Lidocaine (Systemic)

Pediatric Medication

Brand Names: US

P-Care X; ReadySharp Lidocaine; Xylocaine; Xylocaine (Cardiac) [DSC]; Xylocaine-MPF

Brand Names: Canada

Xylocard

What is this drug used for?

  • It is used to numb an area before care.
  • It is used to treat certain types of abnormal heartbeats.
  • It may be given to your child for other reasons. Talk with the doctor.

What do I need to tell the doctor BEFORE my child takes this drug?

All products:

  • If your child has an allergy to this drug or any part of this drug.
  • If your child is allergic to any drugs like this one or any other drugs, foods, or other substances. Tell the doctor about the allergy and what signs your child had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

Injection (if given in the vein):

  • If your child has heart problems other than the abnormal heartbeat.

Injection (if given into the spine):

  • If your child has any of these health problems: Heart block, very bad bleeding, or very bad infection.
  • If your child has an infection where the shot will be given.
This is not a list of all drugs or health problems that interact with this drug.
Tell the doctor and pharmacist about all of your child’s drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for your child to take this drug with all of his/her drugs and health problems. Do not start, stop, or change the dose of any drug your child takes without checking with the doctor.

What are some things I need to know or do while my child takes this drug?

All products:

  • Tell all of your child’s health care providers that your child is taking this drug. This includes your child’s doctors, nurses, pharmacists, and dentists.
  • Use with care in children. Talk with the doctor.

If your child is pregnant or breast-feeding a baby:

  • Talk with the doctor if your child is pregnant, becomes pregnant, or is breast-feeding a baby. You will need to talk about the benefits and risks of using this drug.

Numbing of an area:

  • Have your child avoid tasks or actions that call for alertness until the effects of this drug wear off and your child feels fully awake. These are things like riding a bike, playing sports, or using items such as scissors, lawnmowers, electric scooters, toy cars, or motorized vehicles.
  • If you are going home before the numbness wears off, protect the treated area from injury until you can feel it again.

Injection (if given into the spine):

  • This drug may cause short-term loss of feeling and motor activity in the lower half of your child’s body. Do not let your child try to get out of bed or do other tasks or actions until feeling and motor activity have returned to normal.

Mouth:

  • Do not let your child eat while his/her mouth feels numb. Biting of the tongue could happen.

Zingo™:

  • You may hear a sound like a popping balloon when this drug is used. This is normal.

Injection (if given in the vein):

  • The doctor will watch your child’s heartbeat with an ECG.
  • Have blood work checked as you have been told by the doctor. Talk with the doctor.

What are some side effects that I need to call my child’s doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your child’s doctor or get medical help right away if your child has any of the following signs or symptoms that may be related to a very bad side effect:

All products:

  • Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.

Zingo™:

  • Burning.
  • Bruising.
  • Bleeding where the shot is given.

All other products:

  • Signs of methemoglobinemia like a blue or gray color of the lips, nails, or skin; a heartbeat that does not feel normal; seizures; very bad dizziness or passing out; very bad headache; feeling very sleepy; feeling tired or weak; or shortness of breath. This effect is rare but may be deadly if it happens.
  • Signs of too much acid in the blood (acidosis) like confusion; fast breathing; fast heartbeat; a heartbeat the does not feel normal; very bad stomach pain, upset stomach, or throwing up; feeling very sleepy; shortness of breath; or feeling very tired or weak.
  • Trouble breathing, slow breathing, or shallow breathing.
  • Slow heartbeat.
  • Very nervous and excitable.
  • A burning, numbness, or tingling feeling that is not normal.
  • Restlessness.
  • Anxiety.
  • Change in eyesight.
  • Ringing in ears.
  • Dizziness or passing out.
  • Very bad headache.
  • Twitching.
  • Shakiness.
  • Feeling sleepy.
  • Seizures.
  • Feeling hot or cold.
  • Low mood (depression).

Injection (if given into the spine):

  • Not able to move.
  • Not able to control stools or urine.
  • Trouble passing urine.

If your child is or may be sexually active:

  • Not able to get or keep an erection.

What are some other side effects of this drug?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your child’s doctor or get medical help if any of these side effects or any other side effects bother your child or do not go away:

Zingo™:

  • Pinpoint red spots on the skin.
These are not all of the side effects that may occur. If you have questions about side effects, call your child’s doctor. Call your child’s doctor for medical advice about side effects.
You may report side effects to your national health agency.

How is this drug best given?

Give this drug as ordered by your child’s doctor. Read all information given to you. Follow all instructions closely.

All products:

  • Your child’s doctor will give this drug.

Injection (if given in the vein):

  • It is given into a vein for a period of time.

Numbing of an area:

  • It is given as a shot.

What do I do if my child misses a dose?

  • Call your child’s doctor to find out what to do.

How do I store and/or throw out this drug?

  • If you need to store this drug at home, talk with your child’s doctor, nurse, or pharmacist about how to store it.

General drug facts

  • If your child’s symptoms or health problems do not get better or if they become worse, call your child’s doctor.
  • Do not share your child’s drug with others and do not give anyone else’s drug to your child.
  • Keep a list of all your child’s drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your child’s doctor.
  • Talk with your child’s doctor before giving your child any new drug, including prescription or OTC, natural products, or vitamins.
  • Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
  • Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s 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.

Consumer Information Use and Disclaimer

This information should not be used to decide whether or not to take this medicine 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 this medicine. 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.

Last Reviewed Date

2018-05-04

Copyright

© 2018 Wolters Kluwer Clinical Drug Information, Inc. and its affiliates and/or licensors. All rights reserved.

Last Updated