I have a low tolerance for pain. I would like to have sclerotherapy performed on my spider veins. Will I get xanax or vicodin for sclerotherapy?

Answers from doctors (19)


Goodman Vein & Laser Center, LLC

Published on Apr 04, 2015

Well, you can ask for a mild anti-anxiety med like ativan. Vicodin should not be needed. Sclerotherapy is really not that painful and the treating team can use PainEase, which is a spray-on freezing liquid that numbs the skin. Be sure you only receive Sotradecol or Asclera for the sclerotherapy. Both are FDA approved and cause no discomfort. Never accept saline or compounded formulas.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1255_1408044091.jpg
Answered by Goodman Vein & Laser Center, LLC

Well, you can ask for a mild anti-anxiety med like ativan. Vicodin should not be needed. Sclerotherapy is really not that painful and the treating team can use PainEase, which is a spray-on freezing liquid that numbs the skin. Be sure you only receive Sotradecol or Asclera for the sclerotherapy. Both are FDA approved and cause no discomfort. Never accept saline or compounded formulas.

Published on Jul 11, 2012


More About Doctor East Bay Cardio

Published on Mar 26, 2015

I believe that you might be able to take acetaminophen or ibuprofen prior to sclerotherapy. Xanax or vicodin are not usually recommended.

Answered by East Bay Cardio (View Profile)

I believe that you might be able to take acetaminophen or ibuprofen prior to sclerotherapy. Xanax or vicodin are not usually recommended.

Published on Jul 11, 2012


Advanced Vein Center

Published on Mar 26, 2015

I have never had to do that. There is a topical anesthetic cream can be applied that works well but my patients have not needed it for five years and we do sclerotherapy daily. Some offices use a chilling device that blows cold air over the skin.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/464_1408044069.jpg
Answered by Advanced Vein Center

I have never had to do that. There is a topical anesthetic cream can be applied that works well but my patients have not needed it for five years and we do sclerotherapy daily. Some offices use a chilling device that blows cold air over the skin.

Published on Jul 11, 2012


Texas Vein And Cosmetic Specialists

Published on Mar 25, 2015

In my practice, we offer a topical anesthetic. For most people, that's enough. If you're really nervous, I will allow a little valium, as long as you have a driver.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1580_1425681902.jpg
Answered by Texas Vein And Cosmetic Specialists

In my practice, we offer a topical anesthetic. For most people, that's enough. If you're really nervous, I will allow a little valium, as long as you have a driver.

Published on Jul 11, 2012


Elmore Medical Vein & Laser Treatment Center

Published on Mar 25, 2015

Neither will help very much. Most people find sclerotherapy uncomfortable but get through it without difficulty, even with a low pain tolerance.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1618_1411148819.jpg
Answered by Elmore Medical Vein & Laser Treatment Center

Neither will help very much. Most people find sclerotherapy uncomfortable but get through it without difficulty, even with a low pain tolerance.

Published on Jul 11, 2012


Patients having sclerotherapy typically do not get medication. However, pain or anxiety medications may be prescribed to facilitate the procedure.

Answered by Vascular Center and Vein Clinic of Southern Indiana (View Profile)

Patients having sclerotherapy typically do not get medication. However, pain or anxiety medications may be prescribed to facilitate the procedure.

Published on Jul 11, 2012


Cosmetic Vein Centers of Texas

Published on Mar 25, 2015

You won't need any drugs. The needles are very small and the drugs used now do not sting.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/554_1447800116.jpg
Answered by Cosmetic Vein Centers of Texas

You won't need any drugs. The needles are very small and the drugs used now do not sting.

Published on Jul 11, 2012


Vanish Vein and Laser Center

Published on Mar 25, 2015

For that very occasional patient who requires medication before sclerotherapy, I prescribe 1 mg ativan orally. If someone requires more than this, then they really should not be doing sclerotherapy.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1053_1499982262.jpg
Answered by Vanish Vein and Laser Center

For that very occasional patient who requires medication before sclerotherapy, I prescribe 1 mg ativan orally. If someone requires more than this, then they really should not be doing sclerotherapy.

Published on Jul 11, 2012


Center for Venous Disease - Gilbert

Published on Mar 25, 2015

No, it is not painful other than a tiny poke.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1136_1499985911.jpg
Answered by Center for Venous Disease - Gilbert

No, it is not painful other than a tiny poke.

Published on Jul 11, 2012


General Vascular Surgery Group

Published on Mar 25, 2015

Generally not. Ask your provider.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/922_1408044082.jpg
Answered by General Vascular Surgery Group

Generally not. Ask your provider.

