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Formulas

Lidocaine 5% Topical Cream

The Lidocaine 5% Topical Cream is a semisolid preparation intended for external use, formulated to deliver a high concentration of lidocaine directly to the site of discomfort. This cream is dispensed in a pump mechanism, which allows for convenient, controlled, and hygienic application. The design of the pump ensures that the correct dose is administered with each use, minimizing the risk of over-application and waste.

Lidocaine, the active ingredient in this formulation, is a local anesthetic that works by causing a temporary loss of sensation in the area where it is applied. It is effective in treating a variety of disease states that involve pain and discomfort of the skin. Specifically, this Lidocaine 5% Topical Cream is used to provide symptomatic relief for patients suffering from conditions such as postherpetic neuralgia, minor burns, insect bites, and skin irritations. Additionally, it can be used to numb the skin before certain medical procedures, such as injections or minor surgical interventions.

The cream's base is designed to enhance the penetration of lidocaine into the skin, ensuring rapid onset of action and effective relief. Patients are advised to use the Lidocaine 5% Topical Cream as directed by a healthcare professional to ensure safety and efficacy.

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Lidocaine Hydrochloride
Topical Cream
65b04761693490b5379d1d89
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Formula Information

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Lidocaine 5% Topical Cream is a local anesthetic formulation intended for external use to provide temporary relief from pain and discomfort. The active ingredient, lidocaine, works by blocking nerve signals in the body, which helps to numb the topical area it is applied to. This cream is particularly effective in treating conditions that involve minor pain on the skin surface, such as minor burns, insect bites, and cuts. It is also used in the management of more chronic conditions like neuropathic pain, post-herpetic neuralgia, and as an adjunct to pain management in procedures involving needle insertion.

The cream is compounded into a semisolid preparation that is dispensed in a pump mechanism. This delivery system is designed for ease of use, allowing for a controlled and hygienic application. The pump dispenses a consistent amount of cream with each use, which helps to ensure accurate dosing and uniform application over the treatment area. Patients are advised to apply a thin layer of the cream to the affected area, and it can be used up to four times a day, depending on the severity of the pain and the advice of a healthcare professional.

For prescribers, it is important to note that while Lidocaine 5% Topical Cream is effective for topical anesthesia, it should be used with caution in patients with a history of drug sensitivities, particularly to local anesthetics of the amide type. The cream should not be applied to broken or inflamed skin, and care should be taken to avoid contact with the eyes. The use of occlusive dressings with lidocaine cream should be approached with caution, as this may increase systemic absorption. Additionally, prescribers should consider the maximum dosage and duration of application to avoid systemic toxicity, especially in patients with compromised liver function or those taking other medications that affect lidocaine metabolism.

Patients should be counseled on the proper use of the cream, including application technique and frequency. They should be informed of potential side effects, such as temporary redness, swelling at the application site, or, in rare cases, systemic effects. Patients should also be advised to report any signs of allergic reaction or systemic toxicity, such as dizziness, blurred vision, or irregular heartbeats. It is essential for patients to follow the prescribed treatment regimen and to consult with their healthcare provider if they have any concerns or if their symptoms persist.

If you have any questions regarding the Lidocaine 5% Topical Cream formulation or its appropriate use for specific disease states, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing comprehensive support and guidance to ensure the safe and effective use of our compounded medications.

Drug Interactions

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Lidocaine is a local anesthetic commonly used to provide temporary relief of pain and itching due to minor burns, sunburn, insect bites, and minor skin irritations. As a 5% topical cream, it works by blocking nerve signals in the body, which helps to numb the topical area it is applied to. While lidocaine is generally safe for topical use, there are potential drug interactions that should be considered to ensure patient safety and the efficacy of the treatment.

When using lidocaine 5% topical cream, it is important to be aware of interactions with other local anesthetics or medications that affect cardiac conduction. The concurrent use of other local anesthetics or medications with similar actions can increase the risk of systemic toxicity, which may manifest as nervousness, dizziness, blurred vision, tremors, depression, or seizures. Patients should inform their healthcare provider of all the medications they are currently using, including over-the-counter drugs and herbal supplements.

