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Local anaesthetic (topical and injectable)

Lidocaine: uses, side effects & precautions

Also known as Lignocaine, Xylocaine, Versatis (patch), EMLA (with prilocaine).

Deze informatie is uitsluitend bedoeld als algemene richtlijn en vormt geen medisch advies. Raadpleeg altijd een gekwalificeerde zorgprofessional voor persoonlijke medische vragen. Bel in geval van nood uw lokale alarmnummer.

What it is used for

  • Numbing skin or tissue before minor procedures, injections or stitches
  • Relieving pain from conditions such as nerve pain (e.g. after shingles) with medicated patches
  • Soothing pain from mouth ulcers, sore throat or teething in some products
  • Local anaesthesia during dental and medical procedures

How it works

Lidocaine blocks the tiny channels nerves use to send pain signals, temporarily numbing the treated area so pain is not felt.

How it is taken

Available as creams, gels, sprays, ointments, medicated patches, lozenges and solutions, and as an injection used by clinicians. Apply or use it exactly as your doctor, pharmacist or the label directs — apply only to the area needed and do not use more or for longer than instructed, as too much can be absorbed into the body.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Temporary numbness, tingling or mild stinging at the site
  • Mild skin redness or irritation
  • Altered taste with mouth products

Serious effects — get help

  • Serious allergic reaction (swelling, rash, difficulty breathing)
  • Signs of too much absorption (dizziness, drowsiness, ringing in the ears, twitching, confusion, irregular heartbeat or seizures)
  • A rare blood condition (methaemoglobinaemia) causing bluish lips or skin and breathlessness

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Other local anaesthetics or numbing products (added effect)
  • Certain heart-rhythm medicines
  • Some medicines that can cause methaemoglobinaemia
  • Medicines that affect how lidocaine is processed in higher-dose use

Who should take care

  • Use only on the area directed and do not exceed the recommended amount, as excess can cause serious effects
  • Take care using numbing throat or mouth products, as reduced sensation can affect swallowing
  • Tell your doctor about heart problems, liver disease, or any allergy to local anaesthetics
  • Keep products away from the eyes unless specifically made for eye use
  • Seek urgent care for dizziness, irregular heartbeat, seizures or bluish skin

Frequently asked questions

Can I use lidocaine cream as much as I want?
No. Using too much or on broken or large skin areas can let enough into the body to cause serious effects. Apply only as directed to the area needed.
What is a lidocaine patch used for?
Medicated patches can relieve localised nerve pain, such as after shingles. They are applied to intact skin as directed by your clinician.
Is it safe for teething or mouth ulcers?
Some products are made for the mouth, but numbing can affect swallowing and there are special cautions in young children. Use only suitable products and follow the label or pharmacist's advice.
Can I be allergic to lidocaine?
Allergic reactions are uncommon but possible. Stop use and seek help for swelling, rash or breathing difficulty, and tell your dentist or doctor about any local anaesthetic allergy.

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