Lidocaine Brand Names
7T Lido | Akten | ANASTIA | AneCream | Anestacon | Aspercreme with Lidocaine | Astero | BenGay | Blue Tube | Blue-Emu | CidalEaze | Ela-Max | EnovaRX | GEN7T | Glydo | LidaMantle | Lidocare | Lidoderm | LidoDose | LIDO-K | Lidomar | LidoRx | Lidosense 4 | Lidosense 5 | LIDO-SORB | Lidotral | LIDOZION | LMX 4 | LMX 4 with Tegaderm | LMX 5 | LTA | Numbonex | RectaSmoothe | RectiCare | Salonpas Lidocaine | Senatec | Solarcaine | Tranzarel | Xylocaine | Xylocaine MPF | Xylocaine Viscous | Zilactin-L | Zingo | Zionodi | ZTlido
What is Lidocaine
Lidocaine is a widely used antiarrhythmic and amide-type local anesthetic. As an anesthetic agent, it is available as an ointment, jelly, patch, or aerosol for topical use, as an oral solution, and as an injection.
Lidocaine is classified as a class Ib antiarrhythmic. It may be considered for ventricular fibrillation (VF) and pulseless ventricular tachycardia (pVT) that is unresponsive to cardiopulmonary resuscitation (CPR), defibrillation, and vasopressor therapy.
Evidence is inadequate regarding the routine use of lidocaine after cardiac arrest or early (within the first hour) after return of spontaneous circulation (ROSC). However, prophylactic use of lidocaine may be considered in certain circumstances (e.g., during emergency medical services transport) when treatment of recurrent VF/pVT may be challenging.
Due to the potential for serious adverse reactions, including cardiovascular depression, continuous electrocardiogram monitoring is recommended during intravenous lidocaine treatment.
There is limited evidence suggesting that nebulized lidocaine exhibits steroid-sparing effects when used in corticosteroid-dependent asthmatics.
However, extreme caution is recommended until long-term safety and efficacy can be established.
Indications
- asthma
- cardiopulmonary resuscitation
- caudal anesthesia
- dental anesthesia
- dental pain
- diabetic neuropathy
- epidural anesthesia
- headache
- increased intracranial pressure
- infiltration anesthesia
- local anesthesia
- mandibular nerve block
- migraine
- neuropathic pain
- obstetric anesthesia
- ophthalmic anesthesia
- paracervical block
- peripheral nerve block
- postherpetic neuralgia
- rapid-sequence intubation
- regional anesthesia
- short-lasting unilateral neuralgiform headache with conjunctival injection and tearing
- singultus (hiccups)
- spinal anesthesia
- status epilepticus
- stellate ganglion block
- stomatitis
- sympathetic nerve block
- topical anesthesia
- ventricular fibrillation
- ventricular tachycardia
Side Effects
- agitation
- anaphylactic shock
- anaphylactoid reactions
- angioedema
- anxiety
- arachnoiditis
- arrhythmia exacerbation
- asthenia
- back pain
- blurred vision
- bradycardia
- bronchospasm
- cardiac arrest
- chondrolysis
- confusion
- conjunctival hyperemia
- corneal opacification
- cranial nerve palsies
- decreased uterine contractility
- dizziness
- drowsiness
- dysarthria
- dysesthesia
- dysgeusia
- dyspnea
- ecchymosis
- edema
- erythema
- euphoria
- fecal incontinence
- fetal acidosis
- fetal bradycardia
- flushing
- headache
- hot flashes
- hyperesthesia
- hypoesthesia
- hypotension
- injection site reaction
- laryngospasm
- malignant hyperthermia
- meningitis
- metallic taste
