Lidocaine/ prilocaine periodontal gel

Generic Name: lidocaine/prilocaine (LYE-doe-kane/PRIL-oh-kane)
Brand Name: Oraqix

Lidocaine/ prilocaine periodontal gel is used for:

Numbing the gums during certain dental procedures (periodontal scaling and/or root planing).

Lidocaine/prilocaine periodontal gel is a local anesthetic. It works by blocking nerves from transmitting painful impulses to the brain.

Do NOT use lidocaine/ prilocaine periodontal gel if:

  • you are allergic to any ingredient in lidocaine/prilocaine periodontal gel or to other amide local anesthetics (eg, dibucaine)
  • you have the blood disorder methemoglobinemia

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

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Before using lidocaine/ prilocaine periodontal gel:

Some medical conditions may interact with lidocaine/prilocaine periodontal gel. 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 allergies to para-aminobenzoic acid derivatives (eg, benzocaine, procaine, tetracaine)
  • if you have liver problems or glucose-6-phosphate dehydrogenase deficiency
  • if you will be receiving a dental injection anesthesia or another local anesthetic

Some MEDICINES MAY INTERACT with lidocaine/prilocaine periodontal gel. Tell your health care provider if you are taking any other medicines, especially any of the following:

  • Antiarrhythmics (eg, mexiletine, tocainide), beta-blockers (eg, propranolol), cimetidine, or other medicines containing lidocaine or prilocaine because the risk of side effects or toxic effects, including heart or nerve problems, may be increased
  • Acetaminophen, acetanilide, aniline dyes (eg, p-phenylenediamine), benzocaine, chloroquine, dapsone, naphthalene, nitrates (eg, nitroglycerin, isosorbide), nitrites (eg, sodium nitrite), nitrofurantoin, nitroprusside, pamaquine, para-aminosalicylic acid, phenacetin, phenobarbital, phenytoin, primaquine, quinine, or sulfonamides (eg, sulfamethoxazole) because the risk of side effects, including blood problems, may be increased

This may not be a complete list of all interactions that may occur. Ask your health care provider if lidocaine/prilocaine periodontal gel 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/ prilocaine periodontal gel:

Use lidocaine/prilocaine periodontal gel as directed by your doctor. Check the label on the medicine for exact dosing instructions.

  • Lidocaine/prilocaine periodontal gel is usually applied at your dentist's office, hospital, or clinic before a dental procedure.
  • Do not inject lidocaine/prilocaine periodontal gel. Apply lidocaine/prilocaine periodontal gel using only the dispenser supplied with it.
  • Avoid getting lidocaine/prilocaine periodontal gel in your eyes. If you get lidocaine/prilocaine periodontal gel in your eyes, rinse them with plenty of water. If eye irritation persists, contact your doctor. You may need to see an eye doctor.
  • If you miss a dose of lidocaine/prilocaine periodontal gel, contact your doctor or dentist.

Ask your health care provider any questions you may have about how to use lidocaine/prilocaine periodontal gel.

Important safety information:

  • Lidocaine/prilocaine periodontal gel blocks pain and feeling in the mouth. Be careful not to injure the treated area and avoid hot or cold foods or liquids until the numbness wears off.
  • Do NOT use more than the recommended dose or use for longer than prescribed without checking with your doctor.
  • Lidocaine/prilocaine periodontal gel 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.
  • Tell your doctor or dentist that you take lidocaine/prilocaine periodontal gel before you receive any medical or dental care, emergency care, or surgery.
  • Use lidocaine/prilocaine periodontal gel with caution in the ELDERLY; they may be more sensitive to its effects.
  • Lidocaine/prilocaine periodontal gel should not be used in CHILDREN; safety and effectiveness in children have not been confirmed.
  • PREGNANCY and BREAST-FEEDING: If you become pregnant, contact your doctor. You will need to discuss the benefits and risks of using lidocaine/prilocaine periodontal gel while you are pregnant. Lidocaine/prilocaine periodontal gel is found in breast milk. If you are or will be breast-feeding while you use lidocaine/prilocaine periodontal gel, check with your doctor. Discuss any possible risks to your baby.

Possible side effects of lidocaine/ prilocaine periodontal gel:

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:

Changes in taste; headache; mild irritation, pain, redness, soreness, or swelling at the application site; nausea; tiredness.

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; unusual hoarseness); blisters or ulcers at the application site; symptoms of methemoglobinemia (eg, bluish grey color of the lips, nails, or skin; fainting; fast, slow, or irregular heartbeat; seizures; severe dizziness, drowsiness, headache, sluggishness, or tiredness; shortness of breath).

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. Symptoms may include confusion; dizziness; excitability; increased sensitivity to sound; lightheadedness; nervousness; seizures; slow heartbeat; tremors; unusual drowsiness; vision changes. Lidocaine/prilocaine periodontal gel may be harmful if swallowed.

Proper storage of lidocaine/prilocaine periodontal gel:

Lidocaine/prilocaine periodontal gel is usually handled and stored by a health care provider. If you are using lidocaine/prilocaine periodontal gel at home, store lidocaine/prilocaine periodontal gel as directed by your pharmacist or health care provider. Keep lidocaine/prilocaine periodontal gel out of the reach of children and away from pets.

General information:

  • If you have any questions about lidocaine/prilocaine periodontal gel, please talk with your doctor, pharmacist, or other health care provider.
  • Lidocaine/prilocaine periodontal gel 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.
  • Check with your pharmacist about how to dispose of unused medicine.

This information is a summary only. It does not contain all information about lidocaine/prilocaine periodontal gel. If you have questions about the medicine you are taking or would like more information, check with your doctor, pharmacist, or other health care provider.

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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