Cathejell

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Medically reviewed

Marina Burgos

Last updated on 10/01/2026

This page provides general, reference-level information compiled from official medical sources. It is not a substitute for professional medical advice, diagnosis, or treatment. For decisions about your health, please consult a qualified healthcare professional.

Overview of Cathejell

Property Description
Active ingredient Lidocaine Hydrochloride, Chlorhexidine Gluconate
Form Sterile, viscous instillation gel
Pharmacological class Local Anesthetic and Antiseptic Combination Preparation
Common use Procedural support and lubrication
Origin Synthetic

What Type of Medicine is Cathejell? (Definition and Classification)

Cathejell is a combined pharmacological preparation, officially classified as a Local Anesthetic and Antiseptic Combination Preparation, a category dedicated to specialized topical use. This medication is a fixed-dose combination that incorporates two distinct, synthetic active ingredients in a sterile gel base. The preparation provides comprehensive procedural support during invasive examinations through its antiseptic and anesthetic properties. Unlike simpler, single-component lubricants, Cathejell's formulation offers comprehensive support.

Composition: The Dual Role of Lidocaine and Chlorhexidine

The preparation is contained within a sterile, water-soluble, highly viscous gel base, and its function is defined by its two active ingredients: Lidocaine Hydrochloride and Chlorhexidine Gluconate. Lidocaine Hydrochloride is the component that performs topical anesthesia, which functions by blocking nerve signals and relieving surface discomfort. The second component is Chlorhexidine Gluconate, a well-established antiseptic compound recognized for its immediate bactericidal and bacteriostatic effect. This combined composition is crucial for delivering simultaneous pain relief and preventive cleansing.

What is the General Purpose of the Instillation Gel?

The general purpose of Cathejell is to ensure procedural efficiency and significantly enhance patient comfort during clinical interventions requiring instrumental access, such as urological catheterization or endoscopy. By combining topical anesthesia and an antiseptic effect, the product performs a dual role: it provides immediate pain relief while simultaneously reducing the risk associated with introducing foreign bodies into sterile pathways. This specific application in lubrication, pain mitigation, and preventive cleansing makes it a specialized tool in urology and other fields requiring mucosal intervention.

What side effects are possible with Cathejell?

Possible Side Effects and Safety Information

The safety profile for Cathejell is officially documented and primarily addresses the potential for systemic adverse reactions related to the absorption of its local anesthetic component, Lidocaine. When used strictly according to prescribed precautions, serious systemic effects are generally rare.

Adverse reactions are classified by the System-Organ-Class (SOC) method, recognizing effects on the Central Nervous System, Cardiovascular System, and Immune System.


Official Adverse Reaction Classifications

Side effects are categorized based on their official regulatory frequency classification:

  • Local Reactions: Temporary stinging or irritation at the application site.
  • Signs of Systemic Absorption (Rare): Early signs of systemic toxicity may include nervousness, lightheadedness, dizziness, and tingling of the tongue. These initial CNS symptoms typically precede more severe cardiovascular events.
  • Allergic Reactions (Rare): Hypersensitivity reactions to either Lidocaine or Chlorhexidine, including the potential for anaphylactic shock in extremely rare cases, are documented in regulatory labeling.

Serious Safety Considerations

Serious adverse reactions, which occur when high plasma levels of Lidocaine are reached (e.g., due to excessive use or compromised mucosa), include pronounced effects on the major systems. These include convulsions, respiratory arrest, severe hypotension, and potentially cardiac arrest or cardiovascular collapse. Methemoglobinemia is also listed as a rare, serious condition associated with local anesthetic use.

Population-Specific Constraints

Official labeling mandates specific caution for particular patient groups. The systemic risk is recognized as higher in infants (especially under two years old), older adults, and individuals with existing severe hepatic, renal, or cardiac dysfunction. The label also advises careful benefit-risk consideration during pregnancy and lactation.

Overdose and Emergency Response

The official regulatory profile for Cathejell overdose is based on the risks associated with excessive systemic absorption of the active ingredients, primarily Lidocaine, which can lead to Local Anesthetic Systemic Toxicity.

Documented Overdose Manifestations

Documented initial manifestations of overdose include nervousness, lightheadedness, shivering, muscle twitches, and auditory or visual disturbances. These may escalate to serious adverse effects, including generalized seizures (convulsions), severe cardiovascular depression, and respiratory or cardiac arrest. Additionally, the Chlorhexidine component carries the distinct, documented risk of acute, life-threatening anaphylaxis and systemic hypersensitivity reactions.

Required Emergency Actions

Regulators state that if any signs of overdose or systemic reaction are noticed, the patient must immediately seek medical attention or contact a poison control center. The label-specified management focuses on ensuring adequate ventilation with oxygen and the rapid intravenous control of convulsions in accordance with official guidelines.

Population-Specific Risk Factors

Overdose risk is heightened in patients who are elderly, debilitated, or acutely ill, and those with impaired hepatic, renal, or cardiovascular function, requiring special dose consideration and careful monitoring in these groups. Excessive dosage, short intervals between doses, or application to compromised tissue, such as traumatized mucosa, are specific factors documented as increasing the risk of systemic toxicity.

Therapeutic Uses of Cathejell

What Cathejell Treats: Main Uses and Benefits

Cathejell Instillation Gel provides therapeutic benefits centered on managing symptoms related to physical discomfort and offering preparatory antiseptic support across specific clinical procedures. Its primary role is consistent with established therapeutic uses for this category of product and contributes to easing the overall symptom load and supports patient comfort during necessary medical interventions.

Therapeutic Contexts and Symptom Relief

The preparation is commonly used across conditions characterized by periods of heightened symptoms where instrumental access to mucosal pathways is required. This generally includes urological interventions such as urethral catheterization, cystoscopy, and endourethral operations, as well as endoscopic procedures like gastroscopy and proctoscopy.

Its application in these contexts is designed to address the immediate, intense, localized pain associated with the mechanical insertion of medical instruments. It also supports symptomatic relief for the pronounced pain component associated with localized, non-systemic inflammatory conditions of the lower urinary tract, such as episodes of urethritis or cystitis. The key therapeutic benefit is providing surface anesthesia and optimal lubrication, which may help patients cope more steadily with symptom fluctuations.

“The use of the instillation is relevant for offering symptomatic support that helps ease the overall symptom burden associated with instrumental intervention.”


Quick Fact: Relief for Acute Procedural Discomfort and Mucosal Pain

Regulatory References

  1. Health Products Regulatory Authority Summary

Eligibility and Restrictions for Use

Eligibility Map: Who can and cannot use Cathejell — official regulatory information

The eligibility for Cathejell Instillation Gel is strictly defined by government regulatory documents, focusing on potential risk from systemic absorption of the active ingredient, Lidocaine.


Eligibility Scope

Classification Population Eligibility Rules
Populations for whom use is allowed Adults undergoing procedures like urethral catheterization or cystoscopy, provided no contraindications exist.
Populations for whom use is contraindicated Patients with known hypersensitivity to Lidocaine or amide-type local anesthetics.
Individuals with severe heart failure, pronounced bradycardia, or certain AV blocks are prohibited.
The medicine is contraindicated in infants under 2 years of age.
Age-related eligibility rules Children and adolescents require conditional use and lower doses. Older adults (ge 65 years) also require cautious use and potential dose reduction.
Condition-specific eligibility rules Use requires caution in patients with severe hepatic impairment or severely impaired renal function due to reduced drug metabolism. Caution is also needed in patients with epilepsy or sepsis/traumatized mucosa.
Pregnancy and lactation eligibility Use during pregnancy is generally not recommended; repeated use is discouraged. During lactation, use is conditional, and an official 12-hour interval between use and subsequent breastfeeding is advised.

Connection to the Overall Eligibility Profile

Regulatory documents establish absolute contraindications for populations with severe underlying heart conditions and all infants under two years of age. For other vulnerable populations, such as those with organ impairment or in older age groups, the labeling imposes a conditional or restricted use status. This structure ensures eligibility is granted only when the risk of potential systemic lidocaine toxicity is appropriately managed and does not exceed regulatory boundaries.

What should I know about interactions with other medicines?

Cathejell Interactions with other medicines and products

The official interaction profile for Cathejell (Lidocaine Hydrochloride/Chlorhexidine Gluconate) is structured around the potential for the Lidocaine component to undergo systemic absorption and interact, as detailed in government regulatory documentation.


Pharmacokinetic and Pharmacodynamic Interactions

Co-administration of Cathejell with certain medicinal products is subject to formal constraints based on documented interaction patterns.

Interaction Type Interacting Medicines and Outcomes
Pharmacokinetic Medicines that reduce Lidocaine clearance (e.g., Cimetidine, Fluvoxamine) may lead to potentially elevated plasma concentrations. Beta-Blockers also may increase the serum concentration of Lidocaine.
Pharmacodynamic Antiarrhythmic Agents (e.g., Amiodarone) may display additive arrhythmogenic effects. Effects with other local anesthetics are also formally documented as additive.

Interaction-Related Restrictions and Specific Notes

Co-administration with strong metabolic inhibitors, including specifically named systemic agents like Fusidic Acid, Conivaptan, and Idelalisib, is classified as a prohibited combination by regulatory authorities. This restriction is based on the severe risk of reduced metabolism and subsequent increase in systemic Lidocaine exposure. Agents associated with methemoglobinemia (e.g., Nitroglycerin) are also noted to increase this documented risk when co-administered. Furthermore, patients with Hepatic Disease are at a formally recognized greater risk of developing toxic blood concentrations due to impaired metabolic capacity. No explicit timing separation rules are documented in the labeling.

Mechanism of Action

Mechanism of Neural Impulse Blockade

The action is governed by two independent pharmacological mechanisms. The Lidocaine component directly engages Voltage-Gated Sodium Channels ( Na v) on peripheral nerve membranes. By acting as a channel blocker, the molecule inhibits the necessary influx of Na^+ ions required for electrical signaling, thus stabilizing the nerve cell membrane. This action fundamentally suppresses the Nociceptive Signal Transduction Pathway and modulates the local sensory response, resulting in the physiological consequence of a localized sensory blockade.

Mechanism of Microbial Cell Destruction

The second mechanism involves the Chlorhexidine component, a cationic agent that targets the negatively charged phospholipid structures of microbial cell membranes. The electrostatic interaction leads to the physical destabilization and leakage of essential cellular contents, culminating in the coagulation of internal proteins. This cascade results in a cytotoxic effect, influencing the reduction of microbial viability at the surface.

The Complementary Dual-Action Mechanism

This preparation utilizes a dual-action mechanism where channel blockade and membrane destruction operate simultaneously. These distinct, non-interacting mechanistic domains work in concert to achieve a coordinated physiological action profile.

Dosage and Administration Information

The use of Cathejell (lidocaine hydrochloride) gel is typically performed by a healthcare professional or as directed by a physician for self-administration, especially prior to procedures like catheterization, cystoscopy, or other endourethral operations.

Preparation and Instillation

  1. Preparation: Clean and disinfect the external opening of the urethra. The Cathejell accordion syringe is designed for single-handed, single-use application. To prepare, peel off the paper cover of the sterile blister pack and snap off the protective tip, ensuring it is completely removed to prevent accidental insertion.
  2. Lubrication: Gently apply slight pressure to the syringe to express a single drop of gel, which is used to coat the application nozzle for easier, smoother insertion into the urethral meatus.
  3. Administration: Slowly instil the contents of the accordion syringe into the urethra by applying a steady, gentle pressure. It is important to continue to apply pressure while removing the empty syringe to avoid any suction or back-flow of the gel.

Dosage and Effect

The dosage is individually determined by a physician based on the area of application and the patient’s condition. For urethral procedures, the contents of one pre-filled syringe (approximately 10 grams) are often sufficient, and patients should be instructed not to exceed the prescribed dose or to instil more than one syringe unless explicitly directed by a doctor. The local anesthetic effect of the lidocaine generally begins within 3 to 5 minutes after application and lasts approximately 20 to 30 minutes.

Recent Clinical Evidence

Cathejell: Recent Clinical Evidence

Clinical evidence regarding Cathejell (containing lidocaine and, in some formulations, chlorhexidine) primarily focuses on its use as a sterile lubricant and surface anesthetic for urological and endoscopic procedures, such as catheterization and cystoscopy.


Pain Management During Procedures

Randomized, controlled trials have investigated the use of lidocaine-containing gels compared to plain lubricating gels for minimizing pain during urethral procedures in both male and female patients. The evidence suggests that lidocaine gel is associated with reduced pain scores compared to plain lubricant when used for urethral catheterization in certain patient groups.

  • Onset of Action: Studies report that the local anesthetic effect of lidocaine begins within 3 to 5 minutes, with the maximum numbing effect typically achieved within 5 to 10 minutes following instillation.
  • Duration: The anesthetic effect generally continues for approximately 20 to 30 minutes.

Comparative Studies and Limitations

Comparative research evaluating different lidocaine gel formulations has shown mixed results, with some studies finding no statistically significant difference in pain relief scores between two different brands of 2% lidocaine gel during cystoscopy. Furthermore, a systematic review noted heterogeneity (variability) in clinical findings, which may be due to differences in:

Variable Description
Application Method Differences in the technique or volume of gel instilled.
Waiting Time The interval between gel instillation and the start of the procedure.
Patient Population Differences in age, sex, and underlying medical conditions.

It is important to note that studies comparing lidocaine-containing gels to non-anesthetic plain lubricants are common, but head-to-head trials comparing different lidocaine-containing products may show variable or similar outcomes depending on the specific procedural context and patient group examined.

Frequently Asked Questions (FAQ)

Common questions about Cathejell (FAQ)

Q: Does Cathejell have an expiry date?

A: Yes, regulatory documents confirm that the product is assigned an expiry date. This date is printed on the package and should be noted.

Q: Is Cathejell refrigerated or stored at room temperature?

A: Official instructions require the gel to be stored at a temperature below 25 C (77°F). The product is indicated to be kept protected from light in its original carton.

Q: Is it possible for the gel to cause a local infection?

A: The official product classification describes Cathejell as an Antiseptic Combination Preparation. This means it contains an active ingredient (chlorhexidine) that provides a bactericidal and bacteriostatic effect, which is used to provide antiseptic support during procedures.

Q: Is Cathejell the same as other lubricating gels?

A: No, Cathejell is officially classified as a Local Anesthetic and Antiseptic Combination Preparation. This designation distinguishes it from simpler lubricating gels that contain only a single, non-medicated component.

Q: What is the difference between Cathejell and plain surgical lubricant?

A: According to official descriptions, the main difference is the active ingredients. Cathejell contains Lidocaine Hydrochloride (a local anesthetic) and Chlorhexidine Gluconate (an antiseptic), in addition to the sterile gel base found in plain lubricants.

Q: Can Cathejell be used by women?

A: Regulatory information indicates that the gel is approved for use in procedures involving the urethra for both male and female patients. The product is also used in other applications such as certain gynaecological procedures.

Q: Are there different strengths or types of Cathejell available?

A: Yes, regulatory documents describe different formulations. These include the dual combination containing Lidocaine and Chlorhexidine, as well as formulations that contain a lubricant and antiseptic only.

Q: Can Cathejell be used if a person has certain known allergies?

A: Official labeling states that the gel is officially contraindicated (should not be used) for individuals with a known hypersensitivity or allergy. This includes allergies to the active components (Lidocaine, Chlorhexidine) or any of the other inactive ingredients in the preparation.

Q: What is the official classification of Cathejell (e.g., medical device vs. drug)?

A: The specific formulation containing both lidocaine and chlorhexidine is classified by regulatory bodies as a Medicinal Product, which is an Anesthetic and Antiseptic Combination Preparation. This classification distinguishes it from a simple medical device.

Q: Can Cathejell be used in combination with other topical medicines?

A: Official documentation includes a note of caution when the gel is used on wounded, inflamed, or traumatized skin. Damage to the mucosa (the wet lining) can lead to increased systemic absorption of the active ingredients, which is the primary safety concern.

Q: What are the inactive ingredients in Cathejell?

A: Regulatory product information lists several inactive ingredients. These typically include substances like glycerol, hydroxyethylcellulose, hydrochloric acid, sodium hydroxide, and water for injection.

Q: Why do some people feel a brief stinging sensation when Cathejell is applied?

A: Official safety information lists temporary stinging or irritation at the application site as one of the documented local reactions. This is a potential side effect that may be experienced by some patients.

Q: Does Cathejell have any effect on fertility or pregnancy risk?

A: Official labeling focuses on use during pregnancy, stating that it is generally not recommended. A careful assessment of potential benefit versus risk is advised by a physician during both pregnancy and lactation.

Q: Does Cathejell interact with alcohol or affect driving ability?

A: Regulatory documents note that signs of systemic toxicity, which are sometimes reported when high plasma levels are reached, include effects on the Central Nervous System (CNS) such as lightheadedness, dizziness, and nervousness.

Q: What does Cathejell feel like when it's applied?

A: The official safety profile notes that some patients may experience local reactions. These can include a temporary stinging sensation or a sense of heat at the site of application.

Q: How should Cathejell be handled to keep it sterile?

A: Official instructions emphasize that the single-use syringe is sterile-packed. They provide specific steps for one-handed preparation and application, which are consistent with the product's design for single-use sterility.

Q: Why is Cathejell sometimes called 'lidocaine gel'?

A: The preparation is often referred to by the name of its primary active ingredient, Lidocaine Hydrochloride. This component is the one responsible for providing the topical anesthetic (numbing) effect.

Q: Is it considered safe to use Cathejell if a person has a kidney issue?

A: Official documents state that cautious use and potential dose reduction is required for individuals with existing severe impairment of renal (kidney) or hepatic (liver) function. This is due to the body's reduced ability to process the active ingredients.

Q: Can Cathejell cause an allergic reaction?

A: Official safety documents confirm that allergic reactions and hypersensitivity to the active ingredients or excipients are documented potential adverse effects. These types of severe reactions are reported to be rare.

Q: What is the purpose of the lubricant part of Cathejell?

A: The sterile, viscous gel base is the lubricant component. Its purpose is to assist with the smooth insertion of medical instruments and to enhance patient comfort during necessary procedures.

Q: Is the onset of action different for different procedures?

A: Regulatory information states that the local anesthetic effect generally begins within 3 to 5 minutes after application. The product's regulatory dosage is often varied based on the specific area of application.

Q: Why do some people report feeling dizzy after use?

A: Official safety documents link the symptom of dizziness to the potential for systemic absorption of the Lidocaine component. Dizziness is categorized as an early sign of possible systemic toxicity if the drug enters the bloodstream in higher-than-expected concentrations.

Q: Are there documented cases of overdose with Cathejell?

A: Official safety information discusses the potential for systemic toxicity and severe adverse reactions. This risk arises if high plasma levels of Lidocaine are reached, which can occur from use exceeding the prescribed dose.

Q: Can Cathejell cause irritation if used on broken skin?

A: Official warnings advise caution if the gel is used on damaged or traumatized mucosal tissue. This caution is advised because damaged tissue can increase the rate of systemic absorption of the active ingredients.

Q: Are there alternatives to Cathejell that my doctor might use?

A: Clinical evidence themes acknowledge that comparative studies have examined this gel against other lidocaine-containing gel formulations used for similar procedures. This implies the existence of products in the same therapeutic class.

Q: Does Cathejell contain any preservatives?

A: Certain regulatory documents state that the gel formulation is preservative-free. The product information also confirms that it is free of parabens.

Q: What happens if I accidentally get Cathejell in my eye?

A: Official directions for use state that contact with the eyes should be avoided during the preparation and instillation process.

Q: Why is the research evidence for Cathejell usually focused on specific procedures?

A: The research evidence primarily reflects the drug's approved indications. The studies focus on its authorized uses as a sterile lubricant and surface anesthetic for procedures such as urological and endoscopic interventions.

How should Cathejell be stored and disposed of?

Storage and Disposal Instructions for Cathejell

Official labeling requires that Cathejell Instillation Gel be stored at a temperature below 25°C and protected from environmental exposure. The product must be kept in the original package (blister in carton) to shield the contents from light and maintain stability.

Required Conditions

Requirement Official Instruction
Temperature Store below 25 C
Protection Store in original package to protect from light
Child Safety Keep out of the sight and reach of children

Cathejell syringes are strictly for single use only. Any unused gel residue must be discarded immediately after use. Unused or expired medication must not be disposed of via waste water or household waste, but should be returned to a pharmacist or handled as pharmaceutical waste by healthcare professionals.

Attention! Always consult to a doctor or pharmacist before using pills or medicines.

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