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Topic: Question about Lidocaine... (Read 463 times) |
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tsol75
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Question about Lidocaine...
« on: Apr 5th, 2002, 4:56pm » |
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Hey everyone,
I know this has been talked about before but I couldn't find it in the Feb. archives...I can barely turn my damn computer on so I am sure I am missing something...
Anyways...I know people have said that lidocaine did not work for them but I got the stuff and figured I might as well try it....
It came with no instructions though...do I sniff it like other nasal spray stuff or do I just put a drop in my nose? Any info would be appreciated...Thanks,
Jon
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Bob P
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Re: Question about Lidocaine...
« Reply #1 on: Apr 5th, 2002, 6:11pm » |
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The stuff I had was 4.5% lidocaine.
It came in a glass bottle with a pump spray top. My directions were to take a pray every 15 minutes during an attack. Stuff didn't work for me.
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Pinkfloyd
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Re: Question about Lidocaine...
« Reply #2 on: Apr 6th, 2002, 10:52am » |
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on Apr 5th, 2002, 4:56pm, tsol75 wrote:Hey everyone,
It came with no instructions though...do I sniff it like other nasal spray stuff or do I just put a drop in my nose? Any info would be appreciated...Thanks,
Jon |
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Jon,
If the following instructions are not followed, chances of its working are GREATLY reduced. These come DIRECTLY from the people that did the original studies.
I swear, sometimes treatments are like the old kids game, "Telephone," and by the time they go through all the channels, they don't even look like the same thing.
6.8 Lidocaine application
This treatment was first discovered by Lee Kudrow, MD.
Still remains a very good treatment for many, and is probably the
least expensive "prescribed" treatment you can find.
Use 4% topical Lidocaine HCL, Brand name Xylocaine (Astra),
also available as a generic from many manufacturers (Roxane). It is
OLD, NOT compoundable, (as it is a "single, diluted chemical) and
cheap--approx. $20/50cc, but some pharmacies make a big deal
about it and charge outlandishly. It is off-the-shelf (not OTC), and
can be ordered easily by ANY U.S. pharmacy. It should cost about
$.05/treatment. Do NOT use
Lidocaine with epinephrine added,(which is what most dentists use
for local anesthesia).
Use a nose dropper, preferably graduated, and draw up .5ml or .5 cc
or 20 mg. (all the same thing if it's 4%). Dose is NOT that critical,
but administration technique is! An older method using cotton-
tipped swabs soaked in lidocaine is no longer used.
Lie supine (on your back) on a bed or bench with your head
"hanging off the end", and lowered about 60 degrees from the
horizontal.
Tilt head about 30 degrees TOWARD side of pain.
Insert dropper with lidocaine "in it" in the nostril on the side of the
pain until it is "comfortable"--not a critical distance.
VERY SLOWLY, squeeze dropper bulb and instill lidocaine so that
it "pools" at the back of the nasal passage (which is the WHOLE
idea) and doesn't go down throat. Try to take about 1 minute to
instill the .5cc and then stay in that position for 1 additional minute.
Get up slowly.
4% Lidocaine is somewhat bitter and, some may run down your
throat or out your nostril when you arise. It "numbs" any mucosal
surface it come in contact with, so do not eat or drink for 30
minutes as you may have a transient swallowing problem. You may
also feel numbness in your nose, or some localized burning
sensations, and you may also feel numbness along the second
branch of the trigeminal nerve including the upper teeth, gums and
tongue on the side of instillation. All of these side-effects should go
away within about 30 minutes.
This may be repeated in 2 hours, and, although the amount of
Lidocaine used is small by comparison to its other medical uses, the
safety window for repeating this treatment has NOT been
established.
"Close" to the rear of the nasal passages lies the Sphenopalatine
(Pterygopalatine) ganglion (a group of nerve cell bodies), and it is
the absorption into this area which is "believed" responsible for its
action. This is a large ganglion, and very complicated anatomical
area, which is also near the "second" branch of the fifth (trigeminal)
nerve, however it's the affect of lidocaine on the 7th (facial) nerve
which courses through this area which is thought to be relevant in
this instance. A temporary, chemical nerve block may be the reason
for efficacy.
I know some doctors state that spraying is ok....
Personally, I think that they are using this method because it will cover a larger area (maybe) and you don't have to rely upon "doing it right"...but, I don't think you get enough Lido onto the nerves to "pool" and effect a great enough action.
If anyone has tried the spraying technique without good results, I'd suggest trying again, using the above technique. If the Lido doesn't "pool" in the right area, it doesn't work. It may take a few attempts. It may not work for you, but, to borrow an old phrase...."buddy, can ya spare a dime?"
Pink
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sailpappy
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Re: Question about Lidocaine...
« Reply #3 on: Apr 6th, 2002, 11:07am » |
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;D I have tried Lidocaine several times as well as pharmcological cocaine   My Doctor got this cotton tipped swab that was about 9 inches long and inserted it so far up my nostril I thought it would touch the top of my eye ball!  It numbed the eye nostril and surrounding area for about 15 minute's during which time I had a #8 full blown attack and couldn't tell that my nose was dripping like a faucet because it was so numb. No help and will not go there again, there is some possibilities of heart fibralations or something from long term use,at least that's the way I remember the PDR reading back then(25 years ago)  pappy
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NotH20
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Re: Question about Lidocaine...
« Reply #4 on: Apr 6th, 2002, 1:56pm » |
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Pappy - you must have seen my same neuro back in the early 80's - I had that same cotton swab up my nose too and it was horrible I NEVER want to experience that again....I passed out and was told that I had some minor convulsions while I was out cold. My ch's returned within 2 days....what a waste!
NotH20
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tsol75
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Re: Question about Lidocaine...
« Reply #5 on: Apr 7th, 2002, 2:29pm » |
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Thanks for the feedback guys....
Looks like I got a little bottle of nothing...doesn't surprise me...mine is only 2% and no dropper....hmmm....well looks like I'll have to keep using the Imitrex...thank god it is so affordably priced right...
Blah,
Jon
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MaryD
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Re: Question about Lidocaine...
« Reply #6 on: Apr 7th, 2002, 2:56pm » |
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Since I'm a patient of Dr. K I do use Lido and it works for me in the way it was written by pinky. That is the way Dr. Kudrow told me to do it. I will tell you this mush, it does not take away headaches only face pain. It helps me in that way. Dr. Kudrow and I are still working on taking away my headaches. The bottle does not come with a dropper you must purchase that separately. One long enough to go deep into the nose.
MaryD
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thb
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Re: Question about Lidocaine...
« Reply #7 on: Apr 20th, 2002, 12:40pm » |
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I use 5% lidocaine ointment and find it very helpful. I used to use a swab but now I just squirt it in straight from the tube, pinch my nose shut, and snort.
The jelly is too liquid and runny to help, I'll bet that's a problem with the drops, too. It is very cheap in places like Mexico or South America ($3) so if someone is going there ask them to get you a tube--OTC there. Even at $20 a tube here, it's worth trying. It really helps me with the pain.
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