{"id":58071,"date":"2024-02-27T18:16:05","date_gmt":"2024-02-27T18:16:05","guid":{"rendered":"https:\/\/medsname.com\/lox-10-spray\/"},"modified":"2026-05-25T06:58:23","modified_gmt":"2026-05-25T06:58:23","slug":"lox-10-spray","status":"publish","type":"product","link":"https:\/\/medsbase.com\/ro\/product\/lox-10-spray\/","title":{"rendered":"Spray Lox 10%"},"content":{"rendered":"<p><!-- medsbase-tldr-answer --><\/p>\n<div style=\"background:#fff9e6;border-left:4px solid #f5a623;padding:16px 20px;margin:16px 0 24px 0;border-radius:4px;\">\n<h3 class=\"wp-block-heading\" style=\"margin:0 0 8px 0;\">\u26a1 R\u0103spuns rapid \u2014 Ce este Lox 10% Spray?<\/h3>\n<p style=\"margin:0;\"><strong>Spray Lox 10%<\/strong> este un <strong>spray topic cu lidocain\u0103 10%<\/strong> (flacon cu pomp\u0103 dozat\u0103 de 50 ml) utilizat pentru <strong>anestezie de suprafa\u021b\u0103<\/strong> a pielii \u0219i a membranelor mucoase \u00eenaintea procedurilor minore \u2014 lucr\u0103ri dentare, canulare IV, intuba\u021bie, endoscopie, proceduri ORL, instrumentare cervical\u0103 \u0219i biopsii cutanate. Fiecare ac\u021bionare elibereaz\u0103 aproximativ <strong>10 mg de lidocain\u0103<\/strong>. Ac\u021biunea \u00eencepe \u00een <strong>1\u20133 minute<\/strong>; durata <strong>30\u201360 de minute<\/strong>. <strong>Nu dep\u0103\u0219i\u021bi 20 de pulveriz\u0103ri (200 mg) \u00eentr-o singur\u0103 sesiune<\/strong> pentru un adult \u0219i men\u021bine\u021bi dozele totale mult sub limita de 3 mg\/kg de lidocain\u0103. Nu se utilizeaz\u0103 pe pielea afectat\u0103, mucoasa inflamat\u0103 sau la copiii sub 2 ani \u2014 absorb\u021bia sistemic\u0103 cre\u0219te semnificativ. Utilizare off-label: unii pacien\u021bi aplic\u0103 o doz\u0103 m\u0103surat\u0103 pe glandul penian pentru a \u00eent\u00e2rzia ejacularea; aceast\u0103 practic\u0103 poate provoca amor\u021birea partenerului \u0219i riscuri de absorb\u021bie \u0219i ar trebui discutat\u0103 cu un medic.<\/p>\n<\/div>\n<div class=\"medsbase-trust-strip\" style=\"background:#f4f8fb;border:1px solid #d8e3eb;padding:12px 16px;margin:16px 0;border-radius:4px;font-size:14px;\">\n<strong>Ce beneficii ofer\u0103 MedsBase:<\/strong> Produc\u0103tor certificat WHO-GMP \u00b7 Ambalaj discret \u00b7 Livrare la nivel mondial \u00b7 Peste 1.400 de recenzii verificate <a href=\"https:\/\/medsbase.com\/ro\/reviews\/\">ale clien\u021bilor<\/a>\n<\/div>\n<p class=\"medsbase-reship-line\" style=\"font-size:14px;color:#444;margin:8px 0 18px;\">\ud83d\udce6 Fiecare comand\u0103 este acoperit\u0103 de politica noastr\u0103 de <a href=\"https:\/\/medsbase.com\/ro\/medsbase-re-shipment-assurance-policy\/\"><strong>Politica noastr\u0103 de Reexpediere Garantat\u0103<\/strong><\/a> \u2014 dac\u0103 coletul dumneavoastr\u0103 nu sose\u0219te \u00een 20 de zile lucr\u0103toare, \u00eel relivr\u0103m.<\/p>\n<h3>De ce s\u0103 comanzi de la MedsBase<\/h3>\n<p>Medicamentele noastre generice sunt procurate de la produc\u0103tori certifica\u021bi WHO-GMP \u0219i expediate la nivel mondial \u00een ambalaje discrete \u0219i simple \u2014 f\u0103r\u0103 denumirea medicamentului pe exteriorul coletului. Pl\u0103\u021bile cu cardul sunt procesate printr-un procesor reglementat (descrierile de pe extrasul de cont includ un procesor de pl\u0103\u021bi cu card reglementat \u2014 niciodat\u0103 \u201cMedsBase\u201d sau numele vreunui medicament). Accept\u0103m \u0219i criptomonede \u0219i transferuri bancare SEPA. Fiecare comand\u0103 este sus\u021binut\u0103 de Politica noastr\u0103 de Asigurare pentru Relivrare.<\/p>\n<div style=\"background:#f4f8fb;border:1px solid #e0e0e0;padding:12px 18px;margin:0 0 24px 0;border-radius:4px;font-size:14px;text-align:center;\">\n<strong>\ud83d\udd12 Checkout criptat<\/strong> \u00b7 <strong>\ud83d\udcb3 Procesor verificat<\/strong> \u00b7 <strong>\ud83d\ude9a Livrare worldwide<\/strong> \u00b7 <strong>\u2b50 4,9\/5 de la peste 1.400 de clien\u021bi<\/strong>\n<\/div>\n<h2 class=\"wp-block-heading\">Ce este Lox 10% Spray?