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Author Topic: Cream for Fistula  (Read 5868 times)
teverman
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« on: October 23, 2008, 08:16:01 AM »

does anyone have any experience for Less-N-Pain?  I have seen comments about Emla cream but I don't think I've seen anything about this one.  Someone told my mom at dialysis about this and how well it works but she is so scared about the needles and I want to make sure we have the best one!

Thanks guys! :thx;
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twirl
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« Reply #1 on: October 23, 2008, 08:19:44 AM »

I use a different one and it helps especially if you have been on dialysis
it is way better than the little shots they give you
spread it on and wrap your arm in cling wrap
not the kinds that seals to the other side
just the old cheap kind
do this about an hour to an hour and 1/2 before appointment time
it is 15.00 a tube with my insurance
and my doc writes the prescription where I get two tubes and pay 15.00 ( like 2 fer 1)
a tube lasts a long time
lidocanine and prilocaine cream 2.5%/2.5%
net wt 30 grams so the doc writes that a 60 grams     
« Last Edit: October 23, 2008, 08:24:45 AM by twirl » Logged
Rerun
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« Reply #2 on: October 23, 2008, 02:45:27 PM »

I just take the Lidocaine shots.  30 seconds of pure torture and then it is over.  I am the biggest BABY!  The poor lady next to me has never used her fistula and she says after watching me she never will. 

                                                                                    :waving;
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Pierre
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« Reply #3 on: October 24, 2008, 01:20:07 AM »

I take the painkiller shots too. When the nurse injects the stuff I look the other way to whatever comes in sight, even the pimple on the nose of another nurse or an image on the TV screen, and concentrate on that. It helps forgetting the pain I'm going to feel, I guess. It's one second of pain, a sharp sting, and then it's over. So, nothing to worry. I used EMLA once, but it didn't work.
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flip
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« Reply #4 on: October 24, 2008, 08:49:23 AM »

The one I use is Fougera, it's identical to EMLA.
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twirl
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« Reply #5 on: October 24, 2008, 11:34:07 AM »

I felt nothing today with either needle
I think those shots hurt
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MIbarra
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« Reply #6 on: October 24, 2008, 05:00:03 PM »

I never tried the lidocaine shots -- too much of a wimp. I used the emla cream from the start and I have to say it helped a LOT. Still felt the needles, but I know I sure didn't feel it like the other patients did.
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teverman
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« Reply #7 on: October 27, 2008, 07:17:42 AM »

Thanks for all the input.  I don't believe they offer the shots where my mom goes.  She has been using her cath for 3 months and is scared to death about getting the needles.
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boxman55
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« Reply #8 on: October 28, 2008, 04:31:17 PM »

I use ethyl chloride spray helps a bit. it freezes the area...Boxman
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kimcanada
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« Reply #9 on: October 28, 2008, 04:38:06 PM »

I am a huge baby... It's EMLA for me , I use lots, and don't feel a thing

Best of luck to your mom :cuddle;
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graftgurl
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« Reply #10 on: October 29, 2008, 02:39:25 AM »

Just thought I'd add my  :twocents;
I only started dialysis 2 months ago. I have a graft instead of a fistula and it is in my right thigh. Until i build up scar tissue I have been using lidocaine shots. I used to have to give shots in my muscles, mostly the legs, and have used EMLA cream and absolutely nothing. For me, the lidocaine is the one that works best. I think it is different for everyone as each of us has a different tolerance for pain. All I say is use the one that works the best for you. It may take a couple of tries with different meds but once your mother finds  one that works she will probably stick with it. It used to help me to watch exactly what was happening so I knew when to expect the pain, but when I started dialysis and they were using the big gauge needles, I had to look away. Now I deal better without watching.
Good Luck!
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graftgurl
CKD in fall '03
leg graft July 9 '08 (2 days after my birthday)
began hemodialysis August 21 '08
petrified to apply for transplant b/c of other health issues
Type 1 diabetic for 37 years
single mother of teenage daughter
     who was a 29 week preemie due to Mom's short-term
     kidney failure and resulting in emergency c-section
Jannie
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« Reply #11 on: October 29, 2008, 03:23:55 PM »

I've been getting hemo dialysis about 14 months. the Emla cream sucks for me, so instead I use the Ethyl Chloride spray. It works great for me, and I'm a big crying sissy!
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peleroja
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« Reply #12 on: October 29, 2008, 04:14:47 PM »

I used to buy Topicaine off the net for my monthly lab draws; it contains 5% Lidocaine.I would probably go back on that if I ever had to do hemo.
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kellyt
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« Reply #13 on: October 29, 2008, 07:09:54 PM »

Man, everytime I see this thread my eyes see "Cream of Fistula".  Gross!    :puke;   
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1993 diagnosed with glomerulonephritis.
Oct 41, 2007 - Got fistula placed.
Feb 13, 2008 - Activated on "the list".
Nov 5, 2008 - Received living donor transplant from my sister-in-law, Etta.
Nov 5, 2011 - THREE YEARS POST TRANSPLANT!  :D
nursewratchet
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« Reply #14 on: November 28, 2008, 09:32:57 PM »

We have some patients use shots, some use EMLA,some use Ethel Chloride, and some use nothing.  Whatever is your preference.  FYI, the Lido shots can shorten the life of the access.  Also, ask your clinic if they will supply you with the spray.  Some insurances won't cover it, so we provide it.  It's much cheaper for the clinic than it is for the patient.  Ask the Administrator. (Director, Manager, whatever they go by there)...
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Vicki
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« Reply #15 on: November 30, 2008, 06:25:56 AM »

I use EMLA cream. It can help to reduce some of the pain, I find it depends on the nurse whether you feel anything.

I don't use a great deal of it.
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The only reason I attend dialysis is for the tea and the biscuits!

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kellyt
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« Reply #16 on: November 30, 2008, 04:18:15 PM »

 :waving;
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1993 diagnosed with glomerulonephritis.
Oct 41, 2007 - Got fistula placed.
Feb 13, 2008 - Activated on "the list".
Nov 5, 2008 - Received living donor transplant from my sister-in-law, Etta.
Nov 5, 2011 - THREE YEARS POST TRANSPLANT!  :D
TynyWonder
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Calvin

« Reply #17 on: November 30, 2008, 06:36:55 PM »

I just recently started using my graft and from day one, I have used the lidocaine cream and so far, so good, but I will say there has been once or twice that I have felt a very, slight pinch but I know it is nothing like it could feel without the cream.   However, I guess because the cream has worn off by the end of treatment, the needles hurts worse coming out than going in :urcrazy;   Do others experience that at all?
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Diagnosed with ESRD-November 2006
I have had 2 fistuals-neither one worked
I have had 2 grafts the last one finally "took"
I had 3 different catheters from Nov. 06 - Dec. 08
Got on the transplant list - Halloween Day 2008

You can easily judge the character of others by how they treat those who they think can do nothing for them.    I BELIEVE THIS TO BE SOOOOO TRUE!
Wattle
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« Reply #18 on: November 30, 2008, 11:19:36 PM »

 :waving; 

I don't think any of you are sissys!! I have had a tube hanging out of me for close to four years to avoid those needles!! I grow up watching my Dad on home haemo and those needles really left an impression.   :o

I know at some stage in my life I will need to do Haemo and I can tell you, I will try all the sprays and creams available to me. I will numb my arm so I feel nothing at all. The techs will probably still have to    :Kit n Stik;  hit me on the head to get me to shutup!

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PKD
June 2005 Commenced PD Dialysis
July 13th 2009 Cadaveric 5/6 Antigen Match Transplant from my Special Angel
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