Specialists in the Medical & Psychological Aspects of Transgender Health Care 

Carl W. Bushong, Ph.D., LMFT
Richard A. Martin, Jr., M.D., FACEP
Kimberly L. Westwood, CPE, CCE
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  electrolysis guide  
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home > Electrolysis Guide > Pain Management

 PAIN MANAGEMENT TOPICS  
Electrolysis Pain : What to expect; factors involved in the perception of pain.
Pain Control : A preferred method to alleviate/eliminate the discomfort of electrolysis treatment.
Oral Nonopioid Medications : Oral pain medication used in addition to topical pain management.
Adjunct Medical Support : Physician facilitated pain management during electrolysis treatment.
EMLA : A topical anesthetic.
Occlusive Dressings : Application instructions for cream type topical anesthetics like EMLA.
OTC topical analgesics : Non-prescription topical analgesics available to the electrology patient.
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EMLA

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EMLA is a mild topical pain reliever consisting of dilute (2.5%) mixture of lidocaine and prilocaine in equal parts. Outside of electrolysis use, it has limited use for procedures due to its minimal pain relieving properties.  While EMLA is regularly used in electrolysis,  patients will likely find very limited pain relief.

The concept behind the mixing of lidocaine and prilocaine is seen in its name. The brand name, EMLA, was chosen as it is an acronym for Eutectic Mixture of Local Anesthetics. Eutectic refers the a mixture whose melting point is lower than that of its constituent parts. The goal of such a topical anesthetic is to maintain the eutectic temperature as to allow for greater absorption through the skin barrier.  However, EMLA is contained in a cream base, detracting from its eutectic potential by requiring thick application and covering for a long duration.

For the greatest effect when using EMLA or other topical preparations, the skin must be thoroughly cleansed/degreased.  This process is called de-fatting. In the case of EMLA cream, an occlusive (film covering) dressing must be applied over the drug. For greater detail in this type of application, please see Occlusive Dressings.

 

 


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