Bucks County Center for Vein Medicine & Aesthetics

Find Us: Yardley PA


What is Pro-Nox™?

Benefits of Pro-Nox™

  • Self-administered with a demand value for patient control while reducing infection risk.
  • No need for opioids or numbing cream
  • Quick effect and recovery so the patient can drive themselves home
  • It’s Analgesia not Anesthesia!
  •  Visual and audio safety alarms
  • Support from the experienced CAREstream team to keep you, your staff and your patients safe!

We want all our patients to feel comfortable and confident during their procedures. The Pro-Nox™ Aesthetic System uses a 50/50 combination of inhaled oxygen and nitrous oxide to provide fast-acting pain relief. Nitrous, commonly known as laughing gas, is one of the oldest sedatives in medicine. While it is not a replacement for anesthesia, it does complement and enhance the effects of local anesthetics, like lidocaine.

In some cases a patient is given Xanax or Valium for anxiety. Since these drugs take hours to leave the body, the patient would require transportation following their procedure. Pro-Nox™ may be the right choice for patients who:

  • does not or cannot tolerate prescription drugs
  • want to manage their pain and anxiety
  • wish to be alert after the procedure
  • wish to be able to drive themselves home

What is Pro-Nox™ Used For?

We typically use Pro-Nox™ for a number of our procedures, such as in-office surgeries, vein treatments, and laser treatments. It is appropriate for virtually any procedure that patients may find painful. Studies have shown that Pro-Nox™ is an effective and non-addictive option for superior comfort during these procedures. Surgeries usually require some form of topical or injected numbing product, Valium, and/or Vicodin. With Pro-Nox™, the procedure itself becomes much more comfortable for the patient, and the provider does not need to stop to relieve patient discomfort. It sometimes eliminates the need for injection numbing, which may cause more downtime if bruising occurs.

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How Does It Work?

Pro-Nox™ is a natural blend of 50% oxygen and 50% nitrous analgesia, self-administered by the patient through a safe, valve inhalation system that only delivers the medical gases when the patient breathes in. The 50/50 mix has been safely and effectively used around the world in labor and delivery for decades.

During a procedure, the patient holds on to the disposable mouthpiece and hose as he/she breathes the nitrous oxide. The patient is in control of how much or how little of nitrous oxide is needed during the procedure. Since each patient is different and is the best judge of comfort as well as discomfort, the control is put into the hands of the patient.

Is This the Same Laughing Gas at the Dentist?

No. The concentration of nitrous oxide that is generally used for dental and orthodontic procedures is up to 70%, compared to the 50/50 mixture utilized by the Pro-Nox™ System. When patients are given the nitrous mask for an oral health procedure, they have little to no control over the dosage and amount administered, unlike the Pro-Nox™ System which puts patients safely in control of their comfort at all times.

When Does It Take Effect?

The benefits of the split 50/50 mixture of nitrous oxide and oxygen gases, take effect within seconds of inhaling the blend, providing increased comfort and reduced anxiety. These effects last for a few minutes at a time, and can be extended by self-administering more of the mixture as needed. When using Pro-Nox™, a patient breathes into the mouthpiece when needed. After administering, taking normal breaths allows the nitrous oxide to move out of the system quickly.

How Long Does Pro-Nox™ Last?

Effects wear off in 5-10 minutes. There is no trace of the chemical in the body. The short-lasting effects of Pro-Nox™ allow the patient to reap the benefits of an analgesic, while still being able to drive before and after an procedure. With Pro-Nox™, patients now have the ability to respond to pain or discomfort on their own terms, without disrupting the rest of their day.

How Much Does Pro-Nox™ Cost?

Pro-Nox™, which is not covered by insurance, normally costs $50. Procedures lasting over an hour can cost $100 to account for the extra gasesIf you are apprehensive about ANY procedures at Bucks County Center for Vein Medicine, ask us for the Pro-Nox™!

Are There Any Contraindications?

Some possible short-term side effects of nitrous oxide are dizziness, nausea, light-headedness, and unsteadiness. Anemia and/or a vitamin B12 deficiency is a major contraindication of Pro-Nox™. Someone who suffers from extreme chronic fatigue, a typical symptom of anemia and B12 deficiency, should not use Pro-Nox™. Pro-Nox™ is contraindicated for patients, providers and assistants in the first trimester of pregnancy. Other relative contraindications include nasal obstruction, chronic obstructive pulmonary disease, active cystic fibrosis, recent tympanic membrane surgery, claustrophobia, intoxication, and others.

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