Gebauer's Ethyl Chloride® is a vapocoolant (skin refrigerant) intended for topical application.

Product Identification

Trade Name / Synonym: Gebauer's Ethyl Chloride®	Revision Date: May 19, 2005
Chemical Name / Synonyms: Ethyl Chloride, Chloroethane, Hydrochloric Ether	Chemical Family: Halogenated Hydrocarbon
Formula: C2H5Cl	Molecular Weight: 64.52

Source: Material Safety Data Sheet
GEBAUER COMPANY
4444 E. 153rd STREET
CLEVELAND, OH 44128
1-800-321-9348 toll free or (216) 581-3030
FAX (216) 581-4970; WEBSITE: www.gebauerco.com
AFTER HOURS EMERGENCY: CHEMTREC (800) 424-9300 or 703-527-3887

Last updated on RxList: 11/5/2008

Gebauer's Ethyl Chloride is a vapocoolant (skin refrigerant) intended for topical application to control pain associated with injections, starting IV's and venipuncture, minor surgical procedures (such as lancing boils or incision and drainage of small abscesses), and the temporary relief of minor sports injuries. The medium and fine streams are also intended for use as a counterirritant in the management of myofascial pain, restricted motion, and muscle tension.

DIRECTIONS FOR USE: To apply Gebauer's Ethyl Chloride from the amber bottle, hold the bottle inverted while spraying. Open the dispenseal spring valve completely allowing the Ethyl Chloride to flow from the bottle. To apply Gebauer's Ethyl Chloride from the aerosol can, hold can upright over the treatment area and depress the valve completely allowing Gebauer's Ethyl Chloride to spray from the can.

1. PRE-INJECTION ANESTHESIA: Prepare the syringe. Swab the treatment area with an antiseptic. Amber bottle -spray the target area with Gebauer's Ethyl Chloride continuously for 3 to 7 seconds (aerosol can 4 to 10 seconds) from a distance of 3 to 9 inches (8-23 cm). Spray the area until the skin just turns white; do not frost the skin. With skin taut, quickly introduce the needle. Follow these directions for other types of needle insertion procedures such as starting IV's and venipuncture.
2. TOPICAL ANESTHESIA IN MINOR SURGERY: Clean the operative site with a suitable antiseptic. Apply petrolatum to protect the adjacent area. Amber bottle - spray the target area with Gebauer's Ethyl Chloride continuously for 3 to 7 seconds (aerosol can 4 to 10 seconds) from a distance of 3 to 9 inches (8-23 cm). Spray the area until the skin just turns white; do not frost the skin. Promptly make incision. The anesthetic action of Gebauer's Ethyl Chloride lasts a few seconds to a minute.
3. TEMPORARY RELIEF OF MINOR SPORTS INJURIES: The pain of bruises, contusions, swelling, and minor sprains may be controlled with Gebauer's Ethyl Chloride. The amount of cooling depends on the dosage. Dosage varies with duration of application. The smallest dose needed to produce the desired effect should be used. The anesthetic effect of ethyl chloride rarely lasts more than a few seconds to a minute.
   This time interval is usually sufficient to help reduce or relieve the initial trauma of the injury. Determine the extent of the injury (fracture, sprain, etc.). Amber bottle - spray the affected area from a distance of 3 to 9 inches (8-23 cm) for 3 to 7 seconds (aerosol can 4 to 10 seconds) until the skin just turns white; do not frost the skin. Avoid spraying the skin beyond this state. Use as you would ice.
4. SPRAY AND STRETCH TECHNIQUE FOR MYOFASCIAL PAIN: Gebauer's Ethyl Chloride may be used as a counterirritant in the management of myofascial pain, restricted motion and muscle tension. Clinical conditions that may respond to Gebauer's Ethyl Chloride include low back pain (due to tight muscles), acute stiff neck, torticollis, acute bursitis of the shoulder, tight hamstrings, sprained ankle, tight masseter muscles and referred pains due to irritated trigger points. Relief of pain facilitates early mobilization and restoration of muscle function. The Spray and Stretch Technique is a therapeutic system that involves three states: Evaluation, Spraying, and Stretching. The therapeutic value of the Spray and Stretch Technique is most effective when the practitioner has mastered all of the stages and applies them in the proper sequence.