Published on Jul 11, 2012


Bella MD Laser Vein and Aesthetic Center

Published on Mar 25, 2015

Generally not, but that may be an option.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/772_1408044077.jpg
Answered by Bella MD Laser Vein and Aesthetic Center

Generally not, but that may be an option.

Published on Jul 11, 2012


The Sheen Vein Institute

Published on Mar 25, 2015

I will admit that sclerotherapy is not the most comfortable procedure to have done. Despite this fact, I rarely prescribe xanax and have never prescribed vicodin. Pain meds like vicodin are great for chronic pain. However, sclerotherapy is acute pain which means that Vicodin will have less of an effect in pain control. Xanax, however may be more appropriate given your fears and tolerance. You would need a driver afterwards though.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1116_1499984661.jpg
Answered by The Sheen Vein Institute

I will admit that sclerotherapy is not the most comfortable procedure to have done. Despite this fact, I rarely prescribe xanax and have never prescribed vicodin. Pain meds like vicodin are great for chronic pain. However, sclerotherapy is acute pain which means that Vicodin will have less of an effect in pain control. Xanax, however may be more appropriate given your fears and tolerance. You would need a driver afterwards though.

Published on Jul 11, 2012


Vein Specialties of St. Louis

Published on Mar 25, 2015

We have treated many people with low pain tolerance and needle phobias. Mostly they are fine with the treatments such as distraction, cold packs, music and squeeze balls. On rare occasions we will recommend a mild sedative but the patient must have a driver. We can use topical numbing but this can also shrink the veins making them more difficult to treat. Actually, it is not very effective, especially in the ankle areas. Find someone with a lot of experience.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/623_1499902138.jpg
Answered by Vein Specialties of St. Louis

We have treated many people with low pain tolerance and needle phobias. Mostly they are fine with the treatments such as distraction, cold packs, music and squeeze balls. On rare occasions we will recommend a mild sedative but the patient must have a driver. We can use topical numbing but this can also shrink the veins making them more difficult to treat. Actually, it is not very effective, especially in the ankle areas. Find someone with a lot of experience.

Published on Jul 11, 2012


The Vein Clinic

Published on Mar 25, 2015

Managing pain would be entirely up to your treating physician.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1244_1408044091.jpg
Answered by The Vein Clinic

Managing pain would be entirely up to your treating physician.

Published on Jul 11, 2012


If you have a low pain threshold, taking a pain killer like vicodin or ibuprofen 2-3 hours before the procedure is a good idea. Xanax helps to reduce the anxiety associated with these procedures. There are several other medicines available with similar efficacy so talk to your doctor about the choice of medicines for your procedure.

Answered by Premier Vein and Vascular Center (View Profile)

If you have a low pain threshold, taking a pain killer like vicodin or ibuprofen 2-3 hours before the procedure is a good idea. Xanax helps to reduce the anxiety associated with these procedures. There are several other medicines available with similar efficacy so talk to your doctor about the choice of medicines for your procedure.

Published on Jul 11, 2012


There is SO little pain associated with the tiny, tiny needles we use for injections, that we would never suggest any sort of pain medication for this. Make sure the operator you are working with is using a 30-gauge needle and you likely won't feel much of anything. Hope this helps.

Answered by Advanced Vein & Vascular Center Inc. (View Profile)

There is SO little pain associated with the tiny, tiny needles we use for injections, that we would never suggest any sort of pain medication for this. Make sure the operator you are working with is using a 30-gauge needle and you likely won't feel much of anything. Hope this helps.

Published on Jul 11, 2012


Destin Vein Center

Published on Mar 25, 2015

Many physicians will write a prescription for "needle phobic" patients, but you have to inform the doctor prior to the day of the appointment. You will need to take the meds about two hours prior to the appointment and have a driver take you to and from the appointment. The needle used is about the size of an eyelash, but nevertheless, some patients just need something to help with their anxiety.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/927_1422310261.jpg
Answered by Destin Vein Center

Many physicians will write a prescription for "needle phobic" patients, but you have to inform the doctor prior to the day of the appointment. You will need to take the meds about two hours prior to the appointment and have a driver take you to and from the appointment. The needle used is about the size of an eyelash, but nevertheless, some patients just need something to help with their anxiety.

