Emla is an antibacterial medication for topical use. In medical practice it is used for anesthesia. The drug has a fairly high cost, so patients often look for cheaper analogues of Emla, and their choice is quite wide.
The effectiveness of the drug is due to the active components in the composition - prilocaine and lidocaine. Lidocaine is an analgesic component due to the stabilization of the membrane membrane of neurons by reducing the permeability of the membrane and reducing the conductivity of painful impulses. Prilocaine is a local anesthetic drug that belongs to the amides.
The drug Emla is used for the following medical procedures:
- anesthesia of the injection site;
- installation of a catheter in the peripheral parts of the bloodstream;
- superficial surgical treatment;
- anesthesia of the genital mucosa during local surgical procedures;
- cleansing of trophic ulcers - removal of pus, necrotic fibers and fibrin.
Emla cream can be used for children from the moment of birth (except for premature babies).
It is prohibited to prescribe Emla for:
- allergies to medicinal composition;
- open wounds at the site of application;
- herpes zoster.
The dosage of applying the cream depends on the manipulation:
Medical manipulation | Dosages and method of applying cream |
Inserting a catheter for venous blood sampling and performing superficial operations on the skin | 2 g per area of 10 cm. The cream should be applied to the epidermis in a thick layer and an occlusive sticker should be applied for 1-2 hours. After removing the sticker, a manipulation procedure is carried out. |
Cleansing trophic ulcers | 1-2 g per 10 cm area. Apply the cream to the surface of the epidermis and apply an occlusive dressing. 1 tube (10 g) of cream is intended for one-time use. The application is applied for 30 minutes, after which the cleansing procedure is carried out. |
Side effects are rare because the cream is not absorbed into the system.
Cost of the drug and cheap analogues of Emla
The price of Emla cream is quite high, as well as foreign analogues of the drug. Russian anesthetic substitutes are several times cheaper.
Name of the medicine and its similar products | Release form | Package volume (g) | average price |
Emla | cream | 30 | 2124-2150 |
Helikain | gel | 30 | 269-200 |
Dinexan-A | gel | 10 | 128-130 |
Versatis | transdermal system | 5 | 3397-3400 |
Nefluan | gel | 10 | 1780-1800 |
Instillagel | gel | 11 ml/10 pcs. | 3660-3680 |
Cathegel with lidocaine | gel syringe | 12,5 | 313-350 |
Naropin | injection solution 7.5 mg | 10 ml/1 piece | 1030-1047 |
Lidocaine Darnitsa | injection solution | 2 ml /10 pcs. | 62-110 |
Ultracaine D-S | solution | 2 ml /10 pcs. | 1249-1270 |
Light Dep | cream | 15 ml | 750-800 |
Menovazin | ointment | 40 | 69-100 |
Popular analogues of domestically produced Emla
Domestic medications are highly effective and quite low in cost compared to Emla and its foreign generics.
Helikain
Helicain is a local anesthetic, which is manufactured in various dosage forms - gel, spray, aerosol for topical use with the active ingredient - lidocaine. The effectiveness of the medication occurs 1-5 minutes after application and the therapeutic effect lasts for 20-60 minutes.
The medication is prescribed in this case:
- light anesthesia in dentistry - removal of tartar or milk teeth, as well as application to the mucous membranes at the injection site;
- use in otolaryngology - surgical treatment of the nasal septum and electrocoagulation;
- gynecology and obstetrics – removal of postoperative sutures, manipulations in the vagina and on the walls of the uterus;
- instrumental diagnostics - radiography, probe insertion, intubation and rectoscopy;
- local anesthesia for thermal and sunburns;
- Elimination of itching and pain from insect bites.
Do not prescribe a local anesthetic if you are allergic to the drug composition.
Dosages depend on the method of manipulation - in dentistry - 1-4 doses, for endoscopic examination - 2-3 doses, instrumental diagnostics in gynecology - 4-5 doses, in dermatology - 1-3 doses, in obstetrics - 15-20 doses. For children under 3 years of age, the dosage is 3 mg per 1 kg of weight.
Aerosol dosage - in dentistry, 20-30 mg (2-3 doses) are used for 1-1.5 hours. During instrumental examination, the gel is applied to the surface of the instrument that will be inserted into the organ (0.2-2 g per diagnostic procedure).
