Locations:

Lidocaine; Tetracaine Topical Cream

What is this medication?

LIDOCAINE; TETRACAINE (LYE doe kane; TET ra kane) causes loss of feeling in the skin and surrounding tissues. It is used to numb the skin before a procedure.

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This medicine may be used for other purposes; ask your health care provider or pharmacist if you have questions.

COMMON BRAND NAME(S): Pliaglis

What should I tell my care team before I take this medication?

They need to know if you have any of these conditions:

•glucose-6-phosphate dehydrogenase deficiency

•methemoglobinemia

•an unusual reaction to lidocaine, tetracaine, other anesthetics, para-aminobenzoic acid (PABA), parabens, other medicines, foods, dyes, or preservatives

•pregnant or trying to get pregnant

•breast-feeding

How should I use this medication?

This medicine is for external use only. It is usually given by a health care professional to numb the skin before a procedure.

Talk to your pediatrician regarding the use of this medicine in children. While this medicine may be prescribed for children for selected conditions, precautions do apply.

Overdosage: If you think you have taken too much of this medicine contact a poison control center or emergency room at once.

NOTE: This medicine is only for you. Do not share this medicine with others.

What if I miss a dose?

This does not apply.

What may interact with this medication?

This medicine may interact with the following medications:

  • acetaminophen
  • certain antibiotics like dapsone, nitrofurantoin, aminosalicylic acid, sulfasalazine
  • certain medicines for seizures like phenobarbital, phenytoin, valproic acid
  • chloroquine
  • cyclophosphamide
  • flutamide
  • hydroxyurea
  • ifosfamide
  • metoclopramide
  • nitroglycerin
  • other local anesthetics like pramoxine
  • primaquine
  • quinine

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This list may not describe all possible interactions. Give your health care provider a list of all the medicines, herbs, non-prescription drugs, or dietary supplements you use. Also tell them if you smoke, drink alcohol, or use illegal drugs. Some items may interact with your medicine.

What should I watch for while using this medication?

Avoid contact of the medicine with eyes due to severe irritation. If eye contact occurs, wash the eye out with water, and protect the eye until feeling returns.

If irritation or burning feelings occur while using the medicine, tell your healthcare professional.

Be careful to avoid injury while the skin is numb from the medicine, and you are not aware of pain. Do not scratch, rub, or expose the skin to hot or cold until sensation returns.

What side effects may I notice from receiving this medication?

Side effects that you should report to your doctor or health care professional as soon as possible:

•allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue

•anxiety or confusion

•breathing problems

•burning feeling at the application site

•changes in vision

•chest pain

•dizziness

•feeling faint or lightheaded, falls

•nausea, vomiting

•seizures

•slow, fast, or irregular heartbeat

•trembling

•unusually weak or tired

Side effects that usually do not require medical attention (report to your doctor or health care professional if they continue or are bothersome):

•redness, swelling, or unusual sensations such as numbness or tingling at the application site

This list may not describe all possible side effects. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Where should I keep my medication?

This drug is only given by a health care professional and will not be stored at home.

NOTE: This sheet is a summary. It may not cover all possible information. If you have questions about this medicine, talk to your doctor, pharmacist, or health care provider.

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Note: Introduction and Additional Common Questions written and medically approved by Cleveland Clinic professionals.

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