<\/h2>\n<p>Lox 10% Spray este un <strong>spray topic cu lidocain\u0103 10%<\/strong> furnizat \u00eentr-un flacon cu pomp\u0103 dozatoare de 50 ml de c\u0103tre Neon Laboratories. Fiecare <strong>ac\u021bionare dozatoare furnizeaz\u0103 aproximativ 10 mg de lidocain\u0103<\/strong> sub form\u0103 de spray apoas\/etanol care acoper\u0103 rapid pielea sau suprafe\u021bele mucoase accesibile. Acela\u0219i spray topic cu lidocain\u0103 10% este v\u00e2ndut sub denumirea de <strong>Xylocaine 10% Spray<\/strong> (AstraZeneca) \u00een multe \u021b\u0103ri \u0219i ca alternative generice la nivel global.<\/p>\n<p>Lidocaina este cel mai utilizat anestezic local de tip amid\u0103 <strong>din lume<\/strong>. Este inclus\u0103 \u00een Lista Medicamentelor Esen\u021biale a OMS. La concentra\u021bia de 10% sub form\u0103 de spray, utilizarea sa clinic\u0103 principal\u0103 este <strong>anestezia superficial\u0103 a mucoaselor \u0219i pielii<\/strong> imediat \u00eenaintea unui procedeu rapid \u0219i dureroas. Formatul spray este preferat \u00een locul unui gel cu 2% atunci c\u00e2nd este necesar\u0103 acoperirea rapid\u0103 a unei suprafe\u021be mari (de ex. orofaringe \u00eenainte de intuba\u021bie) sau acolo unde un fin abur lichid poate ajunge \u00een unghiuri inaccesibile unui gel.<\/p>\n<p>Lox 10% Spray este <strong>prime\u0219te,<\/strong> acela\u0219i lucru cu lidocaina injectabil\u0103 utilizat\u0103 pentru anestezia de infiltra\u021bie (seringa dentistului), nici la fel cu formele de crem\u0103 (EMLA, ELA-Max) utilizate pentru analgezia pielii intacte \u2014 acele creme con\u021bin 2,5% lidocain\u0103 \u0219i necesit\u0103 30\u201360 de minute sub ocluzie pentru a ac\u021biona. Spray-ul superficial ac\u021bioneaz\u0103 \u00een c\u00e2teva minute, dar nu p\u0103trunde suficient de ad\u00e2nc \u00een pielea groas\u0103 intact\u0103 pentru o biopsie complet\u0103; anesteziaz\u0103 doar mucoasa superficial\u0103.<\/p>\n<h2 class=\"wp-block-heading\">Cum Func\u021bioneaz\u0103 Lox 10% Spray?<\/h2>\n<p>Lidocaina blocheaz\u0103 reversibil <strong>canalele de sodiu dependente de voltaj<\/strong> din membranele nervoase. F\u0103r\u0103 fluxul de sodiu care declan\u0219eaz\u0103 poten\u021bialele de ac\u021biune, semnalele de durere nu pot circula de-a lungul nervului \u2014 zona devine insensibilizat\u0103 p\u00e2n\u0103 c\u00e2nd medicamentul se difuzeaz\u0103 \u0219i este metabolizat. Lidocaina blocheaz\u0103 preferen\u021bial fibrele mici \u0219i rapide de durere (A-delta \u0219i C) \u00eenaintea fibrelor motorii mai mari, motiv pentru care pacien\u021bii \u00ee\u0219i p\u0103streaz\u0103 func\u021bia motorie \u00een zona tratat\u0103 \u00een timp ce pierd senza\u021bia de durere ascu\u021bit\u0103.<\/p>\n<p>Dup\u0103 aplicarea topic\u0103 pe mucoas\u0103, \u00eenceperea efectului de anestezie este <strong>1\u20133 minute<\/strong>; efectul maxim la 5\u201310 minute; durata <strong>30\u201360 de minute<\/strong>. Lidocaine este metabolizat \u00een ficat de c\u0103tre CYP1A2 \u0219i CYP3A4 \u00een metabolitele MEGX \u0219i GX \u0219i excretat renal \u2014 timpul de \u00eenjum\u0103t\u0103\u021bire plasmatic este de aproximativ 1,5\u20132 ore.<\/p>\n<h2 class=\"wp-block-heading\">Utiliz\u0103ri \u0219i indica\u021bii<\/h2>\n<ul>\n<li><strong>Stomatologie<\/strong> \u2014 anestezie superficial\u0103 a gingiei \u00eenainte de inser\u021bia acului pentru anestezie de infiltra\u021bie; instrumentare periodontal\u0103 minor\u0103; detartraj<\/li>\n<li><strong>Intuba\u021bie \u0219i instrumentare a c\u0103ilor respiratorii<\/strong> \u2014 anestezie a orofaringelui, bazei limbii \u0219i corzilor vocale \u00eenainte de laringoscopie, bronhoscopie, intuba\u021bie traheal\u0103 sau ecografie transesofagian\u0103<\/li>\n<li><strong>Endoscopie digestiv\u0103 