Catejel with lidocaine gel, 12.5 g

• prevention of infection, anesthesia during surgical and diagnostic endoscopic interventions in children and adults in urology, gynecology, proctology, all forms of endoscopy, replacement of fistular catheters, intubation;

• It is used in complex therapy for relieving symptoms of inflammation (accompanied by pain syndrome) of the mucous membrane of the urethra, vagina, cervical canal and rectum.

For slow instillation before the introduction of instruments (by a doctor or specially trained personnel), it is necessary:

open the blister by removing the paper from the transparent case (if possible, only before the waist);

break off the tip without significant force (if possible still in the package).

In this case, it is necessary to ensure that the tip is completely removed in order to avoid damage to the mucous membrane.

For ease of administration, it is recommended to pre-squeeze a drop of gel;

instillation by means of light pressure on the crimped syringe.

After emptying the syringe, keep it compressed until removed;

the introduction of instruments is recommended 5-10 minutes after the instillation of the gel.

chlorhexidine dihydrochloride, lidocaine hydrochloride (as lidocaine hydrochloride monohydrate)

hypersensitivity to the components of the drug.

With care: I trimester of pregnancy.

pharmachologic effect

Combined preparation with antiseptic and local anesthetic effect. Chlorhexidine is an antimicrobial agent that acts on gram-positive and gram-negative microorganisms, yeast, and dermatophytes. Effective against gram-positive and gram-negative bacteria - Treponema spp., Neisseria gonorrhoeae, Trichomonas spp., Chlamydia spp., Ureaplasma spp. Remains active (although somewhat reduced) in the presence of blood, pus, various secretions and organic substances. Lidocaine is a local anesthetic. Antimicrobial action and adequate anesthesia develop 5-10 minutes after drug administration. The water-soluble clear gel provides a clear optical view and has a lubricating effect in a variety of endoscopic procedures.

Side effect

Allergic reactions: with increased sensitivity, allergic dermatitis, skin rash, angioedema are possible. Local reactions: burning sensation at the site of application.

Application during pregnancy and lactation

The drug should be used with caution in the first trimester of pregnancy. If used during lactation, you should refrain from breastfeeding the baby for 12 hours after using the drug.

special instructions

The drug is sterile and intended for single administration. Regional and local anesthesia should be performed by experienced specialists in an appropriately equipped room with the availability of ready-to-use equipment and drugs necessary for cardiac monitoring and resuscitation measures. The personnel performing anesthesia should be qualified and trained in the technique of performing anesthesia, should be familiar with the diagnosis and treatment of systemic toxic reactions, adverse events and other complications. Overdose

Symptoms (with systemic action of lidocaine in cases of severe damage to the urethra): bradycardia, convulsions, collapse. Treatment: with bradycardia - beta-adrenostimulants, with convulsions - barbiturates or short-acting muscle relaxants, with collapse - epinephrine or dopamine is injected intravenously.

Drug interactions

Avoid combined use with iodine preparations. MAO inhibitors enhance the local anesthetic effect of lidocaine. Pharmaceutical interactions Incompatible with soap and detergents containing an anionic group (saponins, sodium lauryl sulfate, sodium carboxymethylcellulose). Compatible with medicines containing a cationic group (benzalkonium chloride).