you can use a spray to eliminate psychological problems associated with sex. You shouldn’t deny yourself pleasure if that’s all that matters. Two or three sprays on the penis and the problem is solved.

This is especially important during rare sexual intercourse, when there is no permanent partner, but you don’t want to lose face. This unique tool, it would seem, was created just for this. After all, it allows you to reduce the sensitivity of the head and make the pleasure last longer.

When to use Lidocaine spray:

  • When ejaculating immediately after the start of sexual intercourse;
  • With a prolonged erection, but rapid appearance of ejaculate. Read more about the article on the topic of men who

In this case, the use of a spray is justified, but if you just want to prolong sexual intercourse, then you should not constantly use the product. It can be recommended to reduce the sensitivity of the head or the use of lubricants Long Love.

Description

Lidocaine is a drug that is used in medicine to relieve pain in a specific area of ​​the skin or mucous membranes. A 10% solution of lidocaine hydrochloride contains 650 doses in a bottle, which will allow you to use it for several months. In addition, it contains peppermint oil, ethanol and propylene glycol.

It has not only analgesic, but also antiseptic properties. This product is often used not only in medicine, but also in cosmetology to anesthetize skin areas during various procedures.

Action of the product

It is a local anesthetic. When applied to the surface of the skin, the spray blocks the nerve endings within a minute, the head loses sensitivity and sexual intercourse can continue for quite a long time.

It is not for nothing that lubricants with anesthetics are popular, because when they are applied, the threshold of excitability is reduced and sexual intercourse lasts longer. Over time, the effect of anesthesia wears off and sensations return, so It is very important not to overdose the drug.

Instructions for use

To use this spray, you need to spray it onto the surface of the skin. You shouldn’t do a lot of spritz, otherwise the skin will simply go numb and won’t feel anything.

In order to understand whether you are allergic to the product or not, it is better to try it on the inside of your wrist. If there is no redness or swelling, then the drug can be used. Many products for prolonging sexual intercourse contain lidocaine, so if you have experience using these products, then you should not be afraid to use this one.

How to use?

It is necessary to spray on the penis 15 minutes before sexual intercourse from a distance of 10 cm. 1 dose contains 4 mg lidocaine. You can spray it inside the condom when putting it on so that the product does not cause irritation to the skin and mucous membranes of the partner.

If desired, you can wash it off the skin after a couple of minutes, as the product is quickly absorbed and will still work. The effect of the spray begins in a couple of minutes and continues up to 6 hours. Of course, you shouldn’t use a sex marathon, but it will help you last as long as you need.

Indications

The product is intended for local anesthesia during various manipulations. It is used in surgery, dentistry, obstetrics, gynecology, dermatology and ENT areas. In addition, it is successfully used for problems with premature ejaculation in men. The drug can also be used to prolong sexual intercourse and delay orgasm.

Girls use it for depilation of sensitive areas on the body, during defloration or anal intercourse. For medical indications, the decision on use is made by the doctor; for personal use, the buyer decides for himself whether the product is suitable or not. If there are specific contraindications, the drug should not be used.

Contraindications

Lidocaine is contraindicated in the following cases:

  • The drug is contraindicated if it causes convulsions.
  • It cannot be used in cases of 2-3 degree blockade, or in cases of decreased ventricular function.
  • Do not apply to damaged skin or in the presence of infections.
  • Use with caution in patients with epilepsy, bradycardia, and heart problems. And also in elderly people and with liver disorders.

Adverse reactions

The following undesirable reactions may occur:

  • hives;
  • angioedema shock;
  • bronchospasm;
  • depression of myocardial function;
  • dizziness;
  • nervous excitement.

Pros and cons

Among the advantages, one can note a decrease in the sensitivity of the genital organ, prolonged sexual intercourse, and a decrease in pain during defloration, if used for this. It is also easy to use, because you can spray the product at any time, and it lasts longer than tablets. Also, the cost of the spray is much less than the cost of tablets for prolonging intercourse.

Unlike tablets the spray is guaranteed to help. Since this is an external remedy, you don’t have to worry that it won’t be absorbed for a number of reasons. There is no need to be afraid of mixing it with alcohol, as it is applied to the skin. While pills do not always have a positive effect on many people, this drug usually does not produce side effects.

Other benefits:

  • Quickly begins to act;
  • Extends the act by 30-40%;
  • Easy to use;
  • Affordable pricing policy;
  • Has analgesic properties if there are reasons for discomfort during sexual intercourse;
  • The bottle will last a long time.

Of the minuses: addictive because of which the effect of the effect is reduced, it seems that it does not help. Lidocaine is primarily a medicinal drug, so you need to be absolutely sure that there are no contraindications for it either for the user or his partner. If you have strong doubts, it is better to choose a lubricant with a similar effect.

You need to be careful when taking other medications, as side effects are possible when combined.


Tips for using the product:

  • A burning sensation may occur; in this case, it is better to rinse the skin under running water.
  • You should not use soap in combination with the drug, so you need to remember this before use.
  • If the use of the drug is recommended with caution, this indicates that the number of doses should be reduced.
  • Some people use Emla ointment, which contains lidocaine, and even consider it more effective, so we cannot recommend which is better, you just need to try it.

Where to buy?

The product is sold by prescription, can be purchased at any pharmacy. If desired, it is always sold on the Internet, like other products containing lidocaine. Since lidocaine spray is a medicine, it is better to purchase trusted companies that guarantee the composition that it must contain.