UNCONTROLLED WHEN PRINTED
Introduction
Topical pump spray containing:
- Lignocaine hydrochloride 50mg/ml
- Phenylephrine 5mg/ml
A topical local anaesthetic and haemorrhage control agent for the relief of surface pain, nasal and oral bleeding.
Indications
- Local pain: abrasions, small cuts and wounds
- Relief of mild and moderate epistaxis
- Post tonsillectomy haemorrhage
- Intra-oral haemorrhage
Contraindications
- Hypersensitivity to phenylephrine, lignocaine or other anaesthetics
- Children <2yrs
- Pregnancy
Precautions / Notes
- Used with caution in patients with cardiovascular, hepatic and/or renal disease.
- For oral use, nozzle inserted within the anterior 1/3 of mouth to avoid gag stimulation.
- Each spray delivers 100 microlitres of fluid. The dose of lignocaine in each squirt is 5 mg and the dose of phenylephrine in each squirt is 0.5mg
Management
Adult:
- Intranasal: Max 10 squirts (5 squirts per nostril)
- Topically: Max 5 squirts
- Oral use: 1 spray then pause, repeat if required to max. 5 sprays.
Paediatric:
- Intranasal:
- 2-4 years: 1 squirt per nostril
- 4-8 years: 2 squirts per nostril
- 8-12 years: 3 squirts per nostril
- Topically: Max 5 squirts
- Oral use: 1 spray then pause, repeat if required to max. 5 sprays.
Maximum dosages should not be administered more than once in 24 hours.
Special Considerations
- Oral administration may cause a transient bitter taste.
- Pause between subsequent doses.
References
References
Presentation
Spray bottle with nozzle
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