"Repeated subcutaneous injections of botulinum toxin A (Botox, Allergan) provides analgesic relief to patients with neuropathic pain, a new randomized controlled trial has shown.
The study showed that two series of injections "...
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.
DOSAGE AND ADMINISTRATION
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.
- 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.
- 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.
- 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.
- 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.
If the patient has been evaluated to have pain caused by an active, irritated trigger point then proceed to Step b.
- Have the patient assume a comfortable position.
- Take precautions to cover the patient's eyes, nose and mouth if spraying near the face.
- 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.
- 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.
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 Gebauers 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/aThis monograph has been modified to include the generic and brand name in many instances.
Last reviewed on RxList: 11/5/2008
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