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What is correct amount of heparin in rescue instill?

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  • What is correct amount of heparin in rescue instill?

    Hi,

    What is the correct amount of heparin in the rescue instill? I did my third installation today, but it is my first one with this new doctor. She used a much smaller catheter, so it was much less uncomfortable, but it's almost like I felt no different afterward. However, I wasn't in pain when I went in today. but now that I'm picking up the medication myself from the pharmacy, to use at this new dr appointments, it looks like such a tiny amount, that I'm wondering if the amount is the same as previous dr. I'm not sure how much of each my previous urologist used. All I know is that it was 30 mL total, and she did heparin, sodium bicarbonate and lidocaine. My new Dr. used the same three drugs, but added Kenalog, 40mg per 1ml. And she used heparin sodium injection 40,000 USP units per 4 ml. Not sure how much sodium bicarbonate and lidocaine. Their office provided those two. Wondering if this sounds about right?

    Thanks!

  • #2
    Re: What is correct amount of heparin in rescue instill?

    I can't really answer your question and it's been a long time since I did instillations, but I do recall that the heparin was a small portion of the fluid instilled. I suggest you ask your doctor --- or you could get your records from the previous doctor so you can check this out.

    Donna
    Stay safe


    Elmiron Eye Disease Information Center - https://www.ic-network.com/elmiron-p...mation-center/
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    • #3
      Re: What is correct amount of heparin in rescue instill?

      Thanks, Donna. I called this morning and my previous dr did 5 ml of heparin. I don't think 1ml would make too much of a difference. The only other differences are that I didn't get to lay there for 20 min like I did at previous dr (I had my daughter with me so I had to drive home right away) so it was a half hour home before I could lay down, and my bladder was already kind of full. I laid down on all sides for about another 50 min total. So plus the 30 min in the car is close to an hour and a half dwell time. She told me up to two hours was okay, but many couldn't hold it that long (I couldn't either. I had to pee)

      Also, my period is due tomorrow. Ive noticed more of my symptoms than I usually do after an instill. Wondering if it's more that or if the rescue cocktail got too diluted with urine?

      Thanks in advance for your thoughts.

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      • #4
        Re: What is correct amount of heparin in rescue instill?

        It's not unusual for hormone fluctuations in the menstrual cycle to effect our symptoms --- it could easily be that's what happened.

        Donna
        Stay safe


        Elmiron Eye Disease Information Center - https://www.ic-network.com/elmiron-p...mation-center/
        Elmiron Eye Disease Fact Sheet (Downloadable) - https://www.ic-network.com/wp-conten...nFactSheet.pdf

        Have you checked the ICN Shop?
        Click on ICN Shop at the top of this page. You'll find Bladder Builder and Bladder Rest, both of which we are finding have excellent results.

        Patient Help: http://www.ic-network.com/patientlinks.html

        Sub-types https://www.ic-network.com/five-pote...markably-well/

        Diet list: https://www.ic-network.com/interstitial-cystitis-diet/

        AUA Guidelines: https://www.ic-network.com/aua-guide...tial-cystitis/

        I am not a medical authority nor do I offer medical advice. In all cases, I strongly encourage you to discuss your medical treatment with your personal medical care provider. Only they can, and should, give medical recommendations to you.
        [3MG]

        Anyone who says something is foolproof hasn't met a determined fool

        Comment

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