Medication Guide App
Living with Advanced MS? Watch this video to learn more.

lidocaine topical

Pronunciation

Generic Name: lidocaine topical (LYE doe kane TOP i kal)
Brand Name: AneCream, AneCream with Tegaderm, Bactine, LidaMantle, Lidocream, Lidoderm, LidoRx, LMX 4, LMX 4 with Tegaderm, Medi-Quik Spray, RadiaGuard, RectiCare, Regenecare HA Spray, Solarcaine Aloe Extra Burn Relief, Xylocaine Topical

What is lidocaine topical?

Lidocaine is a local anesthetic (numbing medication). It works by blocking nerve signals in your body.

Lidocaine topical (for use on the skin) is used to reduce pain or discomfort caused by skin irritations such as sunburn, insect bites, poison ivy, poison oak, poison sumac, and minor cuts, scratches, or burns. Lidocaine topical is also used to treat rectal discomfort caused by hemorrhoids.

Lidocaine topical may also be used for purposes not listed in this medication guide.

What is the most important information I should know about lidocaine topical?

An overdose of numbing medicine can cause fatal side effects if too much of the medicine is absorbed through your skin. Overdose symptoms may include uneven heartbeats, seizure (convulsions), slowed breathing, coma, or respiratory failure (breathing stops).

Slideshow: Is it Safe to Give Human Medicine to Pets?

Always get your pet's drug and dose recommendation from the veterinarian.

Use the smallest amount of this medicine needed to numb the skin or relieve pain. Do not use large amounts of lidocaine topical, or cover treated skin areas with a bandage or plastic wrap without medical advice.

Keep both used and unused lidocaine skin patches out of the reach of children or pets. The amount of lidocaine in the skin patches could be harmful to a child or pet who accidentally sucks on or swallows the patch. Seek emergency medical attention if this happens.

What should I discuss with my healthcare provider before using lidocaine topical?

You should not use lidocaine topical if you are allergic to any type of numbing medicine.

Fatal overdoses have occurred when numbing medicines were used without the advice of a medical doctor (such as during a cosmetic procedure like laser hair removal). However, overdose has also occurred in women treated with a numbing medicine before having a mammography.

Be aware that many cosmetic procedures are performed without a medical doctor present.

To make sure lidocaine topical is safe for you, tell your doctor if you have:

  • liver disease; or

  • if you take a heart rhythm medicine.

FDA pregnancy category B. Lidocaine topical is not expected to harm an unborn baby. Tell your doctor if you are pregnant or plan to become pregnant during treatment.

It is not known whether lidocaine topical passes into breast milk or if it could harm a nursing baby. Tell your doctor if you are breast-feeding a baby.

How should I use lidocaine topical?

Lidocaine topical comes in many different forms (gel, spray, cream, lotion, ointment, liquid, skin patch). Use this medicine exactly as directed on the label, or as it has been prescribed by your doctor. Do not apply this medicine in larger amounts than recommended.

Do not take by mouth. Lidocaine topical is for use only on the skin. If this medicine gets in your eyes, nose, mouth, rectum, or vagina, rinse with water.

Use the smallest amount of medicine needed to numb the skin or relieve pain. Your body may absorb too much of this medicine if you use too much, if you apply it over large skin areas, or if you apply heat, bandages, or plastic wrap to treated skin areas. Skin that is cut or irritated may also absorb more topical medication than healthy skin.

Do not apply this medicine to swollen skin areas or deep puncture wounds. Avoid using the medicine on skin that is raw or blistered, such as a severe burn or abrasion.

Do not cover treated skin unless your doctor has told you to.

Lidocaine topical may be applied with your finger tips or a cotton swab.

If your medicine comes with patient instructions for safe and effective use, follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

Store at room temperature away from moisture and heat.

Keep both used and unused lidocaine topical skin patches out of the reach of children or pets. The amount of lidocaine in the skin patches could be harmful to a child or pet who accidentally sucks on or swallows the patch. Seek emergency medical attention if this happens.

What happens if I miss a dose?

Since lidocaine topical is used when needed, you may not be on a dosing schedule. If you are on a schedule, use the missed dose as soon as you remember. Skip the missed dose if it is almost time for your next scheduled dose. Do not use extra medicine to make up the missed dose.

What happens if I overdose?

Seek emergency medical attention or call the Poison Help line at 1-800-222-1222.

