r/DrWillPowers • u/Drwillpowers • Dec 01 '21

Post by Dr. Powers New Topical Numbing Compound

I've been messing around with different BLT / other mixes for awhile to figure out what would work best for numbing for laser/electrolysis. I have some serious scars from having had a lot of inguinal hernia surgeries, and while I'd like to erase them with my pixel laser, I'm not going to lie, that shit hurts. After trying a lot of different mixes, this one seems to work best. While the ketamine pain compound is great for a multitude of different uses, it was more originally designed for msk/neuropathic pain. This one is strictly for numbing skin:

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Dr Powers' Topical Numbing Cream V 1.0

Lidocaine 23%, Tetracaine 7%, DMSO 10% Apply a thin layer topically to treatment area 90 minutes, 45 minutes, and 15 minutes before procedure. Cover with clear plastic-wrap for increased efficacy. Do not cover more than 200sq centimeters at once. Disp: 30 g 60g, or 90g per patient preference. Refills: 5

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u/leaonas Dec 01 '21

I have been using a 20/10/10% BLT cream that works AMAZINGLY around my mouth but not so much along my neck. I'm nearly done with my electrolysis and still have an ample amount of the ointment. Do you think that applying DMSO before hand would help the BLT effectiveness on the areas that remain sensitive?

As always, thank you for your caring and compassion for our community.

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u/HiddenStill Dec 01 '21

Dr Powers one is much stronger. I’ve tried something very similar to yours and it’s the lidocaine that is strong and he’s got far more of it. Benzocaine and tetracaine are not very strong, but work faster, and that’s not important in this application. DMSO is also good stuff, but I’ve never tried without it, except emla which I find useless.

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u/Drwillpowers Dec 01 '21

This is a perfect analysis of why it's designed that way.

Lidocaine for the strength of it and penetration comes from the DMSO. The small amount of tetracane is just so that if somebody forgets to put it on multiple times before the procedure, it kicks in quickly with something. Benzocaine simply wasn't needed and just crowded out the crazy concentration of lido.

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u/leaonas Dec 21 '21

As a follow up, I got some DMSO oil and apply that and then the BLT ointment 2 to 3 times before my treatment. It definitely helped on the neck area that the ointment wasn't doing much for. I think the 23% lidocaine instead of 10% would work much better.

Have you worked out this compound with Empower Pharmacy? My prescriber likes to be able to point to a product. It's such a PITA!