Patients with heart conditions or those taking antiarrhythmic drugs such as mexiletine, tocainide, or amiodarone should use lidocaine with caution. These medications can interact with lidocaine, potentially altering heart rhythm or increasing the risk of adverse cardiac events. It is crucial for prescribers to evaluate the patient's cardiac history and current medications before recommending lidocaine 5% topical cream.

Additionally, lidocaine is metabolized in the liver by cytochrome P450 enzymes, specifically CYP1A2 and CYP3A4. Drugs that inhibit or induce these enzymes may affect the metabolism of lidocaine, leading to increased levels and a higher risk of toxicity or decreased effectiveness, respectively. Examples of such drugs include cimetidine, beta-blockers, and some antifungal agents like ketoconazole. Conversely, inducers of these enzymes, such as rifampin and some anticonvulsants, may reduce the efficacy of lidocaine.

It is also important to note that the application of lidocaine 5% topical cream to large surface areas or broken skin can lead to increased systemic absorption, which may enhance the potential for drug interactions. Patients should be advised to use the smallest effective amount for the shortest duration necessary to minimize the risk of systemic exposure.

Lastly, while the risk of significant interactions is generally low with topical application, patients should be monitored for signs of toxicity, especially with prolonged use or application over large areas of the body. If you have any questions or concerns regarding the use of lidocaine 5% topical cream or potential drug interactions, please reach out to us at Bayview Pharmacy for further assistance and guidance.

How Does it Work

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Lidocaine 5% Topical Cream is a local anesthetic formulation that works by temporarily numbing the skin and surrounding tissues. When applied to the skin, lidocaine blocks the sodium channels located on the neuronal cell membranes. This action inhibits the initiation and conduction of nerve impulses, thereby providing local anesthetic effects. By preventing the nerves in the skin from sending pain signals to the brain, lidocaine effectively reduces the sensation of pain in the area where it is applied.

The semisolid preparation of this cream allows for a smooth and even application over the skin surface. The cream is designed to be dispensed from a pump mechanism, which offers several advantages. The pump allows for controlled dosing, ensuring that each application delivers a consistent amount of the active ingredient. This is particularly important for maintaining the efficacy of the treatment while minimizing the risk of overuse or underuse. Additionally, the pump mechanism helps to prevent contamination of the product, as it limits the exposure of the cream to the environment and reduces the need for direct contact with the hands.

Lidocaine 5% Topical Cream is used to treat a variety of disease states that involve pain and discomfort of the skin. It is commonly used for the relief of pain associated with minor skin irritations, insect bites, minor cuts and burns, and sunburns. It can also be used to numb the skin before certain medical procedures, such as injections, intravenous cannulation, and minor surgical procedures. Furthermore, lidocaine cream is used in the management of chronic pain conditions such as post-herpetic neuralgia, which is a painful condition following shingles.

For patients and prescribers considering the use of Lidocaine 5% Topical Cream, it is important to understand that while it is effective for temporary pain relief, it is not suitable for all types of pain and should not be used on large areas of the body or for prolonged periods unless directed by a healthcare professional. The cream should be applied to intact skin only and should not be used on open wounds or infected areas. Patients should also be advised to avoid contact with the eyes and mucous membranes. As with any medication, there may be potential side effects, and it is important to use the cream as directed to minimize these risks.

If you have any questions about Lidocaine 5% Topical Cream or its use in treating specific disease states, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and guidance you need to ensure safe and effective treatment for your patients.

Other Uses

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Lidocaine 5% topical cream is primarily indicated and widely used for providing local anesthesia and pain relief in various conditions such as minor burns, abrasions, insect bites, and other skin irritations. Beyond these indications, this cream, due to its analgesic properties, can also be beneficial in the management of post-herpetic neuralgia, which is the pain following an outbreak of shingles. Furthermore, it can be employed off-label to alleviate discomfort associated with certain dermatological procedures, such as laser hair removal or before tattoo placement or removal. Patients suffering from chronic pain conditions like neuropathies might also find symptomatic relief with this concentration of lidocaine topical cream.

