EMLA, Lidocane and Topical Anesthetics....

Hey guys,

Some of you may remember Bulgarian derm bringing up the point that some people have suffered things such as cardiac arrest from topical anesthetics such as Lidocaine. While these incidents are extremely unlikely, they are a rare possible risk.... I was reading an article earlier and it went along with my consensus that it is the higher concentrations of lidocaine e.g. 10% applied under occlusion that pose the problem.

EMLA does contain 2.5% lidocaine and 2.5% prilocaine. Now because i recommend people use EMLA i want to make a new recommendation for safety. Because we do this at home we don't have the supervision we would have in a hospital, so here is what i recommend we do from now on to minimise the chances even further.

The half life (time for the body to eliminate half of the drug from the body) of lidocaine is aprox 2hrs, prilocane is even shorter. SO as some of you have been doing i recommend you do one section of your face at a time in the same evening, leaving and hour or two in between application of the anesthetics.

E.g. at 5pm apply anesthetic to right cheek, leave under occlusion for an hour then clean and needle/dermaroll. Then at 7pm do the same on the right cheek, then 9pm do the forehead....


This way you will have aprox 1/3-1/2 of the peak plasma concentration you would have if you were to apply it all at once. As you all should know, chances of side effects decrease with a decrease in dose. So i am confident if we all do this we will never have any problems.

I hope you all take the time to read this.

Cheers,

Mark

Light Therapy

I have given up trying to put people off accutane on here. Some people just can't be convinced of the dangers involved.

Anyway, in my attempt to prevent people from taking this crap. I want to open your eyes up to home light therapy. Is has a 90% success rates when used consistently, this is better than accutane and best of all, there are NO side effects. If anything you will get better skin tone, texture etc.

Look into the home laser/light section of this forum if you have tried everything else. Trust me you DON'T need or want accutane.

I took it and my acne came back, plus i suffer from many many side effects. I now use light therapy, which i wish i had looked into before i took tane....

My Experience With Accutane.

What can i say, i believe you should all realise the true possible outcome of taking this drug.

I WISH someone made a post like this when i was considering/taking accutane.

I am about two years post accutane and let me tell you my life will never be the same again, i have had to deal with probably a dozen side effects and you can tell when your body is just not the same anymore.

I have/had hairloss across my entire body, yes i keep it undercontrol relatively well but i have to use three different things for this. I have extremely dry eyes because of the inflammation in my eyelids, i use topical rosex gel (used to relieve some of the inflammation) and eye drops every 30 minutes. I picked up alot of scarring from accutane where i had never scarred before. I get nasty mouth ulcers all the time, my joints can sometimes hurt a great deal, i get bad muscle pains. I had extreme dryness across my entire body. I also had extreme flushing and swelling of my nose and cheeks (this looks worse than any acne believe me).

Now when i say had, the reason why things are better is not because the effects of accutane have worn off, but i am on a drug often used for lupus in order to combate the extremely inflammed state i was left in. If i stop all my drugs (i now take ones for sleeping and other things wrecked by accutane) i go back to how i was before i started them, that is they all re appear.

Now listen, when you read stories like moreganos and sheefas, LISTEN UP because that shit can and does happen.

I know people who took accutane when they were in their teens and they now have numerous problems 5-10 years later which i can relate to as soon as i see them. Diffuse hair thinning, dry blood shot eyes, scarring, uneven skintone. It just makes you look so unhealthy.

Again for you that don't know, this shit was used to chemotherapy originally (and the fact it isn't even used for that anymore says something, and no it isn't related to effciency). If you know anything about the nature of chemotherapy you should know it is not worth taking the risk just to clear your acne.

If you want help clearing your acne then pm me, mine came back but i keep it in control with other methods. I also got folliclitus from accutane which is just as bad as the acne and is life long.

I have methods that although require a small amountof effort everyday, i am confident it will clear or drastically improve anyones acne.

One of the main reasons why kids. Yes kids.... on this forum don't listen to posts like this is because you haven't lived, you don't realise what these sides effects are like because you havn't had chance to experience anything like it yet. When you hit 80 you start getting side effects like us accutane victims deal with everyday. When i read about some hairloss, joint pain, muscle soreness, dry eyes i though "oh no biggie there no where near as bad as acne" Trust me you have no idea.

Keep it real, don't let the appeal of potentially clearing your acne for life overpower your better judgement. You are playing with your health for christs sake.

Ok guys...

I want you ALL to begin using light therapy and dermaroller/needling. You can get yourself a whole "kit" for perhaps 750 dollars and you will get better results than anything else...

Here is a pic of my skin now

http://img81.imageshack.us/my.php?image=dsc00109pk1.jpg

What i have been doing for the past year is having dermaroller done every 6-8 weeks and and needling individual scars with 4mm diabetic 33guage needles. I use a 1mm stopper to prevent it penetrating th full 4 mm.

I then use terproline twice per day. My dual 660/880nm array from the LED man and my 96 led yellow array from the LED man. 5 mins with the dual array 3 mins with the yellow.

You will need EMLA for doing dermaroller at home, many people don;t realise ho agressive you need to be and waste their time rolling every day or every week. Every month would be the most i would ever consider if you are rolling properly.

Take your vitamin C aswell...

good luck guys, you can beat your scars just think outside the box. It is no coicidence that i have beaten so many skin issues. I try things that most haven't thought of or try it in an inovative way till i get the results i want.

Heres my semi comprehensive guide. I may add more to it later on...

