Apicaine-X Dosage

Always use Apicaine-X Ointment exactly as prescribed by your doctor. Otherwise, follow the instructions below. If you are not sure how to use this medicine, talk to your doctor or pharmacist.

Directions:
Clean area with mild soap and warm water. Rinse and dry thoroughly.
Adults and children 12 years old and older: Apply externally to the affected area up to 6 times a day.
Children under 12 years of age: Consult a doctor.

Adult Dose:
• A single application should not exceed 5 g of Lidocaine Ointment 5%, containing 250 mg of lidocaine base (equivalent chemically to approximately 300 mg of lidocaine hydrochloride).
• In a 70 kg adult this dose equals 3.6 mg/kg (1.6 mg/lb) loidocaine base. No more than one-third of a jar, approximately 17-20 g of ointment or 850-1000 mg lidocaine base should be administered in any one day.

Dosage for children:
• The maximum dose for children may be determined by the application of one of the standard pediatric drug formulas (e.g. Clark's rule). For example a child of five years weighing 50 lbs., the dose of lidocaine should not exceed 75-100 mg when calculated according to Clark's rule.
• In any case, the maximum amount of lidocaine administered should not exceed 4.5 mg/kg (2 mg/lb) of body weight. No more than 3 doses should be administered within 24 hours.

Administration:
• In dentistry, apply to previously dried oral mucosa. Subsequent removal of excess saliva with cotton rolls or saliva ejector minimizes dilution of the ointment, permits maximum penetration, and minimizes the possibility of swallowing the topical ointment.
• For use in connection with the insertion of new dentures, apply to all denture surfaces contacting mucosa.
• Nursing mothers
Apply to the nipples using a small piece of lint or gauze, wash off immediately before the next feed