Medication Guide App

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:

2% viscous solution: Gargle 15 mL, undiluted, and spit out or swallow, no less than every 3 hours
Maximum dose: 300 mg for normal healthy adult - not to exceed 4.5 mg/kg (2 mg/lb), or 8 doses in 24 hours

Comments:
-Adjust dose based on patient's age, weight, and physical condition.

Uses:
-Topical anesthesia of irritated or inflamed mucous membranes of the mouth and pharynx
-Reducing gagging during dental x-rays and impressions

----
2% jelly:
Endotracheal intubation: Apply a moderate amount of jelly to the external surface of the endotracheal tube shortly before insertion
Maximum dose: 600 mg in any 12 hour period
Comments:
-Avoid introducing jelly into tube lumen due to possibility of inner lumen occlusion.
-Do not use the jelly to lubricate endotracheal stylettes.
-Avoid use of endotracheal tubes with dried jelly on the external surface due to lack of lubricating effect.

4% solution: Spray 1 to 5 mL (40 to 200 mg) to the desired area. May also be applied with cotton applicators or by instillation
Maximum dose: 300 mg for normal healthy adult - not to exceed 4.5 mg/kg (2 mg/lb)
Comments:
-When spraying, transfer solution to an atomizer.
-Dosage varies and depends on the area to be anesthetized, vascularity of the tissues, individual tolerance, and technique.
-Reduce dose for elderly and debilitated patients.

5% ointment: Apply topically for adequate control of symptoms. Apply to the tube prior to intubation
Maximum dose: 5 g per single application (approximately 6 inches of ointment squeezed from the tube); 20 g total in any day
Comments:
-Adjust dose based on patient's age, weight, and physical condition.
-In dentistry, apply to previously dried oral mucosa; subsequent saliva removal with cotton rolls or saliva ejector minimizes dilution, permits maximum penetration, and minimizes swallowing of the drug.
-For insertion of new dentures, apply to all denture surfaces contacting mucosa; patients should consult a dentist at least every 48 hours throughout the fitting period.

Uses:
-Production of anesthesia of accessible mucous membranes of the oropharynx
-Anesthetic lubricant for endotracheal intubation (oral and nasal)

Usual Adult Dose for Gastrointestinal Tract Examination:

2% viscous solution: Gargle 15 mL, undiluted, and spit out or swallow, no less than every 3 hours
Maximum dose: 300 mg for normal healthy adult - not to exceed 4.5 mg/kg (2 mg/lb), or 8 doses in 24 hours

Comments:
-Adjust dose based on patient's age, weight, and physical condition.

Uses:
-Topical anesthesia of irritated or inflamed mucous membranes of the mouth and pharynx
-Reducing gagging during dental x-rays and impressions

----
2% jelly:
Endotracheal intubation: Apply a moderate amount of jelly to the external surface of the endotracheal tube shortly before insertion
Maximum dose: 600 mg in any 12 hour period
Comments:
-Avoid introducing jelly into tube lumen due to possibility of inner lumen occlusion.
-Do not use the jelly to lubricate endotracheal stylettes.
-Avoid use of endotracheal tubes with dried jelly on the external surface due to lack of lubricating effect.

4% solution: Spray 1 to 5 mL (40 to 200 mg) to the desired area. May also be applied with cotton applicators or by instillation
Maximum dose: 300 mg for normal healthy adult - not to exceed 4.5 mg/kg (2 mg/lb)
Comments:
-When spraying, transfer solution to an atomizer.
-Dosage varies and depends on the area to be anesthetized, vascularity of the tissues, individual tolerance, and technique.
-Reduce dose for elderly and debilitated patients.

5% ointment: Apply topically for adequate control of symptoms. Apply to the tube prior to intubation
Maximum dose: 5 g per single application (approximately 6 inches of ointment squeezed from the tube); 20 g total in any day
Comments:
-Adjust dose based on patient's age, weight, and physical condition.
-In dentistry, apply to previously dried oral mucosa; subsequent saliva removal with cotton rolls or saliva ejector minimizes dilution, permits maximum penetration, and minimizes swallowing of the drug.
-For insertion of new dentures, apply to all denture surfaces contacting mucosa; patients should consult a dentist at least every 48 hours throughout the fitting period.

