Topical Anesthetic, Minor dermal procedure, Major dermal procedure
Administration
Topical Administration
For topical use only; not for ophthalmic or otic use
Dermal analgesia can be expected to increase for up to 3 hours under occlusive dressing and persist for 1 to 2 hours after removal of the cream
Adult Dose
Topical Anesthetic
Minor dermal procedure
Normal intact skin for local analgesia: Apply 2.5 g of cream over 20-25 cm of skin surface or 1 anesthetic disc (1 g over 10 cm) for at least 1 hour
Major dermal procedure
Apply 2 g of the cream per 10 cm of skin surface and allow to remain in contact with skin for at least 2 hours
Genital mucous membrane
Superficial minor surgery and as pretreatment for infiltration anesthesia
Male genital skin: apply thick layer of cream (1 g/10 cm) to skin surface for 15 minutes
Perform local anesthetic infiltration immediately after removal of the cream
Female genital mucous membranes: apply a thick layer (5 to 10 g) of cream for 5 to 10 minutes
Child Dose
Topical Anesthetic
Intact skin only
0-3 months or <5 kg: Apply 1 g per 10 cm for a maximum of 1 hour
3-12 months and >5 kg : Apply 2 g per 20 cm for a maximum of 4 hours
1-6 years and >10 kg : Apply 10 g per 100 cm for a maximum of 4 hours
7-12 years and >20 kg : Apply 20 g per 200 cm for a maximum of 4 hours
Contraindication
Hypersensitivity to local anesthetics of the amide type or any component of the product
Mode of Action
Stabilizes neuronal membranes by inhibiting the ionic fluxes required for the initiation and conduction of impulses, thereby effecting local anesthetic action
Precaution
Application to larger areas or for longer than recommended could result in sufficient absorption causing serious adverse reactions
Side Effect
>10%
Paleness (37%)
Erythema (30%)
Burning sensation (17%)
Edema (10%)
1-10%
Alterations in temperature sensations (7%)
Itching (2%)
Frequency Not Defined
CNS excitement or depression
Lightheadedness
Nervousness
Apprehension
Euphoria
Confusion
Dizziness
Drowsiness
Sensations of hot, cold, or numbness
Twitching
Tremors
Convulsions
Bradycardia
Hypotension
Cardiovascular collapse leading to arrest
Vomiting
Discrete purpuric or petechial reactions at the site of application
Hyperpigmentation (cream)
Redness
Blistering of foreskin in neonates about to undergo circumcision
Tinnitus
Blurred or double vision
Allergic and anaphylactoid reactions (characterized by urticaria, angioedema, bronchospasm, and shock)
Pregnancy Category Note
Pregnancy Category: B
Lactation: Unknown whether distributed in breast milk, caution advised
ফার্মেসীর জন্য পাইকারি দামে ঔষধ কিনতে রেজিস্টেশন করুন
The information provided herein is accurate, updated and complete as per the best practices of the Company. Please note that this information should not be treated as a replacement for physical medical consultation or advice. We do not guarantee the accuracy and the completeness of the information so provided. The absence of any information and/or warning to any drug shall not be considered and assumed as an implied assurance of the Company. We do not take any responsibility for the consequences arising out of the aforementioned information and strongly recommend you for a physical consultation in case of any queries or doubts.