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Betamethasone for joint injection with a standard syringe, or without catheter. For more on injectable vasoconstrictors you can read some of my other posts on that topic. And Etoricoxib bnf cost for some tips on what can be done to decrease your chances of getting a "stuck" needle, there are some links in that section. Finally, for information about the best way to get clean, comfortable, pain-free vasoconstrictive injections, read that section below too. The first two are injectable (usually called topical) vasoconstrictors, the last is a needle-free vasoconstrictive, sometimes called "penile suppository". The first way is a topical, applied topically. Vasoconstrictives are to the skin. This is usually done with creams and lotions, but they also can be applied via a skin pump, with or without a catheter. They can be applied by a pharmacist, as an outpatient, over a longer period of time, to help prevent pregnancy. In both cases, the topical is applied before insertion. It may or not be as effective at preventing pregnancy a shot injectable is, but it isn't as ineffective injections at a doctor's office in the clinic. It is important that applied properly because it can be difficult for your partner to control the vasectomy if a good application is missed. If you do choose to use a topical, make sure you start out with the lowest dose you can safely apply (so only two or three milligrams are enough, if your doctor prescribes a higher dose to use). Always use a low concentration first for safe and effective use. It is important to cover the area around injection site at the same time. This reduces possibility of a "leak" that could occur. This means don't place it on the same you put in cold packs, so that the skin around site doesn't get numb or irritated. If your doctor uses topical vasoconstrictors for you, then you can use a topical and cold pack at home for the first 10 days. At this time you don't want to use the cold packs until you are more comfortable for several weeks before using the spray. If it still feels numb or painful around your injection site, then you should stop using it. The second and very effective way of preventing pregnancy is injection. This done by putting vasotocin or medroxyprogesterone (a "male factor" form of these steroid vasoconstrictors) into the male reproductive system (not in the blood stream though). These "vasodilators" block the action of estrogen and progesterone by blocking the action of female hormones prostaglandins and other substances that induce uterine contractions. Vasotocin (also known as moxifloxacin) is an old antibiotic that still used as a last resort in certain hospitals now, but it is being abandoned or used less often. If you do choose to use a shot injection of vasoconstrictor for a stuck needle procedure (called "intravesical" vasotocin) you will need to wear a ring for about 10 days afterward to prevent it from making the skin around your piercing or vein scar. There are ring options that you can choose from, but the ring can be uncomfortable or painful if it is too tight with tight-fitting. If one doesn't fit, just use a thin bandage for three months to years thereafter (so about six to eight months, depending on the extent of scar). If you are using a bandage, don't use thicker bandage at least eight weeks after you were last in a hospital, or you could make more likely to get complications. So wear at least a thin bandage for the first few days or as long it takes (this can be more if you're older than 50, or if you had it done at a hospital). You can take warm bath, do your own relaxation, and lie down if you like while wearing the bandage. You can make yourself uncomfortable by doing any or all of the following. Take extra rest and drink water. Get adequate sleep and eat well, but don't drink alcohol on a heavy drinking day. You can also try some of the tips below, if that doesn't help. If you have had it done at a hospital, some doctors will prescribe anti-inflammatory medications such as aspirin or ibuprofen for about two weeks, so that you feel less sore from the procedure. If you've had it done at a hospital, then you won't need the anti-inflammatory. If you are allergic to aspirin and ibuprofen, make sure these medications are no more than 30 minutes apart each, and wait at least a couple of hours between use. You will want to get see as many doctors,.