- methemoglobinemia
- nausea
- neonatal depression
- neuropathic pain
- ocular irritation
- paresthesias
- petechiae
- pruritus
- respiratory arrest
- respiratory depression
- restlessness
- seizures
- shivering
- skin discoloration
- skin erosion
- skin irritation
- tinnitus
- tremor
- urinary incontinence
- urinary retention
- urticaria
- visual impairment
- vomiting
- weakness
Monitoring Parameters
- ECG
- serum lidocaine concentrations
Contraindications
- accidental exposure
- Adams-Stokes syndrome
- amide local anesthetic hypersensitivity
- anticoagulant therapy
- atrial fibrillation
- atrial flutter
- AV block
- bleeding
- bradycardia
- breast-feeding
- burns
- cardiac disease
- cardiogenic shock
- cataracts
- children
- coagulopathy
- collagen-vascular disease
- continuous intraarticular infusion administration
- eczema
- epidural anesthesia
- fetal distress
- fetal prematurity
- G6PD deficiency
- geriatric
- head and neck anesthesia
- heart failure
- heating pad
- hemorrhagic shock
- hepatic disease
- hypotension
- hypovolemia
- infants
- infection
- intraarterial administration
- intrathecal administration
- intravenous administration
- labor
- malignant hyperthermia
- methemoglobinemia
- neonates
- neurological disease
- obstetric delivery
- occlusive dressing
- ocular exposure
- ocular surgery
- ocular trauma
- paracervical nerve block
- pregnancy
- pudendal nerve block
- pulmonary disease
- renal disease
- renal failure
- renal impairment
- requires a specialized care setting
- requires an experienced clinician
- sepsis
- shock
- skin abrasion
- spinal anesthesia
- teething pain
- thrombocytopenia
- Wolff-Parkinson-White syndrome
Interactions
- Acebutolol
- Acetaminophen
- Acetaminophen; Aspirin, ASA; Caffeine
- Acetaminophen; Butalbital
- Acetaminophen; Butalbital; Caffeine
- Acetaminophen; Butalbital; Caffeine; Codeine
- Acetaminophen; Caffeine
- Acetaminophen; Caffeine; Dihydrocodeine
- Acetaminophen; Caffeine; Magnesium Salicylate; Phenyltoloxamine
- Acetaminophen; Caffeine; Phenyltoloxamine; Salicylamide
- Acetaminophen; Chlorpheniramine; Dextromethorphan; Phenylephrine
- Acetaminophen; Chlorpheniramine; Dextromethorphan; Pseudoephedrine
- Acetaminophen; Chlorpheniramine; Phenylephrine; Phenyltoloxamine
- Acetaminophen; Codeine
- Acetaminophen; Dextromethorphan
- Acetaminophen; Dextromethorphan; Doxylamine
- Acetaminophen; Dextromethorphan; Guaifenesin; Phenylephrine
- Acetaminophen; Dextromethorphan; Phenylephrine
- Acetaminophen; Dextromethorphan; Pseudoephedrine
- Acetaminophen; Dichloralphenazone; Isometheptene
- Acetaminophen; Diphenhydramine
- Acetaminophen; Guaifenesin; Phenylephrine
- Acetaminophen; Hydrocodone
- Acetaminophen; Oxycodone
- Acetaminophen; Pentazocine
- Acetaminophen; Propoxyphene
- Acetaminophen; Pseudoephedrine
- Acetaminophen; Tramadol
- Adapalene; Benzoyl Peroxide
- Aldesleukin, IL-2
- Alfentanil
- Aliskiren; Amlodipine
- Aliskiren; Amlodipine; Hydrochlorothiazide, HCTZ
- Ambenonium Chloride
- Aminosalicylate sodium, Aminosalicylic acid
- Amiodarone
- Amitriptyline
- Amitriptyline; Chlordiazepoxide
- Amlodipine
- Amlodipine; Atorvastatin
- Amlodipine; Benazepril
- Amlodipine; Celecoxib
- Amlodipine; Hydrochlorothiazide, HCTZ; Olmesartan
- Amlodipine; Hydrochlorothiazide, HCTZ; Valsartan