a. Evaluation

If the patient has been evaluated to have pain caused by an active, irritated trigger point then proceed to Step b.

b. Spraying

1. Have the patient assume a comfortable position.
2. Take precautions to cover the patient's eyes, nose and mouth if spraying near the face.
3. Hold the bottle inverted. (Hold the can upright.) From a distance of 12 to 18 inches (30-46 cm) aim the stream so that it meets the skin at an acute angle to lessen the shock of impact.
4. Direct the spray in parallel sweeps 0.5 to 1 inch (1.5-2 cm) apart at the rate of approximately 4 inches/second (10 cm/second). Continue until the entire muscle has been covered. The number of sweeps is determined by the size of the muscle. The spray should be applied from the muscle attachment over the trigger point, through and over the reference zone.

c. Stretching

Passively stretch the muscle during spray application. Gradually increase the force with successive sweeps. As the muscle relaxes, smoothly take up the slack by establishing a new stretch length. It is necessary to reach the full normal length of the muscle to completely inactivate the trigger point and relieve the pain. Rewarm the muscle. If necessary, repeat the procedure. Apply moist heat for 10 to 15 minutes following treatment. For lasting benefit, eliminate any factors that perpetuate the trigger mechanism.

CONTENTS: Ethyl chloride

STORAGE: Contents under pressure. Store in a cool place. Do not store above 120°F (50°C). Do not use near fire or flame or place on hot surfaces.

DISPOSAL: Dispose of in accordance with local, state, and national regulations.

For more information about this product contact Gebauer Company.To order Gebauer’s Ethyl Chloride, ask for:

• Fine Stream Spray - 3.5 oz. Glass Bottle - P/N 0386-001-04
• Medium Stream Spray - 3.5 oz. Glass Bottle - P/N 0386-001-03
• Mist Spray - 3.5 oz. Can - P/N 0386-0001-02
• Medium Stream Spray - 3.5 oz. Can - P/N 0386-001-06

Call for a distributor near you. 800-321-9348. www.gebauerco.com. FDA revision date: n/a

Last updated on RxList: 11/5/2008

Cutaneous sensitization may occur, but appears to be extremely rare. Freezing can occasionally alter skin pigmentation.

No information provided

Last updated on RxList: 11/5/2008

For external use only. Do not spray in the eyes. Skin absorption of ethyl chloride can occur; no cases of chronic poisoning have been reported. Ethyl chloride is known as a liver and kidney toxin; long-term exposure may cause liver or kidney damage.

WARNING: This product contains a chemical known to the State of California to cause cancer.

KEEP OUT OF THE REACH OF CHILDREN

Do not spray in eyes. Inhalation of ethyl chloride should be avoided as it may produce narcotic and general anesthetic effects, and may produce deep anesthesia or fatal coma with respiratory or cardiac arrest. Ethyl chloride is FLAMMABLE and should never be used in the presence of an open flame or electrical cautery equipment. When used to produce local freezing of tissues, adjacent skin areas should be protected by an application of petrolatum. The thawing process may be painful, and freezing may lower local resistance to infection and delay healing.

Last updated on RxList: 11/5/2008

No information provided

Ethyl chloride is contraindicated in individuals with a history of hypersensitivity to it.

Last updated on RxList: 11/5/2008

No information provided

Last updated on RxList: 11/5/2008

No information provided. Please refer to the WARNINGS and PRECAUTIONS sections.

Last updated on RxList: 11/5/2008

IMPORTANT NOTE: This is a summary and does not contain all possible information about this product. For complete information about this product or your specific health needs, ask your health care professional. Always seek the advice of your health care professional if you have any questions about this product or your medical condition. This information is not intended as individual medical advice and does not substitute for the knowledge and judgment of your health care professional. This information does not contain any assurances that this product is safe, effective, or appropriate for you.

