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    Lubricant for rectal stimulation and foley insertion

    Hey guys, I've been using Lidocaine 2% as lubricant for rectal stimulation and foley insertion. I'm trying to find a cheaper alternative, can you please tell me?

    #2
    I don't know of anything cheaper if you are using this to prevent/manage autonomic dysreflexia (AD) during bowel care and catheter insertion. It is not very expensive in the USA if purchased generically, although it does require a prescription.

    Years ago we also used Fougera Dibucaine Ointment (1%) or Nupercainal for bowel care AD management and prevention, but it cannot be used on catheters for urinary use, and at least in the USA, was actually more expensive than Lidocaine 2% ointment.

    If you don't have a problem with AD, using any water-soluble medical grade lubricant would be much cheaper. This would include brands like Surgilube or MUKO.

    (KLD)
    The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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      #3
      I've never quite understood using 2% lidocaine jelly as a lubricant on a catheter or on a gloved finger for digital stimulation, since it takes 3-5 minutes for the numbing effect to take place. It seems to me that most people apply the jelly to the catheter and then immediately insert the catheter. The catheter is in place and the numbing action begins in 3-5 minutes, long after insertion Likewise, a gloved finger coated with lidocaine jelly and inserted into the rectum and digital stimulation started immediately would not be enough time for the numbing action to be of any advantage.

      For catheter insertion, instilling the jelly into the urethra from a syringe filled with lidocaine and waiting 3-5 minutes would assure that the numbing effect of the jelly had a chance to work before catheterization.

      Likewise, introducing jelly into the rectum and waiting 3-5 minutes before beginning digital stimulation or inserting a suppository would seem a better alternative than using lidocaine jelly as a lubricant from the start of digital stimulation.

      It seems it is as important to wait for lidocaine to take effect, as it is for your dentist to wait for novocaine to work before he begins drilling.

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        #4
        Yes, that is the correct way to use lidocaine 2% jelly. We recommend, for those with severe AD problems related to digital stimulation, inserting 5ml. into the rectal vault 5 min. prior to starting dig stim, and then also using it as the lubricant on the gloved finger or dig stimmer. The same goes for manually removing stool causing the AD. For catheterization during AD episodes, instill 10ml. into the urethra, and catheterize in 2-3 minutes.

        (KLD)
        The SCI-Nurses are advanced practice nurses specializing in SCI/D care. They are available to answer questions, provide education, and make suggestions which you should always discuss with your physician/primary health care provider before implementing. Medical diagnosis is not provided, nor do the SCI-Nurses provide nursing or medical care through their responses on the CareCure forums.

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          #5
          As a follow up, just wanted to share my experience.

          I ended up buying Surgilube in Amazon, and it works great.

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            #6
            I use 5% lidocaine pre-bowel care.

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              #7
              Amazon.com lidocaine lubricant, 8.25 fl oz, $20.87, 3.5%

              designed for recreational as opposed to medical purposes, however the exact same thing

              ah, the wonders of the free market and competitive pricing
              Injured on July 8th 2017 at 28 years old.
              Fractured C4 - C7, Incomplete.

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                #8
                Surgilube is the best. We have tried cheaper versions, but they get weird if you don’t use it right away. The shelf life on the cheaper products suck. FYI

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                  #9
                  I use this stuff for everything. http://www.amgmedical.com/site/our_p...trouv1=118-305

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                    #10
                    https://www.amazon.com/Passion-Desen...aine+lubricant
                    Injured on July 8th 2017 at 28 years old.
                    Fractured C4 - C7, Incomplete.

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                      #11
                      Paraffin oil for BP, cheap but aggressive.
                      31y Male, C5/6 Quad since 2003.

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                        #12
                        Originally posted by hoffman View Post
                        Paraffin oil for BP, cheap but aggressive.
                        From what I have read about Paraffin Oil, I wouldn't use it as a lubricant for a bowel program or a foley catheter. Maybe you are referring to something else that goes by the same name.

                        About Paraffin Oils https://www.livestrong.com/article/6...reatment-feet/

                        History

                        Paraffin oil, or paraffin, is commonly called kerosene in the United States, and is mostly used for fuel. In 1859, Edwin Drake drilled the first producing oil well in Titusville, Pennsylvania. In 1870, John Rockefeller entered the oil refining business when he formed Standard Oil. Rockefeller aimed to produce kerosene for lighting and heating. Petroleum boomed in countries throughout Central and South America and the Middle East from 1908 to 1959.

                        Protection, Handling and Storage

                        Paraffin oil should be stored in a tightly-closed container and kept in a dry, well-ventilated storage room. It is very important to keep the container of paraffin oil away from any flammable substance or any source of heat or ignition. Harmful residue may remain in the container after removing the paraffin oil. According to the Material Safety Data Sheet from J.T. Baker, it is important to properly dispose of the empty container after using the oil.

                        Warnings
                        Paraffin oil is harmful if swallowed or inhaled. It can cause irritation to the skin, eyes and respiratory tract. According to the Material Safety Data Sheet, inhaling paraffin oil mist or vapor can result in aspiration pneumonia. Ingesting paraffin oil can lead to nausea, diarrhea or vomiting. Leaving paraffin oil on the skin for long periods of time may lead to dermatitis, and people with a pre-existing skin condition are at a higher risk for skin irritation.

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                          #13
                          May be i'm wrong. In frensh it colled "huile de parrafine", it's mineral oil like vaseline but it's administrated in drug store, it's cheap and it can be used for lubrifcation or constipation (both oral or rectal)
                          31y Male, C5/6 Quad since 2003.

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                            #14
                            I found this post by an SCI nurse in an earlier Care Cure Community thread. /forum/newreply.php?do=newreply&p=1447321

                            Paraffin Liquid for cathing, this stuff is amazing but...

                            Originally posted by SCI-Nurse View Post
                            I would not recommend the use of mineral oil (AKA liquid paraffin) for catheterization.

                            Water soluable lubricants (Surgilube, KY, Muco, etc.) are recommended because they are water soluable, and will not cause any ill effects on the mucosa. This allows them to wash out of the urethra with normal urine flow or mucous. They are also catheter friendly.

                            Mineral oil is commonly used to dissolve and rupture Foley catheter balloons that refuse to deflate upon removal. If you are using a latex catheter, the mineral oil can deteriorate the latex. The same would be true of condoms or other latex products you might be using. We also know that women who use petroleum based vaginal lubricants (such as Vasoline) have a higher rate of vaginal infections.

                            Mineral oil is also considered a class 1 carcinogen based on animal studies when used topically.

                            (KLD)

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