Meds and you

27 September 2013


Lidocaine (Also known as lignocaine)


(Also known as lignocaine)

Lidocaine is the active ingredient of Remicaine (Nappi code:759694-001).

General information
Lidocaine is a local anaesthetic. Local anaesthetics are drugs that remove feeling and pain, and numbs a particular area of the skin .

In South Africa lidocaine is registered for the treatment of numbing a localised area of the skin or mucous membranes.

This medication does not cure the underlying condition, but simply keeps the symptoms under control. For it to be effective, it has to be applied regularly.

When applied to a large body area, do not leave the gel on for longer than two hours to prevent systemic absorption and associated toxicity.

Fast facts
Drug schedule: schedule 1
Available as: lidocaine is available as gel
What does it do? Lidocaine is used for the numbing of a localised area of the skin, in other words to desensitise the skin prior to injections, minor procedures or for relief of the local pain.
Overdose risk: low
Dependence risk: low
Is lidocaine available as a generic? no
Is lidocaine available on prescription only? no

User information
Onset of effect: within 10 minutes
Duration of action: several hours
Stopping this medicine: treatment with this medication can be safely stopped when no longer needed.
Prolonged use: treatment should be limited to a few days only.

Special precautions
Consult your doctor before using this on broken or inflamed skin

Pregnancy: avoid. Potential risk to the foetus has been reported. Consult your doctor before use, or if you are planning to fall pregnant.
Breastfeeding: avoid. It is unknown how this medication may affect your baby. Consult your doctor before use.
Porphyria: this medication is safe for use.
Infants and children: this medication is not intended for use in children under the age of 2 years.
The elderly: no special precautions need to be taken.

Possible side effects

Side effect


Consult your doctor



Only if severe

In all cases







skin rash




Drug interactions

No known interactions

Overdose action
A small overdose is no cause for concern. In case of intentional large overdose, seek emergency medical attention.

Recommended dosage
Adults, topical: Apply sparingly as needed, usually every 3 - 4 hours to the affected area. Avoid excessive application.

This material is not intended to substitute medical advice, but is for informational purposes only.
Please consult a physician for specific treatment and recommendations.


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