Emla. Instructions for use, composition, how to apply before epilation of the bikini area. Equivalent means

Emla cream is designed for local anesthesia of the skin and mucous membranes. The drug, according to the instructions for use, is used before depilation, injections, vein punctures and various types of peeling.

Chemical composition

The substances lidocaine and prilocaine are responsible in the composition for the analgesic function, and the rest of the ingredients are binding and auxiliary to enhance the anesthetic effect.

Ingredients of the composition (per 1 g):

• 25 mg - prilocaine;
• 25 mg - lidocaine;
• 400 - 19 mg - macrogol;
• 10 mg - carbopol;
• 2 mg - caustic soda;
• 8 mg - water.

Production form

White, soft cream of homogeneous consistency made in Switzerland "Emla" is produced in 3 versions:

• a plaster with a 5% creamy emulsion on a soft base;
• tubes 5 pcs. 5 g + 12 stickers, which allow you to fix the dressing with "Emla" on the skin for 4-5 hours;
• tube of 30 g + 12 stickers for fixing.

It is more convenient to buy sealed tubes of pain-freezing cream, 5 g each.It is hygienic and economical, because one tube is enough to treat 50 cm² body.

pharmachologic effect

The main ingredients - prilocaine and lidocaine - are local anesthetics from the group of substituted amides. Skin anesthesia is provided after the drug enters its upper layers, because the cream is not absorbed deep into the bloodstream. When the brain stops receiving pain impulses, it is time for cosmetic or hygiene procedures.

Sensitive skin may react to the cream. Visually, this is manifested by redness or pallor in the affected area. Redness is more often manifested in patients with atopic dermatitis, and means accelerated absorption of the drug through the skin. The duration of the skin reaction with accelerated absorption is from 30 to 60 minutes.

Clinical studies have shown that in 90% of the subjects the glued plaster with the applied Emla cream allows for an hour a painless injection of 2 mm under the skin, and the application for 120 minutes. provides comfortable penetration of the syringe needle by 3-4 mm.

Pharmacokinetics

How quickly Emla works depends not only on the amount of cream applied, but also on the thickness of the skin on different parts of the body.

For instance:

• the thinnest are the genitals, the inner part of the wrists, eyelids;
• average thickness - arms and legs, abdomen and back, buttocks;
• thickened - feet and palms.

Previously shaved skin loses sensitivity faster, as shaving exfoliates dead epithelial particles and does not prevent the cream from getting deeper.

Areas of use

1. Intact skin areas. After spreading over 400 cm² body surface 60 g of the drug Emla for the first 3 hours, the level of absorption was 5% for prilocaine and 3% for lidocaine. Such data demonstrate a slower absorption process. At the same dosage, the highest blood concentration of lidocaine was 0.12 μg / ml and prilocaine 0.07 μg / ml, and was reached within 4 hours after contact with the body.
2. The absorption of the drug depends on the nature of the ulcer wounds on the legs. On large wounds, it happens 2 times better than on the extended areas of the legs. After 5-10 g of Emla's cream gets on the ulcerative wounds of the legs, the peak content of lidocaine (0.05-0.85 μg / ml) and prilocaine (0.02-0.07 μg / ml) in plasma is reached in 2 hours. With systematic treatment of Emla wounds, the accumulation of decay products lidocaine and prilocaine have not been observed in clinical trials.
3. Effects on the mucous membranes of the genital organs. The peak growth of lidocaine (0.18 μg / mg) and prilocaine (0.15 μg / ml) in plasma occurs half an hour after smearing 10 g of cream on the vaginal mucosa. The female genital organs are delicate, so the drug should not be overexposed for more than 1 hour.

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Indications

The pain reliever is used by patients of different age groups: from birth to old age. The rules of use for children and adults differ in the amount of the applied product and in the duration of the application.

Indications for adults

Emla (instructions for use are attached to each package) is used to relieve pain:

• before injections and injections: intravenous, intramuscular and subcutaneous;
• before exposure to the laser during hair removal;
• before surgical removal of benign skin neoplasms: hemangiomas, papillomas, moles, lipomas;
• before the introduction of a venous blood sampling catheter;
• during surgical operations on the mucous genital organs of the superficial type;
• before the introduction of strong anesthesia;
• for trophic ulcerative wounds before the procedure for cleaning suppuration, fibrin and dead fibers.

Application for children

Emla cream is allowed for children from birth, if you need to freeze the skin before injections, take blood for analysis or administer more serious anesthetics. Instructions for use: 1 g per 10 cm² smeared on the desired area of ​​the skin and covered with cellophane.

Age group difference:

If a child is diagnosed with atopic dermatitis, the duration of exposure to the anesthetic is reduced to 30 minutes, since absorption in such children occurs 2 times faster.

