Lidocaine/ benzalkonium cream

Generic Name: lidocaine/benzalkonium (LYE-doe-kane/BEN-zal-KOE-nee-um)
Brand Name: Examples include A + D Cracked Skin Relief and Dr. Scholl's Cracked Heel Relief

Lidocaine/ benzalkonium cream is used for:

Relieving pain and itching caused by minor cuts, scrapes, and burns. It may also be used as first aid treatment to help prevent skin infection.

Lidocaine/benzalkonium cream is an antiseptic and anesthetic combination. It works by cleansing the wound. It also stops nerves from transmitting painful impulses to the brain.

Do NOT use lidocaine/ benzalkonium cream if:

  • you are allergic to any ingredient in lidocaine/benzalkonium cream or to similar medicines (eg, amide-type local anesthetics)
  • you have signs of infection (eg, oozing, warmth, pain) or tissue damage in the affected area

Contact your doctor or health care provider right away if any of these apply to you.

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Before using lidocaine/ benzalkonium cream:

Some medical conditions may interact with lidocaine/benzalkonium cream. Tell your doctor or pharmacist if you have any medical conditions, especially if any of the following apply to you:

  • if you are pregnant, planning to become pregnant, or are breast-feeding
  • if you are taking any prescription or nonprescription medicine, herbal preparation, or dietary supplement
  • if you have allergies to medicines, foods, or other substances
  • if you have had a severe allergic reaction (eg, severe rash, hives, difficulty breathing, dizziness) to any anesthetic medicine
  • if you have heart, liver, or kidney problems; diabetes; or poor circulation
  • if the affected area is an animal bite, a burn, or a deep wound (eg, puncture wound), or if there is redness or swelling in the affected area

Some MEDICINES MAY INTERACT with lidocaine/benzalkonium cream. Because little, if any, of lidocaine/benzalkonium cream is absorbed into the blood, the risk of it interacting with another medicine is low.

Ask your health care provider if lidocaine/benzalkonium cream may interact with other medicines that you take. Check with your health care provider before you start, stop, or change the dose of any medicine.

How to use lidocaine/ benzalkonium cream:

Use lidocaine/benzalkonium cream as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Wash your hands before and immediately after using lidocaine/benzalkonium cream, unless your hands are part of the treated area.
  • Wash and completely dry the affected area. Apply a thin layer of lidocaine/benzalkonium cream to the affected area. Gently rub the medicine in until it is evenly distributed.
  • If you miss a dose of lidocaine/benzalkonium cream, use it as soon as possible. If it is almost time for your next dose, skip the missed dose and go back to your regular dosing schedule.

Ask your health care provider any questions you may have about how to use lidocaine/benzalkonium cream.

Important safety information:

  • Lidocaine/benzalkonium cream may cause harm if it is swallowed. If you may have taken it by mouth, contact your poison control center or emergency room right away.
  • Lidocaine/benzalkonium cream is for external use only. Do not get it in your eyes or on the inside of your nose or mouth. If you get lidocaine/benzalkonium cream in your eyes, rinse them immediately with cool water.
  • Lidocaine/benzalkonium cream may cause a numbing effect at the application site. Do not scratch, rub, or expose the area to extreme hot or cold temperatures until the numbness is gone.
  • Do not apply lidocaine/benzalkonium cream over large areas of the body, to open wounds, or to blistered or infected skin without first checking with your doctor.
  • Do not use more often than recommended or use for longer than 7 days without checking with your doctor.
  • If you symptoms do not get better within 7 days or if they get worse, check with your doctor.
  • Talk with your doctor before you use any other medicines or cleansers on your skin.
  • Different brands of lidocaine/benzalkonium cream may have different dosing instructions for CHILDREN. Follow the dosing instructions on the package labeling. If your doctor has given you instructions, follow those. If you are unsure of the dose to give to a child, check with your doctor or pharmacist.
  • PREGNANCY and BREAST-FEEDING: It is not known if lidocaine/benzalkonium cream can cause harm to the fetus. If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using lidocaine/benzalkonium cream while you are pregnant. It is not known if lidocaine/benzalkonium cream is found in breast milk after topical use. If you are or will be breast-feeding while you use lidocaine/benzalkonium cream, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of lidocaine/ benzalkonium cream:

All medicines may cause side effects, but many people have no, or minor, side effects. Check with your doctor if any of these most COMMON side effects persist or become bothersome:

Minor redness or swelling at the application site.

Seek medical attention right away if any of these SEVERE side effects occur:

Severe allergic reactions (rash; hives; itching; difficulty breathing; tightness in the chest; swelling of the mouth, face, lips, or tongue); excessive irritation; signs of infection in the affected area (eg, warmth, oozing, pain).

This is not a complete list of all side effects that may occur. If you have questions about side effects, contact your health care provider. Call your doctor for medical advice about side effects. To report side effects to the appropriate agency, please read the Guide to Reporting Problems to FDA.

If OVERDOSE is suspected:

Contact 1-800-222-1222 (the American Association of Poison Control Centers), your local poison control center, or emergency room immediately. Lidocaine/benzalkonium cream may be harmful if swallowed.

Proper storage of lidocaine/benzalkonium cream:

Store lidocaine/benzalkonium cream at room temperature, between 59 and 86 degrees F (15 and 30 degrees C), in a tightly closed container. Store away from heat, moisture, and light. Keep lidocaine/benzalkonium cream out of the reach of children and away from pets.

General information:

  • If you have any questions about lidocaine/benzalkonium cream, please talk with your doctor, pharmacist, or other health care provider.
  • Lidocaine/benzalkonium cream is to be used only by the patient for whom it is prescribed. Do not share it with other people.
  • If your symptoms do not improve or if they become worse, check with your doctor.
  • Discard unused medicine and packaging in the trash out of the reach of children and pets.
  • Check with your pharmacist about how to dispose of unused medicine.

This information should not be used to decide whether or not to take lidocaine/benzalkonium cream or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about lidocaine/benzalkonium cream. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to lidocaine/benzalkonium cream. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using lidocaine/benzalkonium cream.

Issue Date: July 2, 2014
Database Edition 14.3.1.001
Copyright © 2014 Wolters Kluwer Health, Inc.

Disclaimer: This information should not be used to decide whether or not to take this medicine or any other medicine. Only your health care provider has the knowledge and training to decide which medicines are right for you. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to this medicine. This information is not specific medical advice and does not replace information you receive from your health care provider. You must talk with your healthcare provider for complete information about the risks and benefits of using this medicine.

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