superioar\u0103<\/strong> \u2014 pulverizare \u00een orofaringe \u00eenainte de introducerea endoscopului<\/li>\n<li><strong>Proceduri ORL<\/strong> \u2014 rinoscopie anterioar\u0103 \u0219i posterioar\u0103, examinare a urechii medii, laringoscopie direct\u0103, laringoscopie indirect\u0103, \u00eendep\u0103rtare de corpuri str\u0103ine din ureche\/nas<\/li>\n<li><strong>Ginecologie \u0219i urologie<\/strong> \u2014 instrumentare cervical\u0103 (inserare DIU, biopsie), pulverizare la nivelul meatului uretral \u00eenainte de cateterizare sau cistoscopie<\/li>\n<li><strong>Proceduri rectale<\/strong> \u2014 proctoscopie, anoscopie (pulverizare doar la marginea anal\u0103; nu pentru utilizare rectal\u0103 profund\u0103)<\/li>\n<li><strong>Canulare IV<\/strong> \u2014 pulverizare superficial\u0103 1\u20132 minute \u00eenainte de \u00een\u021bep\u0103tur\u0103 la pacien\u021bi cu fobie de ace sau pacien\u021bi pediatrici (adjuvant la EMLA\/creme)<\/li>\n<li><strong>Dermatologie<\/strong> \u2014 anestezie superficial\u0103 \u00eenainte de curetajul leziunilor mici, electrocoagularea negilor de piele, biopsii minore (doar leziuni sub\u021biri)<\/li>\n<li><strong>Utilizare off-label pentru ejaculare prematurat\u0103<\/strong> \u2014 o doz\u0103 m\u0103surat\u0103 aplicat\u0103 pe glandul penisului cu 10\u201315 minute \u00eenainte de raport sexual poate \u00eent\u00e2rzia ejacularea. \u0218terge\u021bi reziduul \u00eenainte de penetrare pentru a evita amor\u021birea partenerului; folosi\u021bi prezervativ. Discuta\u021bi cu un clinician; pentru PE persistent\u0103, dapoxetina este op\u021biunea oral\u0103 autorizat\u0103.<\/li>\n<\/ul>\n<p>Lox 10% Spray este <strong>nu este potrivit\u0103<\/strong> pentru: anestezie prin infiltrare (folosi\u021bi lidocain\u0103 injectabil\u0103), biopsii ale pielii profunde (pulverizarea superficial\u0103 nu p\u0103trunde \u00een pielea groas\u0103), utilizare ocular\u0103\/conjunctival\u0103 (sunt necesare produse oftalmice specifice) sau irigare a r\u0103nilor (folosi\u021bi lidocain\u0103 injectabil\u0103 sau solu\u021bie salin\u0103 steril\u0103).<\/p>\n<h2 class=\"wp-block-heading\">Doza Lox 10% Spray<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Procedur\u0103 \/ loca\u021bie<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Pulveriz\u0103ri tipice<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Maxim pe sesiune (adult)<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dentistic\u0103 \u2014 loc gingival unic<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1\u20132 pulveriz\u0103ri<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">20 de pulveriz\u0103ri (200 mg)<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Orofaringe \u00eenainte de intuba\u021bie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>3\u20135 pulveriz\u0103ri<\/strong> c\u00e2te una pe pilierii amigdalieni, faringele posterior, baza limbii<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">20 de pulveriz\u0103ri<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Procedur\u0103 nazal\u0103 (pe fiecare nar\u0103)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2\u20133 pulveriz\u0103ri<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">10 pe fiecare nar\u0103<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Meatus uretral \u00eenainte de cateterizare<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>1\u20132 pulveriz\u0103ri<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">4 \u00een total<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Cervix (DIU, biopsie)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>2\u20134 pulveriz\u0103ri<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">6<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Copii 2\u201312 ani<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\"><strong>Doz\u0103 \u00een func\u021bie de greutate \u2014 maxim 3 mg\/kg total<\/strong><\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Calcula\u021bi \u2014 de ex. copil de 20 kg = 60 mg maxim = 6 pulveriz\u0103ri<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p><strong>Doza maxim\u0103 pentru adul\u021bi \u00eentr-o singur\u0103 sesiune: 20 de pulveriz\u0103ri (200 mg lidocain\u0103).