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Lidocaine (Topical)


Related terms
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    Related terms
    • Brand Names: U.S.: AneCreamT [OTC];AnestafoamT [OTC];Band-Aid® Hurt FreeT Antiseptic Wash [OTC];Burn Jel Plus [OTC];Burn Jel® [OTC];L-M-X® 4 [OTC];L-M-X® 5 [OTC];LidaMantle®;Lidoderm®;LidoPatchT [OTC];LTA® 360;Premjact®;RectiCareT [OTC];Regenecare®;Regenecare® HA [OTC];Solarcaine® cool aloe Burn Relief [OTC];Topicaine® [OTC];Unburn® [OTC];Xylocaine®
    • Brand Names: Canada: Betacaine®;LidodanT;Lidoderm®;Maxilene®;Xylocaine®

    • It is used to stop pain.
    • It is used to treat painful nerve diseases.
    • It is used to treat signs of hemorrhoids or rectal irritation.
    • It is used to ease long-term pain problems.
    • It is used to ease pain from skin irritations.
    • It is used to ease pain caused by shingles.
    • Lidocaine numbs the nerves where it is used.


    How to take

    • Skin:
    • Do not take this drug by mouth. Use on your skin only. Keep out of your mouth, nose, and eyes (may burn).
    • Wash your hands before and after use.
    • Clean affected part before use. Make sure to dry well.
    • Put on clean, dry, healthy skin.
    • Put on hemorrhoids with a cotton swab.
    • Use rectal cream rectally.
    • Skin patch:
    • Put on the most painful parts of the skin.
    • Put patch on at the same time of day.
    • Leave on for 12 hours.
    • Take off the patch right away if it burns.
    • Mouth solution:
    • Shake well before use.
    • Swish drug in mouth and then spit the drug out.

    Missed Dose

    • 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 use 2 doses or extra doses.
    • Many times this drug is taken on an as needed basis.


    • Store at room temperature.
    • Protect from heat.
    • Throw away all patches in a sealed container away from children and pets.



    • Sometimes drugs are not safe when you take them with certain other drugs. Taking them together can cause bad side effects. This is one of those drugs. Be sure to talk to your doctor about all the drugs you take.


    • If you have an allergy to lidocaine or any other part of this drug.
    • Tell your doctor if you are allergic to any drugs. Make sure to tell about the allergy and what signs you had. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.


    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • If you have liver disease, talk with your doctor.
    • Check all drugs you are taking with your doctor. This drug may not mix well with some other drugs.
    • Do not use coverings (bandages, dressings, make-up) unless told to do so by your doctor.
    • Use care when a large part of the skin is involved or where there are open wounds.
    • 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.
    • Tell your doctor if you are pregnant or plan on getting pregnant.
    • Tell your doctor if you are breast-feeding.

    Side Effects

    • Skin irritation.


    • Change in the health problem being treated. Is it better, worse, or about the same?

    Contact a healthcare provider

    • If you think there was an overdose, call your local poison control center or ER right away.
    • Signs of a very bad reaction to the drug. These include wheezing; chest tightness; fever; itching; bad cough; blue or gray skin color; seizures; or swelling of face, lips, tongue, or throat.
    • Very bad skin irritation.
    • Very bad mouth irritation.
    • Very bad numbness and tingling.
    • Any rash.
    • Side effect or health problem is not better or you are feeling worse.

    General Statements

    • If you have a very bad allergy, wear an allergy ID at all times.
    • Do not share your drugs with others and do not take anyone else's drugs.
    • Keep all drugs out of the reach of children and pets.
    • Most drugs may be thrown away in household trash after mixing with coffee grounds or kitty litter and sealing in a plastic bag.
    • In Canada, take any unused drugs to the pharmacy. Also, visit to learn about the right way to get rid of unused drugs.
    • Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
    • Call your doctor for help with any side effects. If in the U.S., you may also call the FDA at 1-800-FDA-1088 or if in Canada, you may also call Health Canada's Vigilance Program at 1-866-234-2345.
    • Talk with the doctor before starting any new drug, including OTC, natural products, or vitamins.

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    • Copyright © 1978-2013 Lexi-Comp Inc. All rights reserved.

    Copyright © 2011 Natural Standard (

    The information in this monograph is intended for informational purposes only, and is meant to help users better understand health concerns. Information is based on review of scientific research data, historical practice patterns, and clinical experience. This information should not be interpreted as specific medical advice. Users should consult with a qualified healthcare provider for specific questions regarding therapies, diagnosis and/or health conditions, prior to making therapeutic decisions.

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