Dermarollers and needles
1.5mm derma roller (2mm for advanced rollers and if you want to take a slight increase in risk of infection or other potential side effects) personally I feel the results from a 2mm roller are better and will be better than a 1.5mm roller for most, but I do believe there is a slight increase in risk of side effects, although this is minimal. I prefer the 3 line or 4 line rollers that you can get; they are easier to apply the right pressure for penetration and to get the correct penetration depth across the whole face.
For the more stubborn and deeper scars I recommend the BD Micro-Fine Pen Needle 31 G x 5mm. I used to recommend using stoppers with these, but if you are careful in not penetrating the full 5mm, making sure you use between 3-4mm and not directly in at 90degrees, but at angles so you don’t penetrate to the full depth then you should be fine. Practice this on your arm before hand ( I recommend practicing on the arm for all stages of needling including the topical anesthetic, use of Dermaroller etc.
To clean your rollers firstly dip the roller in 70% isopropyl alcohol for about 10-15 minutes, then dip in Hibicleanse for 5 minutes or so. Using one of the UV-C disinfection devices is also a good idea.

Skin Preparation
EMLA is to be used, under an occlusive dressing for at least 1 hr (Cling film or saran wrap for you Americans). I personally use a small home Dermaroller i.e. 0.2 mm needle length before i apply the EMLA to increase absorption. I think people should try with just the occlusion and EMLA first though, if you can tolerate the pain then don’t bother with the smaller roller before hand, this way less EMLA will be entering the blood stream.
For disinfection I use a combination of 70% isopropyl alcohol, and hibicleanse/hibiscrub.. To pre the skin, again a combination of isopropyl 70% wipes, then cleaning with hibiscrub for several minutes and rinse THOROUGHLY, should be sufficient.
I always keep a tube of Bactroban ointment handy for any potential breakouts or infections. The Hibicleanse can also be used as a cleanser for a few days before and after dermaroller/needling to help prevent breakouts. Don’t use hibiscrub or alcohol in the first few days post dermaroller or needling though.

Oral supplements
The two supplements I recommend are vitamin C, at least 1000mg daily preferably 2000mg for several (split this into several doses throughout the day) months post dermaroller/needling. Another good supplement is red wine/grape seed extract (iherb have a very good red wine extract by doctors best). A multivitamin can’t hurt but for those of you who have taken Accutane I would find a multivitamin WITHOUT vitamin A.

Topicals
Now everyone prefers different topical, people know my preference i.e. terproline. I think it is a very good topical and I will always recommend it till something better comes along. If your skin agrees with retionds you may like these, but I don’t recommend starting these at the same time as needling/Dermaroller until you know how your skin reacts. Don’t use topical Retinoids if you have taken accutane in the past few years, or until you know how your skin responds to topical Retinoids. Topical Vitamin A the same applies.
Topical vitamin C (ascorbic acid) is another good one which I like. You need a good 15 or 20% solution and it needs to be the right PH. Check up on these things.
Copper peptides I have tried and wasn’t a big fan of but they did seem to refine my pores slightly, I haven’t used long term but again some people really like them.
Keep topical simple, don’t use too many of them it will only confuse matters. Don’t start topical in the middle of starting needling or dermaroller.
If you are using a topical to keep your acne under control, then you should probably keep using it. I personally recommend light therapy if you have active acne though as it won’t irritate the skin like some topical can.

Light therapy

Now this is one of the most important stages. I recommend everyone use light therapy, a combination of yellow (590 nm) red (660nm) and infra red (880nm) is best. You can use each separately or a combination of each. Some people believe using each separately is best. I use the 660/990 together and the yellow separately.
For acne you need the blue frequency at or around 405-420nm. The Beauty skin device is very good for acne.
Every day for the first few weeks or every other day at least. You need to reach the correct level of energy (joules per cm squared) we aim to hit about 6 joules. So you need to keep the distance down to about an inch or so from the skin and use them for approximately 5 minutes per are if you are using the LED mans devices.
You need to read up on each of these topic areas, I can’t go into enough detail and there will always be questions or variables which you can generally find the answers to out there, by searching. I love giving advice to people but when the questions are easy to find the answer to and they are repeatedly continuously it get a bit annoying.


Hey guys,

Some of you may remember Bulgarian derm bringing up the point that some people have suffered things such as cardiac arrest from topical anesthetics such as Lidocaine. While these incidents are extremely unlikely, they are a rare possible risk.... I was reading an article earlier and it went along with my consensus that it is the higher concentrations of lidocaine e.g. 10% applied under occlusion that pose the problem.

EMLA does contain 2.5% lidocaine and 2.5% prilocaine. Now because i recommend people use EMLA i want to make a new recommendation for safety. Because we do this at home we don't have the supervision we would have in a hospital, so here is what i recommend we do from now on to minimise the chances even further.

The half life (time for the body to eliminate half of the drug from the body) of lidocaine is aprox 2hrs, prilocane is even shorter. SO as some of you have been doing i recommend you do one section of your face at a time in the same evening, leaving and hour or two in between application of the anesthetics.

E.g. at 5pm apply anesthetic to right cheek, leave under occlusion for an hour then clean and needle/dermaroll. Then at 7pm do the same on the right cheek, then 9pm do the forehead....


This way you will have aprox 1/3-1/2 of the peak plasma concentration you would have if you were to apply it all at once. As you all should know, chances of side effects decrease with a decrease in dose. So i am confident if we all do this we will never have any problems.

I hope you all take the time to read this.

Pretty interesting.....

Check out the article, i am sure if they can do this, acne scars can be corrected perfectly aswell...


http://www.vogue.co.uk/news/daily/080701-p...ve-tattoos.aspx