Lidocaine (Topical)

Pediatric Medication

Brand Names: US

AneCream [OTC]; AneCream5 [OTC]; EnovaRX-Lidocaine HCl; Glydo; LC-4 Lidocaine [OTC]; LC-5 Lidocaine [OTC]; Lidocin; Lidoderm; Lidopin; LidoRx; Lidovex; Lidovin; Lidozol; LMX 4 Plus [OTC]; LMX 4 [OTC]; LMX 5 [OTC]; LTA 360 Kit; Predator [OTC]; Prozena; RectiCare [OTC]; Tecnu First Aid [OTC]; Topicaine 5 [OTC]; Topicaine [OTC]; Xolido XP [OTC]; Xylocaine; Zingo

Brand Names: Canada

Betacaine; Lidodan; Lidoderm; Maxilene; Xylocaine

Warning

Viscous lidocaine

  • Very bad health problems (like seizures and heart that stops working) and death have happened in children younger than 3 years old. In these cases, this drug was not used how it was recommended. Do not use this drug to treat infants and children with teething pain. Talk with the doctor.
  • This drug must only be used in children younger than 3 years old when other treatments cannot be used. If using in a child younger than 3 years old for a reason other than teething pain, follow how to give as you were told by the doctor. Talk with the doctor.

What is this drug used for?

  • It is used to stop pain.
  • It is used to treat painful nerve diseases.
  • It is used to ease long-term pain problems.
  • It is used to ease pain from skin irritations.
  • It is used to treat signs of hemorrhoids or rectal irritation.
  • It is used to ease pain caused by shingles.
  • It is used to treat mouth sores.
  • 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.

Gel:

  • If your child has a skin infection.
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 their 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 dentists, surgeons, and other doctors that your child is using this drug.
  • Talk with your child’s doctor before you use other drugs or products on your child’s skin.
  • Do not give this drug to your child for longer than you were told by the doctor.
  • Do not let your child scratch or rub the skin while it is numb. Do not let the skin get very hot or very cold.
  • Do not use coverings (bandages, dressings, make-up) unless told to do so by the doctor.
  • Use care when putting on a large part of the skin or where there are open wounds. Talk with the doctor.
  • Do not put on cuts, scrapes, eczema, or damaged skin.
  • Have your child avoid use of heat sources (such as sunlamps, tanning beds, heating pads, electric blankets, heat lamps, saunas, hot tubs, heated waterbeds). Avoid long, hot baths or sunbathing. Your child’s temperature may rise and cause too much drug to pass into your child’s body.
  • This drug may cause harm if swallowed. If this drug is swallowed, call a doctor or poison control center right away.

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.

Patch:

  • Do not let your child get the patch wet. It may not stick. Do not let your child bathe, swim, or shower while wearing the patch.
  • This drug may cause harm if chewed or swallowed. If this drug has been put in the mouth, call a doctor or poison control center right away.

All oral products:

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

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 or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
  • Signs of infection like fever, chills, very bad sore throat, ear or sinus pain, cough, more sputum or change in color of sputum, pain with passing urine, mouth sores, or wound that will not heal.
  • Trouble breathing, slow breathing, or shallow breathing.
  • Shortness of breath.
  • Very bad numbness and tingling.
  • Very bad skin irritation.
  • A heartbeat that does not feel normal.
  • Feeling lightheaded, sleepy, having blurred eyesight, or a change in thinking clearly.
  • Seizures.
  • Change in eyesight.

Mouth:

  • Very bad mouth irritation.

Rectal:

  • Bleeding from rectum or rectal pain.

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:
  • Redness.
  • Swelling.
  • Change in color of skin.
  • Skin irritation.
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.

Rectal:

  • Wash hands before and after use.
  • Follow how to give this drug as you have been told by your child’s doctor or read the package insert.
  • Put on clean, dry skin.
  • Put on hemorrhoids with a cotton swab.
  • If pain happens when you try to use the applicator, do not use. Talk to the doctor.

All skin products:

  • Do not give by mouth. Use on your child’s skin only. Keep out of your child’s mouth, nose, and eyes (may burn).
  • Wash your hands before and after use.
  • Clean affected part before use. Make sure to dry well.
  • Put on clean, dry, healthy skin.

Spray:

  • If you are using the spray for your child’s face, spray it on your hand or gauze and then put it on your child’s face.
  • This drug may catch on fire. Do not use near an open flame or while smoking.

Skin patch:

  • Put on the most painful parts of the skin.
  • Trim patch to cover the affected skin.
  • Put patch on at the same time of day.
  • Leave on for up to 12 hours.
  • After you take the patch off, do not put another patch on that area of skin for 12 hours.
  • Take off the patch right away if it burns.
  • After you take off a skin patch, be sure to fold the sticky sides of the patch to each other.

All oral products:

  • Shake well before use.
  • Follow how to give this drug as you have been told by your child’s doctor.
  • If giving as a rinse, have your child swish it in the mouth as long as your child can. Have your child swallow or spit out as told by the doctor.
  • If putting on with a cotton swab, put on affected part as your doctor or the label tells you.
  • Do not let your child eat anything for at least 60 minutes (1 hour) after using this drug.

Liquid:

  • Measure liquid doses carefully.

What do I do if my child misses a dose?

  • Put on a missed dose as soon as you think about it.
  • If it is close to the time for your child’s next dose, skip the missed dose and go back to your child’s normal time.
  • Do not put on 2 doses at the same time or extra doses.
  • Many times this drug is given on an as needed basis. Do not give to your child more often than told by the doctor.

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

All products:

  • Protect from heat.
  • Store at room temperature. Do not freeze.
  • Keep all drugs out of the reach of children and pets.
  • Check with your pharmacist about how to throw out unused drugs.

Patch:

  • Store in the pouch that comes with this drug to help keep away from children.

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.
  • Some drugs may have another patient information leaflet. If you have any questions about this drug, please talk with your child’s doctor, 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

2015-01-23

Copyright

Copyright © 2014 Clinical Drug Information, LLC and Lexi-Comp, Inc.

If you have any questions or concerns, talk with a member of your healthcare team. You can reach them Monday through Friday from 9:00 am to 5:00 pm at ____________________. After 5:00 pm, during the weekend, and on holidays, please call____________________. If there’s no number listed, or you’re not sure, call 212-639-2000.

Lidocaine (Topical)
Printed on May 6, 2015, 3:58 am [P-389804]