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

Instillido

Active Ingredient:
Lidocaine Hydrochloride
Origin:
EU

Instillido (Lidocaine Hydrochloride)

Lidocaine, the active ingredient in Instillido, is a local anesthetic presented as a sterile solution for urethral use. It provides localized numbness to facilitate diagnostic and therapeutic urologic procedures.\n\nGNH 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

1
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Indications & Clinical Uses

  • Instillido is a lidocaine‑based local anesthetic used via the urethral route to achieve temporary loss of sensation during urologic interventions.\n\nUrethral anesthesia for diagnostic procedures: provides localized numbness to facilitate cystoscopy and similar examinations.\nUrethral anesthesia for therapeutic procedures: enables pain‑free catheter placement and minor interventions.\nUrethral anesthesia for minor urologic surgeries: reduces discomfort during short surgical manipulations.

How It Works

  • Lidocaine hydrochloride acts by reversibly blocking voltage‑gated sodium channels on neuronal membranes, preventing the initiation and propagation of action potentials. This inhibition of sodium influx stabilizes the neuronal membrane, thereby halting the transmission of pain signals from the urethral mucosa and producing a localized anesthetic effect.

Side Effects

  • Common Side Effects:\n- Burning sensation at the application site\n- Mild irritation of urethral mucosa\n- Transient urinary urgency\n- Temporary numbness lasting a few hours\n- Mild headache\n\nSerious or Rare Side Effects:\n- Allergic reaction (rash, angioedema, anaphylaxis)\n- Severe systemic toxicity (CNS disturbances such as seizures, cardiac arrhythmias)\n- Persistent numbness beyond expected duration\n- Hypotension or cardiovascular collapse\n- Respiratory depression in extreme cases

Precautions & Warnings

  • Before using Instillido, consider the following precautions:\n- Allergy assessment: verify no known hypersensitivity to lidocaine or amide‑type anesthetics.\n- Dosage determination: follow prescriber instructions based on procedure type and patient characteristics.\n- Systemic absorption: monitor for signs of toxicity, especially in patients with hepatic impairment.\n- Concurrent anesthetics: avoid using other local anesthetics simultaneously to prevent additive toxicity.\n- Pregnancy and lactation: use only if benefits outweigh potential risks.\n- Store at room temperature: keep in original container, protect from moisture and light.

Avoid Interactions

  • Major Interactions (Avoid):\n- Class I antiarrhythmic agents (e.g., quinidine, procainamide): may increase lidocaine toxicity.\n- Strong CYP3A4 inhibitors (e.g., ketoconazole): raise systemic lidocaine levels.\n- Other local anesthetics: additive neuro‑ and cardiotoxic effects.\n\nModerate Interactions (Monitor Closely):\n- Beta‑blockers: may mask early signs of lidocaine toxicity.\n- Diuretics: can alter plasma concentration of lidocaine.\n- General anesthetics: synergistic CNS depression when used together.

Frequently Asked Questions

Instillido is a lidocaine‑hydrochloride preparation intended for urethral anesthesia. It is applied to numb the urethral mucosa before diagnostic procedures such as cystoscopy, therapeutic interventions like catheter placement, and minor urologic surgeries, providing localized pain relief without systemic anesthesia.

Lidocaine reversibly blocks voltage‑gated sodium channels on neuronal membranes, preventing the initiation and propagation of nerve impulses. By stabilizing the neuronal membrane, it inhibits transmission of pain signals from the urethral tissue, resulting in a temporary loss of sensation in the treated area.

The specific dose of Instillido is determined by the prescribing clinician based on the type and duration of the urologic procedure, the patient’s age, weight, and overall health. The prescriber will calculate the appropriate volume and concentration to achieve effective urethral anesthesia while minimizing systemic exposure.

Safety data for lidocaine use in pregnancy and lactation are limited. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus or infant. The prescriber must evaluate the clinical situation and consider alternative options if uncertainty exists.

To request Instillido, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India works with hospitals, pharmacies, and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements), and necessary import documentation.

Instillido contains lidocaine, a widely used amide‑type local anesthetic known for rapid onset and moderate duration. Compared with ester‑type agents such as procaine, lidocaine generally provides a faster onset, longer analgesic effect, and a lower incidence of allergic reactions, making it a preferred choice for urethral anesthesia.

Instillido should be stored at room temperature, preferably below 25 °C, in its original sealed container. Protect the product from moisture, direct sunlight, and extreme temperature fluctuations. Maintaining these conditions helps preserve sterility and potency until the time of use.

Instillido is administered directly into the urethra using a sterile applicator or catheter as directed by the healthcare professional. The solution is instilled in the appropriate volume to coat the urethral mucosa, allowing the lidocaine to take effect within minutes before the procedure begins.

Although rare, serious adverse events can include systemic lidocaine toxicity, manifested as central nervous system symptoms (e.g., seizures, confusion) or cardiovascular effects (e.g., arrhythmias, hypotension). Allergic reactions such as rash, angioedema, or anaphylaxis also require immediate medical attention.

Instillido should be avoided in patients with a known hypersensitivity to lidocaine or other amide‑type local anesthetics. It is also contraindicated in individuals with severe hepatic impairment, certain cardiac conduction disorders, or those receiving concurrent medications that significantly increase lidocaine plasma levels without careful monitoring.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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