Negative effects of the drug - possible development of urethritis, as well as skin allergies.
Dinexan-A
Dinexan A is an anesthetic gel for topical use with lidocaine. The gel is prescribed for:
- catheterization and dilatation of the urethra;
- instrumental diagnostics using cystoscopy, laryngoscopy and pharyngoscopy, rectoscopy and gastroscopy.
It is prohibited to use Emla's analogue for the following reasons:
- sensitivity to the drug composition;
- lactation period;
- in children born prematurely.
Prescribed with restrictions for:
- hemorrhoidal bleeding;
- damage to mucous membranes and skin;
- open wounds;
- pregnancy;
- weakened body.
The gel must be squeezed into the urethral canal (10 g) and a clamp must be placed on the urethra for a few minutes, and before inserting the catheter and performing diagnostics, it is necessary to apply the gel in one layer to the instrument that is being inserted into the body.
Side effects:
- dermatological allergies - dermatitis, urticaria, hyperemia and itching;
- Quincke's edema;
- urethritis.
Emla anesthetic cream - comprehensive analysis, analogues, pros and cons.
Anesthetic cream Emla (Emla) pros and cons
When we choose a product, we focus primarily on the price/quality ratio and the popularity of this product. Emla is a monopolist on the pain-relieving cream market; it is advertised on TV and the Internet; sales representatives of a well-known pharmaceutical company actively supply the drug to salons and clinics.
The cream is sold at any pharmacy and is available without a prescription. The scope of application of Emla cream is wide: pain relief during hair removal, injections of various types, removal of papillomas, warts, when taking blood samples, it can even be used on mucous membranes. Many called the appearance of this cream on the shelves a breakthrough in anesthesia, an opportunity to abandon injections, lidocaine sprays and tablets.
Emla cream contains lidocaine and prilocaine amide-type local anesthetics; skin anesthesia is caused by their penetration into the layers of the epidermis and dermis. The degree of pain relief depends on the dose of the drug and the duration of the application, but in most cases you need to keep it for at least an hour, which, of course, is not always convenient. One tube of 5 grams is enough for an area the size of your palm, because it needs to be applied in a thick layer and always under the film.
Adverse reactions are rare and occur mainly in people allergic to lidocaine. Emla is a fairly expensive cream, costing 1,800 rubles, and the reviews for it are very mixed. The main complaint is the lack of pain relief, the effect does not last long, especially on sensitive areas, the bikini, for example. It is also not recommended to use Emla cream for permanent tattoos and tattoos.
Unfortunately, the consumer often does not have the opportunity to choose anesthetic creams on the market, as there is not enough information. Is it always worth running to the pharmacy and buying a promoted product? Not everyone knows that at the moment it is possible to purchase much cheaper creams with a higher content of lidocaine or a complex of anesthetic substances (which is often more effective) or without lidocaine at all.
Let's look at more options for cream-based pain relief, analogues of Emla. Now the market offers a variety of creams in addition to the Swedish Emla: Canadian Dr. Numb and domestic cream Light Dep, Korean SM cream and Anesten. What are their differences, strengths and weaknesses?
Non-lidocaine analogue of Emla: Light Dep (Light Dep)
Increasingly, we can find on sale the domestic cream Light Dep, which is gaining popularity due to its economy, hypoallergenicity and favorable reduction in time costs (it is enough to withstand half an hour, unlike Emla cream, where it takes an hour to produce).
Many consumers note a higher level of pain relief with this analogue of Emla cream. The ability to buy 300 ml and use it for a long time, without losing its properties, is also a plus, unlike creams that are not available in large jars. Previously, this product was distributed only through the network of the NNPTSTO company, but is now available for free sale on the Internet. A new improved formula of Light Dep “Light dep professional” has also appeared, in 300 ml and 30 ml packaging with black inscription.
The manufacturer claims that the new formula works faster and the effect lasts longer. Light Dep cream is produced in Russia, is a sponsor of hair removal championships, has a gel structure and does not irritate the mucous membranes, behaves well on the face during injections, where it is very important not to get swelling and reaction.
Light Dep is used eagerly by cosmetologists
for mesotherapy and hair removal, etc. it does not cause allergies, has a mild but strong effect (the skin on the face does not become woody, but loses sensitivity), non-greasy texture (sugar and other materials do not lose adhesive area).
