Lignospan Forte

• It is used to numb an area before care.
• It is used before dental care to numb the area.
• It may be given to you for other reasons. Talk with the doctor.

• If you have an allergy to lidocaine, epinephrine, or any other part of Lignospan Forte (lidocaine and epinephrine).
• If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

This medicine may interact with other drugs or health problems.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take this medicine with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.

For all uses of Lignospan Forte:

• Tell all of your health care providers that you take this medicine. This includes your doctors, nurses, pharmacists, and dentists.
• Avoid driving and doing other tasks or actions that call for you to be alert until you see how Lignospan Forte affects you.
• If you are allergic to sulfites, talk with your doctor. Some products have sulfites.
• This medicine may affect certain lab tests. Tell all of your health care providers and lab workers that you take this medicine.
• Use with care in children. Talk with the doctor.
• If you are 65 or older, use Lignospan Forte with care. You could have more side effects.
• Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using this medicine while you are pregnant.
• Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.

Mouth:

• Do not eat while your mouth feels numb. You may bite your tongue.

Spinal:

• This medicine may cause short-term loss of feeling and motor activity in the lower half of your body. Do not try to get out of bed or do other tasks or actions until feeling and motor activity have returned to normal.

Use Lignospan Forte as ordered by your doctor. Read all information given to you. Follow all instructions closely.

• Your doctor will give this medicine.
• It is given as a shot.

What do I do if I miss a dose?

• Call your doctor to find out what to do.

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

For all uses of Lignospan Forte:

• Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
• Signs of too much acid in the blood (acidosis) like confusion; fast breathing; fast heartbeat; a heartbeat the does not feel normal; very bad stomach pain, upset stomach, or throwing up; feeling very sleepy; shortness of breath; or feeling very tired or weak.
• Change in balance.
• Change in color of skin to a bluish color like on the lips, nail beds, fingers, or toes.
• Feeling very tired or weak.
• Feeling hot or cold.
• Feeling confused.
• Dizziness or passing out.
• Restlessness.
• Anxiety.
• Ringing in ears.
• Blurred eyesight.
• Seeing double.
• Sweating a lot.
• Seizures.
• Trouble breathing, slow breathing, or shallow breathing.
• Shakiness.
• Twitching.
• A burning, numbness, or tingling feeling that is not normal.
• Very nervous and excitable.
• Low mood (depression).
• Throwing up.
• Slow heartbeat.
• Fever.

Spinal:

• Trouble passing urine.
• Loss of bladder or bowel control.
• Change in sex ability.
• Long-lasting burning, numbness, tingling, or paralysis in the lower half of the body.
• Headache.
• Backache.
• Chills.
• Stiff neck.
• If bright lights bother your eyes.

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if you have any side effects that bother you or do not go away.

These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.

You may report side effects to the FDA at 1-800-FDA-1088. You may also report side effects at http://www.fda.gov/medwatch.

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was taken, how much, and when it happened.

• If you need to store this medicine at home, talk with your doctor, nurse, or pharmacist about how to store it.