Indications
- This medication contains two amide-type local anesthetics, lidocaine, and prilocaine. It is applied on normal, unbroken skin or the outer genital area to prevent pain before specific procedures like needle insertion, skin grafts, or skin laser surgery.
- The medication works by temporarily numbing the skin and its surrounding area. Avoid using this product in the ears.
- If this product alone cannot fully numb the treated area, it may be used to numb the area before administering a lidocaine injection. This additional step aims to provide sufficient pain relief for certain procedures, such as the removal of genital warts.
Dosage and administration
- Before using lidocaine/prilocaine cream, read the Patient Information Leaflet from your pharmacist. If you have questions, consult your doctor or pharmacist.
- Use this medication only on normal skin and the genital area. Avoid application on broken/irritated skin or open wounds unless directed by your doctor. Wash your hands before using.
- Apply the cream at the specified time as directed. The duration it stays on the skin depends on the procedure type. Typically, it is applied at least 1 hour before needle sticks and 2 hours before minor skin procedures. For certain genital procedures, a healthcare professional may apply it while you lie down to ensure the medication stays in place.
- To apply, squeeze the prescribed amount directly onto the skin or use a measuring guide. Do not rub in. Cover with an airtight dressing/bandage as directed by your doctor. Leave the cream in place, usually in a thick layer, until shortly before the procedure or as instructed by your doctor.
- Dosage and application time depend on your age, medical condition, and the procedure. In children, dosage may also be based on weight. Avoid using larger amounts than prescribed, on large skin areas, applying heat, or leaving it in place longer than directed to prevent serious side effects.
- When applying on a child, ensure the medication stays in place, and prevent the child from putting the medication or dressing/bandage in their mouth. Consider using a second covering to avoid touching the cream.
- Wash hands immediately after use unless treating an area on the hands. Avoid contact with eyes, nose, ears, or mouth. If it gets in the eyes, rinse immediately with water or saline to prevent injury due to numbness. Protect the eye until feeling returns.
- The treated area may remain numb for several hours after the procedure. Protect it from injury, avoiding bumps, rubbing, scratching, or exposure to heat/cold until feeling returns.
Side effects
- Redness, swelling, tingling/burning, or lightening of the skin may occur. Notify your doctor or pharmacist promptly if any of these effects persist or worsen.
- This medication has been prescribed because your doctor deems that the benefits outweigh the risk of side effects. Many individuals using this medication do not experience serious side effects.
- Contact your doctor immediately if you encounter any serious side effects, such as blistering of the skin where the drug is applied.
- Remove the cream and seek medical assistance promptly if you experience very serious side effects, including slow/shallow breathing, dizziness, fainting, fast/slow/irregular heartbeat, mental/mood changes (such as confusion, nervousness), seizures, severe drowsiness, pale/bluish/gray skin, unusual tiredness, or shortness of breath.
- Although a severe allergic reaction to this drug is rare, seek medical help if you notice symptoms like rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, or trouble breathing.
- This list does not cover all possible side effects. Contact your doctor or pharmacist if you observe other effects not mentioned here.
Precautions
- Before using this product, inform your doctor or pharmacist if you are allergic to lidocaine, prilocaine, or any other amide anesthetics (such as bupivacaine), or if you have any other allergies. Inactive ingredients in the product may cause allergic reactions or other issues; consult your pharmacist for more details.
- Prior to using this medication, disclose your medical history to your doctor or pharmacist, particularly if you have heart disease (such as irregular heartbeat), kidney disease, liver disease, or a specific blood disorder (methemoglobinemia).
- Older adults may be more sensitive to the side effects of this drug, particularly dizziness.
- During pregnancy, use this medication only when necessary, and discuss the risks and benefits with your doctor.
- Lidocaine passes into breast milk, and it is unknown if prilocaine does. Consult your doctor before breastfeeding.