Uses:
-Production of anesthesia of accessible mucous membranes of the oropharynx
-Anesthetic lubricant for endotracheal intubation (oral and nasal)

Usual Adult Dose for Pain:

Lidocaine 0.5% spray: Apply a thin film to affected area up to 3 to 4 times daily as needed

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed

3% gel: Apply a thin film to affected area 2 to 3 times daily as needed
Maximum dose: A single application should not exceed 4 pumps; do not exceed 12 pumps in 24 hours

4% cream, gel, solution: Apply a thin film to affected area 3 to 4 times daily as needed

5% ointment: Apply topically for adequate control of symptoms
Maximum dose: 5 gm per single application (approximately 6 inches of ointment squeezed from the tube); 20 gm total in any day

Comments:
-Adjust dose based on patient's age, weight, and physical condition.
-To apply spray to face, spray in palm of hand and gently apply.
-Do not use in large quantities, particularly over raw or blistered areas.

Uses: Relief of pruritus, pruritic eczemas, abrasions, minor burns, insect bites, pain, soreness, and discomfort due to pruritus ani, pruritus vulvae, anal fissures, and similar conditions of the skin and mucous membranes.

Usual Adult Dose for Pruritus:

Lidocaine 0.5% spray: Apply a thin film to affected area up to 3 to 4 times daily as needed

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed

3% gel: Apply a thin film to affected area 2 to 3 times daily as needed
Maximum dose: A single application should not exceed 4 pumps; do not exceed 12 pumps in 24 hours

4% cream, gel, solution: Apply a thin film to affected area 3 to 4 times daily as needed

5% ointment: Apply topically for adequate control of symptoms
Maximum dose: 5 gm per single application (approximately 6 inches of ointment squeezed from the tube); 20 gm total in any day

Comments:
-Adjust dose based on patient's age, weight, and physical condition.
-To apply spray to face, spray in palm of hand and gently apply.
-Do not use in large quantities, particularly over raw or blistered areas.

Uses: Relief of pruritus, pruritic eczemas, abrasions, minor burns, insect bites, pain, soreness, and discomfort due to pruritus ani, pruritus vulvae, anal fissures, and similar conditions of the skin and mucous membranes.

Usual Adult Dose for Burns - External:

Lidocaine 0.5% spray: Apply a thin film to affected area up to 3 to 4 times daily as needed

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed

3% gel: Apply a thin film to affected area 2 to 3 times daily as needed
Maximum dose: A single application should not exceed 4 pumps; do not exceed 12 pumps in 24 hours

4% cream, gel, solution: Apply a thin film to affected area 3 to 4 times daily as needed

5% ointment: Apply topically for adequate control of symptoms
Maximum dose: 5 gm per single application (approximately 6 inches of ointment squeezed from the tube); 20 gm total in any day

Comments:
-Adjust dose based on patient's age, weight, and physical condition.
-To apply spray to face, spray in palm of hand and gently apply.
-Do not use in large quantities, particularly over raw or blistered areas.

Uses: Relief of pruritus, pruritic eczemas, abrasions, minor burns, insect bites, pain, soreness, and discomfort due to pruritus ani, pruritus vulvae, anal fissures, and similar conditions of the skin and mucous membranes.

Usual Adult Dose for Hemorrhoids:

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed

3% gel: Apply a thin film to affected area 2 to 3 times daily as needed
Maximum dose: A single application should not exceed 4 pumps; do not exceed 12 pumps in 24 hours

4%, 5% lotion or cream: Apply a thin film to affected area up to 6 times daily as needed

Comments:
-When practical, cleanse the affected area before applying medication.
-Gently dry by patting or blotting with toilet tissue or a soft cloth before application of product.
-Onset of action is 3 to 5 minutes.
-Use with caution in ill, elderly, or debilitated patients who may be more sensitive to systemic effects.
-If irritation or sensitivity occurs, or infection appears, discontinue treatment and institute appropriate therapy.
-Do not use on traumatized mucosa or in the presence of secondary bacterial infection in the area of proposed application.