<\/strong> Nu dep\u0103\u0219i\u021bi 3 mg\/kg de lidocain\u0103 total pentru orice pacient \u00eentr-o singur\u0103 sesiune. La pacien\u021bii debilita\u021bi, \u00een v\u00e2rst\u0103 sau cu afec\u021biuni hepatice, reduce\u021bi la 50% din doza obi\u0219nuit\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Cum s\u0103 utiliza\u021bi corect spray-ul Lox 10%<\/h3>\n<ol>\n<li><strong>Agita\u021bi u\u0219or flaconul<\/strong> \u0219i preg\u0103ti\u021bi-l \u021bin\u00e2ndu-l vertical \u0219i ap\u0103s\u00e2nd pompa de 1\u20132 ori pe o bucat\u0103 de h\u00e2rtie sau \u00een aer, departe de fa\u021ba pacientului.<\/li>\n<li><strong>\u021aine\u021bi duza la 5\u201310 cm de \u021bint\u0103<\/strong>. Direc\u021biona\u021bi departe de ochii pacientului \u2014 lidocaina pe cornee provoac\u0103 arsur\u0103 sever\u0103 imediat\u0103, dar nu este periculoas\u0103.<\/li>\n<li><strong>Ap\u0103sa\u021bi pompa o dat\u0103 pentru fiecare doz\u0103 calibrat\u0103<\/strong>. Fiecare ac\u021bionare elibereaz\u0103 ~10 mg. Num\u0103ra\u021bi dozele cu voce tare sau nota\u021bi-le pe h\u00e2rtie pentru a urm\u0103ri totalul.<\/li>\n<li><strong>A\u0219tepta\u021bi 1\u20133 minute<\/strong> pentru debut \u00eenainte de a \u00eencepe procedura. Mucosa va ar\u0103ta u\u0219or albit\u0103; pacientul ar trebui s\u0103 raporteze pierderea senza\u021biei de atingere ascu\u021bit\u0103.<\/li>\n<li><strong>Nu dep\u0103\u0219i\u021bi maximul pe sesiune<\/strong> \u2014 monitoriza\u021bi num\u0103rul de pulveriz\u0103ri, mai ales \u00een procedurile lungi.<\/li>\n<li><strong>\u0218terge\u021bi duza extern\u0103<\/strong> dup\u0103 fiecare utilizare pentru a evita contaminarea \u00eencruci\u0219at\u0103; ideal este s\u0103 folosi\u021bi o doz\u0103 nou\u0103 pentru fiecare pacient sau flacoane pentru un singur pacient \u00een mediile clinice.<\/li>\n<li>Dup\u0103 procedur\u0103, <strong>sf\u0103tui\u021bi pacientul s\u0103 nu m\u0103n\u00e2nce sau s\u0103 bea timp de 1 or\u0103<\/strong> dup\u0103 pulverizarea orofaringian\u0103 \u2014 reflexul de gag este afectat \u0219i riscul de aspira\u021bie este real.<\/li>\n<\/ol>\n<h2 class=\"wp-block-heading\">Efecte Secundare ale Spray-ului Lox 10%<\/h2>\n<p><strong>Comune (de obicei tranzitorii):<\/strong><\/p>\n<ul>\n<li>Arsur\u0103 sau arsuri de scurt\u0103 durat\u0103 la aplicare<\/li>\n<li>Gust amar dup\u0103 utilizarea orofaringian\u0103<\/li>\n<li>Eritem u\u0219or la locul de aplicare<\/li>\n<li>Amor\u021beal\u0103 persistent\u0103 30\u201360 de minute dup\u0103 procedur\u0103<\/li>\n<li>Reflex de gag redus dup\u0103 aplicarea spray-ului orofaringian (este necesar\u0103 abstinen\u021ba de la alimente \u0219i lichide timp de 1 or\u0103)<\/li>\n<\/ul>\n<p><strong>Mai pu\u021bin frecvente:<\/strong><\/p>\n<ul>\n<li>Dermatit\u0103 de contact (hipersensibilitatea la amide este rar\u0103; hipersensibilitatea la anestezicele de tip ester este mai frecvent\u0103)<\/li>\n<li>Methemoglobinemie \u2014 \u00een special la doze totale mari, la sugari sau \u00een cazul aplic\u0103rii concomitente cu benzocain\u0103<\/li>\n<li>Ame\u021beli, stare de le\u0219in (semne timpurii de toxicitate sistemic\u0103)<\/li>\n<\/ul>\n<p><strong>Grav\u0103 \u2014 Toxicitate Sistemic\u0103 a Anestezicului Local (LAST), opri\u021bi \u0219i trata\u021bi:<\/strong><\/p>\n<ul>\n<li>Amor\u021beal\u0103 perioral\u0103, gust metalic, tinitus \u2014 primele semne ale SNC<\/li>\n<li>Vorbire \u00eence\u021bo\u0219at\u0103, tremor, disartrie \u2014 progresie<\/li>\n<li>Criz\u0103 epileptic\u0103 \u2014 toxicitate moderat\u0103 a SNC<\/li>\n<li>Hipotenziune, bradicardie, aritmie \u2014 toxicitate cardiovascular\u0103 (la doze foarte mari)<\/li>\n<li>Stop cardiac \u2014 dac\u0103 apar oricare dintre acestea, opri\u021bi, asigura\u021bi calea aerian\u0103\/ventila\u021bia\/circula\u021bia \u0219i lua\u021bi \u00een considerare <strong>intralipid 20% IV<\/strong> (bolus de 1,5 ml\/kg, apoi perfuzie de 0,25 ml\/kg\/min)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Avertismente \u0219i precau\u021bii<\/h2>\n<ul>\n<li><strong>Monitoriza\u021bi doza total\u0103.