Presented in tubes of 30 ml and 300 ml, which is convenient for cosmetologists and for those who regularly go for procedures, you can buy a large jar with a convenient dispenser and use it for a year, the cream does not lose its strength.
Emla analogues with enhanced composition: Dr. Numb (Dr, Numb, Sustaine), Tatuist
You can also find on sale the Canadian Doctor Numb, the American Sustaine - more professional products where you need to accurately maintain the time of application so as not to get a burn or reaction. Of course, it is recommended to do an allergy test before using any anesthetic.
Dr. Numb
We love tattooists and permanent makeup artists for the duration of exposure (up to 3 hours, sometimes more), the speed of setting and the very strong effect of loss of sensitivity.
Contains lidocaine and prilocaine,
therefore, when opened and stored for more than a month, the cream darkens, oxidizes and loses its function. Dr. cream. numb (“Dr. numb”) is one of the strongest and fastest-acting anesthetic creams. Deep penetration (5-8 mm), low consumption, long-term anesthesia (about 3 hours), vasoconstrictor effect are the main characteristics of this product. Widely used in the field of tattooing, tattooing, piercing and other cosmetic procedures. The composition contains benzocaine, prilocaine, lidocaine. It is recommended to avoid application to mucous membranes. Begins to act 15 minutes after application, the longest lasting effect occurs after an hour of application under an occlusive dressing
Presented in a 30 ml tube, it comes in red, blue, green and black (the action is no different, except that epinephrine is added to the black one, which constricts blood vessels and prevents bleeding).
Dr.Numb is distributed in Canada and the USA
, contains vasoconstrictor components, you can find many rave reviews on English-language sites, and it is even cheaper (RUR 1,100 for 30 ml) than the European Emla. Similar composition and action to Dr. Numb has English Tatooist.
American Sustain
applied to an open wound for tattoos and permanent tattoos, this is the most popular secondary anesthesia. Only a professional can use it; it is useless for hair removal procedures and others where the skin is not damaged.
Composition: lidocaine (4%) and tetracaine (2%) with adrenaline (0.02%). A favorite when working with mucous membranes and eyes. Apply to the damaged surface without film; if necessary, you can apply it again. Includes a convenient cap for application.
Korean professional analogues of Emla: SM Cream and Anesten
See Cream
- a favorite in South Korea, it is widely used in the Asian cosmetology market, soft, economical, available in large 400 ml jars, containing 9.6 lidocaine, costs 5,000 rubles.
In anesthetic Anesten
, its Korean counterpart, has 10.5 lidocaine, but it is slightly greasy in consistency and not all practitioners like it. This anesthetic costs 6,900 rubles, which is more expensive than SM cream, but again cheaper than Emla cream.
All listed creams have a declaration of conformity and a safe composition.
Unfortunately, due to the high cost and complexity of the procedure, only Emla cream has the status of a medicinal product, which gives it the opportunity to be a monopolist in the market. Therefore, many beauty salons use Emla for cover, but in fact they work with other, cheaper and more effective creams.
How to find the optimal pain reliever?
To find the best pain reliever for personal use, where there is no need to buy expensive and hyped ones, it is advisable to consult with your cosmetologist or read reviews. For a professional, the depth of penetration of the anesthetic is important, whether the skin becomes woody, and whether it affects the pigment. Different procedures have their favorites.
Of course, there are as many opinions as there are people. It's good to try several products and choose the best one for yourself.
You can get more detailed information and answers to your questions from the specialists of our online store!
Similar therapeutic agents
The pharmacological market presents medications for local anesthesia, which are not structural substitutes for Emla, but have the same therapeutic direction with it.
Versatis
Versatis is produced as a therapeutic transdermal system. The main component of the patch is lidocaine.
Versatis is prescribed for the following pathologies:
- myositis;
- neuralgia of various etiologies;
- pain relief in vertebrology.
Not prescribed for TTC therapy for the following reasons:
- hypersensitivity to the drug composition;
- in pediatrics;
- for open wounds on the skin, severe irritation and skin rashes;
- pregnancy and lactation;
- severe pathologies in the relapse stage.
Prescribe with caution to elderly patients.
