PROCAIN-Loges 1% injection bottle, 100 ml

Instructions for use for PROCAIN-Loges 1% injection bottle, 100 ml

Detailed instructions for PROCAIN-Loges 1% injection bottle, 100 ml

Field of use

• This is a drug for local anesthesia (local anesthetic from the Ester type).
• It is indicated for intracutaneous use on the healthy skin within the framework of neural therapy application principles.

Active ingredients / ingredients / ingredients

1 g Procain hydrochloride
0.87 g Procain
Sodium chloride auxiliary material (+)
Salic acid, concentrated auxiliary material (+)
Nitrogen, sterile filtered auxiliary substance (+)
Water, for injection purposes auxiliary material (+)
225 mg methyl 4-hydroxybenzoat, sodium salt auxiliary material (+)
25 mg propyl 4-hydroxybenzoat, sodium salt auxiliary material (+)

Contradictions

• The medicine must not be used
  • if you are hypersensitive to procain, other local anesthetics from the ester type, sulfonamides (certain group of antibiotics) or one of the other components;
  • if the lack of a certain body's own substance (pseudocholinesterase) with the result of a significantly slowed breakdown of Procain;
  • for injection in arteries (arteries), in the surrounding area of the outer shelly of the central nervous system (epidural) or into the vertebral canal (spinal).

dosage

• This medicine is generally used by a doctor or medical staff. Please ask your doctor if you are not quite clear about the application.
• The preparation should only be injected by people with appropriate knowledge to successfully carry out neural therapy.
• Basically, only low -concentrated solutions from Procain are used when continuously used.
• A repeated application of this drug can lead to reversible loss of effectiveness due to tachyphylaxis (rapid tolerance development compared to the medicine).
• Basically, only the smallest dose can be administered with which the desired sufficient nerve blocking is achieved. The dosage must be carried out individually in accordance with the special features of the individual case.
• If the doctor does not use it differently, the usual dose for individual types of application for young people over 15 years and adults with an average body size is:
  • Skin squads per whistle up to 10 mg, corresponding to 1 ml solution.
• The recommended maximum dose with one -time application in tissues, from which a quick absorption of drugs takes place, is 500 mg of procain (corresponding to 50 ml). When used in the head, neck and genital area, the recommended one-page maximum dose is 200 mg procain (within 2 hours).
• In patients with certain previous illnesses (vascular degrees, vascular hardening and narrowing (arteriosclerosis) or nerve damage in diabetes), the dose must also be reduced by a third. If the liver or kidney function is restricted, increased plasma levels can occur, especially when used. In these cases, a lower dose range is also recommended.
• Insofar as the applicable amount is expected to exceed the volume of 15 ml, a preservative -free solution must be preferred in order to avoid the application of large amounts of the preservative.

• Duration of the application:
  • Your doctor decides how long the medicine is to be applied.
• Please speak to your doctor if you have the impression that the effects on stenark or too weak.

• If you have used a larger amount than you should:
  • a) Symptoms of an overdose: In low harmful doses, the medicine acts as stimulants on the central nervous system, in high harmful dose areas. The Procainhydrochloride-
    Poisoning is in 2 phases: they become restless, complain about dizziness, acoustic and visual disorders as well as tingling, especially in the tongue and lip area. The language is washed out, shaking frost and muscle twitches are harbing of a threatening seizure of the whole body. When the central nervous system is progressing, there is an increasing dysfunction of the brain stem with the symptoms of breathing restriction and coma up to death.
  • b) Emergency measures and antidote will be initiated immediately by the treating doctor according to the disease signs.

Taking

• The drug is injected into healthy skin (intracutan) as part of neural therapy.
• It should only be injected by people with corresponding knowledge of the successful implementation of neural therapy.

Patient information

• Particular caution when using the medicine is required:
  • if you are on one:
    • certain form of muscle weakness (myasthenia gravis) suffer
    • Disruption of the cardiac leaders suffer
    • Cardiac muscle weakness or the injection to an inflamed area should be carried out.
  • Before using the preparation, the application will basically pay attention to a good filling of the circulation, carry out careful circulatory monitoring and have all measures for ventilation, therapy of seizures and for resuscitation.
  • Furthermore, the doctor has to find out from you whether you have an allergic reaction to other drugs that are chemically related to procain, as there can also be an allergic reaction to procain (paragraph allergy). This can z. B. be:
    • Sulfonamides (certain group of antibiotics), oral anti -diabetics (medium in diabetes), certain dyes, X -ray film developers or other means of local anesthesia.
  • If they can only be broken down extremely slowly because a certain body substance is not so active (pseudocholinesterase deficiency), side effects can occur through procaine.
  • When used in the ear, head area there is a higher degree of risk because the risk of symptoms of symptoms in the central nervous system is increased.
  • To avoid side effects, the following points should be observed:
    • In certain cases, create a drip before application.
    • Choose dosage as low as possible.
    • Usually do not use vascular -narrowing addition (see dosage instructions).
    • Carefully suck in two levels before injection (rotation of the cannula).
    • Beware of injection in infected areas (due to increased absorption with reduced effectiveness).
    • Slowly make injection.
    • Check blood pressure, pulse and pupil width.
  • It should be noted that under treatment with blood clotting inhibitors (anticoagulants, such as heparin), non -steroidal anti -rheumatics or plastic substitutes can not only lead to accidental vascular injury in the context of pain treatment, but that generally has to be expected with an increased bleeding tendency . Therefore, have the relevant laboratory tests carried out before using this medicine.
  • If necessary, the anticoagulant treatment can be discontinued early.
  • Use with simultaneous pension therapy to avoid thrombosis with low -molecular heparin should only be carried out with special care.
  • Children:
    • There are no application experiences for use in children from which general dosage recommendations can be derived.
  • Older people:
    • In older people, dose adjustment is recommended in accordance with the respective general condition.

• Wateriness and operating machines:
  • Let your doctor decide in individual cases whether you can actively participate in road traffic, operate machines or work without a safe hold.

Pregnancy

• Ask your doctor or pharmacist for advice before taking / using all drugs.
• Pregnancy:
  • Only let this medicine use if your doctor considers it absolutely necessary.
• Still -time:
  • Procainhydrochloride transferred to breast milk. In the event of short -term application, however, breastfeeding will not be necessary. If repeated treatment with higher doses is required, you should wean.

Hints