<\/strong> Doza absolut\u0103 maxim\u0103 este de 3 mg\/kg sau 200 mg la un adult \u2014 oricare este mai mic\u0103. Num\u0103ra\u021bi pulveriz\u0103rile.<\/li>\n<li><strong>Evita\u021bi pielea afectat\u0103, mucoasa inflamat\u0103 sau \u021besutul traumatizat<\/strong> \u2014 absorb\u021bia cre\u0219te semnificativ \u0219i riscul de LAST devine mai mare.<\/li>\n<li><strong>Insuficien\u021b\u0103 hepatic\u0103<\/strong> reduce clearance-ul lidocain\u0103i \u2014 utiliza\u021bi jum\u0103tate din doza obi\u0219nuit\u0103.<\/li>\n<li><strong>Boal\u0103 de conduc\u021bie cardiac\u0103<\/strong> (bloc AV de grad \u00eenalt, dependen\u021b\u0103 de stimulator cardiac): utiliza\u021bi cu precau\u021bie; lidocaina prelunge\u0219te conduc\u021bia AV.<\/li>\n<li><strong>Insuficien\u021b\u0103 cardiac\u0103<\/strong> reduce fluxul sanguin hepatic \u0219i clearance-ul \u2014 \u00eenjum\u0103t\u0103\u021bi\u021bi doza.<\/li>\n<li><strong>V\u00e2rstnici \/ debilita\u021bi:<\/strong> reduce\u021bi la 50% din doz\u0103; timpul de \u00eenjum\u0103t\u0103\u021bire plasmatic al lidocain\u0103i este mai lung.<\/li>\n<li><strong>Sugarii \u0219i copiii mici:<\/strong> calcula\u021bi cu aten\u021bie maxim 3 mg\/kg. Evita\u021bi la sugarii sub 2 ani, except\u00e2nd sub supraveghere anestezic\u0103.<\/li>\n<li><strong>Dup\u0103 spray orofaringian:<\/strong> 1 or\u0103 NPO (nimic pe cale oral\u0103) \u2014 risc de aspira\u021bie.<\/li>\n<li><strong>Nu pulveriza\u021bi \u00een ochi<\/strong> \u2014 iritare sever\u0103. Utiliza\u021bi lidocain\u0103 oftalmic\u0103 (0,5%) dac\u0103 este necesar\u0103 anestezie ocular\u0103.<\/li>\n<li><strong>Sarcina:<\/strong> Categoria FDA B \u2014 dozele topice mici sunt considerate sigure; discuta\u021bi cu obstetricianul.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Contraindica\u021bii<\/h2>\n<ul>\n<li>Hipersensibilitate cunoscut\u0103 la lidocain\u0103, alte anestezice locale de tip amid\u0103 sau orice excipient din formulare<\/li>\n<li>Bloc AV de gradul doi sau trei (f\u0103r\u0103 stimulator cardiac)<\/li>\n<li>Sindromul Wolff-Parkinson-White (relativ)<\/li>\n<li>Boal\u0103 sever\u0103 de conducere sinoatrial\u0103 sau intraventricular\u0103<\/li>\n<li>Porfire \u2014 lidocaina poate precipita un atac acut<\/li>\n<li>Copii sub 2 ani (relativ; decizie doar de specialist)<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Interac\u021biuni medicamentoase<\/h2>\n<table style=\"border-collapse:collapse;width:100%;margin:12px 0;\">\n<thead>\n<tr style=\"background:#2c7cb0;color:#fff;\">\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Medicament interactiv<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Efect<\/th>\n<th style=\"padding:10px;border:1px solid #ddd;text-align:left;\">Ce s\u0103 face\u021bi<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Antiari\u021bmice de clasa I \u0219i III (mexiletin\u0103, amiodaron\u0103, chinidin\u0103)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u00cencetinire aditiv\u0103 a conduc\u021biei cardiace<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Reduce\u021bi doza; monitorizare ECG la pacien\u021bii cardiaci<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Cimetidin\u0103, ranitidin\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Reduce clearance-ul hepatic al lidocainei \u2014 niveluri plasmatice mai