Vemcaine Uses

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What is Vemcaine?

Vemcaine topical jelly or ointment is used on different parts of the body to cause numbness or loss of feeling for patients having certain medical procedures. It is also used to relieve pain and itching caused by conditions such as sunburn or other minor burns, insect bites or stings, poison ivy, poison oak, poison sumac, minor cuts, or scratches.

Vemcaine viscous topical solution is also used to treat sore mouth or throat and also reduce gagging during the taking of X-ray pictures and dental impressions.

Vemcaine skin patch is used to relieve pain caused by shingles (postherpetic neuralgia).

Vemcaine belongs to the family of medicines called local anesthetics. Vemcaine prevents pain by blocking the signals at the nerve endings in the skin. Vemcaine does not cause unconsciousness as general anesthetics do when used for surgery.

Vemcaine is available only with your doctor's prescription.

Vemcaine indications

An indication is a term used for the list of condition or symptom or illness for which the medicine is prescribed or used by the patient. For example, acetaminophen or paracetamol is used for fever by the patient, or the doctor prescribes it for a headache or body pains. Now fever, headache and body pains are the indications of paracetamol. A patient should be aware of the indications of medications used for common conditions because they can be taken over the counter in the pharmacy meaning without prescription by the Physician.
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Vemcaine (Vemcaine HCl) Injections are indicated for production of local or regioinal anesthesia by infiltration techniques such as percutaneous injection and intravenous regional anesthesia by peripheral nerve block techniques such as brachial plexus and intercostal and by central neural techniques such as lumbar and caudal epidural blocks, when the accepted procedures for these techniques as described in standard textbooks are observed.

How should I use Vemcaine?

Use Vemcaine aerosol as directed by your doctor. Check the label on the medicine for exact dosing instructions.

Ask your health care provider any questions you may have about how to use Vemcaine aerosol.

Uses of Vemcaine in details

There are specific as well as general uses of a drug or medicine. A medicine can be used to prevent a disease, treat a disease over a period or cure a disease. It can also be used to treat the particular symptom of the disease. The drug use depends on the form the patient takes it. It may be more useful in injection form or sometimes in tablet form. The drug can be used for a single troubling symptom or a life-threatening condition. While some medications can be stopped after few days, some drugs need to be continued for prolonged period to get the benefit from it.
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How to use Vemcaine topical

Vemcaine description

Each gram contains Lidocaine 50 mg equivalent to Vemcaine 700 mg per 10 cm x 14 cm medicated plaster.

It also contains the following excipients: Self-Adhesive Layer: Glycerol, liquid sorbitol (crystallizing), carmellose sodium, propylene glycol (E1520), urea, heavy kaolin, tartaric acid, gelatin, polyvinyl alcohol, aluminum glycinate, disodium edetate, methyl parahydroxybenzoate (E218), propyl parahydroxybenzoate (E216), polyacrylic acid, sodium polyacrylate, purified water.

Backing Fabric and Release Liner: Polyethylene terephthalate (PET).

Vemcaine dosage

Vemcaine Dosage

Generic name: Vemcaine

Dosage form: Transoral Delivery System

The information at Drugs.com is not a substitute for medical advice. Always consult your doctor or pharmacist.

When the Vemcaine® system is used concomitantly with other products containing Vemcaine, the total dose contributed by all formulations must be kept in mind.

Isolate the procedure area with cotton rolls and use suction as appropriate. Dry the tissue with air or gauze. Remove the Vemcaine® system from its packaging and peel off the clear protective liner. Immediately apply the Vemcaine® system using firm pressure. Allow the patch to remain in place until the desired anesthetic effect is produced but not for longer than 15 minutes. Experience in children is inadequate to recommend a pediatric dose at this time.

More about Vemcaine (Vemcaine)

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Vemcaine interactions

See also:
What other drugs will affect Vemcaine?