The application must be done on clean and dry skin. If you need to cover a small area of the epidermis with a patch, then the patch can be cut into pieces. The patch is applied for 12 hours. For effective therapy, after removing one patch, immediately apply another one to this place.
Among the side effects, patients note redness at the site of installation of the application, an increase in local temperature at the treatment site, as well as skin rashes and itching. Very rarely, urticaria and angioedema may occur.
Nefluan
Nefluan is a medication that is used in urology, gynecology and proctology. The medication is prepared in the form of a gel with lidocaine, fluocinolone and neomycin. The drug has the following effects on the body:
- anesthetic and antibacterial;
- anti-inflammatory.
Medicine is prescribed in this case:
- diagnostics of the bladder and urinary organs - catheterization, colposcopy, cystoscopy, rectoscopy;
- treatment of inflammation of the genitourinary organs – urethritis, vulvitis, cystitis;
- diagnosis and treatment of hemorrhoids;
- treatment of anusitis, rectal fissures;
- treatment of fistulas and trophic ulcers on the skin and soft tissues.
When conducting diagnostics and instrumental treatment of the urethra, it is necessary to squeeze the contents of the tube (10 g) into the urethra and install the clamp for 10 minutes. After this, lubricate the instrument that will be inserted into the urethral canal in one layer. After a therapeutic procedure or diagnosis, you need to reapply the gel.
To treat inflammation, you need to inject the gel into the urethral canal 2-3 times a day for 5-15 days, and to treat hemorrhoids, the gel is injected into the anus for 10-20 days.
The following medications are not prescribed:
- in childhood and old age;
- if you are allergic to the ingredients in the composition.
Side effects manifest themselves in the form of allergic reactions on the skin - urticaria, burning and itching at the injection site, rash and skin hyperemia.
Instillagel
Instillagel is a local combined anesthetic with lidocaine and chlorhexidine. The drug also has anti-inflammatory and antimicrobial effects. The medication acts on gram-positive and gram-negative microorganisms, as well as dermatophytes and yeast fungi.
Medication is prescribed in the following situations:
- endoscopic diagnostics;
- instrumental examination of urological and gynecological organs;
- catheter replacement;
- diagnosing rectal pathologies.
The medication is not prescribed if you are allergic to the components in the composition, for children under 2 years of age, or in the 1st trimester of pregnancy. During lactation, you need to interrupt feeding the newborn for 12-24 hours after using the medicine. Standard dosages - 1 dose into the urethral canal or into the uterine cavity.
Negative actions can manifest themselves locally or systemically:
- systemic manifestations - heart rhythm disturbances - bradycardia, blood pressure fluctuations, convulsions in different locations and anaphylactic shock;
- local manifestations - skin allergies (dermatitis, hyperemia and rash), as well as burning at the site of application of the gel.
Cathegel with lidocaine
Catedzhel is a combined medication (lidocaine + chlorhexidine) for local use in urology. In addition to the anesthetic effect, the drug prevents the development of infection of the urethral organ along the ascending pathways to the bladder and kidneys. Catedzhel is prescribed for instillation of the urethra and instrumental diagnosis of urological pathologies.
Emla substitute is not used for the following reasons:
- bradycardia;
- allergy to ingredients in the medicine;
- childhood.
It is not prohibited to use the medication in the treatment of pregnant and lactating women.
For urethral instillation, it is necessary to carry out a number of preparatory measures before the procedure:
- after emptying the urethra, it must be disinfected;
- it is necessary to remove the tip on the package and inject the contents of the syringe into the urethra;
- squeezing out the gel is carried out using a corrugated syringe, which after the procedure must be kept compressed, and only then removed from the urethra.
Diagnostics can be carried out 10 minutes after the introduction of the gel. Side effects occur very rarely and are not systemic. Negative symptoms may include skin allergies, as well as discomfort and burning in the urethra.
Lidocaine spray and EMLA: what is the difference?
The drugs differ in composition. If the spray contains only one substance - lidocaine, then EMLA cream contains lidocaine along with prilocaine.
Lidocaine and prilocaine belong to the class of amides of intermediate action. Their effect lasts on average 1-1.5 hours.
The anesthetic effect of lidocaine is 4 times higher than that of novocaine. It does not penetrate well through the surface epithelium of the skin. Therefore, the spray is more often used when performing manipulations on the mucous membranes - there the effectiveness of pain relief is higher.
