Lidocaine Ointment Rx
Generic Name and Formulations:
Lidocaine 5%; water miscible.
Various generic manufacturers
Indications for Lidocaine Ointment:
Anesthesia of oropharyngeal mucosa. Anesthetic lubricant for endotracheal intubation.
Apply up to 6 inches (5g); max 17–20g/day.
<10yrs: apply up to 4.5mg/kg; avoid prolonged use or on large areas.
Sepsis. Traumatized mucosa. Severe shock. Heart block. Risk of methemoglobinemia (esp. in G6PD deficiency, congenital or idiopathic methemoglobinemia, cardiac or pulmonary compromise, infants <6 months of age, concurrent exposure to oxidizing agents or metabolites); monitor. Monitor for familial malignant hyperthermia (eg, tachycardia, tachypnea). History of drug sensitivities. Do not eat for 1 hour after oral application. Children, elderly, debilitated, acutely ill: reduce dose. Pregnancy (Cat.B). Nursing mothers.
Increased risk of methemoglobinemia when concurrently exposed to nitrates/nitrites, local anesthetics, antineoplastic agents, antibiotics, antimalarials, anticonvulsants, others.
CNS effects (eg, dizziness, visual disturbances, tremor, respiratory depression), bradycardia, hypotension.
Formerly known under the brand name Xylocaine.
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