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
et al.
  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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Occlusive Dressings

Unlike most ointment base topical anesthetics, including Epil-EZ, a relatively thick application of anesthetic along with occlusion (covering) are required.  These following instructions are for use with the EMLA product, and are representative for similar applications. 

INSTRUCTIONS FOR APPLICATION
EMLA CREAM (lidocaine 2.5% and prilocaine 2.5%)

In adults, apply 2.5 g of cream per 20 to 25 cm 2 (approx. 2 in. by 2 in.) of skin in a thick layer at the site of the procedure. 
Take an occlusive dressing and remove the center cut-out piece.
Peel the paper liner from the paper framed dressing.
Cover the EMLA Cream so that you get a thick layer underneath. Do not spread out the cream. Smooth down the dressing edges carefully and ensure it is secure to avoid leakage. 
Remove the paper frame. The time of application can easily be marked directly on the occlusive dressing. EMLA must be applied at least 1 hour before the start of a routine procedure and for 2 hours before the start of a painful procedure.
Remove the occlusive dressing, wipe off the EMLA Cream, clean the entire area with an antiseptic solution and prepare the patient for the procedure. The duration of effective skin anesthesia will be at least 1 hour after removal of the occlusive dressing.
 

PRECAUTIONS

  1. Do not apply near eyes or on open wounds.
  2. Do not use in children under one month of age.
  3. Keep out of reach of children.


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