Ethyl Chloride
Generic medicine reference
Not yet clinically reviewed
This entry was migrated from the earlier Pharmapedia app bundle and has not been reviewed by a named clinician on this site. It is provided for educational reference only — verify dosage and safety information against current, authoritative sources and a qualified healthcare professional before any clinical use.
Overview
Ethyl chloride is used as a local anesthetic in minor operative procedures such as incision of carbuncles or furuncles and removal of localized growths. The usefulness of ethyl chloride is limited in surgical procedures, however, because the anesthesia is of very short duration and thawing of frozen tissue is painful. In addition, freezing may injure cells, decrease resistance to infections, and delay healing.
Ethyl chloride is also used to alleviate pain associated with burns and insect stings and that of bruises, contusions, abrasions, swelling, and minor sprains associated with sports injuries. The drug has been used as an adjunct in the treatment of tinea lesions and creeping eruption.
As a counterirritant, ethyl chloride is used for the relief of myofascial and visceral pain syndromes.
Indications
Ethyl chloride is used as a local anesthetic in minor operative procedures such as incision of carbuncles or furuncles and removal of localized growths. The usefulness of ethyl chloride is limited in surgical procedures, however, because the anesthesia is of very short duration and thawing of frozen tissue is painful. In addition, freezing may injure cells, decrease resistance to infections, and delay healing.
Ethyl chloride is also used to alleviate pain associated with burns and insect stings and that of bruises, contusions, abrasions, swelling, and minor sprains associated with sports injuries. The drug has been used as an adjunct in the treatment of tinea lesions and creeping eruption.
As a counterirritant, ethyl chloride is used for the relief of myofascial and visceral pain syndromes.
Contraindications
Ethyl Chloride is contraindicated in conditions like Hypersensitivity to the drug.
Side Effects
The severe or irreversible adverse effects of Ethyl Chloride, which give rise to further complications include Prolonged spraying on to the skin can cause chemical Frostbite. Ethyl Chloride produces potentially life-threatening effects which include Severe allergic reactions, Decreased Urination. which are responsible for the discontinuation of Ethyl Chloride therapy. The symptomatic adverse reactions produced by Ethyl Chloride are more or less tolerable and if they become severe, they can be treated symptomatically, these include Urticaria, Burning, Edema, Contact dermatitis, Sloughing, Tenderness, Stinging, Cutaneous lesions.
Warnings
Patients should observe caution while driving or performing other tasks requiring alertness, because may cause drowsiness. Patients with chronic disease such as diabetes or hypertension may require adjustment to their therapy before anesthesia. Anesthetics should be given with caution in patients with cardiac, respiratory, renal or hepatic impairment. Ethyl chloride should not applied to broken skin or mucous membrane.
High Risk Groups
Drug should not be given to patients suffering from Kidney dysfunction, and patients suffering from Liver Malfunction. If prescribing authority justifies the benefits of the drug against the possible damages he/she should reevaluate them and consult the reference material and previous studies.
Adult Dosage
Scraped Dose — Ethyl chloride is applied topically as a spray. The dosage of ethyl chloride varies with the procedure and the response of the patient. The smallest dose needed to produce the desired effect should be used. Ethyl chloride is commercially available in metal tubes with valve closures or in glass bottles with spring release closures. These containers have various size nozzle openings for regulation of spray. Usually, fine spray is used for local anesthesia. The container should be held in the hand prior to administration to increase the volatility of the liquid.
For use in local anesthesia, the container should be held about 3–9 inches from the area being treated and the spray directed downward to the target area for 3–7 seconds until the skin just begins to turn white but should not be frosted. Because the local anesthetic effect is very brief, incisions should be made promptly after swabbing with an antiseptic. To prevent pain of injection, the same ethyl chloride application technique should be followed; the needle for injection should then be introduced quickly with the skin taut after swabbing with an antiseptic.
When ethyl chloride is used as a counterirritant after the active irritated trigger point (a deep hypersensitive localized spot in a muscle) has been evaluated and identified, the container should be held about 12–18 inches from the skin and the pinpoint stream directed to meet the body at an acute angle to lessen the shock of impact. The spray should be applied in one direction only, starting at the trigger area and moving in parallel sweeps 1.5–2 cm apart slowly (10 cm/second) and evenly outward over the reference zone; sweeps should be repeated rhythmically until the area has been covered. The number of sweeps will depend on the size of the treated muscle. The skin should not be frosted because excessive cooling may increase muscle spasms and pain. With trigger points, the source of pain seldom is the site of pain. The affected muscle should be passively stretched during application, gradually increasing the force with successive sweeps. As the muscle relaxes, smoothly take up the slack by establishing a new stretch length. The full normal length of the muscle should be reached to completely inactivate the trigger point and relieve pain. The muscle should be rewarmed. Application may be repeated if necessary. Apply moist heat for 10–15 minutes after treatment. Eliminate factors that perpetuate the trigger mechanism.
Child Dosage
No child dosage information is recorded for this medicine yet.
Neonatal Dosage
No neonatal dosage information is recorded for this medicine yet.
Drug Interactions
No data regarding the interactions of Ethyl Chloride was found.
Storage
Liq Store in a well closed container, Below 15°C. Protect from Sunlight.
Available Brands in Pakistan
No brands are recorded for this generic.
