Concise Prescribing Info
Contents
Lidocaine, prilocaine
Indications/Uses
Surface anaesth of the skin for needle insertions & superficial surgical procedures, leg ulcers prior to cleaning & superficial surgical procedures or genital mucosa.
Dosage/Direction for Use
Apply a thick layer to the skin & cover w/ an occlusive dressing. Adult Needle insertion ½ tube/10 cm2 for 1 hr. Max: 5 hr. Minor superficial surgical procedures: 1.5-2 g/10 cm2 for 1 hr. Max: 5 hr. More extensive superficial surgical procedures 1.5-2 g/10 cm2 for 2 hr. Max: 5 hr. Large areas of newly shaven skin Max: 60 g. Max recommended treatment area: 600 cm2. Application time: 1 hr, max 5 hr. Leg ulcers 1-2 g/10 cm2 for at least 30 min. May be extended for 60 min for difficult to penetrate tissues. Max: 10 g. Genital use Men 1 g/10 cm2 for 15 min. Women 1-2 g/10 cm2 for 60 min. Genital mucosa or removal of condyloma or prior to inj of local anaesth 5-10 g for 5-10 min. Childn Needle insertion, curettage of molluscs & other minor surgical procedures 1 g/10 cm2, 6-12 yr 200 cm2 (total 20 g) for 1 hr. Max: 5 hr, 1-6 yr 100 cm2 (total 10 g) for 1 hr. Max: 5 hr, 3-12 mth 20 cm2 (total 2 g) for 1 hr, 0-3 mth 10 cm2 (total 1 g) for not longer than 1 hr. Childn w/ atopic dermatitis Reduce application time to 30 min.
Contraindications
Hypersensitivity. Premature infants.
Special Precautions
Drug-induced methaemoglobinaemia. Avoid contact w/ eyes & on areas of skin w/ atopic dermatitis. Concomitant use w/ class III antiarrhythmic drugs (eg, amiodarone). Should not be used on damaged tympanic membrane or in other situations where penetration into the middle ear; to open wounds. Intracutaneous inj of live vaccine eg, BCG. Should not be used on the genital mucosa in childn. Do not use on genital mucosa in infant 0-12 mth receiving treatment w/ methaemoglobin-inducing drugs. Pregnancy & lactation.
Adverse Reactions
Transient local reactions at the application site eg, paleness, redness, oedema. Initial & usually mild sensation of burning, itching or warmth at the application site.
Drug Interactions
Can potentiate formation of methaemoglobin w/ methaemoglobin-inducing agents (eg, sulf prep). Additive systemic effects w/ local anesth (eg, tocainide). Caution w/ class III antiarrhythmic drugs (eg, amiodarone).
MIMS Class
Anaesthetics - Local & General
ATC Classification
N01BB20 - combinations ; Belongs to the class of amides. Used as local anesthetics.
Presentation/Packing
Form
Emla cream 5%
Packing/Price
5 g x 5 × 1's
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