Uses:
-Temporary relief of local itching and discomfort associated with hemorrhoids
-Temporary relief of pain, soreness, and burning
-Relief of discomfort due to pruritus ani, and anal fissures

Usual Adult Dose for Postherpetic Neuralgia:

5% patch: Apply patch(es) to intact skin to cover the most painful area for up to 12 hours in a 24 hour period
Maximum dose: 3 patches, 12 out of 24 hours

Comments:
-Apply only to intact skin.
-May cut patches to smaller sizes with scissors prior to removal of release liner, if needed.
-Clothing may be worn over patches.
-Smaller areas of treatment are recommended in debilitated patients or patients with impaired elimination.
-If irritation or burning sensations occur, remove patches and do not reapply until irritation subsides.
-Placing heat sources (electric blankets, heating pads, etc.) over the patches is not recommended.

Use: Relief of pain associated with post-herpetic neuralgia

Usual Pediatric Dose for Hemorrhoids:

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed.
Maximum dose: 4.3 mg/kg (2 mg/lb)

3% gel: Apply to affected area 2 to 3 times daily as needed
Maximum dose: A single application should not exceed 4 pumps; do not exceed 12 pumps in 24 hours

4%, 5% lotion or cream: Children 12 years and older: Apply thin film to affected area up to 6 times daily as needed

Comments:
-When practical, cleanse the affected area before applying medication.
-Gently dry by patting or blotting with toilet tissue or a soft cloth before application of this product.
-The onset of action is 3 to 5 minutes.
-Use with caution; children may be more sensitive to systemic effects.
-Reduce dose in pediatric patients commensurate with age, body weight, and physical condition.
-Children under 10 years with normal lean body mass and development: determine maximum dose using one of the standard pediatric drug formulas (e.g. Clark's rule).
-If irritation or sensitivity occurs, or infection appears, discontinue treatment and institute appropriate therapy.
-Do not use on traumatized mucosa or in the presence of secondary bacterial infection in the area of application.

Uses:
-Temporary relief of local itching and discomfort associated with hemorrhoids.
-Temporary relief of pain, soreness, and burning,
-Relief of discomfort due to pruritus ani, and anal fissures.

Usual Pediatric Dose for Pain:

Lidocaine 0.5% spray: 2 years and older: Apply thin film to affected area up to 3 to 4 times daily as needed

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed

3% gel: Apply thin film to affected area 2 to 3 times daily as needed
Maximum dose: 12 pumps in 24 hours

4% cream, gel, solution: Apply thin film to affected area 3 to 4 times daily as needed
Maximum dose: 4.5 mg/kg (2 mg/lb)

5% ointment: Apply topically for adequate control of symptoms.
Maximum dose: 4.5 mg/kg (2 mg/lb)

Comments:
-Adjust dose based on patient's age, weight, and physical condition.
-It is difficult to recommend a maximum dose of any drug for children since this varies as a function of age and weight.
-Children under ten years with normal lean body mass and development; determine the maximum dose by the applying of one of the standard pediatric drug formulas (e.g., Clark's rule).
-To apply spray to face, spray in palm of hand and gently apply.
-Do not use in large quantities, particularly over raw or blistered areas.

Uses: Relief of pruritus, pruritic eczemas, abrasions, minor burns, insect bites, pain, soreness, and discomfort due to pruritus ani, pruritus vulvae, anal fissures, and similar conditions of the skin and mucous membranes.

Usual Pediatric Dose for Pruritus:

Lidocaine 0.5% spray: 2 years and older: Apply thin film to affected area up to 3 to 4 times daily as needed

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed

3% gel: Apply thin film to affected area 2 to 3 times daily as needed
Maximum dose: 12 pumps in 24 hours

4% cream, gel, solution: Apply thin film to affected area 3 to 4 times daily as needed
Maximum dose: 4.5 mg/kg (2 mg/lb)

5% ointment: Apply topically for adequate control of symptoms.
Maximum dose: 4.5 mg/kg (2 mg/lb)

Comments:
-Adjust dose based on patient's age, weight, and physical condition.
-It is difficult to recommend a maximum dose of any drug for children since this varies as a function of age and weight.
-Children under ten years with normal lean body mass and development; determine the maximum dose by the applying of one of the standard pediatric drug formulas (e.g., Clark's rule).
-To apply spray to face, spray in palm of hand and gently apply.
-Do not use in large quantities, particularly over raw or blistered areas.

