Lidocaine and tetracaine Topical application

A nurse or other trained health care professional will apply lidocaine and tetracaine before your medical procedure.

The patch is applied to your skin about 20 to 30 minutes before your procedure. Tell your doctor if you still have feeling in the skin after 30 minutes have passed.

Be careful not to get any of lidocaine and tetracaine in your eyes, because it can cause severe eye irritation. If any of the medicine does get in your eyes, wash the eyes with water and check with your doctor right away.

Applies to lidocaine / tetracaine topical: topical application cream, topical application patch extended release

Along with its needed effects, lidocaine / tetracaine topical may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur while taking lidocaine / tetracaine topical:

• Flushing or redness of the skin
• swelling
• unusually warm skin

• Blistering, burning, crusting, dryness, or flaking of the skin
• change in the color of treated skin
• itching, scaling, severe redness, soreness, or swelling of the skin
• rash

• Burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
• cough or hoarseness
• fainting or loss of consciousness
• fast or irregular breathing
• fever or chills
• hives or welts
• lower back or side pain
• painful or difficult urination
• swelling of the eyes or eyelids
• tightness in the chest or wheezing
• trouble with breathing

• Blurred vision
• chest pain or discomfort
• cold, clammy, or pale skin
• confusion
• difficulty with breathing
• difficulty with swallowing
• dizziness
• dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly
• fast, slow, or irregular heartbeat
• feelings of coldness, heat, or numbness
• irregular, fast or slow, or shallow breathing
• large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
• no breathing
• noisy breathing
• pale or blue lips, fingernails, or skin
• puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
• seizures
• shakiness in the legs, arms, hands, or feet
• shortness of breath
• slow heart rate
• sweating
• trembling or shaking of the hands or feet
• twitching
• unconsciousness
• unusual tiredness or weakness

Get emergency help immediately if any of the following symptoms of overdose occur while taking lidocaine / tetracaine topical:

• Change in consciousness
• fast, pounding, or irregular heartbeat or pulse
• no blood pressure or pulse
• stopping of heart

Some side effects of lidocaine / tetracaine topical may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

• Headache
• nausea
• sleepiness or unusual drowsiness
• vomiting

• Continuing ringing or buzzing or other unexplained noise in the ears
• depression
• double vision
• drowsiness
• false or unusual sense of well-being
• fear
• hearing loss
• nervousness

Apply one film topically to intact skin 20 to 30 minutes before procedure.

>= 3 yrs: Apply one film topically to intact skin 20 to 30 minutes before procedure.

Data not available

Lidocaine is excreted into human milk. There are no data on the excretion of tetracaine into human milk. The effects in the nursing infant are unknown. The manufacturer recommends that caution be used when administering lidocaine-tetracaine topical to nursing women.