LIDOCAINE AND PRILOCAINE TOPICAL

(LY doh kayn and PRIL oh kayn TOP ik al) Brand: Emla

What is the most significant information I must know about lidocaine and prilocaine?

An overdose of numbing medications can reason fatal side effects if too many of the medication is absorbed through your skin and into your blood. This is more likely to occur when using a numbing medication 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 medication till having a mammography. Overdose symptoms may include uneven heartbeats, seizure (convulsions), coma, slowed breathing, or respiratory failure (breathing stops).

• Your body may absorb more of this medicine if you use too many, if you apply it over big 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 medicine than healthy skin.

• Use the smallest amount of this medicine needed to numb the skin or relieve pain. Do not use big amounts of lidocaine and prilocaine topical, or cover treated skin areas with a bandage or plastic wrap without medical advice. Be aware that much cosmetic procedures are performed without a medical doctor present.

• Do not use lidocaine and prilocaine topical if you have had an allergic reaction to a numbing medication in the past.

• Till lidocaine and prilocaine topical is applied, speak your doctor if you have liver malady, a history of allergic reaction to lidocaine or prilocaine, or a private or family history of methemoglobinemia, or any genetic enzyme deficiency.

Lidocaine and prilocaine topical is for use only on the surface of your body. Avoid getting this medicine in your eyes.

• Avoid accidentally injuring treated skin areas while they are numb. Avoid coming into contact with very hot or very cool surfaces.

What is lidocaine and prilocaine topical?

Lidocaine and prilocaine topical is a local anesthetic (numbing medication). It works by blocking nerve signals in your body.

Lidocaine and prilocaine topical is used to numb the skin, or surfaces of the penis or vagina, in preparation for a medical procedure or to lessen the pain of inserting a medical instrument such as a pipe or speculum.

Lidocaine and prilocaine topical may also be used for another purposes not listed in this medicine guide.

What must I discuss with my health care provider till using lidocaine and prilocaine topical?

An overdose of numbing medications can reason fatal side effects if too many of the medication is absorbed through your skin and into your blood.

• Overdose is more likely to occur when using a numbing medication 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 medication till having a mammography. Symptoms may include uneven heartbeats, seizure (convulsions), coma, slowed breathing, or respiratory failure (breathing stops).

• Do not use lidocaine and prilocaine topical if you have a blood cell mess called methemoglobinemia.

• Till lidocaine and prilocaine topical is applied, speak your doctor if you have:

· liver disease;

· a history of allergic reaction to lidocaine or prilocaine; or

· a private or family history of methemoglobinemia, or any genetic enzyme deficiency.

• If you have any of these conditions, you may need a doze adjustment or particular trials to safely use lidocaine and prilocaine topical.

• FDA pregnancy category B. This medicine is not expected to be deleterious to an unborn child. Speak your doctor if you are pregnant or plan to become pregnant during treatment.

Lidocaine and prilocaine topical can pass into breast milk and may harm a nursing child. Do not use this medicine without telling your doctor if you are breast-feeding a baby.

How must I use lidocaine and prilocaine topical?

• Use this medicine exactly as directed on the label, or as it has been predesigned by your doctor. Do not use the medicine in larger amounts, or use it for longer than recommended.

• Your body may absorb more of this medicine if you use too many, if you apply it over big 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 medicine than healthy skin.

• Use the smallest amount of medication needed to numb the skin or relieve pain. Do not use big amounts of lidocaine and prilocaine topical, or cover treated skin areas with a bandage or plastic wrap without medical advice. Be aware that much cosmetic procedures are performed without a medical doctor present.

• This medicine comes with instructions for safety and effective application. Follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

• You must be lying down when lidocaine and prilocaine topical cream is applied.

• Your medication may have been supplied with bandages to cover the cream when it is applied to a little area on your skin. If using a bandage dressing, first apply a fat layer of the cream to the skin, taking care not to spread the cream out. Seat the bandage over the cream and smooth down the edges before it is completely sealed near the cream.

