Product image of Instillido (Lidocaine Hydrochloride) supplied by GNH India

Instillido

Active Ingredient:
Lidocaine Hydrochloride
Origin:
EU

Instillido (Lidocaine Hydrochloride)

Lidocaine Hydrochloride, the active ingredient in Instillido, is a local anesthetic presented as a sterile solution for urethral use. It provides temporary loss of sensation to facilitate urethral procedures in adult patients.
GNH India supplies Instillido as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, transplant centres, oncology centres, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Farco-Pharma Gmbh

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Indications & Clinical Uses

  • Lidocaine Hydrochloride is used to achieve local anesthesia of the urethral mucosa during procedures.
  • Urethral procedures: provides temporary loss of sensation to facilitate catheterization, cystoscopy, or endoscopic surgery.
  • Urethral dilatation: eases discomfort during therapeutic dilation of the urethra.
  • Diagnostic urethroscopy: reduces pain and discomfort during visual examination of the urethra.

How It Works

  • Lidocaine Hydrochloride reversibly blocks voltage‑gated sodium channels on neuronal membranes, preventing the initiation and propagation of nerve impulses. This inhibition stops the transmission of pain signals from the urethral tissue to the central nervous system, resulting in localized anesthesia without affecting systemic sensation.

Side Effects

Lidocaine Hydrochloride may cause a range of adverse reactions at the site of administration or systemically.

Common Side Effects

  • Burning or stinging sensation at the application site.
  • Mild local irritation or erythema.
  • Transient urinary urgency or frequency.
  • Slight taste alteration if solution contacts oral mucosa.
  • Temporary mild headache.

Serious or Rare Side Effects

  • Allergic reaction such as rash, angioedema, or anaphylaxis.
  • Systemic toxicity presenting as central nervous system symptoms (dizziness, seizures, confusion).
  • Cardiac arrhythmias or conduction disturbances.
  • Severe hypotension.
  • Respiratory depression in extreme overdose.

Precautions & Warnings

  • When using Instillido, several precautions should be observed to ensure patient safety.
  • Assess patient history: verify any known lidocaine or amide‑type anesthetic allergy.
  • Avoid excessive dose: adhere strictly to recommended volume for urethral application.
  • Monitor for systemic signs: watch for CNS or cardiac symptoms indicating possible toxicity.
  • Use with caution in hepatic impairment: reduced metabolism may increase systemic exposure.
  • Avoid concurrent use with other local anesthetics: risk of additive toxicity.
  • Store at room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Lidocaine Hydrochloride can interact with other medications, affecting its safety profile.

Major Interactions (Avoid)

  • Class I antiarrhythmic drugs (e.g., quinidine, procainamide): may enhance cardiotoxicity.
  • Beta‑blockers (e.g., propranolol): increase risk of bradycardia.
  • General anesthetics (e.g., propofol): additive central nervous system depression.
  • Monoamine oxidase inhibitors: may potentiate hypotensive effects.

Moderate Interactions (Monitor Closely)

  • CYP3A4 inhibitors (e.g., erythromycin): may increase lidocaine plasma levels.
  • CYP1A2 inducers (e.g., carbamazepine): may reduce lidocaine efficacy.
  • Non‑steroidal anti‑inflammatory drugs: may increase local irritation.
  • Diuretics (e.g., furosemide): can alter plasma protein binding of lidocaine.

Frequently Asked Questions

Instillido contains lidocaine hydrochloride and is used to provide local anesthesia of the urethral mucosa during procedures such as catheterization, cystoscopy, urethral dilatation, and diagnostic urethroscopy. It temporarily blocks pain signals, allowing the procedure to be performed with reduced discomfort.

Lidocaine hydrochloride works by reversibly blocking voltage‑gated sodium channels on nerve cells. This prevents the initiation and propagation of action potentials, thereby inhibiting the transmission of pain signals from the urethral tissue to the brain and producing localized numbness.

The appropriate dose of Instillido is determined by the prescribing clinician based on the specific procedure, patient characteristics, and clinical guidelines. Healthcare professionals calculate the volume needed to achieve adequate urethral anesthesia while staying within safety limits.

Safety data for lidocaine hydrochloride in pregnancy and lactation are limited. Use of Instillido during pregnancy or while breastfeeding should only be considered if the potential benefit justifies any potential risk to the fetus or infant, and it must be prescribed by a qualified healthcare provider.

To order Instillido, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies, and procurement teams worldwide. After submission, the sales team will verify trade or institutional credentials and respond with pricing, availability, shipping details, and any required import documentation.

Instillido’s active ingredient, lidocaine hydrochloride, is a widely used amide‑type local anesthetic offering rapid onset and moderate duration of action. Compared with alternatives such as benzocaine or tetracaine, lidocaine provides a balanced profile of efficacy and safety for urethral applications, with a well‑characterized toxicity threshold.

Instillido should be stored at room temperature, below 25 °C, in its original packaging. Protect the product from direct light, moisture, and extreme temperature fluctuations. Ensure the container is tightly sealed when not in use to maintain sterility.

Instillido is administered by instilling the sterile solution directly into the urethra using a suitable applicator or catheter. The exact volume and technique are determined by the treating clinician, who ensures uniform coverage of the urethral mucosa before the procedure begins.

The most serious risks include systemic lidocaine toxicity, which can manifest as central nervous system symptoms (e.g., seizures, confusion) or cardiac effects (e.g., arrhythmias, hypotension). Additionally, allergic reactions such as rash, angioedema, or anaphylaxis may occur and require immediate medical attention.

Instillido should not be used in patients with a known hypersensitivity to lidocaine or other amide‑type local anesthetics. Caution is also advised for individuals with severe hepatic impairment, significant cardiac conduction disorders, or those receiving interacting medications that could increase lidocaine toxicity.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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