Lidocaine topical Uses, Side Effects & Warnings

Generic name: lidocaine topical [ LYE-doe-kane-TOP-i-kal ]
Brand names: AneCream, Bactine, Glydo, LidaMantle, Lidoderm,
… show all 11 brands
LidoRx, Medi-Quik Spray, RadiaGuard, RectiCare, Regenecare HA Spray, Solarcaine Cool Aloe

Dosage forms: intradermal device (0.5 mg), topical cream (3%; 4%; 5%), topical film (1.8%; 3.5%; 4%; 5%), topical gel (0.5%; 2.8%; 3%; 4%),
… show all 11 dosage forms
topical gel with applicator (2%), topical kit (4%; 5%; 5% with emollients), topical liquid (2.5%), topical lotion (1%), topical ointment (5%), topical solution (4%), topical spray (0.5%; 10%; 2%; 4%)

Drug class: Topical anesthetics

Medically reviewed by Drugs.com on May 17, 2022. Written by Cerner Multum.

What is lidocaine topical?

Lidocaine is a local anesthetic (numbing medication). There are many brands and forms of lidocaine available. Not all brands are listed on this leaflet.

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 intradermal device can be used in minor medical procedures such as venipuncture or peripheral intravenous cannulation.

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

Warnings

An overdose of numbing medicine can cause fatal side effects if too much of the medicine is absorbed through your skin.

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.

Before taking this medicine

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.

Tell your doctor if you have ever had:

Tell your doctor if you are pregnant or breastfeeding.

If you apply lidocaine topical to your chest, avoid areas that may come into contact with the baby’s mouth.

How should I use lidocaine topical?

Use lidocaine topical 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.

Improper use of lidocaine topical may result in death.

Lidocaine topical comes in many different forms (gel, spray, cream, lotion, ointment, liquid, skin patch, and others).

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

Read and carefully follow any Instructions for Use provided with your medicine. Ask your doctor or pharmacist if you do not understand these instructions.

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.

Lidocaine intradermal device is applied by a healthcare provider.

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. Skip any missed dose if it’s almost time for your next dose. Do not use two doses at one time.

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.

Overdose 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.

What should I avoid while using lidocaine topical?

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 signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Lidocaine topical may cause serious side effects. Call your doctor at once if you have:

• severe headache or vomiting;

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

• swelling or redness;

• sudden dizziness or drowsiness after medicine is applied;

• confusion, problems with speech or vision, ringing in your ears; or

• unusual sensations of temperature.

Common side effects include:

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.

What other drugs will affect lidocaine topical?

Medicine used on the skin is not likely to be affected by other drugs you use. 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.

More about lidocaine topical

• Check interactions
• Compare alternatives
• Pricing & coupons
• Reviews (241)
• Latest FDA alerts (7)
• Side effects
• Dosage information
• During pregnancy
• Drug class: topical anesthetics
• Breastfeeding
• En español

Patient resources

• Advanced Reading
• Glycerin and Lidocaine
• Lidocaine Aerosol
• Lidocaine Cream
• Lidocaine Gel

Other brands

Lidocaine Viscous, Lidoderm, ZTlido, Xylocaine Jelly, . .. +19 more

Professional resources

• Prescribing Information

Related treatment guides

• Anal Itching
• Anesthesia
• Burns, External
• Gastrointestinal Surgery

Further information

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.

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Copyright 1996-2023 Cerner Multum, Inc. Version: 9.02.

Lidocaine Ointment: Indications, Side Effects, Warnings

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Generic name: Lidocaine Ointment [ LYE-doe-kane ]
Drug class: Topical anesthetics

Medically reviewed by Drugs.com. Last updated on Jun 8, 2023.

Uses of Lidocaine Ointment:

• It is used to stop pain.
• It is used to ease pain from skin irritations.
• It is used to treat mouth sores.
• It may be given to you for other reasons. Talk with the doctor.

What do I need to tell my doctor BEFORE I take Lidocaine Ointment?

• If you have an allergy to lidocaine or any other part of lidocaine ointment.
• If you are allergic to lidocaine ointment; any part of lidocaine ointment; or any other drugs, foods, or substances. Tell your doctor about the allergy and
  what signs you had.
• If there is an infection where lidocaine ointment will be used.
• If you have broken skin or open wounds where the drug will be used.
• If you have swollen skin, numbness, or are not able to feel pain where the drug will be used.
• If a large area needs to be treated.

This is not a list of all drugs or health problems that interact with lidocaine ointment.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check
to make sure that it is safe for you to take lidocaine ointment with all of your drugs and health problems. Do not start, stop, or change the dose of
any drug without checking with your doctor.

What are some things I need to know or do while I take Lidocaine Ointment?

• Tell all of your health care providers that you take lidocaine ointment. This includes your doctors, nurses, pharmacists, and dentists.
• A severe blood problem called methemoglobinemia has happened with drugs like this one. The risk may be raised in people who have
  glucose-6-phosphate dehydrogenase (G6PD) deficiency, heart problems, or lung problems. The risk may also be raised while taking certain other
  drugs and in infants younger than 6 months of age. Tell your doctor if you have ever had methemoglobinemia.
• Talk with your doctor before you use other drugs or products on your skin.
• Do not use lidocaine ointment for longer than you were told by your doctor.
• Do not scratch or rub the skin while it is numb. Do not let it get very hot or very cold.
• Do not put on cuts, scrapes, or damaged skin unless the doctor tells you to.
• Avoid use of heat sources (such as sunlamps, tanning beds, heating pads, electric blankets, heat lamps, saunas, hot tubs, heated
  waterbeds). Avoid long, hot baths or sunbathing. Your temperature may rise and cause too much drug to pass into your body.
• This medicine may cause harm if swallowed. If lidocaine ointment is swallowed, call a doctor or poison control center right away.
• Different brands of lidocaine ointment may be for use in different ages of children. Talk with the doctor before giving lidocaine ointment to a child.
• Use with care in children. Talk with the doctor.
• If you are 65 or older, use lidocaine ointment with care. You could have more side effects.
• Tell your doctor if you are pregnant, plan on getting pregnant, or are breast-feeding. You will need to talk about the benefits and risks
  to you and the baby.

How is this medicine (Lidocaine Ointment) best taken?

Use lidocaine ointment as ordered by your doctor. Read all information given to you. Follow all instructions closely.

Skin:

• Do not take lidocaine ointment by mouth. Use on your skin only. Keep out of your mouth, nose, and eyes (may burn).
• If you get lidocaine ointment in any of these areas, rinse well with water.
• Wash your hands before and after use. Do not wash your hands after use if putting this on your hand.
• Clean affected part before use. Make sure to dry well.
• Put on clean, dry, healthy skin.
• Do not use coverings (bandages, dressings, make-up) unless told to do so by the doctor.

Oral:

• If putting on with a cotton swab, put on affected part as your doctor or the label tells you.
• Do not eat anything for at least 60 minutes (1 hour) after you use lidocaine ointment.

What do I do if I miss a dose?

• If you use lidocaine ointment on a regular basis, use a missed dose as soon as you think about it.
• If it is close to the time for your next dose, skip the missed dose and go back to your normal time.
• Do not put on 2 doses at the same time or extra doses.
• Many times lidocaine ointment is used on an as needed basis. Do not use more often than told by the doctor.

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your
doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing;
  tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue,
  or throat.
• Signs of infection like fever, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with
  passing urine, mouth sores, or wound that will not heal.
• Signs of too much acid in the blood (acidosis) like confusion; fast breathing; fast heartbeat; a heartbeat that does not feel normal; very
  bad stomach pain, upset stomach, or throwing up; feeling very sleepy; shortness of breath; or feeling very tired or weak.
• Signs of methemoglobinemia like a blue or gray color of the lips, nails, or skin; a heartbeat that does not feel normal; seizures; very bad
  dizziness or passing out; very bad headache; feeling very sleepy; feeling tired or weak; or shortness of breath. This effect is rare but may be
  deadly if it happens.
• Trouble breathing, slow breathing, or shallow breathing.
• Very bad numbness and tingling.
• Feeling lightheaded, sleepy, confused, or having blurred eyesight.
• Seizures.
• Change in eyesight.
• Feeling nervous and excitable.
• Dizziness or passing out.
• Ringing in ears.
• Upset stomach or throwing up.
• Feeling hot or cold.
• Shakiness.
• Twitching.
• Slow heartbeat.
• Chest pain.

What are some other side effects of Lidocaine Ointment?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical
help if any of these side effects or any other side effects bother you or do not go away:

• Irritation where lidocaine ointment is used.
• Swelling.
• Redness.
• Change in color of skin.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical
advice about side effects.

You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch.

If OVERDOSE is suspected:

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was
taken, how much, and when it happened.

How do I store and/or throw out Lidocaine Ointment?

• Store at room temperature.
• Do not freeze.
• Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
• Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your
  pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

Consumer Information Use and Disclaimer

• If your symptoms or health problems do not get better or if they become worse, call your doctor.
• Do not share your drugs with others and do not take anyone else’s drugs.
• Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about lidocaine ointment, please talk
  with your doctor, nurse, pharmacist, or other health care provider.
• If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was
  taken, how much, and when it happened.

More about lidocaine topical

• Check interactions
• Compare alternatives
• Pricing & coupons
• Reviews (241)
• Latest FDA alerts (7)
• Side effects
• Dosage information
• During pregnancy
• Drug class: topical anesthetics
• Breastfeeding
• En español

Patient resources

• Drug Information
• Lidocaine (Topical application) (Advanced Reading)
• Glycerin and Lidocaine
• Lidocaine Aerosol
• Lidocaine Cream

Other brands

Lidocaine Viscous, Lidoderm, ZTlido, Xylocaine Jelly, . .. +19 more

Professional resources

• Prescribing Information

Related treatment guides

• Anal Itching
• Anesthesia
• Burns, External
• Gastrointestinal Surgery

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.

Medical Disclaimer

Anesthetic cream for hair removal. Why Pure Lidocaine Doesn’t Work.

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