An overdose of numbing medicine can cause fatal side effects if too much of the medicine is absorbed through your skin and into your blood. Symptoms may include uneven heartbeats, seizure (convulsions), slowed breathing, coma, or respiratory failure (breathing stops).

Lidocaine applied to the skin is not likely to cause an overdose unless you apply more than the recommended dose.

Improper use of lidocaine topical may result in death.

What should I avoid while using lidocaine topical?

Do not allow this medicine to come into contact with your eyes. If it does, rinse with water.

Avoid touching the sticky side of a lidocaine skin patch while applying it.

Avoid accidentally injuring treated skin areas while they are numb. Avoid coming into contact with very hot or very cold surfaces.

Lidocaine topical side effects

Get emergency medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • severe burning, stinging, or irritation where the medicine was applied;

  • swelling or redness;

  • sudden dizziness or drowsiness after medicine is applied;

  • confusion, blurred vision, ringing in your ears; or

  • unusual sensations of temperature.

Common side effects include:

  • mild irritation where the medication is applied; or

  • numbness in places where the medicine is accidentally applied.

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

See also: Side effects (in more detail)

Lidocaine topical dosing information

Usual Adult Dose for Anesthesia:

Lidocaine 2% jelly:
Cystoscopy: Instill 30 to 40 mL in 3 to 4 portions and allow to act for 10 to 12 minutes before procedure.
Endoscopy: Instill 10 to 20 mL and apply small amount to instrument.
Endotracheal intubation: Apply small amount (approximately 2 mL) to the external surface of the endotracheal tube before insertion. Do not introduce jelly into tube lumen.
Surface urethral anesthesia before procedures:
Male: 20 mL instilled slowly in 2 portions: Instill approximately 10 mL slowly until the patient feels tension, apply a penile clamp for several minutes, then instill remaining jelly.
Female: 5 to 10 mL instilled slowly to fill entire urethra. A small amount may be applied to the orifice.
Anterior male urethral anesthesia before catheterization: 5 to 10 mL instilled slowly.

Lidocaine 2% viscous solution:
Topical anesthesia before inserting catheters or instruments into upper respiratory or GI tracts:
Topical pharyngeal analgesia: Gargle 5 to 15 mL and spit out or swallow.

Lidocaine 4% solution:
Topical anesthesia of oropharyngeal, nasal, tracheal, and bronchial areas during endotracheal intubation and endoscopic procedures: Spray 2 to 7.5 mL to the desired area. May also be applied with cotton applicators or by instillation. Use 5 to 10 mL if inhaled via nebulizer.
Maximum Dose: 5 mL if applied to larynx, trachea, and bronchi.

Lidocaine dental patch transoral delivery system:
Topical anesthesia of oral mucous membranes before superficial dental procedures: Isolate and dry tissue in the procedure area. Remove clear liner and apply the patch using firm pressure. Leave in place until desired anesthetic effect for up to a maximum of 15 minutes.

Usual Adult Dose for Gastrointestinal Tract Examination:

Lidocaine 2% jelly:
Cystoscopy: Instill 30 to 40 mL in 3 to 4 portions and allow to act for 10 to 12 minutes before procedure.
Endoscopy: Instill 10 to 20 mL and apply small amount to instrument.
Endotracheal intubation: Apply small amount (approximately 2 mL) to the external surface of the endotracheal tube before insertion. Do not introduce jelly into tube lumen.
Surface urethral anesthesia before procedures:
Male: 20 mL instilled slowly in 2 portions: Instill approximately 10 mL slowly until the patient feels tension, apply a penile clamp for several minutes, then instill remaining jelly.
Female: 5 to 10 mL instilled slowly to fill entire urethra. A small amount may be applied to the orifice.
Anterior male urethral anesthesia before catheterization: 5 to 10 mL instilled slowly.

Lidocaine 2% viscous solution:
Topical anesthesia before inserting catheters or instruments into upper respiratory or GI tracts:
Topical pharyngeal analgesia: Gargle 5 to 15 mL and spit out or swallow.

Lidocaine 4% solution:
Topical anesthesia of oropharyngeal, nasal, tracheal, and bronchial areas during endotracheal intubation and endoscopic procedures: Spray 2 to 7.5 mL to the desired area. May also be applied with cotton applicators or by instillation. Use 5 to 10 mL if inhaled via nebulizer.
Maximum Dose: 5 mL if applied to larynx, trachea, and bronchi.

