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Drug Database - Lidoderm Patch
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Generic Name:
lidocaine (LYE-doe-cane)
Brand Names:
Anestacon®, Bactine®, Ela-Max®,
Ela-Max 5®, LidaMantle®, Lidocaine Viscous®, Lidoderm®,
Lidomar®, LMX Plus®, Medi-Quik Spray®, Xylocaine Jelly®,
Xylocaine Topical®, Xylocaine Viscous®, Zilactin-L®
Classification:
Local Anesthetic (numbing medication)
Issue Date:
1995
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Lidoderm is used to reduce pain or discomfort caused by skin irritations such as
sunburn, insect bites, poison ivy, poison oak, poison sumac, and minor cuts,
scratches, hemorrhoids, and burns. Lidoderm is also used to treat sores inside
the mouth, during dental procedures to numb the gums, and to numb the skin for a
medical procedure (such as getting stiches). It's also used for in the treatment
of Fibromyalgia pain.
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Before Using This Medicine
An overdose of numbing medications can cause fatal side effects if too much of the
medicine is absorbed through your skin and into your blood. This is more likely to
occur when using a numbing medicine without the advice of a medical doctor (such as
during a cosmetic procedure like laser hair removal). Overdose symptoms may include
- uneven heartbeats
- seizure (convulsions)
- coma
- slowed breathing
- respiratory failure (breathing stops)
Your body may absorb more of this medication if you use too much, if you apply it over
large 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 medication than healthy skin.
Use the smallest amount of this medication needed to numb the skin or relieve pain.
Do not use large amounts of Lidoderm, or cover treated skin areas with a bandage or
plastic wrap without medical advice. Be aware that many cosmetic procedures are performed
without a medical doctor present.
Keep both used and unused Lidoderm patches out of the reach of children or pets. The
amount of lidocaine in the skin patches could be harmful to a child or pet who accidentally
sucks on or swallows the patch. Seek emergency medical attention if this happens.
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Precautions
An overdose of numbing medications can cause fatal side effects if too much of the
medicine is absorbed through your skin and into your blood. This is more likely to
occur when using a numbing medicine without the advice of a medical doctor (such as
during a cosmetic procedure like laser hair removal). Overdose symptoms may include
- uneven heartbeats
- seizure (convulsions)
- coma
- slowed breathing
- respiratory failure (breathing stops)
Do not use Lidoderm if you are allergic to any other type of numbing medicine.
Before using Lidoderm, tell your doctor if you are allergic to any drugs, or if you
have liver disease, or broken, swollen, or damaged skin. You may not be able to use
Lidoderm, or you may need dosage adjustments or special tests during treatment.
FDA pregnancy category B. This medication is not expected to be harmful to an unborn baby.
Tell your doctor if you are pregnant or plan to become pregnant during treatment. Lidoderm
can pass into breast milk and may harm a nursing baby. Do not use this medication without
telling your doctor if you are breast-feeding a baby.
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How to use Lidoderm
Use this medication exactly as directed on the label, or as it has been prescribed by
your doctor. Do not use the medication in larger or smaller amounts, or use it for longer
than recommended.
Lidoderm comes in many different forms for different uses. Lidoderm cream, lotion,
spray, solution, film, and transdermal patch are generally for use on the skin only.
Lidoderm gel, mucus membrane solution, and oral spray are for use in the mouth or on the gums.
If your medication comes with patient instructions for safe and effective use, follow
these directions carefully. Ask your doctor or pharmacist if you have any questions.
Your body may absorb more of this medication if you use too much, if you apply it over
large 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 medication than healthy skin.
Use the smallest amount of this medication needed to numb the skin or relieve pain. Do
not use large amounts of Lidoderm, or cover treated skin areas with a bandage or plastic
wrap without medical advice. Be aware that many cosmetic procedures are performed without
a medical doctor present.
Do not apply this medication to swollen skin areas or deep puncture wounds. Avoid
using the medicine on skin that is raw or blistered, such as a severe burn or abrasion.
Lidoderm may be applied with your finger tips or a cotton swab. Follow your doctor's
instructions.
Store Lidoderm at room temperature away from moisture and heat. Keep both used and
unused Lidoderm patches out of the reach of children or pets. The amount of lidocaine
in the skin patches could be harmful to a child or pet who accidentally sucks on or
swallows the patch. Seek emergency medical attention if this happens.
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Safety Information About Lidoderm
Missed Dosage
Since Lidoderm is used as needed, you may not be on a dosing schedule. If you are using
the medication regularly, use the missed dose as soon as you remember. If it is almost
time for your next dose, skip the missed dose and use the medicine at your next regularly
scheduled time. Do not use extra medicine to make up the missed dose.
In Case of Overdose
Seek emergency medical attention if you think you have used too much of this medicine.
Lidoderm applied to the skin is not likely to cause an overdose unless you apply more than
the recommended dose. Overdose may also occur if you apply heat, bandages, or plastic
wrap to treated skin areas.
Improper use of Lidoderm may result in death.
Overdose symptoms may include:
- drowsiness
- confusion
- nervousness
- ringing in your ears
- blurred vision
- feeling hot or cold
- numbness
- muscle twitches
- uneven heartbeats
- seizure (convulsions)
- slowed breathing
- respiratory failure (breathing stops)
- coma
What To Avoid
If you are using a Lidoderm form meant only for use on the skin, do not allow the
medicine to come into contact with your eyes. If it does, rinse with water. Avoid
touching the sticky side of a lidocaine skin patch while applying it.
Avoid using other topical medications on the affected area unless your doctor
has told you to.
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Side Effects
Get emergency medical help if you have any of these signs of an allergic reaction:
- Hives
- Difficulty breathing
- Swelling of your face, lips, tongue, or throat
Seek medical attention right away if any of these SEVERE side effects occur:
- uneven heartbeats
- drowsiness, confusion
- tremors, seizure (convulsions)
- blurred vision
Less serious side effects include:
- mild irritation, redness, or swelling where the medication is applied
- numbness in places where the medicine is accidentally applied
This is not a complete list of all side effects that may occur. If you have questions
or need medical advice about side effects, contact your doctor or health care provider.
You may report side effects to the FDA at 1-800-FDA-1088 (1-800-332-1088) or at
http://www.fda.gov/medwatch.
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Drug Interactions
Before using Lidoderm, tell your doctor if you are taking medication to treat
a heart rhythm disorder, such as:
- quinidine (Quinidex®, Quinaglute®)
- disopyramide (Norpace®)
- flecainide (Tambocor®)
- mexiletine (Mexitil®)
- procainamide (Procan®, Pronestyl®)
- tocainide (Tonocard®)
- propafenone (Rythmol®)
If you are using any of these drugs, you may not be able to use Lidoderm, or you may
need dosage adjustments or special tests during treatment.
There may be other drugs not listed that can affect Lidoderm. Tell your doctor
about all the prescription and over-the-counter medications you use. This includes
vitamins, minerals, herbal products, and drugs prescribed by other doctors. Do not
start using a new medication without telling your doctor.
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