Additionally, in the field of sports medicine, lidocaine 5% topical cream is sometimes used to temporarily relieve joint or muscular pain, though it is essential to note that care should be taken not to exceed the recommended dose or apply to large areas of the body due to the potential for systemic absorption and toxicity. Researchers have also explored its utility in various experimental contexts, such as reducing the discomfort of intravenous cannulation or to calm itching and swelling from certain types of eczematous dermatitis, though its use in such cases should be considered cautiously and with proper medical supervision.

Given the active ingredient's capacity to penetrate the skin, the specific formulation with a pump mechanism allows for a controlled and hygienic dispensation that minimizes waste and reduces the risk of cross-contamination. While effective for various local applications, patients and prescribers should be aware of potential side effects and contraindications, such as avoidance in individuals with a known hypersensitivity to lidocaine or other amide-type anesthetics or in situations where there is a risk for interfering with cardiac impulse generation and conduction in predisposed individuals.

To ensure safe and effective use of lidocaine 5% topical cream for other uses not mentioned here, consultation with a healthcare professional is advised. The team at Bayview Pharmacy is well-equipped to provide additional information and guidance on the extended applications of this versatile formulation. If you have any questions or require further clarification regarding the potential uses of Lidocaine 5% Topical Cream, do not hesitate to reach out to us. We are committed to supporting both patients and prescribers in achieving the best therapeutic outcomes with our compounded medications.

Frequently Asked Questions

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What is Lidocaine 5% Topical Cream used for?

Lidocaine 5% Topical Cream is used to provide localized relief from various types of skin discomfort such as itching, burning, and pain from skin conditions or medical procedures. It can be applied to the affected area to numb the surface of the skin temporarily.

How do I use the Lidocaine 5% Topical Cream pump?

To use the pump, remove the cap and prime the pump by pressing it several times until the cream is dispensed. Then, apply a thin layer of cream to the affected area of the skin as prescribed by your healthcare provider. The pump mechanism is designed to provide controlled doses for each application.

Can the Lidocaine 5% Topical Cream be used for any skin irritation?

While Lidocaine 5% Topical Cream can relieve many types of skin irritation, it is important to use it only as directed by a healthcare professional. It is not suitable for all skin conditions, particularly those with broken skin or blistering. Always consult a healthcare provider before using on a new or worsening skin condition.

How often can I apply Lidocaine 5% Topical Cream?

The frequency of application depends on the advice of your healthcare provider. Generally, it can be applied 2-3 times a day, but you should not exceed the recommended dose or frequency as indicated by your prescription.

Can I cover the area with a bandage after applying Lidocaine 5% Topical Cream?

Consult your doctor before covering the treated area with any bandage or wrap, as occlusive dressings can increase the absorption of topical Lidocaine and may cause adverse effects.

Are there any side effects of using Lidocaine 5% Topical Cream?

Common side effects can include mild skin irritation or redness at the application site. If you experience any severe reactions such as difficulty breathing, swelling of the face, lips, tongue, or throat, or severe skin rash, seek medical attention immediately.

Can Lidocaine 5% Topical Cream be used by pregnant or breastfeeding women?

Pregnant or breastfeeding women should consult their healthcare provider before using this medication, as Lidocaine can pass into breast milk and may have harmful effects on a nursing baby or the fetus.

How should I store Lidocaine 5% Topical Cream?

Store Lidocaine 5% Topical Cream at room temperature away from light and moisture. Keep the cap tightly closed when not in use. Make sure to keep it out of reach of children and pets.

What should I do if I miss a dose?

If you miss a dose, apply it as soon as you remember. However, if it is near the time for your next dose, skip the missed dose and resume your regular dosing schedule. Do not apply extra cream to make up for the missed dose.

Can I use other medications or products on my skin while using Lidocaine 5% Topical Cream?

Before using other skin products or medications, consult with your healthcare provider to avoid potential interactions or adverse effects.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.