Prilocaine is slower but longer acting than lidocaine and is less toxic. The combination of two anesthetics in EMLA cream allows you to prolong the effect of the drug and provide it with additional functions. For example, with ELMA the depth of pain relief depends on the duration of application, while with lidocaine spray the effect extends only to the superficial layers of the skin and then only when additional conditions are created (applying a patch or film that prevents moisture evaporation). Thus, the cream is suitable for both procedures performed on the skin and those performed on the mucous membranes.
Substitutes in other dosage forms
Substitutes for Emla can be medications that are prepared in the form of solutions for external use and as injections.
Naropin
Naropin is prepared in an injection solution with ropivacaine. The drug has not only anesthetic properties, but also analgesic ones. In large dosages, Naropin acts as an anesthetic during simple operations, and in low dosages the medication can be used to relieve spasms and muscle pain.
Emla's analogue is prescribed as a local anesthetic in the following cases:
- C-section;
- epidural manipulations;
- conductor application;
- infiltration anesthesia;
- pain relief during childbirth, as well as in the postoperative period.
Naropin is not used in therapy for the following reasons:
- allergic reactions to the medicinal composition;
- age up to 12 years;
- lactation period.
Naropin is prescribed by a doctor based on the pathology and the degree of its progression, as well as the individuality of the patient’s body. It is prohibited to use Naropin on your own.
To relieve pain, dosages are lower than when using the medication in surgery.
Adverse reactions of the body to taking Naropin can develop in all organs and systems. The intensity of negative reactions depends on the dosage of the medication:
- at high dosages, side effects may occur in the central nervous system and myocardium - neuropathy, paresthesia and dizziness, as well as pressure fluctuations and heart rhythm disturbances - bradycardia and tachycardia, arrhythmia and angina pectoris;
- the gastrointestinal tract reacts with dyspepsia and nausea;
- general reactions - skin allergies, shortness of breath and angioedema, urinary retention.
Lidocaine
Lidocaine is used as a local anesthetic. The effectiveness of this medication is due to the main component lidocaine, which blocks sodium channels and the passage of painful impulses along nerve fibers. The drug works at the level of brain receptors.
Lidocaine is used in dentistry, otolaryngology, ophthalmology and surgery for the following types of anesthesia:
- terminal and conductor;
- infiltration.
Lidocaine is also used as a solvent for antibacterial medications of the pharmacological group of cephalosporins.
Lidocaine is not prescribed in the following cases:
- allergy to components;
- cardiomyopathy;
- severe cardiac pathologies;
- severe vascular pathologies;
- cerebral and myocardial ischemia;
- hypertension and diabetes mellitus;
- hyperthyroidism and migraine;
- prostatitis;
- glaucoma;
- nephropathy.
Lidocaine is also not used in the treatment of lactating and pregnant women and patients younger than 6 years.
Dosages for intramuscular administration – 1-2 ml per administration procedure. Depending on the operation, the dosage can be increased to 10 ml. Terminal anesthesia - apply the solution to the required surface. The effect of the anesthetic is no more than 30 minutes. Conductive anesthesia procedure – 5-10 ml;
For anesthesia in the eyes, you need to instill a solution of 2 drops into each eye three times with a time interval of 30 seconds. Frequency of procedures per day – 3-4 times
In other cases, when prescribing, the doctor himself determines the required dosages.
Side effects:
- swelling of the skin and urticaria;
- headache, insomnia, dizziness and paresis;
- loss of consciousness;
- numbness of lips and tongue;
- increased irritability and depression;
- hallucination and euphoria;
- vertigo;
- nystagmus, conjunctivitis and blindness;
- myocardial rhythm disturbance;
- dyspepsia;
- thrombophlebitis.
Ultracaine D-S
Ultracaine D-S is a local anesthetic based on articaine, which blocks sodium channels and the transmission of painful impulses along the fibers of the nervous system. Another active ingredient is epinephrine.
The main purpose of Ultracain is conduction and infiltration anesthesia. The medication is most often used in dentistry. The drug is safe for infiltration anesthesia in pediatric (from 4 years of age) and adolescent dentistry.
The drug is safe in the treatment of patients with systemic and moderate cardiac disorders. Pain relief occurs within 1-3 minutes from the moment of administration. The most effective anesthesia period is 20 minutes.
