With the commercial availability of a cream (EMLA(R)) containing a eut
ectic mixture of local anaesthetics, 2.5% (w/w) lidocaine and 2.5% (w/
w) prilocaine, effective topical anaesthesia of the intact skin is pos
sible without the need for subcutaneous injections or exposure to high
concentrations of local anaesthetics. In our hospital a topical anaes
thetic product was designed for the same purpose, The home-made produc
e contains a eutectic mixture of a local anaesthetic (5% w/w) and l-me
nthol (1% w/w). Prilocaine was used as the local anaesthetic because i
t is known for its safety and its well investigated analgesic effects.
The eutectic mixture of prilocaine and I-menthol was mixed with a car
bopol hydrogel (1% w/w). Preliminary testing of this anaesthetic hydro
gel in our hospital has yielded satisfactory results, The anaesthetic
hydrogel was found to be stable after at least 3 months' storage at am
bient temperature.