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Beta-blockers increase the risk of bradycardia and hypotension. Norepinephrine and beta-blockers by reducing hepatic blood flow decrease (increased toxicity), isadrine and glucagon - increase the clearance of Vemcaine. Cimetidine increases the plasma concentration of Vemcaine Haffkine Bio-Pharmaceutical Corporation (displaces from its association with proteins and slows inactivation in the liver). Barbiturates causing induction of microsomal enzymes stimulate the degradation of Vemcaine and reduce its activity. Anticonvulsants (hydantoin derivatives) accelerate the biotransformation in the liver (decreased concentration in the blood), for IV injections it may increases cardiodepressive action of Vemcaine. Antiarrhythmics (amiodarone, verapamil, quinidine, aymalin) potentiate cardiac depression. Combination with novocainamide may cause CNS excitement and hallucinations. Vemcaine Haffkine Bio-Pharmaceutical Corporation strengthens the inhibitory effect of anesthesia (hexobarbital, thiopental sodium), hypnotics and sedatives on the respiratory center, weakens the cardiac effects of digitoxin, enhances muscle relaxation caused by drugs curare like (possible paralysis of respiratory muscles). MAO inhibitors prolong local anesthesia.

Vemcaine side effects

See also:
What are the possible side effects of Vemcaine?

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Clinical Trials Experience

Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in clinical practice.

The safety of Vemcaine™ has been evaluated in 10 clinical trials, five in adults and five in pediatric patients.

The five adult clinical trials consisted of a randomized, double-blind, parallel-arm, sham-placebo controlled Phase 3 trial that enrolled 693 patients, two randomized, double-blind, crossover design, sham-placebo controlled Phase 1 trials that enrolled 455 patients, and two open-label studies that enrolled 44 patients. A total of 742 adults received an active treatment with an active treatment that delivered a 0.5 mg dose of Vemcaine, while 775 received placebo.

The five pediatric clinical trials consisted of five randomized, double-blind, parallel-arm, sham-placebo controlled trials in which 1761 patients, ages 3 to 18, received either Vemcaine™ or a sham placebo device. A total of 906 pediatric patients received active treatment, while 855 received placebo.

Application Site Reaction

The application site was specifically assessed for four categories of skin site reaction (erythema, edema, pruritus, and petechiae).

In adults, erythema occurred in 67.3% of Vemcaine™-treated patients, and in 25.0% of placebo-treated patients. Petechiae occurred in 46.4% of Vemcaine™-treated patients, and in 7.0% of placebo-treated patients. Edema occurred in 4.3% of Vemcaine™-treated patients, and in 0.8% of placebo-treated patients. Pruritus occurred in 9.4% of Vemcaine™-treated patients and in 6.2% of placebo-treated patients.

In pediatric patients, erythema occurred in 53% of Vemcaine-treated patients, and in 27% of placebo-treated patients. Petechiae occurred in 44% of Vemcaine-treated patients, and in 5% of placebo-treated patients. Edema occurred in 8% of Vemcaine-treated patients, and in 3% of placebo-treated patients. Pruritus occurred in 1% of patients in both treatment groups.

Adverse Reactions

Amongst the 742 adult patients receiving active treatment and 775 adult patients receiving sham placebo treatment in the 5 adult studies, the percentage of adult patients with any adverse reactions was 3.9% in the active-treated patients and 4.9% in the sham placebo treated patients.

Most adverse reactions were application-site related (i.e., hypoaesthesia (0% active, 0.5% sham placebo), burning (0.54% active, 0.4% sham placebo), and venipuncture site hemorrhage (0.4% active, 1.7% sham placebo)).

The most common systemic adverse reaction was dizziness, which occurred in 0.9% of active-treated adult patients and in 0.7% of sham placebo treated adult patients. No other systemic adverse events occurred in more than two patients in either treatment group.

Amongst the 906 pediatric patients receiving active treatment and 855 pediatric patients receiving sham placebo treatment, the percentage of pediatric patients with any adverse reactions was approximately 9% in each treatment group.

Most adverse reactions were application-site related (i.e., bruising, burning, pain, contusion, hemorrhage), occurring in 4% of pediatric patients in each treatment group.

The most common systemic adverse reactions were nausea (2%) and vomiting (1%).

Vemcaine contraindications

See also:
What is the most important information I should know about Vemcaine?

You should not receive this medication if you are allergic to Vemcaine or any other type of numbing medicine.

Before you receive Vemcaine injection, tell your doctor if you have liver or kidney disease, heart disease, coronary artery disease, circulation problems, or a history of malignant hyperthermia.

To treat irregular heart rhythms, your doctor may prescribe a LidoPen auto-injector. This is a prefilled automatic injection device to be used in an emergency. Keep the device with you at all times.

Your doctor will describe the signs and symptoms to watch for when deciding when it's time to use Vemcaine injection at home. Never use the LidoPen auto-injector without first calling your doctor.

With the LidoPen auto-injector you will also receive a CardioBeeper to transmit your heart rate and rhythm to your doctor over a telephone. Read all provided instructions and practice using the CardioBeeper.

Vemcaine can cause side effects that may impair your thinking or reactions. Unless absolutely necessary, do not drive after using this medication



Active ingredient matches for Vemcaine:

Lidocaine in Turkey.


List of Vemcaine substitutes (brand and generic names)

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Unit description / dosage (Manufacturer)Price, USD
Cream; Topical; Lidocaine 2%
Patch; Topical; Lidocaine 700 mg (Grunenthal)
Cream; Topical; Lidocaine Hydrochloride 1%
Watkins Burn Cream cream 1 % (Watkins Incorporated (Canada))
Wocaine 2% w/v GEL / 30g (Wockhardt)$ 0.48
2 % w/v x 30g (Wockhardt)$ 0.48
WOCAINE 2% GEL 1 tube / 30 GM gel each (Wockhardt)$ 0.33
WOCAINE 2% INJECTION 1 vial / 30 ML injection each (Wockhardt)$ 0.23
WOCAINE 2% ORAL GEL 1 bottle / 200 ML oral gel each (Wockhardt)$ 0.60
WOCAINE topical gel 2 % w/v x 30g (Wockhardt)$ 0.60
Wocaine 2% Gel (Wockhardt)$ 0.35
Wocaine 2% Injection (Wockhardt)$ 0.01
Wocaine 2% Oral Gel (Wockhardt)$ 0.60
WOCAINE A INJECTION 1 vial / 30 ML injection each (Wockhardt Ltd)$ 7.03
XCIN GEL 1 tube / 20 GM gel each (Panbross Pharmaceuticals Pvt Ltd)$ 1.66
Xepacaine / vial 20 mg/1 mL x 50 mL x 10's
Xidolin 2% w/v GEL / 30g (Dewcare Concept)$ 0.43
2 % w/v x 30g (Dewcare Concept)$ 0.43
Xidolin 30 gm Gel (Dewcare Concept)$ 0.43
XIDOLIN topical gel 2 % w/v x 30g (Dewcare Concept)$ 0.43
Injectable; Injection; Lidocaine; Lidocaine Hydrochloride (Inibsa)
Spray; Topical; Lidocaine; Lidocaine Hydrochloride (Inibsa)

References

  1. DailyMed. "LIDOCAINE; TETRACAINE: DailyMed provides trustworthy information about marketed drugs in the United States. DailyMed is the official provider of FDA label information (package inserts).". https://dailymed.nlm.nih.gov/dailyme... (accessed September 17, 2018).
  2. PubChem. "lidocaine". https://pubchem.ncbi.nlm.nih.gov/com... (accessed September 17, 2018).
  3. DrugBank. "lidocaine". http://www.drugbank.ca/drugs/DB00281 (accessed September 17, 2018).

Reviews

The results of a survey conducted on ndrugs.com for Vemcaine are given in detail below. The results of the survey conducted are based on the impressions and views of the website users and consumers taking Vemcaine. We implore you to kindly base your medical condition or therapeutic choices on the result or test conducted by a physician or licensed medical practitioners.

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5 consumers reported age

Users%
16-293
60.0%
< 11
20.0%
6-151
20.0%


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Information checked by Dr. Sachin Kumar, MD Pharmacology

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