The medication is not prescribed for the following pathologies:
- severe bradycardia;
- atrioventricular block 2-3 degrees;
- heart failure in severe decompensated form;
- malignant hypertension;
- megaloblastic anemia;
- hypoxia;
- allergy to the composition of the medicine.
Also not used during pregnancy and lactation, and in children under 4 years of age.
For adult patients: maximum dosage 4-6 mg/kg body weight. The total dosage should not exceed 400 mg. When used in dentistry, it is necessary to inject 1-1.7 ml of solution into the area of the diseased tooth.
Negative effects:
- increase and decrease in blood pressure index;
- bradycardia;
- arrhythmia;
- stupor;
- tremor of the limbs;
- loss of consciousness;
- nervousness;
- feeling of anxiety;
- drowsiness;
- angioedema;
- allergy;
- skin itching and rash;
- at the site of injection of the solution - redness and swelling of the skin;
- hyperemia;
- severe nausea;
- dyspepsia;
- vomit.
Cheap analogues of Emla for depilation
The pharmacological market presents cheap Emla substitutes for use in hair removal.
Light Dep
This cream was developed by Russian pharmacists and can replace the medication Emla. It can be used not only for depilation anesthesia, but also as a local anesthetic. The cream contains the following components - prilocaine, lidocaine and tetracaine, which provide the cosmetic product with medicinal properties - pain relief and anesthesia.
The cream can also be used in gynecology and dentistry because it has a vasoconstrictor effect with an anti-allergenic effect.
The cream begins to act 15-20 minutes after application. The action lasts up to 4 hours. The cream, like Emla, is suitable for hair removal of the bikini area (but not mucous membranes).
Light Dep is water-based, so it does not cause skin rashes or hives. The medication does not pass through the skin barrier and does not enter the blood, so this cosmetic product does not cause systemic side effects.
The cream must be applied in accordance with the manufacturer's recommendations:
- apply a thick layer to the skin using cotton swabs;
- Cover the cream application area with film (to prevent the cream from drying out);
- you can repeat the application of the cream after 30 minutes;
- 10 minutes after re-application, you can wash off the cream and do depilation.
Menovazin
Menovazin contains the following components: menthol, procaine and benzocaine, which provide the drug with an anesthetic, analgesic, cooling and anti-inflammatory effect. Menovazin is produced in alcohol tincture, as well as in cream.
Menovazin is used for the following pathologies:
- neuralgia and myalgia;
- arthralgia and arthritis;
- relief of allergic skin itching;
- psoriasis.
The medication does not affect the patient’s mental and nervous state.
Menovazin should not be used during pregnancy and lactation, because there is no clinical evidence of the safety of the drug during these periods; for the same reason, Menovazin is not prescribed in pediatrics.
The medication is applied externally only. During depilation, to enhance the effect, you can apply the medicine in several layers with a time interval of 10-15 minutes. The therapeutic effect of the medicine lasts for 60-90 minutes from the moment of application.
Cheap analogues of Emla for depilation
Cheap similar medications to Emla for depilation are domestically produced medications that contain lidocaine or procaine. The effectiveness of these medications is no lower than Emly, but they are several times cheaper.
Light Dep
The depilatory cream was developed by Russian pharmacist scientists and can be used as an anesthetic on all parts of the body. In addition to cosmetic use, the medication can be used to anesthetize small areas of the skin and soft tissues. The cream contains the following components: anestoderm, carbomer, phenoxyethanol. Anestoderm contains the following ingredients: prilocaine, tetracaine, lidocaine and epinephrine.
The cream has vasoconstrictor effects with an antibacterial effect, which facilitates the use of the drug in gynecological and dental practice. The anesthetic property begins to manifest itself 15-20 minutes after applying the cream, and the therapeutic effect lasts for 4 hours.
Pros of the gel
The medication can be used for depilation of the bikini area, but it must be used carefully so that the cream does not get on the mucous membranes of the genital organs.
Light Dep is based on distilled water, so the cream does not cause skin reactions, and also does not enter the systemic bloodstream and does not pass through the placenta barrier.
