In the article, we will consider how to properly use novocaine suppositories.
The medicine "Novocaine" is a medical preparation that helps eliminate pain syndrome of various nature of origin. Rectal suppositories with novocaine are often used by people who are faced with symptoms of hemorrhoidal disease. Suppositories for hemorrhoids are the most suitable dosage form. Novocainic suppositories are easily inserted into the anus and begin to act very quickly.
"Novocaine" eliminates pain in the anal area, helps to reduce swelling of tissues and sore muscles. Suppositories with this pharmacological substance are completely safe and widely used in patients of different age categories.
Pharmacological properties of this drug
The active substance of novocaine suppositories is procaine, which has a local anesthetic effect, leading to a decrease in all types of tissue sensitivity in the injection zone. The therapeutic effectiveness is realized due to the blocking of sodium channels in the walls of peripheral nerves, which helps to prevent the generation and conduction of nerve impulses in sensitive fibers. After absorption of procaine into the general bloodstream, it has a pronounced ganglion-blocking effect, reduces the excitability of cholinergic peripheral structures of the nervous system. Also, this medicinal substance reduces spasms of smooth muscles, reduces the excitability of motor structures in the cerebral cortex and heart muscle.
The drug eliminates the inhibitory downward effect of the reticular formation of the brain and suppresses polysynaptic reflexes. The duration of the effect of Novocain suppositories is relatively short and ranges from 30 minutes to one hour.
After the administration of novocaine suppositories, the active element is absorbed by the blood vessels of the anus, after which it is adsorbed into the general bloodstream. Procaine undergoes a metabolic process in the liver with the formation of inactive decay products, excreted mainly in the urine. The half-life after absorption of the active substance of the drug is thirty to sixty seconds. This is confirmed by the instruction for novocaine candles.
The effectiveness of these drug suppositories for hemorrhoids
These suppositories when hemorrhoids occur are a good local pain medication. They relieve sensations of soreness with internal and external hemorrhoids. The drug begins to act quickly, but the effect ends in a few hours. While anesthesia works, you need to determine the cause of the pain and eliminate it.
Indications for use of the drug
Novocainic suppositories are used at almost any stage of hemorrhoids. The main indications for the use of the drug are:
- hemorrhoidal disease of any stage and localization of nodes;
- proctitis;
- cracks and tears of the anus;
- pain after surgery on the rectum;
- paraproctitis.
What else does the instruction for novocaine candles tell us?
Contraindications to the use of a medication
They can not be used in patients with hypersensitivity to the active elements of this drug (procaine hydrochloride). Contraindications are also pathological processes such as thromboembolism (blockage of the lumen of blood vessels) and granulocytopenia (lack of white blood cells). In other cases, the drug is well tolerated by the patient.
Rules for the use of the drug
Use rectal suppositories with novocaine is necessary according to the annotation. Before starting therapy, the intestines must be completely cleaned by means of natural bowel movements or microclysters, after which the toilet of the genitals and anorectal zone should be washed, hands should be washed with soap. Novocaine suppositories for hemorrhoids are administered according to a schedule established by a specialist, most often once a day, to a depth of 2-3 cm, lying on their side. Under the influence of body temperature, the suppository begins to melt, the substances of the drug penetrate into the vessels of the rectum, exerting a therapeutic effect. After the introduction of the medication, it is recommended to maintain a horizontal body position for 20 minutes so that the melted suppository does not leak out.
In some cases, it becomes necessary to use Novocaine suppositories twice a day. In order to anesthetize suppositories, if hemorrhoids occur, it is necessary to administer in the morning on an empty stomach and in the evening before going to bed.
The maximum number of suppositories that can be used during the day should be no more than four. This medicine is stored in the refrigerator, since room temperature can contribute to their melting, which causes difficulties in administration.
Instructions for use with novocaine suppositories should be strictly observed.
Adverse reactions from the use of a medication
Like any other drug, these suppositories have some side effects, which include:
- mild headache;
- nausea;
- excessive sweating;
- drowsiness;
- slight dizziness;
- change of coordination of movements;
- general weakness;
- a feeling of heaviness in the intestines and chest;
- unexpressed skin itching in the form of urticaria;
- blood pressure differences;
- anaphylactic shock (extremely rare cases).
