To facilitate medical research, completely different means and preparations are used. In some cases, lubrication is required (for better passage of devices), and in some cases, pain medication. In any case, such products must necessarily meet all the requirements of quality and safety.
Today you will learn what Katedzhel is. Instructions for use, reviews about this medication will be described below. We will also tell you about in what form the mentioned tool is released and in what cases it is used.
Release form, packaging, description and composition
The Katedzhel drug, the instructions for use of which is contained in a cardboard box, is sold in the form of a gel for external use. The active ingredients of this medication are chlorhexidine dihydrochloride and lidocaine hydrochloride. As auxiliary components, substances such as glycerol, water for injection and hyetellose (i.e. hydroxyethyl cellulose) are used.
A gel intended for topical application is an almost colorless mass. On sale, it can be found in corrugated syringes, which are packed in blisters and cardboard packaging, respectively.
Pharmacological features
What is remarkable about the Katedzhel drug (gel)? Instructions for use indicate that this is a combined medication for local use. Most often it is used in urological practice.
The effectiveness of this medicine is due to its composition. Consider the features of all ingredients in more detail.
Drug properties
What role does lidocaine hydrochloride play in Katedzhel? Instructions for use informs that this substance is capable of exerting a local anesthetic effect.
When using high doses of the drug, as well as with its prolonged use, the concentration of lidocaine in the blood can be about 1-2 μg / ml.
With severe inflammation of the urethra, specialists should definitely consider the increased resorption of this substance.
As for the active ingredient such as chlorhexidine, it has a high antimicrobial activity against many gram-negative bacteria. Unfortunately, this element does not affect spores, acid-resistant bacteria, viruses and fungi.
At the concentration in which chlorhexidine is contained in the gel, it is able to prevent the development of an ascending infection of the bladder and urethra.
Indications
Why use a drug like Katedzhel? Instructions for use (in the urology of this medication is installed in the urethra before the direct introduction of a catheter or other instruments) reports that this tool is intended for:
- relief of symptoms of inflammation that occur with severe pain syndromes, mucous membranes of the vagina, cervical canal, rectum or urethra (as part of complex treatment);
- anesthesia and prevention of infection during endoscopic diagnosis, intubation, replacement of fistula catheters, surgical interventions in adults and children in urological, gynecological and proctological practice.
Contraindications to the use of the gel
When should you not use the local Katedzhel medication? Instructions for use (a photo of the gel is presented in this article) informs us that this drug is forbidden to prescribe to people with hypersensitivity to drug substances. Also, it is not recommended for use with severe bradycardia.
With extreme caution, the local gel is prescribed to patients in the first trimester of pregnancy. When using the drug during breastfeeding, it is necessary to abstain from lactation for the next 12 hours after its use.
Gel "Katedzhel": instructions for use
How should I use the drug in question? This gel is for topical use only. The instillation of this drug should be carried out under stationary conditions by an experienced specialist. In this case, it is necessary to comply with all aseptic rules.
So how is Katedzhel (gel) injected? Instructions for using this medication contain the following instructions for action:
- For slow instillation of the drug into the urethra, you should always consult a doctor or specially trained personnel before directly injecting the instrument.
- The healthcare provider must thoroughly clean and then sanitize the external entrance to the urethra.
- To access the corrugated syringe with a medicinal gel, you need to open the blister by removing the paper from the transparent case. It is advisable to do this only before the constriction.
- It is necessary to break off the tip of the device, without making special efforts. If possible, this process should be carried out in packaging. It is necessary to ensure that the tip of the syringe is completely removed to avoid damage to the mucous membrane of the urethra.
- To facilitate the process of introducing the gel, you should first squeeze a small amount of the drug from the syringe.
So how to use Katedzhel gel? Instructions for use informs that the instillation of the drug must be done by lightly pressing the corrugated syringe. After emptying the instrument, it should be kept in a compressed state until it is completely removed from the urethra.
The introduction of medical instruments for diagnostic procedures is recommended 10 minutes after the instillation of the drug gel.
Side effects
Are you aware of any side effects that may occur when using the local Katedzhel gel? The instruction (in proctology, this drug is used no less than in urology and gynecology) indicates that the use of this drug can cause an allergy in the patient. Various manifestations of hypersensitivity reactions are also possible.
In addition, the introduction of the gel can contribute to the development of side effects from the cardiovascular system. If you use the medication repeatedly, especially with severe inflammation of the urethra or its introduction into the bladder, a decrease in heart rate is possible.
Gel overdose
According to the instructions attached to the drug, when using a large amount of Katedzhel, no symptoms of overdose arise. Although in some cases, the use of this medication in high doses can still lead to an increase in resorption.
The use of local gel alone is prohibited. It can be administered only by an experienced specialist exclusively in stationary conditions.
Drug interaction
Is it acceptable to use the local Katedzhel gel with other drugs? Instructions for use indicate that this medication can be combined with drugs of the cationic group (for example, benzalkonium chloride). However, it is not recommended to combine it with soap, iodine and anionic detergents (for example, saponins, sodium lauryl sulfate and sodium carboxymethyl cellulose).
It should also be noted that the anesthetic effect of lidocaine can enhance monoamine oxidase inhibitors.
Special recommendations
In the presence of severe bradycardia, as well as during local anesthesia, lubricating preparations that do not contain lidocaine should be used.
In the “false way”, a syringe with a drug is prohibited to be inserted into the urethra. In this case, a local gel is recommended to be applied to the instrument itself.
The drug we are considering is sterile. The contents of the corrugated syringe are for single use only.
Shelf life, conditions and storage methods
Gel "Katedzhel" is dispensed in pharmacies by medical prescription. It is advisable to store it out of the reach of children, as well as in a dark place only in sealed packaging.
The storage temperature of this product is 25 degrees (not less). Shelf life of the drug is 5 years.
Reviews about the drug
Unfortunately, reviews about this tool are very rare. Most often, only experts leave messages about him. After all, it is they who use the gel for diagnostic manipulations.
According to the reviews of doctors, such a medication completely copes with the task. It anesthetizes the studied area well and contributes to the better passage of medical instruments.
As for patients, they argue that, thanks to such lubrication, diagnostic procedures are less painful. Moreover, this drug almost never causes side effects, and is also easily washed off and does not leave greasy stains on linen.