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Local anaesthetics

Lidocaine

Also sold as: Xylocaine

Prescription neededLocal anaesthetics
Comes as:InjectionGelOintment

Usual adult dose

Injection: given only by a doctor or dentist to numb an area before stitches or a procedure; the dose depends on body weight. Gel or ointment (2% to 5%): apply a thin layer to the painful area up to three or four times a day.

Your doctor may give you a different dose. Children's doses depend on weight.

Side effects

Common

  • brief burning or stinging
  • numbness

Serious — get help

Stop taking it and see a doctor straight away if you notice:

  • dizziness
  • ringing in the ears
  • metallic taste
  • seizures or slow heartbeat (too much medicine)
  • severe allergic reaction

Do not take it, or take care, if

  • Allergy to local anaesthetics
  • Heart block (injection)
  • Severe liver disease (use with caution)
  • Do not use large amounts of gel on broken skin or in young children

Interactions

Medicines that can react with this one.

Moderate2 medicinesTake together only with care. Ask your doctor or pharmacist.
  • Amiodarone

    Amiodarone can raise lidocaine levels and add to effects on heart rhythm.

  • Propranolol

Pregnancy

  1. A
  2. B
  3. C
  4. D
  5. X

Category B

No risk seen in animal studies, but there are few studies in pregnant women. Usually considered safe when needed.

Check with my other medicines

Propranolol can raise lidocaine levels and the risk of toxicity.

Always follow your doctor or pharmacistThis page is general information, not a prescription. Do not start, stop or change a medicine on your own.