ridicate<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">\u00cenjum\u0103t\u0103\u021bi\u021bi doza; utiliza\u021bi un blocant H2 alternativ sau un inhibitor de pomp\u0103 de protoni<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Beta-blocante (propranolol)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Flux hepatic redus \u2014 clearance mai lent\u0103 a lidocainei<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Monitoriza\u021bi prezen\u021ba semnelor timpurii de LAST<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Inhibitori CYP3A4 (ketoconazol, ritonavir, eritromicin\u0103)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Metabolismul lidocainei \u00eencetinit<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Reduce\u021bi doza; monitoriza\u021bi<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Alte anestezice locale (benzocain\u0103, prilocain\u0103)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Toxicitate sistemic\u0103 aditiv\u0103; benzocaina cre\u0219te riscul de methemoglobinemie<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Nu combina\u021bi la doze maxime<\/td>\n<\/tr>\n<tr>\n<td style=\"padding:10px;border:1px solid #ddd;\">Dapson\u0103, donatori de oxid nitric, metoclopramid\u0103 (la doze mari)<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Cre\u0219te riscul de methemoglobinemie cu lidocain\u0103<\/td>\n<td style=\"padding:10px;border:1px solid #ddd;\">Aten\u021bie; evita\u021bi suprapunerea<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<h2 class=\"wp-block-heading\">Depozitare<\/h2>\n<ul>\n<li>Depozita\u021bi la temperaturi sub <strong>25\u00b0C<\/strong> \u00eentr-un loc uscat.<\/li>\n<li>P\u0103stra\u021bi flaconul \u00een pozi\u021bie vertical\u0103 pentru a asigura func\u021bionarea corect\u0103 a pompei.<\/li>\n<li>Nu expune\u021bi la lumin\u0103 direct\u0103 a soarelui, flac\u0103r\u0103 sau sc\u00e2ntei \u2014 vehiculul propulsor con\u021bine etanol \u0219i este inflamabil.<\/li>\n<li>Arunca\u021bi dup\u0103 12 luni de la prima deschidere.<\/li>\n<li>P\u0103stra\u021bi la distan\u021b\u0103 de copii.<\/li>\n<\/ul>\n<h2 class=\"wp-block-heading\">Alternative conexe pe MedsBase<\/h2>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/crocin-advance\/\"><strong>Crocin Advance (paracetamol 500 mg, dispersare rapid\u0103) \u2014 analgezic cu ac\u021biune rapid\u0103<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/meftal\/\"><strong>Meftal (acid mefenamic 250\/500 mg) \u2014 AINS pentru dureri menstruale \u0219i inflama\u021bie<\/strong><\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/hyloric\/\"><strong>Hyloric (alopurinol 100\/300 mg) \u2014 profilaxie pentru gut\u0103<\/strong><\/a><\/li>\n<\/ul>\n<h2 id=\"faqs\">\u00centreb\u0103ri frecvente<\/h2>\n<h3 class=\"wp-block-heading\">Este Lox 10% Spray acela\u0219i lucru cu Xylocaine 10% Spray?<\/h3>\n<p>Da \u2014 formula\u021bia (lidocain\u0103 10% spray topic, ~10 mg pe doz\u0103, flacon de 50 ml) este interschimbabil\u0103 clinic cu <strong>Xylocaine 10% Spray<\/strong> (AstraZeneca) \u0219i alte spray-uri generice de lidocain\u0103 10% la nivel mondial. Medicamentul, concentra\u021bia \u0219i metoda de administrare sunt identice.<\/p>\n<h3 class=\"wp-block-heading\">C\u00e2t dureaz\u0103 efectul Lox 10% Spray?<\/h3>\n<p>Ac\u021biunea \u00eencepe la <strong>1\u20133 minute<\/strong>; ad\u00e2ncime anestezic\u0103 maxim\u0103 la 5\u201310 minute; amor\u021beala superficial\u0103 persist\u0103 <strong>30\u201360 de minute<\/strong>. Pentru utilizarea orofaringian\u0103, reflexul de gag r\u0103m\u00e2ne afectat aproximativ <strong>1 or\u0103<\/strong> \u2014 nu m\u00e2nca\u021bi \u0219i nu be\u021bi \u00een acest interval pentru a evita aspira\u021bia.<\/p>\n<h3 class=\"wp-block-heading\">Care este doza maxim\u0103 sigur\u0103?<\/h3>\n<p><strong>3 mg\/kg de lidocain\u0103, sau 200 mg \u00een total, oricare este mai mic\u0103.<\/strong> Pentru un adult aceasta este <strong>20 de pulveriz\u0103ri<\/strong> \u00eentr-o singur\u0103 sesiune. Pentru un copil de 30 kg, este 90 mg \/ 9 pulveriz\u0103ri. \u00cenjum\u0103t\u0103\u021bi\u021bi doza la pacien\u021bii \u00een v\u00e2rst\u0103, cu afec\u021biuni hepatice \u0219i insuficien\u021b\u0103 cardiac\u0103.<\/p>\n<h3 class=\"wp-block-heading\">Pot folosi Lox 10% Spray pentru ejaculare prematura?<\/h3>\n<p>Unii b\u0103rba\u021bi aplic\u0103 o doz\u0103 m\u0103surat\u0103 (1\u20132 pulveriz\u0103ri) pe glandul penisului cu 10\u201315 minute \u00eenainte de raport sexual pentru a \u00eent\u00e2rzia ejacularea. Aceasta este utilizare off-label \u2014 eficacitatea este real\u0103, dar trei aspecte practice conteaz\u0103: (1) lidocaina rezidual\u0103 amor\u021be\u0219te partenerul, a\u0219a c\u0103 \u0219terge\u021bi bine \u0219i folosi\u021bi prezervativ; (2) nu dep\u0103\u0219i\u021bi 2 pulveriz\u0103ri pe utilizare \u2014 mai mult nu \u00eembun\u0103t\u0103\u021be\u0219te efectul dar cre\u0219te riscul de LAST; (3) pentru PE persistent\u0103, <strong>dapoxetin\u0103<\/strong> (v\u00e2ndut sub denumirile Poxet, Priligy \u0219i Super Vilitra\/Super P-Force \u00een combina\u021bie cu inhibitori PDE5) este op\u021biunea oral\u0103 autorizat\u0103 cu o eficacitate sus\u021binut\u0103 mai bun\u0103. Discuta\u021bi cu un clinician.<\/p>\n<h3 class=\"wp-block-heading\">Poate fi folosit Lox 10% Spray la copii?<\/h3>\n<p>Da, cu grij\u0103. Calcula\u021bi doza total\u0103 maxim\u0103 ca <strong>3 mg\/kg<\/strong> (o pulverizare = 10 mg). Pentru un copil de 20 kg plafonul este de 60 mg = 6 pulveriz\u0103ri \u00eentr-o singur\u0103 sesiune. Evita\u021bi la sugarii sub 2 ani, cu excep\u021bia cazului \u00een care sunt sub supraveghere anestezic\u0103 \u2014 absorb\u021bia prin piele\/mucoas\u0103 la sugari este mai mare \u0219i riscul de methemoglobinemie este mai mare.<\/p>\n<h3 class=\"wp-block-heading\">Care sunt primele semne de toxicitate la lidocain\u0103 (LAST)?<\/h3>\n<p>Cele mai timpurii semne ale SNC sunt <strong>amor\u021beal\u0103 perioral\u0103, gust metalic, tinnitus \u0219i ame\u021beli.<\/strong> \u2014 acestea apar \u00een c\u00e2teva minute dup\u0103 administrarea unei doze mari. Dac\u0103 apar oricare dintre acestea, opri\u021bi aplicarea, solicita\u021bi ajutor medical \u0219i a\u0219eza\u021bi pacientul \u00eentr-o pozi\u021bie sigur\u0103. Evolu\u021bia poate include vorbire \u00eencetinit\u0103, tremur, convulsii, urmate de colaps cardiovascular. Tratamentul const\u0103 \u00een sus\u021binerea c\u0103ilor respiratorii\/ventila\u021biei\/circula\u021biei \u0219i <strong>intralipid 20% IV<\/strong> \u00een cazuri severe.<\/p>\n<h3 class=\"wp-block-heading\">Poate fi folosit Lox 10% Spray pe r\u0103ni deschise?<\/h3>\n<p><strong>Nu.<\/strong> Absorb\u021bia prin pielea afectat\u0103 sau prin mucoasa inflamat\u0103 este mult mai mare dec\u00e2t prin suprafe\u021be intacte \u2014 riscul de toxicitate sistemic\u0103 cre\u0219te. Pentru cur\u0103\u021barea r\u0103nilor sau mici lacera\u021bii deschise, utiliza\u021bi lidocain\u0103 injectabil\u0103 pentru anestezie prin infiltrare (produs diferit).<\/p>\n<h3 class=\"wp-block-heading\">Este sigur Lox 10% Spray \u00een timpul sarcinii?<\/h3>\n<p>Lidocaina este clasificat\u0103 FDA \u00een Categoria B de sarcin\u0103 \u2014 dozele mici topice sunt considerate \u00een general sigure \u00een timpul sarcinii (de ex., utilizare \u00een stomatologie \u0219i obstetric\u0103). Evita\u021bi doze totale mari \u0219i discuta\u021bi cu obstetricianul dac\u0103 este utilizat\u0103 pentru orice procedur\u0103 neurgent\u0103.<\/p>\n<h3 class=\"wp-block-heading\">De ce \u00een\u021beap\u0103 spray-ul c\u00e2nd \u00eel aplic prima dat\u0103?<\/h3>\n<p>\u00cen\u021bep\u0103tura scurt\u0103 este <strong>irita\u021bia ini\u021bial\u0103<\/strong> a\u0219teptat\u0103 a vehiculului etanolic \u00eenainte de instalarea amor\u021belii \u2014 dispare \u00een 1\u20132 minute pe m\u0103sur\u0103 ce anestezicul \u00ee\u0219i face efectul. Durere persistent\u0103 sever\u0103, erup\u021bie cutanat\u0103, umfl\u0103turi sau dificult\u0103\u021bi de respira\u021bie dup\u0103 aplicare nu sunt <strong>prime\u0219te,<\/strong> normale \u0219i pot indica o reac\u021bie alergic\u0103 \u2014 \u00eentrerupe\u021bi utilizarea \u0219i consulta\u021bi un medic.<\/p>\n<p class=\"medsbase-link-boost-2026-05-04\" data-marker=\"mb-link-boost-lox-2-jelly\"><a href=\"https:\/\/medsbase.com\/ro\/lox-10-spray\/\">Spray Lox 10%<\/a> asigur\u0103 amor\u021beal\u0103 rapid\u0103 la suprafa\u021b\u0103 \u00een concentra\u021bie mare, dar pentru cateterizare, cistoscopie sau utilizare prelungit\u0103 pentru \u00eent\u00e2rzierea ejacul\u0103rii premature care beneficiaz\u0103 de un gel lubrifiant steril, trece\u021bi la <a href=\"https:\/\/medsbase.com\/ro\/lox-2-jelly\/\">Lox 2% Jelly (lidocain\u0103 2% topic\u0103\/uretral\u0103)<\/a> \u2014 aceea\u0219i molecul\u0103 de lidocain\u0103, concentra\u021bie mai mic\u0103, timp de contact mai lung.<\/p>\n<p class=\"medsbase-link-boost-2026-05-25\" data-marker=\"mb-link-boost-hynidase-injection\"><a href=\"https:\/\/medsbase.com\/ro\/lox-10-spray\/\">Spray Lox 10%<\/a> ofer\u0103 anestezie rapid\u0103 a mucoasei cu lignocain\u0103, iar pentru infiltra\u021bii mai profunde acela\u0219i principiu activ este adesea asociat cu <a href=\"https:\/\/medsbase.com\/ro\/hynidase-injection\/\">Hynidase Injection (hyaluronidaza 1500 IU)<\/a>, o enzim\u0103 care ajut\u0103 anestezicul s\u0103 se difuzeze uniform pe o zon\u0103 mai larg\u0103 de \u021besut.<\/p>\n<p><!-- medsbase-related-alts-v1 --><\/p>\n<h3 class=\"wp-block-heading\">Alternative conexe<\/h3>\n<p>Alte produse din <strong>Afec\u021biuni cronice<\/strong> pe care clien\u021bii le vizualizeaz\u0103 de asemenea:<\/p>\n<ul>\n<li><a href=\"https:\/\/medsbase.com\/ro\/conimune-me\/\">Conimune ME<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/simvotin\/\">Simvotin<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/trinicalm-plus\/\">Trinicalm Plus<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/flexabenz-er\/\">Flexabenz ER<\/a><\/li>\n<li><a href=\"https:\/\/medsbase.com\/ro\/robinax\/\">Robinax<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>\u2705 Alinare rapid\u0103 a durerii<br \/>\n\u2705 Spray cu lidocain\u0103<br \/>\n\u2705 Aplicare topic\u0103<br \/>\n\u2705 Anestezie local\u0103<br \/>\n\u2705 U\u0219or de utilizat<\/p>\n<p>Lox 10% Spray con\u021bine Lidocain\u0103.<\/p>","protected":false},"featured_media":58072,"comment_status":"open","ping_status":"open","template":"","meta":[],"product_brand":[],"product_cat":[3141,3223,3555],"product_tag":[4412,4415],"class_list":{"0":"post-58071","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-category-overview","7":"product_cat-chronic-conditions","8":"product_cat-pain-relief-medication","9":"product_tag-lidocaine","10":"product_tag-lox-10-spray","12":"first","13":"instock","14":"shipping-taxable","15":"purchasable","16":"product-type-variable","17":"has-default-attributes"},"acf":[],"_links":{"self":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product\/58071","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/types\/product"}],"replies":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/comments?post=58071"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media\/58072"}],"wp:attachment":[{"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/media?parent=58071"}],"wp:term":[{"taxonomy":"product_brand","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_brand?post=58071"},{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_cat?post=58071"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/medsbase.com\/ro\/wp-json\/wp\/v2\/product_tag?post=58071"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}