Published on Jul 11, 2012


Byrne Road Vein Clinic

Published on Mar 25, 2015

There is very little pain associated with sclerotherapy. The doctor uses the smallest needle I have ever seen. None of our patients have ever required anything for pain during or after sclerotherapy. I would suggest going into the office and talking with someone about your concerns, they should be able to alleviate your fears.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/3065_1427304242.jpg
Answered by Byrne Road Vein Clinic

There is very little pain associated with sclerotherapy. The doctor uses the smallest needle I have ever seen. None of our patients have ever required anything for pain during or after sclerotherapy. I would suggest going into the office and talking with someone about your concerns, they should be able to alleviate your fears.

Published on Jul 11, 2012


Georgia Vascular Institute

Published on Mar 25, 2015

That is up to the physician performing the procedure. Typically we do not give any medications prior to sclerotherapy. At most, we may give some valium.

//imgs-origin.edoctors.com/imageresizer/image/user_uploads/58x58_85-1/doctors/1424_1408044095.jpg
Answered by Georgia Vascular Institute

That is up to the physician performing the procedure. Typically we do not give any medications prior to sclerotherapy. At most, we may give some valium.

Published on Jul 11, 2012


Related Questions for Sclerotherapy

Sclerotherapy -12 answers
I have a lot of green veins on my legs, calves, even my arms and other parts of my body. Are those on my legs reticular veins, or could they be normal veins? They are very obvious. I never had them until my pregnancy last year. I have delivered 1 year ago.
See More
Sclerotherapy -11 answers
How long does it take to see spider veins vanish after Sclerotherapy? Is there any hope the veins will disappear after more time has gone by?
See More
Sclerotherapy -9 answers
Why is it necessary to wear Compression Stockings after Sclerotherapy?
See More
Sclerotherapy -10 answers
I had 6 treatments of sclerotherappy one week apart. Much of the treatments were injecting "feeders". It's been over 2 months since my first treatment and my veins look worse. I have new quite dark veins that have popped up. What happened?
See More
Sclerotherapy -9 answers
Will the length of time be longer then two weeks?
See More
Sclerotherapy -9 answers
It has been 8 weeks since I had spider and 1 surface blue vein injected by vein surgeon. I still have black blue spots and the surface vein looks worse, will this correct itself or do i need more treatments/ new doc??
See More
Sclerotherapy -12 answers
What chemicals are in the saline solution and does it have mercury in it and if not what is in it? what are the side effects if any.
See More
Sclerotherapy -4 answers
I recently just noticed that all of my veins are visible all over my body, including a few in the chest area....is this normal? I'm currently on Accutane too.
See More
Sclerotherapy -11 answers
I had a sclerotherapy treatment, but instead of being prescribed compression stockings, my doctor advised me to use an elastic bandage. Is the bandage just as effective as compression stockings?
See More
Sclerotherapy -6 answers
How soon after sclerotherapy can I play tennis? run? dance?
See More
Get answers from our experienced doctors.
How it works
Sclerotherapy -9 answers
How long after Sclerotherapy can you get in the sun?
See More
Sclerotherapy -11 answers
I just had the sclerotherapy procedure today. I would love to cut off the feet of my compression stockings. I feel like it would be much more comfortable. Would that defeat the purpose?
See More
Sclerotherapy -9 answers
I hade sclerotherapy yesterday, but I can still see a few of the veins that were treated. How long until all the veins disappear?
See More
Sclerotherapy -13 answers
I've heard that occasionally, small lumps of clotted blood can be felt after sclerotherapy. Aren't blood clots quite dangerous?
See More
Sclerotherapy -9 answers
After sclerotherapy, there is a small section that is lumpy and discolored. My treating pysician does not drain these, is there any way to speed up the healing/fading of pigmentation?
See More
Sclerotherapy -10 answers
Will running short distances, say 2-4 miles three times per week, be of detriment to sclerotherapy procedures? What about medium distance hikes of 5-10 miles that include hills?
See More
Sclerotherapy -11 answers
Can you go in a hot tub after sclerotherapy and how long do you have to wear the stocking for?
See More
Sclerotherapy -6 answers
Would I see the results right away after Sclerotherapy treatment? If not, when wil the bruises go away? Is it normal to still see all my treated veins after 10 days?
See More
Sclerotherapy -11 answers
I had sclerotherapy almost 4 weeks ago. My legs now ache and feel heavy as soon as I get up in the morning. I have been wearing support knee highs. How long should this last? Legs didn't feel this way before sclerotherapy.
See More
Sclerotherapy -13 answers
I had a sclerotherapy procedure for spider veins on lateral upper thigh just over two weeks ago at derm dr. Since that time, have noticed an approx. 1" wide area of tons of tiny new vessels just distal to injection sites. How long before this goes away?
See More
Get answers from our experienced doctors.
How it works

Related Articles

Have specific questions?
ASK A DOCTOR