Lidocaine dental patch transoral delivery system:
Topical anesthesia of oral mucous membranes before superficial dental procedures: Isolate and dry tissue in the procedure area. Remove clear liner and apply the patch using firm pressure. Leave in place until desired anesthetic effect for up to a maximum of 15 minutes.

Usual Adult Dose for Pain:

Lidocaine 0.5% or 2%: Apply thin film to affected area up to 3 to 4 times daily as needed.
Lidocaine 3% gel: Apply thin film to affected area 2 to 3 times daily as needed not to exceed 12 pumps in 24 hours.

Lidocaine 2% viscous solution:
Topical anesthesia of irritated/inflamed oral mucous membranes: Swish 5 to 15 mL in the mouth until pain relief occurs and spit out.
Maximum Dose: Every 3 hours or 8 doses per 24 hours.

Lidocaine 2.5% liquid: Apply small amount to affected area 1 to 3 times daily. Do not use for more than 1 week unless directed by physician.

Lidocaine 4% cream: Apply thin film to affected area 3 to 4 times daily as needed. Do not use for more than 1 week unless directed by physician.

Lidocaine 5% patch:
Pain associated with herpetic neuralgia: Apply up to 3 patches for up to 12 hours within a 24 hour period to cover the most painful area(s). Apply only to intact skin. Remove if irritation/burning occurs and do not reapply until it subsides.

Usual Adult Dose for Pruritus:

Lidocaine 0.5% or 2%: Apply thin film to affected area up to 3 to 4 times daily as needed.
Lidocaine 3% gel: Apply thin film to affected area 2 to 3 times daily as needed not to exceed 12 pumps in 24 hours.

Lidocaine 2% viscous solution:
Topical anesthesia of irritated/inflamed oral mucous membranes: Swish 5 to 15 mL in the mouth until pain relief occurs and spit out.
Maximum Dose: Every 3 hours or 8 doses per 24 hours.

Lidocaine 2.5% liquid: Apply small amount to affected area 1 to 3 times daily. Do not use for more than 1 week unless directed by physician.

Lidocaine 4% cream: Apply thin film to affected area 3 to 4 times daily as needed. Do not use for more than 1 week unless directed by physician.

Lidocaine 5% patch:
Pain associated with herpetic neuralgia: Apply up to 3 patches for up to 12 hours within a 24 hour period to cover the most painful area(s). Apply only to intact skin. Remove if irritation/burning occurs and do not reapply until it subsides.

Usual Adult Dose for Burns - External:

Lidocaine 0.5% or 2%: Apply thin film to affected area up to 3 to 4 times daily as needed.
Lidocaine 3% gel: Apply thin film to affected area 2 to 3 times daily as needed not to exceed 12 pumps in 24 hours.

Lidocaine 2% viscous solution:
Topical anesthesia of irritated/inflamed oral mucous membranes: Swish 5 to 15 mL in the mouth until pain relief occurs and spit out.
Maximum Dose: Every 3 hours or 8 doses per 24 hours.

Lidocaine 2.5% liquid: Apply small amount to affected area 1 to 3 times daily. Do not use for more than 1 week unless directed by physician.

Lidocaine 4% cream: Apply thin film to affected area 3 to 4 times daily as needed. Do not use for more than 1 week unless directed by physician.

Lidocaine 5% patch:
Pain associated with herpetic neuralgia: Apply up to 3 patches for up to 12 hours within a 24 hour period to cover the most painful area(s). Apply only to intact skin. Remove if irritation/burning occurs and do not reapply until it subsides.

Usual Adult Dose for Hemorrhoids:

Lidocaine 3%, 4%, 5% lotion or cream: Apply thin film to affected area 2 to 3 times daily as needed.

Lidocaine 3% gel: Apply thin film to affected area 2 to 3 times daily as needed not to exceed 12 pumps in 24 hours.

What other drugs will affect lidocaine topical?

It is not likely that other drugs you take orally or inject will have an effect on topically applied lidocaine. But many drugs can interact with each other. Tell each of your health care providers about all medicines you use, including prescription and over-the-counter medicines, vitamins, and herbal products.

Where can I get more information?

  • Your pharmacist has information about lidocaine topical.
  • Remember, keep this and all other medicines out of the reach of children, never share your medicines with others, and use this medication only for the indication prescribed.
  • Disclaimer: Every effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses outside of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way should be construed to indicate that the drug or drug combination is safe, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the aid of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

Copyright 1996-2012 Cerner Multum, Inc. Version: 6.04. Revision Date: 2014-09-11, 2:10:57 PM.

Hide
(web3)