The cream must be applied following all manufacturer's recommendations:
- Using a sponge or cotton swab, apply the cream in a thick layer;
- after application, you need to cover the area of skin under the cream with a film (so that the cream does not dry out);
- after 30 minutes, you can apply 1 more dose of cream;
- 10 minutes after the second application of the cream to the skin, the cream should be washed off and a cosmetic procedure should be carried out.
Negative manifestations:
- pale skin or hyperemia at the site of application of the cream;
- burning and itching during application and after removing the remaining cream.
Akriol PRO
Acriol PRO is manufactured in the form of a cream for external use based on prilocaine and lidocaine. The cream is a local anesthetic drug.
Acriol PRO is prescribed for adults for:
- carrying out vaccinations, catheterization for blood collection and punctures;
- superficial surgical interventions, as well as as an anesthetic for hair removal and cosmetic painful procedures;
- anesthesia of trophic ulcers for mechanical cleaning - removal of pus, fibrin and necrotic fibers from the wound;
- anesthesia of the genitourinary organs for painful treatment or installation of a urethral catheter.
Acriol is used for children for:
- anesthesia of the epidermis during injections;
- carrying out catheterization and puncture;
- removal of molluscum contagiosum.
Description of the drug
The medication is not prescribed for:
- hypersensitivity to the drug composition;
- birth of a child prematurely and weighing less than 3 kg.
Prescribed with restrictions for:
- atypical dermatitis;
- combined use with antiarrhythmic drugs;
- deficiency of glucose-6-phosphate dehydrogenase;
- methemoglobinemia of idiopathic or hereditary etiology.
The cream is applied to the mucous membranes and epidermis. For surgical treatment of ulcers, the cream is applied for 30 minutes and an occlusive dressing is used. Cream dosage: 1-2 g per 10 square centimeters. Apply 1 g of cream to the genitals of men for 15 minutes, for women apply the cream for 60 minutes (1-2 g). After removing the cream, procedures can be carried out.
For minor superficial operations, apply the cream in a thick layer for 30-60 minutes for children. After the required time has elapsed, the remaining cream is removed and surgical procedures are performed.
Side effects:
- pale skin, swelling;
- redness, burning and itching;
- cyanosis and anaphylactic shock;
- hemorrhages;
- hives.
Menovazin
Menovazine is the cheapest similar drug to Emla. Menovazin is produced in the form of an alcohol tincture and a cream based on the following components - procaine, menthol and benzocaine, which guarantee Menovazin the following therapeutic properties:
- anesthetics and painkillers;
- anti-inflammatory and antipyretic.
Menovazin is used for topical application to the skin for:
- neuralgia, arthralgia;
- rheumatoid and inflammatory arthritis;
- osteochondrosis, lumbago and sciatica;
- severe allergic itching;
- muscle pain;
- dermatoses;
- psoriasis.
Menovazine should not be used for:
- allergic reaction of the body to the composition of the drug;
- impaired skin integrity;
- antibiotic therapy;
- lactation and pregnancy.
Menovazine should be used externally only. To treat pain of various etiologies and inflammation, Menovazin should be used three to four times a day, rubbing the sore spots with the tincture.
Cream is used for depilation. It needs to be applied 2 times, gradually after 10-15 minutes. The therapeutic effect of using Menovazin lasts for 1 hour.
Side effects:
- skin irritations and dermatitis;
- hives;
- hyperemia and rashes on the epidermis;
- skin itching and swelling of the epidermis.
See also:
List of the cheapest substitutes for Zalain®: TOP 6 analogues of the drug
Reviews on the use of Emla analogues
Reviews about Emla are more positive both from specialized specialists and from patients. The only drawback that patients note is the very high cost of the drug:
- Taranenko Yu.V., urologist: “For inflammation of the bladder and urethral infections, I prescribe Emla to reduce pain during diagnosis or when installing a catheter to remove urine and administering medications. This is the most effective medication in its pharmaceutical group. The cost of Emla is not suitable for everyone, so I recommend using Instillagel or Lidocaine in solution.”
- Yulia, 38 years old: “I was prescribed Emla before a cystoscopy diagnosis. Emla is a truly effective medication, because I felt absolutely no pain or discomfort from this painful procedure. The price, of course, is steep, but the effect is good.”
Emla is the most effective local anesthetic that has very low toxicity. But this medication has a drawback - a high price, so the doctor can choose cheaper analogues for diagnosis and therapy.