It is now time to talk about the intravenous Injection of procaine (also known as Novocain) in bizarre clinic sessions. Because of the following reasons, we think the administration of procaine is highly problematical. For more than 100 years, procaine has been used as a local narcotic substance. It belongs to a group of local anesthetics which have been dropped from routine medical use because of the large number of problems and risks associated with them. One of the main risks of procaine is its allergic potential. When the body breaks down procaine, it generates an enzyme called PABA (Paraaminbenzoe-acid) that often causes allergic reactions that can include life threatening states of shock. These allergic incidents can be light skin reactions, severe states of labored breathing, or a cardiovascular collapse which could end in death.
Like all other local anesthetics, Procaine works through a blockade of the sodium canals of a nerve cell. The procaine prevents the sodium from entering the nerve cell. The nerve is basically paralyzed.
Just like the nerve cell, the heart conduction system has also sodium canals that are blocked through procaine, which can cause epileptic attacks and cardiac dysrhythmia or even a fatal cardiac arrest. This is the reason why some local anesthetics are used as a medicine against certain forms of cardiac dysrhythmia. Last year, the German Bundesamt für Arzneisicherheit (Institute for the Security of Medicine) documented 627 unexpected side effects with 37 fatalities after the administration of procaine.
Procaine is only available on prescription for a good reason: The number of side effects and complications resulting from carelessly given procaine, e.g. from alternative practitioners, is very high and underestimated. There is the myth of the "second phenomena" cruising in the naturopathy which bares any evidence science knows today. The welt therapy with procaine is -- as known -- no more effective than with any other, less risky local anesthetic. So even for this therapy procaine shouldn´t be used.
When a doctor gives procaine for therapeutic reasons although there are less risky alternatives, he is liable in some ways because he did not use the alternatives. In nearly all forms, procaine is rated for hypodermic, intramuscular, or neural use, and not for the intravenous one. There are very few diseases were an intravenous Infusion is indicated. But there have to be special precautions such as careful monitoring of heart, circulation and breathing, given by specialist and after a written education.
Since 2005 there is even a law in Germany that alternative practitioners are only allowed to give any local anesthetics intracutaneously (e.g. like wheals). All other dosage forms are forbidden starting the 1st of April 2006. The intravenous dosage use of procaine (with the exception of special diseases and given by specialists) is a grave error in treatment even in the medical profession and in case of damage means huge liabilities for the doctor.
Because of all these reasons, the intravenous injection of procaine -- and every other local anesthetic -- is more worse than foolish during a sadomasochistic clinic session. The health of the guest is put in massive danger and the consequences for the studio are not foreseeable. From the medical point of view, there is no other reason to give a procaine infusion than a solution of sodium chloride.
The drowsiness which is expected by some guests after receiving procaine with a character, the metallic taste on the tongue or the rushing blood in the ears are the first and very serious signs of an intoxication.
(Thank you C. for your great help by writing this article.)