ETHYL CHLORIDE SPRAY - TOPICAL

(ETH-ill KLOR-ide)

USES: This medication is used to prevent pain caused by injections and minor surgical procedures. It is also used for the temporary relief of minor sports injuries. Ethyl chloride also helps to relieve deep muscle pain when used with muscle stretching techniques. Ethyl chloride is a cooling substance that is applied to the skin to numb it.

HOW TO USE: This medication is for use on the skin only. It is applied by a healthcare professional. Do not apply to broken skin or mucous membranes (e.g., inside the nose or mouth). Do not spray into the eyes. Do not inhale the spray.

This medication is flammable. Do not use near an open flame or near electrical equipment that can spark a fire.

Before applying ethyl chloride to injection and local surgical sites, your healthcare professional will swab the treatment area with an antiseptic. Petroleum jelly may be applied to protect surrounding areas around the surgical site. The ethyl chloride container should be positioned 3-9 inches (8-23 centimeters) away from the skin. If using ethyl chloride in a bottle, it should be held upside down and sprayed onto the area for 3-7 seconds. If using ethyl chloride in an aerosol can, it should be held upright and sprayed onto the area for 4-10 seconds. Your healthcare professional will spray just until the skin starts to turn white, stopping before the skin frosts. The procedure will then be quickly performed because the numbing effect of ethyl chloride only lasts for a few seconds to a minute.

For the relief of deep muscle pain, the healthcare professional will hold the container 12-18 inches (30-46 centimeters) away from the muscle, then spray in a sweeping motion at the rate of 4 inches (10.2 centimeters) per second until the entire muscle is covered from the trigger point to the area of pain. The muscle will be slowly stretched during this process until full motion is restored and pain is relieved.

SIDE EFFECTS: Side effects are not common with this medication.

Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects.

Tell your doctor immediately if any of these unlikely but serious side effects occur: lasting changes in skin color, pain as skin is thawing, infection at the application site, delayed wound healing.

Tell your doctor immediately if any of these rare but very serious side effects occur (with long-term exposure): change in the amount of urine, yellowing eyes/skin, dark urine, stomach/abdominal pain, persistent nausea/vomiting, unusual tiredness.

A very serious allergic reaction to this drug is unlikely, but seek immediate medical attention if it occurs. Symptoms of a serious allergic reaction may include: rash, itching, swelling, severe dizziness, trouble breathing.

This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist.

Contact your doctor for medical advice about side effects. The following numbers do not provide medical advice, but in the US you may report side effects to the Food and Drug Administration (FDA) at 1-800-FDA-1088. In Canada, you may call Health Canada at 1-866-234-2345.

PRECAUTIONS: Before using ethyl chloride, tell your doctor or pharmacist if you are allergic to it; or if you have any other allergies.

Before using this medication, tell your doctor or pharmacist your medical history.

This medication should be used only when clearly needed during pregnancy. It is not known whether this drug passes into breast milk. Discuss the risks and benefits with your doctor.

DRUG INTERACTIONS: Your healthcare professionals (e.g., doctor or pharmacist) may already be aware of any possible drug interactions and may be monitoring you for it. Do not start, stop or change the dosage of any medicine before checking with them first.

Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use.

Keep a list of all your medications with you, and share the list with your doctor and pharmacist.

OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents can call the US national poison hotline at 1-800-222-1222. Canadian residents should call their local poison control center directly. This medication may be harmful if inhaled. If accidentally inhaled, you may experience symptoms such as drowsiness, slowed breathing, slow heartbeat.

NOTES: Not applicable.

MISSED DOSE: Not applicable.

STORAGE: Contents are under pressure. Store in a cool place at room temperature between 59-86 degrees F (15-30 degrees C). Do not store above 122 degrees F (50 degrees C). Do not use near an open flame, electrical equipment that may ignite a fire, or hot surfaces. Do not store on or near high-frequency ultrasound equipment. Keep all medicines away from children and pets.

Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.

Information last revised July 2008 Copyright(c) 2008 First DataBank, Inc.