Cathejell With Lidocaine Special Precautions

Take special care with Cathejell if: used frequently and at high doses, as this may lead to severe side effects. Increased absorption of lidocaine is likely when used in the bronchial area, which is associated with a particularly high risk of overdose; if the patient has any wounds, injury to the mucous membranes or an ulcer/inflammation in or around the proposed application site; if the patient's liver or kidney function is severely impaired; if the patient has heart or respiratory tract dysfunction; in elderly, debilitated or acutely ill patients; if the patient is prone to seizures; if the patient is suffering from a certain muscle disease (myasthenia gravis); if the patient is on treatment with certain medications to treat heart rhythm disorders, known as class III antiarrhythmics (e.g. amiodarone), as the effects on the heart may be enhanced; if the patient suffers from porphyria (a blood formation disorder).
Swallowing difficulties may occur when using Cathejell in the mouth and throat region. There is a risk of inhaling the gel (aspiration). Numbness of the tongue or mouth area can lead to a bite injury.
If the contents of more than one syringe are inserted into the urethra, if a large amount of gel gets into the bladder or if the urethra is ulcerous/inflamed, this may generally lead to increased absorption of lidocaine through the mucous membranes, particularly in children and elderly patients, resulting in severe side effects (see also Overdosage).
Cathejell must not come into contact with the eyes.
In general anaesthesia, a lubricant without lidocaine should be preferred.
Driving and using machines: Effects on the ability to drive and use machines are unlikely, but cannot be completely ruled out in cases of increased individual sensitivity.