Uses: Relief of pruritus, pruritic eczemas, abrasions, minor burns, insect bites, pain, soreness, and discomfort due to pruritus ani, pruritus vulvae, anal fissures, and similar conditions of the skin and mucous membranes.

Usual Pediatric Dose for Burns - External:

Lidocaine 0.5% spray: 2 years and older: Apply thin film to affected area up to 3 to 4 times daily as needed

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed

3% gel: Apply thin film to affected area 2 to 3 times daily as needed
Maximum dose: 12 pumps in 24 hours

4% cream, gel, solution: Apply thin film to affected area 3 to 4 times daily as needed
Maximum dose: 4.5 mg/kg (2 mg/lb)

5% ointment: Apply topically for adequate control of symptoms.
Maximum dose: 4.5 mg/kg (2 mg/lb)

Comments:
-Adjust dose based on patient's age, weight, and physical condition.
-It is difficult to recommend a maximum dose of any drug for children since this varies as a function of age and weight.
-Children under ten years with normal lean body mass and development; determine the maximum dose by the applying of one of the standard pediatric drug formulas (e.g., Clark's rule).
-To apply spray to face, spray in palm of hand and gently apply.
-Do not use in large quantities, particularly over raw or blistered areas.

Uses: Relief of pruritus, pruritic eczemas, abrasions, minor burns, insect bites, pain, soreness, and discomfort due to pruritus ani, pruritus vulvae, anal fissures, and similar conditions of the skin and mucous membranes.

Usual Pediatric Dose for Anesthesia:

2% Oral solution (viscous):
Infants and children less than 3 years: One quarter teaspoon applied to area with a cotton tipped applicator no more frequently than every 3 hours
Maximum dose: 4 doses per 12 hour period
Children 3 years and older: No more than 4.5 mg/kg/dose (or 300 mg/dose), swished in the mouth and spit out no more frequently than every 3 hours
Comments:
-Do not use for teething pain.
-Adjust dose based on patients age, weight, and physical condition.
-Children under ten years with normal lean body mass and development; determine the maximum dose by the applying of one of the standard pediatric drug formulas (e.g., Clark's rule).

Uses:
-Topical anesthesia of irritated or inflamed mucous membranes of the mouth and pharynx.
-Reducing gagging during dental x-rays and impressions

----
Pediatric LTA(R) 2% spray:
For laryngoscopy, bronchoscopy, and endotracheal intubation: Spray pharynx with 1 to 5 mL
Maximum dose: 4.5 mg/kg (2 mg/lb)
Comments:
-Dosage in children should be reduced, commensurate with age, body weight and physical condition.
-Children under ten years with normal lean body mass and development; determine the maximum dose by the applying of one of the standard pediatric drug formulas (e.g., Clark's rule).

2% jelly:
Endotracheal intubation: Apply a moderate amount of jelly to the external surface of the endotracheal tube shortly before insertion
Maximum dose: 4.5 mg/kg (2 mg/lb)
Comments:
-Avoid introducing jelly into tube lumen due to possibility of inner lumen occlusion.
-Do not use the jelly to lubricate endotracheal stylettes.
-Avoid use of endotracheal tubes with dried jelly on the external surface due to lack of lubricating effect.

2%, 4%, or 5% solution: Spray on the desired area. May also be applied with cotton applicators or by instillation
Maximum Dose: 4.5 mg/kg (2 mg/lb)
Comments:
-When spraying, transfer solution to an atomizer.
-Dosage varies and depends on the area to be anesthetized, vascularity of the tissues, individual tolerance, and technique.
-Reduce dose in children commensurate with age, body weight and physical condition.
-Children under ten years with normal lean body mass and development: determine the maximum dose by the applying of one of the standard pediatric drug formulas (e.g., Clark's rule).