Contraindications

Emla, the instructions for the use of which are given below, has a number of contraindications:

1. Hypersensitivity or intolerance to anesthetic substances.
2. Violations of the integrity of the skin at the sites of application of the cream (scratches or herpes).
3. Simultaneous reception by children from 0 to 3 months. any other medications.
4. Prematurity of infants (birth before 38 weeks).
5. Methemoglobinemia is an increase in oxidized hemoglobin in the blood and oxygen starvation of tissues.
6. Emla is not banned during pregnancy, but research on this topic is still pending. It is known that the drug does not have a negative effect on the child in the womb and does not complicate the birth process.
7. If the cream is used by a nursing woman, then lidocaine and prilocaine are absorbed into milk only in therapeutic volumes that are not dangerous for the child's body.
8. Emla (instructions for use clearly prescribes) is used by pregnant women only with the permission of a gynecologist. He will study the features of the condition of the pregnant woman, and find out the existing risks for the expectant mother.

   

9. The developers do not recommend smearing the cream on the eyelids and mouth.
10. It is not recommended to get the cream in the ear, so you cannot use it to freeze ear pains.
11. Do not affect the anus and genitals in children.

The tool must be tested by first smearing it on the bend of the elbow. Leave to act for 30 minutes and evaluate the result. In case of redness and prolonged swelling, it is better to refuse to use the cream on other parts of the body.

Side effects

Side effects of pain freezing with EMLA occur with a low frequency of 1 in 1000 patients.

There are:

• skin reaction (in the treated area): most often - redness and swelling; less often - scratching and tingling after smearing; extremely rare (mainly in children when the duration of the application is exceeded) - punctate hemorrhages.
• system reactions: extremely rarely - pediatric methemoglobinemia, allergy with anaphylactic shock.
• in children, after a single use, an increase in methemoglobin was noted, which returned to normal after 13 hours.

Known examples of inflammation of the cornea after contact with the cream on the mucous membrane of the eye. The action of the cream does not affect the state of consciousness, therefore it does not interfere with driving a car and other vehicles. If you find the symptoms described, you need to immediately remove the remnants of the cream and go to the therapist.

Instructions for the use of Emla cream

Emla (the instructions for use describe the process in stages) anesthetizes according to the following scheme:

1. The contents of the Emla tube are squeezed onto the mucous membrane or onto the desired area of ​​the body. The printed tube is designed for one-time use. Discard any leftovers immediately.
2. For the introduction of the needle of a syringe or catheter - 1/2 tube of 5 g is spread with a generous layer on the site of the future injection, covered with a bandage and left for 1 to 2 hours.
3. Removal of warts - 1.5-2 g is smeared on the problem area and left for 1-3 hours.
4. Skin graft collection in a hospital - 1.5-2 g of cream is applied, the area is covered with a bandage and left for 2-5 hours.
5. Anesthesia of ulcerative wounds of the lower extremities - dose per 1 time - 2-8 g, depending on the size of the lesion. It is necessary to smear with a thick layer, but not more than 10 g at a time. It is left to freeze for 30 minutes. If the ulcers are prolonged, this prevents the cream from penetrating quickly. You should leave Emla for an hour. It is necessary to mechanically clean the wounds in a maximum of 10-15 minutes after wiping off the remnants of the Emla.
6. Men apply to the genitals 1 g of Emla per 10 cm², and leave for 15 minutes. Women apply 1-2 g to the painful area, and leave to act for a period of 30 minutes. up to 1 hour
7. In case of contact with the eyes, you should urgently wash them with warm running water, lie down and wait for the sensitivity to normalize for 1-1.5 hours.
8. If, after spreading the cream on the skin, redness and burning appear, the area is washed with warm water, and the application stops until the redness subsides.

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How to apply anesthetic cream before depilation of the bikini area, armpits?

Emla's freezing cream is widely popular for hair removal at home.

It is applied in compliance with the following rules:

1. Before depilation, the entire bikini area is washed and dried.
2. The cap from the bottle is unscrewed. The lance on the back side violates the integrity of the protective membrane.
3. A small amount of cream mass (1 g. - 3.5 cm track on the skin) is squeezed out and spread with a fat layer completely on the armpits or along the hem of the underwear. It is important that there are no visible areas of the skin, otherwise pain from the laser will be felt in those places.
4. The occlusive sticker is opened, the soft part is separated from the adhesive film.
5. A sticky film is applied over the oiled area. This enhances the effectiveness and speed of the cream.
6. After 1 hour, the application is removed and the traces of the cream are removed.
7. The effect of Emla will already be felt, so you can start epilation.
8. The procedure should be carried out as soon as possible after wiping off the remnants of the Emla product, since after 1 hour the effect of sensitivity will be restored.

Each person has a different sensitivity to pain. The exposure time of the sticker on the skin is individual. Loss of skin sensitivity can take as long as 30 minutes or an hour.

Overdose

Overdose and accumulation of toxic decomposition products of anesthetics from the Emla preparation in the body is unlikely if the dosage and application methods are observed.

1. Symptoms indicating an increase in toxins in the body: overexcitation of the central nervous system, and in especially severe cases - oppression of the myocardium and central nervous system.
2. There may be increased sweating, headache, blurred vision, low blood pressure, and arrhythmia.