- Amlodipine; Olmesartan
- Amlodipine; Telmisartan
- Amlodipine; Valsartan
- Amoxicillin; Clarithromycin; Lansoprazole
- Amoxicillin; Clarithromycin; Omeprazole
- Amprenavir
- Amyl Nitrite
- Anagrelide
- Apalutamide
- Aprepitant, Fosaprepitant
- Articaine; Epinephrine
- Aspirin, ASA; Butalbital; Caffeine; Codeine
- Aspirin, ASA; Caffeine; Dihydrocodeine
- Aspirin, ASA; Carisoprodol; Codeine
- Aspirin, ASA; Oxycodone
- Atazanavir
- Atazanavir; Cobicistat
- Atenolol
- Atenolol; Chlorthalidone
- Atracurium
- Atropine; Edrophonium
- Atropine; Hyoscyamine; Phenobarbital; Scopolamine
- Belladonna Alkaloids; Ergotamine; Phenobarbital
- Belladonna; Opium
- Bendroflumethiazide; Nadolol
- Benzhydrocodone; Acetaminophen
- Benzocaine
- Benzocaine; Butamben; Tetracaine
- Benzonatate
- Benzoyl Peroxide
- Benzoyl Peroxide; Clindamycin
- Benzoyl Peroxide; Erythromycin
- Benzoyl Peroxide; Sulfur
- Beta-adrenergic blockers
- Betaxolol
- Bexarotene
- Bisoprolol
- Bisoprolol; Hydrochlorothiazide, HCTZ
- Boceprevir
- Bosentan
- Brimonidine; Timolol
- Brompheniramine; Guaifenesin; Hydrocodone
- Brompheniramine; Hydrocodone; Pseudoephedrine
- Bupivacaine
- Bupivacaine Liposomal
- Bupivacaine; Lidocaine
- Capmatinib
- Capreomycin
- Carbamazepine
- Carbinoxamine; Hydrocodone; Phenylephrine
- Carbinoxamine; Hydrocodone; Pseudoephedrine
- Carteolol
- Carvedilol
- Ceritinib
- Chloramphenicol
- Chloroprocaine
- Chloroquine
- Chloroxylenol; Hydrocortisone; Pramoxine
- Chlorpheniramine; Codeine
- Chlorpheniramine; Dihydrocodeine; Phenylephrine
- Chlorpheniramine; Dihydrocodeine; Pseudoephedrine
- Chlorpheniramine; Guaifenesin; Hydrocodone; Pseudoephedrine
- Chlorpheniramine; Hydrocodone
- Chlorpheniramine; Hydrocodone; Phenylephrine
- Chlorpheniramine; Hydrocodone; Pseudoephedrine
- Cholinesterase inhibitors
- Cimetidine
- Ciprofloxacin
- Cisatracurium
- Citalopram
- Clarithromycin
- Clomipramine
- Cobicistat
- Codeine
- Codeine; Guaifenesin
- Codeine; Phenylephrine; Promethazine
- Codeine; Promethazine
- Colesevelam
- Conivaptan
- Crizotinib
- Cyclophosphamide
- Cyclosporine
- Dabrafenib
- Dalfopristin; Quinupristin
- Danazol
- Dapsone
- Daratumumab; Hyaluronidase
- Darunavir
- Darunavir; Cobicistat
- Darunavir; Cobicistat; Emtricitabine; Tenofovir alafenamide
- Dasabuvir; Ombitasvir; Paritaprevir; Ritonavir
- Deferasirox
- Delavirdine
- Desipramine
- Dexamethasone
- Dextromethorphan; Quinidine
- Dibucaine
- Dihydrocodeine; Guaifenesin; Pseudoephedrine
- Diltiazem
- Diphenhydramine; Hydrocodone; Phenylephrine
- Disopyramide
- Disulfiram
- Dofetilide
- Donepezil
- Donepezil; Memantine
- Dorzolamide; Timolol
- Doxacurium
- Doxepin
- Dronedarone
- Edrophonium
- Efavirenz
- Efavirenz; Emtricitabine; Tenofovir
- Efavirenz; Lamivudine; Tenofovir Disoproxil Fumarate
- Elagolix
- Elagolix; Estradiol; Norethindrone acetate
- Elbasvir; Grazoprevir
- Elvitegravir; Cobicistat; Emtricitabine; Tenofovir Alafenamide
- Elvitegravir; Cobicistat; Emtricitabine; Tenofovir Disoproxil Fumarate
- Enzalutamide
- Erythromycin; Sulfisoxazole
- Eslicarbazepine
- Esmolol
- Ethotoin
- Ethyl Chloride
- Etravirine
- Famotidine
- Famotidine; Ibuprofen
- Felbamate
- Fentanyl
- Flecainide
- Fluconazole
- Fluoxetine
- Fluoxetine; Olanzapine
- Flutamide
- Fluvoxamine
- Fosamprenavir
