Complete Guide to EMLA Cream in Singapore

What is EMLA Cream?

EMLA (Eutectic Mixture of Local Anesthetics) cream is a prescription topical anesthetic containing 2.5% lidocaine and 2.5% prilocaine. In Singapore, EMLA cream is widely used in medical and aesthetic clinics for providing local anesthesia before minor procedures.

The unique eutectic formulation allows EMLA cream to penetrate intact skin more effectively than single-agent topical anesthetics, making it the preferred choice for healthcare providers across Singapore.

How EMLA Cream Works

EMLA cream works by blocking nerve signals in your skin. The combination of lidocaine and prilocaine creates a eutectic mixture that has a lower melting point than either component alone, allowing better skin penetration.

Mechanism of Action:

1. Applied to intact skin surface
2. Penetrates through the stratum corneum
3. Blocks sodium channels in nerve endings
4. Prevents pain signal transmission
5. Creates localized numbness for 2-3 hours

Detailed Usage Instructions for Singapore Patients

Step-by-Step Application Guide:

1. Clean the area: Wash with soap and water, pat dry completely
2. Apply thick layer: Use approximately 2g per 10cm² area
3. Do not rub in: Leave as a thick layer on the skin
4. Cover with occlusive dressing: Use plastic wrap or Tegaderm
5. Wait appropriate time:
   • Minor procedures: 60 minutes
   • Deeper procedures: 120 minutes
   • Genital skin: 15-20 minutes only
6. Remove and clean: Wipe away cream before procedure

Singapore-Specific Information

Regulatory Status in Singapore:

EMLA cream is classified as a Prescription-Only Medicine (POM) by the Health Sciences Authority (HSA) of Singapore. This means:

• Requires prescription from registered doctor
• Can be dispensed by licensed pharmacies
• Medical clinics can stock for professional use
• Import requires proper licensing

Common Uses in Singapore Clinics:

• Aesthetic Clinics: Botox, fillers, laser treatments, threadlifts
• Medical Centers: Blood draws, IV insertion, biopsies
• Pediatric Clinics: Vaccinations, blood tests for children
• Dermatology: Mole removal, skin tag removal, cryotherapy

Side Effects and Precautions

Common Side Effects (1-10% of users):

• Temporary paleness at application site
• Temporary redness after removal
• Mild swelling
• Initial burning or itching sensation

Rare but Serious Side Effects:

• Methemoglobinemia (especially in infants)
• Allergic reactions
• Systemic toxicity (with excessive use)

Where to Buy EMLA Cream in Singapore

Authorized Sources:

1. Hospital Pharmacies: With valid prescription
2. Licensed Retail Pharmacies: Guardian, Watsons (prescription required)
3. Medical Suppliers: Martha Trade Pte Ltd (for clinics/bulk orders)
4. Online Pharmacies: Must be HSA-licensed

Price Guide in Singapore (2024):

Contact Martha Trade: WhatsApp +65 9176 1341 for bulk orders and clinic supplies.

Alternatives to EMLA Cream Available in Singapore

Other Topical Anesthetics:

• Ametop Gel (4% Tetracaine): Faster onset but shorter duration
• LMX4 (4% Lidocaine): Available OTC in some countries, not Singapore
• Maxilene (4% or 5% Lidocaine): Single agent alternative
• J-Caine Cream: Contains lidocaine, available in some clinics

Non-Pharmacological Alternatives:

• Ice packs or cooling devices
• Vibration anesthesia devices
• Distraction techniques
• Pressure anesthesia

Frequently Asked Questions

Can I buy EMLA cream over the counter in Singapore?

No, EMLA cream requires a prescription in Singapore. You need to consult a doctor to obtain a prescription before purchasing from a pharmacy.

How long before my procedure should I apply EMLA cream?

Apply EMLA cream 45-60 minutes before minor procedures on normal skin. For thicker skin areas, apply 90-120 minutes before.

Is EMLA cream safe for children in Singapore?

Yes, but with restrictions. Use reduced doses based on weight and age. Not recommended for infants under 3 months. Always follow pediatrician's instructions.

Can I use EMLA cream for tattoo sessions in Singapore?

Yes, many tattoo studios in Singapore recommend EMLA cream. Apply 60-90 minutes before your session. Some studios may provide it or recommend where to purchase.