Lidocaine and prilocaine topical is generally applied 1 to 2 hours till the start of a procedure that requires the treated area to be numb. Follow your doctor's instructions about the length of time the cream must be left on the skin.

• Store lidocaine and prilocaine topical at room temperature away from moisture and heat. Do not let the cream to freeze.

What happens if I miss a dose?

• Since lidocaine and prilocaine topical is used as needed, it is not likely that you will be on a dosing schedule.

What happens if I overdose?

• Search abnormal medical attention if you think you have used too many of this medicine.

An overdose of lidocaine and prilocaine topical applied to the skin can reason life-threatening side effects such as uneven heartbeats, seizure (convulsions), coma, slowed breathing, or respiratory failure (breathing stops).

What must I avoid while taking lidocaine and prilocaine topical?

Lidocaine and prilocaine topical is for use only on the surface of your body. Avoid getting this medicine in your eyes.

• Avoid accidentally injuring treated skin areas while they are numb. Avoid coming into contact with very hot or very cool surfaces.

What are the possible side effects of lidocaine and prilocaine topical?

• Get abnormal medical help if you have any of these signs of an allergic reaction: hives; difficulty breathing; swelling of your person, lips, tongue, or throat.

• Stop using lidocaine and prilocaine topical and call your doctor at once if you have any of these serious side effects:

· severe burning, stinging, or sensitivity where the medication is applied;

· swelling or redness;

· sudden dizziness or sleepiness after medication is applied;

· bruising or purple appearance of the skin; or

· unusual sensations of temperature.

• Smaller serious side effects may include:

· mild burning where the medication is applied;

· skin redness; or

· changes in skin color where the medication was applied.

• This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may message side effects to FDA at 1-800-FDA-1088.

What another drugs will affect lidocaine and prilocaine topical?

• Till this medicine is applied, speak your doctor if you are using any of the next drugs:

· heart rhythm medicine such as mexiletine (Mexitil);

· acetaminophen (Tylenol);

· chloroquine (Aralen);

· dapsone;

· nitrates or nitrites such as Imdur, Isordil, Monoket;

· nitrofurantoin (Furadantin, Macrodantin, Macro-Bid);

· phenobarbital (Luminal, Solfoton);

· primaquine;

· quinine; or

· a sulfa drug (Bactrim, Gantanol, Gantrisin, Septra, SMX-TMP, and others).

• This list is not complete and there may be another drugs that can interact with lidocaine and prilocaine topical. Speak your doctor about all the prescription and over-the-counter medications you use. This includes vitamins, minerals, herbal commodity, and drugs predesigned by another doctors. Do not start using a new medicine without telling your doctor.

Where can I get more information?

• Your pharmacist can provide more information about lidocaine and prilocaine topical.

Remember, hold this and all another medicines out of the reach of children, never share your medicines with others, and use this medicine only for the indication prescribed.

Disclaim: Each effort has been made to ensure that the information provided by Cerner Multum, Inc. ('Multum') is accurate, up-to-date, and complete, but no guarantee is made to that effect. Drug information contained herein may be time sensitive. Multum information has been compiled for use by healthcare practitioners and consumers in the United States and therefore Multum does not warrant that uses external of the United States are appropriate, unless specifically indicated otherwise. Multum's drug information does not endorse drugs, diagnose patients or recommend therapy. Multum's drug information is an informational resource designed to assist licensed healthcare practitioners in caring for their patients and/or to serve consumers viewing this service as a supplement to, and not a substitute for, the expertise, skill, knowledge and judgment of healthcare practitioners. The absence of a warning for a given drug or drug combination in no way must be construed to indicate that the drug or drug combination is safety, effective or appropriate for any given patient. Multum does not assume any responsibility for any aspect of healthcare administered with the help of information Multum provides. The information contained herein is not intended to cover all possible uses, directions, precautions, warnings, drug interactions, allergic reactions, or adverse effects. If you have questions about the drugs you are taking, check with your doctor, nurse or pharmacist.

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