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OVERVIEW Compounded Topical Anesthetics in Orthodontics NEAL D. GRAVITY, DMD, MS JOHN W. GRAHAM, DDS, MD JONATHAN L. NICOSIA, DMD, MS JAY GILL, Pharma×Editors Note: In this regular column, JO provides
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How to fill out compounded topical anesthetics:

01
Gather all the necessary supplies, including the compounded topical anesthetics, gloves, applicator or brush, and any additional materials instructed by the healthcare professional or pharmacist.
02
Ensure proper hygiene by washing your hands thoroughly with soap and water. It is essential to maintain a clean and sterile environment during the application process.
03
If the compounded topical anesthetic comes in a multi-dose container, make sure to shake it well before use to ensure proper mixing of the ingredients.
04
Put on a pair of gloves to protect both the applicant and the patient from potential infections or reactions.
05
Using a sterile applicator or brush, dip it into the compounded topical anesthetic solution, ensuring that an adequate amount is present on the applicator for the desired area.
06
Gently apply the compounded topical anesthetic to the designated area, following the specific instructions given by the healthcare professional or pharmacist. It is crucial to apply the anesthetic evenly and avoid excessive amounts to prevent adverse reactions.
07
After application, ensure that the skin is properly covered with the compounded topical anesthetic. If necessary, apply an occlusive dressing or cover the area with plastic wrap to enhance absorption.
08
Follow the recommended application time specified by the healthcare professional or pharmacist. It may vary depending on the type and strength of the compounded topical anesthetic used.
09
Once the recommended time has passed, carefully remove any occlusive dressing or plastic wrap if applied.
10
Dispose of any used materials properly, adhering to local guidelines and regulations for medical waste disposal.

Who needs compounded topical anesthetics:

01
Individuals undergoing minor surgical procedures: Compounded topical anesthetics can be beneficial for patients undergoing minor surgical procedures, such as biopsies, sutures, or mole removals, to provide localized pain relief during the procedure.
02
Patients with sensitive skin: Some individuals may have sensitive skin that may react to standard commercial anesthetics. Compounded topical anesthetics can be customized to suit the patient's specific needs and minimize the risk of adverse reactions.
03
Medical professionals and practitioners: Compounded topical anesthetics are often utilized by healthcare professionals, such as dentists, dermatologists, and plastic surgeons, to numb specific areas before performing procedures involving injections, incisions, or skin treatments.
04
Individuals with chronic pain or conditions: Compounded topical anesthetics can be used as part of a pain management plan for individuals with chronic pain conditions, such as arthritis, neuropathy, or post-operative pain, to provide temporary relief to the affected area.
05
Patients with severe needle phobia: For individuals with severe needle phobia, compounded topical anesthetics can be used to numb the skin before injections or blood draws, reducing anxiety and discomfort associated with needle-related procedures.
Remember, it is essential to consult with a healthcare professional or pharmacist for personalized instructions and recommendations regarding the use of compounded topical anesthetics.
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Compounded topical anesthetics are customized pain-relieving medications that are created by combining various ingredients in specific doses to meet the needs of individual patients.
Healthcare professionals, such as physicians and pharmacists, who compound these medications for their patients are required to file compounded topical anesthetics.
Compounded topical anesthetics should be filled out accurately with the necessary information, including the specific ingredients used, dosage strength, patient information, and prescribing physician details.
The purpose of compounded topical anesthetics is to provide personalized pain relief for patients who may not respond well to commercially available medications.
Information such as the ingredients used, dosages, patient details, and prescribing physician information must be reported on compounded topical anesthetics.
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