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Carboxytherapy Treatment Guidelines

Pre-Treatment Preparation

Pre-treatment visit

 Consult with the physician to assess whether suitable for treatment.

 Consult with doctor if currently taking medications.

Contraindications and Precautions

 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
 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
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.

Possible Side Effects

 Pain: The pain is rather slow to occur, giving the time for the operator to change the point of

 Bruises: 30% of the patients are reporting bruises. This is a normal side effect of mesotherapy.
They usually disappear in 4 to 5 days.

 Oedema: oedema is frequent in Carboxytherapy.

It is a normal reaction of the skin which has been hurt. It normally disappears in a couple
of 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.