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Pre-Treatment Preparation
Pre-treatment visit
Congenital heart disease, severe heart failure, recent heart infarction or instable a
ngina pectoris, congestive heart disease and restrictive pulmonary disease
Mitral and aortic valve stenosis
Decompensated arterial high blood pressure.
Acute thrombosis, recent phlebitis or pulmonary embolism
Severe cerebrovascular disease, recent cerebrovascular accident
Patients with chronic obstructive lung disease, CO2 retention, sleep apnea and cor
pulmonale
Renal failure, dialysis
Epilepsy
Acute skin bacterial or viral infection / local inflammation
Gangrene
Uncontrolled Diabetes Mellitus
Patients with immunosuppression or immunosuppressant drugs
Taking Anticoagulation medication
Pregnant Women and lactation: precautionary principle
Severe anaemia, bleeding diseases (Willebrand's disorder, haemophilia)
Chemotherapy and active malignancies Use of acetazolamide (Edemox) & diclofenamide
(Glauconide).
Skin Preparation for Treatment
• Topical anesthetics may be used prior to LHR per manufacturers’ directions. HOWEVER,
the topical anesthetics should be removed from the skin prior to treatment.
• Skin must be clean and dry; remove all lotions, perfumes, make-up, deodorant, self-
tanners etc. These products may contain flammable ingredients which may induce
epidermal damage.
Photographs may also be taken, as a “before and after” comparison at a later date.
Carboxytherapy Treatment Considerations
During the treatment the sensation can be likened to a dull throb or pressure .This mild
discomfort lasts 2 to 4 minutes.
After a treatment the gas is totally reabsorbed within 5 minutes and the treated area will raise,
turn slightly red as oxygen perfuses into the area which undergoes an inflammatory response
which stimulates collagen production.
Post-Treatment Care
The area should not be immersed in water for about 4 hours.
Bathing or swimming should be avoided in the first few hours after carboxytherapy treatment.
Bruises: 30% of the patients are reporting bruises. This is a normal side effect of mesotherapy.
They usually disappear in 4 to 5 days.
Erythema: may also occur and will stay for a few days also. Carboxytherapy leads to
vasodilation, therefore erythema.
Crackles sensations: these sensations are common in carboxytherapy. They normally stay no
more than a few hours.
Sensations of heavy legs: are often reported. They are due to vasodilation. They do not stay
over a couple of hours.