Due to the slow absorption of the main components of the composition after therapy, the patient is constantly monitored. After 3-4 hours, the condition returns to normal.

Interaction

The use of Emla cream increases the risk of methemoglobin in people taking antimicrobial agents in parallel.

1. The use of Emla's freezing cream in increased doses causes an adaptive effect - a cumulative increase in the actions of all drugs. It is dangerous if the patient is taking structurally similar drugs, for example, tocainide, since the cumulative effect can cause an excess of the permissible doses of drugs.
2. Combinations with class III antiarrhythmic drugs and local anesthetics are used with caution, since clinical studies on their compatibility have not been conducted.
3. Beta-blockers, cimetidine and other drugs that reduce the effectiveness of lidocaine potentially increase its concentration in blood plasma with prolonged co-administration. Short-term interactions have a cumulative effect.
4. Prilocaine with concurrent administration of methemoglobin inducing drugs such as nitrofurantoin, sulfonamide, phenobarbital and phenytoin enhances the analgesic effect on humans, which threatens dizziness, headache and general weakness.

If you need to use Emla and other drugs in parallel, you should definitely seek the advice of a physician.

Terms of sale, storage

The shelf life of the cream is 3 years from the date indicated on the package. It is strictly forbidden to use an expired medicinal product, since it no longer has a freezing effect and can cause allergies or a rash on the body.

At home, Emla is stored in a dry, shaded place at a temperature not exceeding 30 degrees, but not in the freezer. It is important to restrict children's access to the area where the pain medication is stored.

Emla's analogs

Cream analogs are used if there are restrictions on the use of the original product:

1. "Aurubin" - a budget substitute for Emla, which is sold as an ointment for external use. The compound of prednisolone, lidocaine and dexpanthenol relieves pain and has anti-inflammatory effects. Used to prevent pain. Contraindications will be fungal infection, the 1st trimester of pregnancy, the child's age up to one year, allergies and diseases of an ophthalmic nature. The price is 350-370 rubles.
2. "Versatis" - high-quality analogue in the form of a plaster. The main component in the composition is lidocaine. It provides local pain relief at the site of application. It is used to relieve pain, eliminate myositis of various types, in the presence of neuralgic diseases. It is not allowed to apply the "Versatis" plaster at an early and old age, with wounds on the skin and taking anesthetics of a similar type. Price 1200-1350 rubles.
3. "Kamistad" - a combined action anesthetic. It combines lidocaine and chamomile color, which guarantees antimicrobial and analgesic effect. Kamistad is prescribed to relieve acute toothache. Contraindications will be: impaired kidney and liver function, heart failure, pregnancy and breastfeeding. The cost is 220-240 rubles.
4. Lidocaine - the closest in the way of action on the body to Emla cream. It is made in the form of a gel for local freezing.You can not use the gel for allergies, pregnancy, lactation, heart disease and adolescents under the age of majority. The cost in a pharmacy is 360-400 rubles.
5. "Naropin" - sold as an injection solution. It is used for freezing during surgical interventions and for eliminating acute pain. It is not recommended for use in case of hypersensitivity of the body to ropivacaine, pregnancy, breastfeeding, serious heart disease, taking other anesthetics. You can buy Naropin for 1550-1600 rubles.

A physician-therapist will help you to find a safe analogue as a replacement for the original drug Emla.

Where can you buy the cream?

The manufacturer Recipharm Karlskoga AB supplies Emla anesthetic cream to pharmacy chains around the world, where the drug is dispensed without a prescription. You can buy the product cheaper in proven online stores.

Cream price in Moscow, St. Petersburg, regions

The cost of Emla cream depends on the country of supply, the prestige of the pharmacy chain and the volume of the tube.

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Reviews of women about the cream

The responses of women about Emla's cream are different. 95% of users are satisfied with the analgesic effect, and 5% say that the result is insufficient. Specialists-dermatologists confirm the positive effect of the drug, but remind about strict adherence to the dosage and the timing of the application on the skin.

Emla cream provides painless laser depilation. There is no need to take pills. Applying the product for 1 hour allows you to depilate even the deep bikini area.

The product is suitable for sensitive skin. It is used both before peeling and for freezing before the shugaring procedure.

The cream is used for hygienic treatment of ulcerative lesions. However, the surface anesthesia does not interfere with the normal wound healing process. With Emla's remedy, pigmented nevi (brown spots on the body) are removed. According to reviews, it is impossible to sustain their elimination without Eml's anesthesia.

According to the described instructions for use, Emla, with the correct dosage and application, provides anesthesia of the desired skin area for 2-3 hours. At this time, peeling, shugaring, injections and blood sampling are painlessly performed. A proven manufacturer and positive patient reviews allow you to have no doubt about the quality of the cream.

Article design: Mila Friedan

Video about Emla cream

How is Emla cream used for local anesthesia before cosmetic procedures: