Instillagel and Equivalent

Instillagel (Chlorhexidine/Lidocaine)

TypeDrugDosagePrice from (USD) 
drug type Instillagel (10 x 6ml Prefilled Syringes)0.05 %/2 %111.18

Generic Equivalent of Instillagel

No generic equivalents of Instillagel found.

Why Buy Instillagel or Generic Chlorhexidine/Lidocaine from BigMountainDrugs.com?

Buy Instillagel chlorhexidine/lidocaine online from BigMountainDrugs.com with secure prescription processing, competitive pricing, and discreet home delivery. Serving customers since 2007 with an average 4.9-star customer rating, we make ordering quick and easy. Choose the option that matches your prescription and budget, then submit your order in just a few minutes. A valid prescription is required.

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• Accredited by the Canadian International Pharmacy Association (CIPA) and the International Pharmacy Association of British Columbia (IPABC)
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What Dosage Strengths Are Available for Instillagel?

Instillagel is available in prefilled syringes with Chlorhexidine Gluconate 0.05% / Lidocaine Hydrochloride 2%.

Your healthcare provider will determine the appropriate dose for you. Order the dose your healthcare provider prescribes.

What is Instillagel (Chlorhexidine/Lidocaine) Used For?

Instillagel (Chlorhexidine/Lidocaine) is a topical anesthetic and antiseptic combination used to numb, lubricate, and disinfect sensitive mucosal surfaces before invasive medical examinations or procedures. Specifically, it's used for urethral catheterization, including insertion of indwelling catheters, intermittent self-catheterization, or replacement of suprapubic or fistula tubes.

It is also used during diagnostic urological procedures such as cystoscopy and urethral dilation. It is also used to disinfect mucous membranes and provide local anesthesia during endoscopy, intubation, digital rectal examinations, rectoscopy, and gynecological investigations, as it helps minimize procedural pain and prevent iatrogenic bacterial infections.

The medication provides simultaneous anesthesia, antisepsis, and lubrication. The lidocaine component stabilizes nerve cell membranes, blocking pain signal transmission. It does this by blocking ion movement through specific channels in the nerve membrane that are required to start and carry nerve impulses. This process prevents the nerves from sending pain signals to the brain from the area where the gel is applied. This numbing effect typically starts within five minutes and lasts between 20 and 30 minutes.

The chlorhexidine component provides antiseptic action and is effective against a broad range of Gram-negative and Gram-positive bacteria, as well as yeasts and fungi. Within 5 to 10 minutes of application to the urethra, it kills the microorganisms present there. This action helps prevent bacteria from moving upward into the body, which could otherwise occur when medical instruments are inserted.

This gel also acts as a lubricant, creating a smooth film over the treatment site. This coating helps ensure germ-free, painless insertion of catheters and other medical instruments.

For more information about using this topical medication, check out its product monograph.

What Side Effects Can Instillagel or Generic Chlorhexidine/Lidocaine Cause?

Mild side effects often include a slight stinging sensation immediately after applying the gel, though this typically subsides once the anesthetic takes effect. Some people may also notice soreness after the numbing effect wears off or experience general local discomfort and skin irritation at the application site. Contact your doctor if these mild side effects persist or worsen.

Serious side effects are often rare and are mostly related to systemic absorption of lidocaine, which can happen if the dose is too high or if there is severe injury to the area where the gel is applied. These include lightheadedness, dizziness, nervousness, confusion, drowsiness, blurred vision, ringing in the ears, tremors, twitching, vomiting, seizures, slow or irregular heartbeat, low blood pressure, and loss of consciousness. Serious allergic reactions may occur, including skin rashes, hives, swelling of the face, lips, tongue, or throat, and severe breathing difficulty or wheezing.

Seek immediate medical attention if you experience any of these serious side effects. Inform your doctor about any other side effects you notice that are not listed here.

Warnings

This topical medicine is contraindicated in individuals with a known allergy to lidocaine, chlorhexidine, paraben preservatives (methyl/propyl hydroxybenzoate), or any other ingredients in Instillagel. It must not be applied to severely traumatized, lacerated, or bleeding mucosal tissue, as damaged mucosa greatly accelerates lidocaine absorption into the bloodstream and increases toxicity risks.

Use this medication with caution in individuals with some specific medical conditions such as:
• Heart problems;
• Kidney disease;
• Liver disease;
• Malignant hyperthermia (a hereditary condition);
• Seizure disorders such as epilepsy;
• Severe shock;

Instillagel is for topical and endourethral use only and must never be injected intravenously or intramuscularly. Avoid getting the gel in your eyes or middle ear. Do not apply it if there are active severe infections, cuts, or rashes in the treatment area. Some medications such as antiarrhythmic drugs (such as amiodarone, mexiletine, or sotalol) enhance heart-related side effects, potentially triggering serious heart block or arrhythmias. Likewise, certain medications that affect how the liver processes lidocaine, such as the antibiotic erythromycin, the antidepressant fluvoxamine, or the heart medication propranolol, can lead to dangerously higher levels of lidocaine in your system. Therefore, before using Instillagel, your doctor needs to be aware of any other medications you are currently using, including any other topical medicines, to determine whether it is safe to use with Instillagel.

Lidocaine is known to cross the placenta during pregnancy and also pass through breast milk. However, while local administration during single minor urological procedures generally poses a low risk, use of Instillagel during the first three months of pregnancy should occur only if a doctor determines that the clear clinical benefit outweighs any potential risk to the fetus. Some guidelines recommend waiting approximately 12 hours after administration before breastfeeding. This topical medication is not recommended for use in children under 2 years of age due to an unestablished safety profile and a high risk of systemic toxicity. Store this medication at room temperature and keep out of reach of children and pets.

Do I need a prescription to order Instillagel?

Yes, a prescription is required from your physician to order Instillagel.

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Prescriptions Dispensed from Canada are Dispensed by: Candrug Pharmacy, ID#18985 604-543-8711. 202A 8322-130th Street, Surrey, British Columbia, Canada V3W 8J9. Pharmacy Manager: Carol Hou.
This pharmacy is duly licensed in the province of British Columbia, Canada by the College of Pharmacists of BC. If you have any questions or concerns you can contact the college at: 200-1765 West 8th Ave Vancouver, BC V6J 5C6 Canada. In addition to dispensing from our affiliated Canadian dispensing pharmacy, we also arrange for your medications to be dispensed from licensed pharmacies and international fulfilment centers that are approved by the regulatory bodies in their respective countries. We affiliate with dispensaries in the following jurisdictions that ship product to our customers: Canada, Mauritius, India, New Zealand, Australia, Turkey, and United Kingdom.
All prices are in US dollars.
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