If the patient has not disappeared during the week of using this pharmacological drug, and discomfort in the anus and spotting also continue to be observed, it is necessary to consult a doctor for correction of therapeutic measures.
How to apply novocaine suppositories during pregnancy?
Use during pregnancy
The drug "Novocaine" in the form of rectal suppositories is allowed at all stages of pregnancy. The main condition for its use is observation by a treating specialist. Suppositories during pregnancy help to quickly eliminate the symptoms of the underlying disease, improve blood circulation in the rectum, and normalize blood pressure. Moreover, sometimes suppositories with novocaine are prescribed during pregnancy in order to stop the symptoms of toxicosis in the late gestation period. The main thing is to adhere to the recommendations of the gynecologist.
Use in gynecological diseases
The use of Novocain suppositories in some cases is advisable during the course of some gynecological diseases. They can be various inflammatory pathologies of the female reproductive sphere, including inflammation of the uterus, appendages and so on. In this case, the patient has severe pain, which can be stopped by using suppositories with novocaine. In gynecology, suppositories are used according to the instructions, no more than four pieces per day. Be careful! There are no vaginal suppositories with novocaine.
Special recommendations
Before administering the drug Novocain in the form of rectal suppositories, the doctor must assess the risks of side effects and rule out the presence of contraindications. The use of a drug is mandatory taking into account some special recommendations:
- Before the introduction of the suppository, testing for sensitivity to the main substance is mandatory.
- After the introduction of the drug, it is mandatory to monitor the performance of the cardiovascular, respiratory, nervous system.
- During the period of use of this medical device, some caution should be exercised during engaging in activities requiring a high concentration of attention and speed of psychomotor reactions.
Overdose symptoms
In case of exceeding the therapeutic dosage of the drug “Novocaine” in the form of suppositories, pallor of the skin, vomiting, nausea, dizziness, increased breathing and heart rate, methemoglobinemia, arterial hypotension (lowering blood pressure) up to the development of vascular collapse are observed. From the side of the central nervous system, a feeling of fear, motor overexcitation, hallucinations, convulsions may occur. Therapy of overdose symptoms is carried out exclusively in a hospital setting. It includes oxygen therapy, symptomatic and detoxification treatment.
Analogs
This analgesic drug has a rather impressive list of analogues. These include the following pharmacological preparations:
- Bupivacaine
- “Markain”;
- Omnicain
- "Longocaine Heavy";
- Buvanestin;
- “BlockcoS”;
- "Lidocaine-Darnitsa";
- "Scandonest";
- Mepivastesin;
- Mepifrin;
- Xylocaine
- Khrokain;
- Emla;
- Ultracain
- "Optocaine";
- Artikain
- "Kutenza."
When choosing an analog medication, it is recommended to seek the advice of a specialist, since the above medicines may have some contraindications and restrictions on use and can cause serious complications from certain systems and organs. It is strictly contraindicated to replace one medication with another independently.
Candles with novocaine. Reviews
There are quite a lot of reviews about this drug, which is due, first of all, to its long-term existence in the pharmacological market. This drug has been used for several decades in medical practice for various types of pain relief - in gynecology, proctology, urology, dentistry, etc. With the help of solutions of this medication, various medications, including antibiotics, are injected.
Suppositories Novocain are very popular today. This is mainly due to their low cost, which makes this drug affordable for many patients.
Therefore, reviews of novocaine suppositories for hemorrhoids are mostly positive.
The use of this medication in the treatment of an ailment and the elimination of pain during its development is also very common. Patients indicate that many of them always have such suppositories in their home medicine cabinet, as they consider it a first aid medication for hemorrhoids. If severe pain occurs, according to this category of patients, Novocain suppositories help very quickly, and the only negative is that the effect of this medicine is quite short-lived. Nevertheless, this medication is anesthetized very well, which helps to forget for some time about the unpleasant manifestations of this disease.
Patients who used suppositories for the development of certain gynecological diseases also remained satisfied with this remedy. They noted the rapid subsidence of pain and the absence of adverse reactions.
Some patients left negative reviews about the drug Novocain in the form of candles. According to them, they did not observe a positive effect from the use of this medication, the pain syndrome decreased extremely slightly, which necessitated the use of other painkillers. Therefore, this category of patients prefers to use more modern drugs to eliminate pain.