- Fosphenytoin
- Furazolidone
- Galantamine
- Ginger, Zingiber officinale
- Guaifenesin; Hydrocodone
- Guaifenesin; Hydrocodone; Pseudoephedrine
- Homatropine; Hydrocodone
- Hyaluronidase
- Hyaluronidase, Recombinant; Immune Globulin
- Hydralazine; Isosorbide Dinitrate, ISDN
- Hydrochlorothiazide, HCTZ; Metoprolol
- Hydrochlorothiazide, HCTZ; Propranolol
- Hydrocodone
- Hydrocodone; Ibuprofen
- Hydrocodone; Phenylephrine
- Hydrocodone; Potassium Guaiacolsulfonate
- Hydrocodone; Potassium Guaiacolsulfonate; Pseudoephedrine
- Hydrocodone; Pseudoephedrine
- Hydrocortisone; Pramoxine
- Hydromorphone
- Hydroxyurea
- Ibuprofen; Oxycodone
- Idelalisib
- Ifosfamide
- Imatinib
- Imipramine
- Indinavir
- Isavuconazonium
- Isocarboxazid
- Isoniazid, INH
- Isoniazid, INH; Pyrazinamide, PZA; Rifampin
- Isoniazid, INH; Rifampin
- Isosorbide Dinitrate, ISDN
- Isosorbide Mononitrate
- Itraconazole
- Ketoconazole
- Labetalol
- Lacosamide
- Lapatinib
- Lesinurad
- Lesinurad; Allopurinol
- Letermovir
- Levobetaxolol
- Levobunolol
- Levomethadyl
- Levorphanol
- Lidocaine; Prilocaine
- Lopinavir; Ritonavir
- Lorlatinib
- Magnesium Salts
- Meperidine
- Meperidine; Promethazine
- Mepivacaine
- Mepivacaine; Levonordefrin
- Methadone
- Metoclopramide
- Metoprolol
- Mexiletine
- Minocycline
- Mitotane
- Mivacurium
- Modafinil
- Monoamine oxidase inhibitors
- Moricizine
- Morphine
- Morphine; Naltrexone
- Nadolol
- Nebivolol
- Nebivolol; Valsartan
- Nefazodone
- Nelfinavir
- Neostigmine
- Netupitant, Fosnetupitant; Palonosetron
- Neuromuscular blockers
- Nevirapine
- Nilotinib
- Nitrates
- Nitrofurantoin
- Nitroglycerin
- Nortriptyline
- Obeticholic Acid
- Octreotide
- Ombitasvir; Paritaprevir; Ritonavir
- Omeprazole; Amoxicillin; Rifabutin
- Oritavancin
- Osilodrostat
- Oxycodone
- Oxymorphone
- Palbociclib
- Pancuronium
- Pazopanib
- Peginterferon Alfa-2b
- Penbutolol
- Penicillin G Benzathine; Penicillin G Procaine
- Penicillin G Procaine
- Perindopril; Amlodipine
- Perphenazine; Amitriptyline
- Phenelzine
- Phenobarbital
- Phentermine; Topiramate
- Phenytoin
- Physostigmine
- Pindolol
- Polymyxins
- Posaconazole
- Pramoxine
- Prilocaine
- Prilocaine; Epinephrine
- Primaquine
- Primidone
- Procainamide
- Procarbazine
- Propafenone
- Propofol
- Propoxyphene
- Propranolol
- Protriptyline
- Pyridostigmine
- Pyrimethamine; Sulfadoxine
- Quinidine
- Quinine
- Ranolazine
- Rapacuronium
- Rasburicase
- Remifentanil
- Ribociclib
- Ribociclib; Letrozole
- Rifabutin
- Rifampin
- Rifapentine
- Ritonavir
- Rituximab; Hyaluronidase
- Rivastigmine
- Rocuronium
- Ropivacaine
- Rucaparib
- Saquinavir
- Selegiline
- Selpercatinib
- Simeprevir
- St. John’s Wort, Hypericum perforatum
- Streptogramins
- Succinylcholine
- Sufentanil
- Sulfadiazine
- Sulfamethoxazole; Trimethoprim, SMX-TMP, Cotrimoxazole
- Sulfasalazine
- Sulfisoxazole
- Sulfonamides
- Tacrine
- Telaprevir
- Telithromycin
- Telotristat Ethyl
- Teriflunomide
- Tetracaine
- Thiabendazole
- Ticagrelor
- Ticlopidine
- Timolol
- Tipranavir
- Tocainide
- Topiramate
- Trandolapril; Verapamil
- Tranylcypromine
- Trastuzumab; Hyaluronidase
- Tricyclic antidepressants
- Trimipramine
- Tubocurarine
- Tucatinib
- Valproic Acid, Divalproex Sodium
- Vecuronium
- Verapamil
- Voriconazole
- Zafirlukast
- Zileuton