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Unless otherwise prescribed, for urological use:
a) during catheterisation: Instil 6 ml or 11 ml. After the usual cleaning of the glans and the external urethral orifice, Instillagel is instilled slowly into the urethra and the glans is compressed until the local anaesthetic and antiseptic effect has set in.
b) during cystoscopy and endoscopy: Instil 11 ml, and if necessary an additional 6 ml or 11 ml. The entire urethra, including the external sphincter, must be covered with the lubricating film and be anaesthetised for germ-free
and painless insertion of instruments. A penis clamp should be applied in the region of the coronal sulcus.
c) in urethral strictures (stricture division, bougienation): Instil 11 ml, and if necessary an additional 6 ml or 11 ml, and apply a penis clamp. The required urethral anaesthesia will be achieved after 5-10 minutes.
d) during gynaecological investigations: Slowly instil 6 ml, and where necessary another 6 ml, into the vagina. The quantity depends on the patient’s anatomic conditions and/or on the procedure to be performed. Alternatively, the gel can be dispensed and distributed as evenly as possible on the instrument to be inserted.
The onset of the full local anaesthetic effect of Instillagel takes place after 5-10 minutes.
Instillagel must not be used in children below the age of 2 years. In general, the maximum dose should not exceed 2.9 mg of lidocaine hydrochloride per kg of body weight in children between 2 and 12 years of age. This is equivalent to 1.5 ml of Instillagel per 10 kg of body weight.
The systemic absorption of lidocaine may be increased in children and caution is therefore required.
Local anesthesia prior exploration in urology (ureteroscopy, cystoscopy, urethral dilation, catheterization). For use during gynaecological investigation.
– in the presence of known hypersensitivity to lidocaine and other local anaesthetics of the amide type.
– in patients with significant disorders of the heart’s conduction system.
– in patients with known hypersensitivity (allergy) to the active ingredients or to any of the excipients of Instillagel.
– in children under 2 years.