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Lidocaine is a prescription medication used to prevent pain before procedures or to relieve pain due to certain conditions. Lidocaine belongs to a group of drugs called local anesthetics. These stop nerves from sending pain signals to the brain.
This medication comes in several topical forms, including a patch to be applied to the skin (transdermal), ointment, cream, and oral solution. Lidocaine is an ingredient in some over-the-counter topical pain relievers. This page refers to the prescription forms of lidocaine.
This medication is also available in an injectable form to be given directly into a vein (IV) or for infiltration and nerve block by a healthcare professional.
Common side effects of topical lidocaine include irritation at site of application. Common side effects of injectable lidocaine include confusion, nervousness, and numbness. Lidocaine may also cause dizziness and drowsiness. Do not drive or operate heavy machinery until you know how this medication affects you.
Uses of Solarcaine
Lidocaine is a prescription medication used to prevent pain before procedures or to relieve pain due to certain conditions. Lidocaine patches may be used to treat pain due to post-herpetic neuralgia. Lidocaine ointment, gel, and cream are used to prevent and control pain during procedures, such as intubation and eye surgery, and relieve pain due to conditions such as inflammation of the urethra and sore throat. Lidocaine oral solution is used to treat pain in the mouth.
Injectable lidocaine is used as an anesthetic during surgical procedures.
This medication may be prescribed for other uses. Ask your doctor or pharmacist for more information.
Tell your doctor about all of the medicines you take including prescription and non-prescription medicines, vitamins, and herbal supplements. Especially tell your doctor if you take:
- disopyramide (Norpace)
- flecainide (Tambocor)
- medications applied to the skin or mouth to treat pain
- mexiletine (Mexitil)
- moricizine (Ethmozine)
- procainamide (Procanabid, Pronestyl)
- propafenone (Rhythmol)
- quinidine (Quinidex)
- tocainide (Tonocard)
This is not a complete list of lidocaine drug interactions. Ask your doctor or pharmacist for more information.
Solarcaine Food Interactions
Medications can interact with certain foods. In some cases, this may be harmful and your doctor may advise you to avoid certain foods. In the case of lidocaine, there are no specific foods that you must exclude from your diet when receiving this medication.
Before taking lidocaine, tell your doctor about all of your medical conditions. Especially tell your doctor if you:
- are allergic to lidocaine or to any of its ingredients
- are allergic to other local anesthetics, including bupivacaine (Marcaine), etidocaine (Duranest), mepivacaine (Carbocaine, Prolocaine), or prilocaine (Citanest)
- have Stokes-Adams syndrome or Wolff-Parkinson-White syndrome
- have sinoatrial, atrioventricular, or intraventricular block
- have or have had liver disease
- are having surgery, including dental surgery
- are pregnant or breastfeeding
Solarcaine and Pregnancy
Tell your doctor if you are pregnant or plan to become pregnant.
The FDA categorizes medications based on safety for use during pregnancy. Five categories - A, B, C, D, and X, are used to classify the possible risks to an unborn baby when a medication is taken during pregnancy.
Lidocaine falls into category B.
There are no well-done studies that have been done in humans with lidocaine. In animal studies, pregnant animals were given this medication, and the babies did not show any medical issues related to this medication.
Commonly used brand name(s)
In the U.S.
- Baby Orajel Nighttime Formula
- Dermoplast Maximum Strength
Available Dosage Forms:
Therapeutic Class: Anesthetic, Local
Chemical Class: Amino Ester
Consumer Information Use and Disclaimer
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else's drugs.
- Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.
- Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.
- Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about this medicine, please talk with your doctor, nurse, pharmacist, or other health care provider.
- If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.
This information should not be used to decide whether or not to take Solarcaine (benzocaine aerosol spray) or any other medicine. Only the healthcare provider has the knowledge and training to decide which medicines are right for a specific patient. This information does not endorse any medicine as safe, effective, or approved for treating any patient or health condition. This is only a brief summary of general information about this medicine. It does NOT include all information about the possible uses, directions, warnings, precautions, interactions, adverse effects, or risks that may apply to Solarcaine. This information is not specific medical advice and does not replace information you receive from the healthcare provider. You must talk with the healthcare provider for complete information about the risks and benefits of using this medicine.
Review Date: October 4, 2017
For the Consumer
Applies to benzocaine topical: cream, film, gel/jelly, gum, liquid, lotion, lozenge/troche, ointment, paste, powder for suspension, solution, spray, swab, tablet disintegrating
Other dosage forms:
- topical application cream, topical application gel/jelly, topical application liquid, topical application ointment, topical application solution, topical application spray, topical application wax
Along with its needed effects, benzocaine topical (the active ingredient contained in Solarcaine First Aid Medicated Spray) may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.
Check with your doctor immediately if any of the following side effects occur while taking benzocaine topical:Incidence not known
- high fever
- worsening of pain, redness, swelling, or irritation in or around the mouth
For Healthcare Professionals
Applies to benzocaine topical: compounding powder, mucous membrane gel, mucous membrane liquid, mucous membrane lozenge, mucous membrane paste, mucous membrane powder for reconstitution, mucous membrane spray, mucous membrane swab, mucous membrane tablet disintegrating, rectal ointment, rectal suppository, topical cream, topical gel, topical liquid, topical lotion, topical ointment, topical spray, topical stick, topical swab
Dermatologic side effects have included contact dermatitis and urticaria.[Ref]
Local side effects have included burning and stinging.[Ref]
Other side effects have included edema.[Ref]
Cardiovascular side effects have included angioedema.
Hematologic side effects have included methemoglobinemia. FDA continues to receive reports of methemoglobinemia from postmarketing reporting.[Ref]
Some side effects of Solarcaine First Aid Medicated Spray may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA.