Cathejell With Lidocaine Dosage/Direction for Use

HOW TO USE CATHEJELL: This medicine should only be used by a doctor or medically trained nursing staff. The dose is individually adjusted.
The following dosing information is a guideline; the doctor's experience and knowledge about the patient's physical condition are important when calculating the appropriate dose.
The degree of absorption is particularly high in the bronchial tree.
Use in the urethra before inserting a catheter, endoscope or other medical instruments: The accordion syringes (hereinafter called 'syringes') contain 12.5 g or 8.5 g gel, of which approximately 10 g and 6 g respectively is inserted into the urethra during instillation.
The amount of gel instilled is adapted to the individual anatomical conditions of the urethra.
Dosage recommendations: Adult men: The 12.5 g syringes are generally needed. The contents of one syringe are sufficient for sufficient filling of the male urethra; no more than one syringe should be instilled. The effect sets in as early as 5-10 minutes after application and lasts for 20-30 minutes.
In women, adolescents (under 18 years) and children (2-11 years) the effect of Cathejell is not so well demonstrated and therefore the need to use it should be assessed by the doctor. Specific dosage recommendations cannot be given for these groups of patients.
The systemic absorption of lidocaine can be increased in children and caution is accordingly required. In general, the maximum dose in children aged 2 to 11 years of 2.9 mg/kg lidocaine hydrochloride should not be exceeded.
Cathejell must not be used in children under 2 years (see Contraindications).
Dosage recommendations for risk patients: The dosage must be adjusted accordingly in elderly, debilitated and acutely ill patients, as well as in cases of impaired hepatic function or severe renal dysfunction (see Precautions). The maximum dose must be calculated in mg lidocaine hydrochloride/kg body weight (2.9 mg lidocaine hydrochloride/kg BW).
Method of administration: 1. Clean and disinfect the external urethral orifice.
2. Peel off the paper from the transparent blister cover up until the tapered end of the blister.
3. Snap off the tip; if possible, while it is still in the blister.
4. Remove the tip completely, thereby ruling out any inadvertent insertion into the urethra.
5. Squeeze out a drop of gel for easier insertion of the application nozzle.
6. Instill slowly by applying gentle and even pressure on the syringe.
Cathejell syringes are intended for single use. Discard any remaining gel.
Use for anaesthesia in general and tracheal intubation: Dosage recommendations: Adults and adolescents aged 12 years and older: Evenly distribute approximately 5 ml over the bottom third of the tube. To avoid desiccation, the gel is not applied to the instrument until immediately prior to use. The gel should not get inside the tube lumen. For adults of normal body weight, the maximum dose is 16 g Cathejell.
Dosage for children up to 11 years of age: The systemic absorption of Lidocaine can be increased in children and caution is accordingly required. In general, the maximum dose of 2.9 mg/kg BW Lidocaine hydrochloride should not be exceeded in children aged 2 to 11 years.
Cathejell must not be used in children under 2 years (see Contraindications).
Dosage recommendations for risk patients: The dosage must be adjusted accordingly in elderly, debilitated and acutely ill patients, as well as in cases of impaired hepatic function or severe renal dysfunction (see Precautions). The maximum dose must be calculated in mg lidocaine hydrochloride/kg body weight (2.9 mg lidocaine hydrochloride/kg BW).
Method of administration: For distribution over probes, endoscopes and tubes.
Cathejell syringes are intended for single use. Discard any remaining gel.