5% ointment: Apply topically for adequate control of symptoms. Apply to the tube prior to intubation
Comments:
-Adjust dose based on patient's age, weight, and physical condition.
-In dentistry, apply to previously dried oral mucosa; subsequent saliva removal with cotton rolls or saliva ejector minimizes dilution, permits maximum penetration, and minimizes swallowing of the drug.
-For insertion of new dentures, apply to all denture surfaces contacting mucosa; patients should consult a dentist at least every 48 hours throughout the fitting period.

Uses:
-Production of anesthesia of accessible mucous membranes of the oropharynx.
-Anesthetic lubricant for endotracheal intubation (oral and nasal).

Usual Pediatric Dose for Gastrointestinal Surgery:

2% Oral solution (viscous):
Infants and children less than 3 years: One quarter teaspoon applied to area with a cotton tipped applicator no more frequently than every 3 hours
Maximum dose: 4 doses per 12 hour period
Children 3 years and older: No more than 4.5 mg/kg/dose (or 300 mg/dose), swished in the mouth and spit out no more frequently than every 3 hours
Comments:
-Do not use for teething pain.
-Adjust dose based on patients age, weight, and physical condition.
-Children under ten years with normal lean body mass and development; determine the maximum dose by the applying of one of the standard pediatric drug formulas (e.g., Clark's rule).

Uses:
-Topical anesthesia of irritated or inflamed mucous membranes of the mouth and pharynx.
-Reducing gagging during dental x-rays and impressions

----
Pediatric LTA(R) 2% spray:
For laryngoscopy, bronchoscopy, and endotracheal intubation: Spray pharynx with 1 to 5 mL
Maximum dose: 4.5 mg/kg (2 mg/lb)
Comments:
-Dosage in children should be reduced, commensurate with age, body weight and physical condition.
-Children under ten years with normal lean body mass and development; determine the maximum dose by the applying of one of the standard pediatric drug formulas (e.g., Clark's rule).

2% jelly:
Endotracheal intubation: Apply a moderate amount of jelly to the external surface of the endotracheal tube shortly before insertion
Maximum dose: 4.5 mg/kg (2 mg/lb)
Comments:
-Avoid introducing jelly into tube lumen due to possibility of inner lumen occlusion.
-Do not use the jelly to lubricate endotracheal stylettes.
-Avoid use of endotracheal tubes with dried jelly on the external surface due to lack of lubricating effect.

2%, 4%, or 5% solution: Spray on the desired area. May also be applied with cotton applicators or by instillation
Maximum Dose: 4.5 mg/kg (2 mg/lb)
Comments:
-When spraying, transfer solution to an atomizer.
-Dosage varies and depends on the area to be anesthetized, vascularity of the tissues, individual tolerance, and technique.
-Reduce dose in children commensurate with age, body weight and physical condition.
-Children under ten years with normal lean body mass and development: determine the maximum dose by the applying of one of the standard pediatric drug formulas (e.g., Clark's rule).

5% ointment: Apply topically for adequate control of symptoms. Apply to the tube prior to intubation
Comments:
-Adjust dose based on patient's age, weight, and physical condition.
-In dentistry, apply to previously dried oral mucosa; subsequent saliva removal with cotton rolls or saliva ejector minimizes dilution, permits maximum penetration, and minimizes swallowing of the drug.
-For insertion of new dentures, apply to all denture surfaces contacting mucosa; patients should consult a dentist at least every 48 hours throughout the fitting period.

Uses:
-Production of anesthesia of accessible mucous membranes of the oropharynx.
-Anesthetic lubricant for endotracheal intubation (oral and nasal).

Usual Pediatric Dose for Local Anesthesia:

0.5% powder injection system:
Ages 3 to 18 years: Apply one 0.5 mg lidocaine topical to the site of intact skin planned for venipuncture or peripheral intravenous cannulation, 1 to 3 minutes prior to needle insertion

Comments:
-Perform procedure within 10 minutes after administration.
-Use only on intact skin.
-Perform procedure within 10 minutes after administration.
-One additional application at a new location may be used after a failed attempt at venous access.
-Multiple administrations at the same location are not recommended.

Use: Topical anesthesia prior to venipuncture or peripheral intravenous cannulation in children ages 3 to 18.

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.

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