Generic Name: lidocaine and prilocaine (Topical route)
Commonly used brand name(s):
In the U.S.
Available Dosage Forms:
Therapeutic Class: Anesthetic Combination
Chemical Class: Amino Amide
This medicine contains a mixture of 2 local anesthetics , lidocaine and prilocaine. It is used to produce numbness or loss of feeling before certain painful procedures, such as injections, drawing blood from a vein, or removing small growths (warts, for example) from the skin.
This medicine deadens the nerve endings in the skin. It does not cause unconsciousness as general anesthetics used for surgery do.
In the U.S., this medicine is available only with your doctor's prescription. In Canada, it is available without a prescription. However, your doctor may have special instructions on the proper use and dose, depending on the reason you are using this medicine.
In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:
Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.
This medicine has been tested in children. Very young children (less than 1 year of age) may be especially sensitive to the effects of lidocaine and prilocaine. This may increase the chance of side effects. However, in effective doses, this medicine has not been shown to cause different side effects or problems in children older than 1 year of age than it does in adults.
Young children are often frightened when they receive injections or have other painful procedures done. This medicine helps prevent pain, but it will not calm a frightened child. Parents can help by staying calm and by comforting and reassuring the child.
This medicine has not been studied specifically in older people. However, it is possible that the chance of some side effects may be increased in elderly people. Experience with local anesthetics given by injection or applied to other areas of the body (for example, the throat or the inside of the mouth) has shown that elderly people are usually more sensitive than younger adults to the effects of local anesthetics.
|All Trimesters||B||Animal studies have revealed no evidence of harm to the fetus, however, there are no adequate studies in pregnant women OR animal studies have shown an adverse effect, but adequate studies in pregnant women have failed to demonstrate a risk to the fetus.|
There are no adequate studies in women for determining infant risk when using this medication during breastfeeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.
Using this medicine with any of the following medicines is not recommended. Your doctor may decide not to treat you with this medication or change some of the other medicines you take.
Using this medicine with any of the following medicines is usually not recommended, but may be required in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Using this medicine with any of the following medicines may cause an increased risk of certain side effects, but using both drugs may be the best treatment for you. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both of the medicines.
Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
For safe and effective use of this medicine:
The dose of this medicine will be different for different patients. Follow your doctor's orders or the directions on the label. The following information includes only the average doses of this medicine. If your dose is different, do not change it unless your doctor tells you to do so.
The amount of medicine that you take depends on the strength of the medicine. Also, the number of doses you take each day, the time allowed between doses, and the length of time you take the medicine depend on the medical problem for which you are using the medicine.
Store the medicine in a closed container at room temperature, away from heat, moisture, and direct light. Keep from freezing.
Keep out of the reach of children.
Do not keep outdated medicine or medicine no longer needed.
After applying this medicine to the skin of a child, watch the child carefully to make sure that he or she does not loosen or remove the bandage. Also, keep the child from getting any of the medicine into his or her mouth. This medicine can cause serious side effects, especially in children, if any of it gets into the mouth or is swallowed.
During the time that the area to which the medicine was applied feels numb, serious injury can occur without your knowing about it. Be especially careful to avoid injury until the anesthetic wears off or feeling returns to the area. For example, do not scratch or rub the area or allow very hot or very cold objects to touch it.
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur:Rare
Also check with your health care professional, or get emergency help right away, if any of the following side effects occur:Signs of too much medicine being absorbed into the body
Note: The above side effects are not likely to occur when usual amounts of this medicine are used properly. However, they may occur if the medicine is used too often, applied to broken skin (for example, cuts or scrapes), applied to very large areas, or kept on the skin too long.
Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:More common
Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.
Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.
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