Lidocaine

Xylocaine, L-M-X, Lidoderm, Gen7T Plus, many different brands of topical products, and generics
Antiarrhythmic class Ib, local anesthetic

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B 1 Yes Yes No
Key
  • Injection: 0.5%, 1%, 1.5%, 2%, 4% (1% sol ¼ 10 mg/mL)
  • IV infusion (in D 5 W): 0.4% (4 mg/mL) (250, 500 mL); 0.8% (8 mg/mL) (250 mL)
  • Injection with epinephrine (some preparations may contain metasulfite and parabens or are preservative free):
    • Injection with 1:100,000 epinephrine: 1%, 2% lidocaine
    • Injection with 1:200,000 epinephrine: 0.5%, 1%, 1.5%, 2% lidocaine
  • Ointment: 4% (50 g), 5% (30, 50 g)
  • Cream, topical: 3% (30, 85 g), 4% (L-M-X-4 and generics) [OTC] (5, 15, 30, 45 g), 5% (L-M-X-5 and generics) [OTC] (15, 30 g); may contain benzyl alcohol
  • Cream, rectal: 5% (L-M-X-5 and others; 15, 30 g); contains benzyl alcohol
  • Gel (external): 2% (5, 10, 20, 30 mL), 3% (10, 30 mL), 4% (10, 30 , 113 g), 5% (10, 30, 113 g); may contain benzyl alcohol, EDTA
  • Lotion: 3% (118, 177 mL), 4% (88 mL)
  • Solution (external): 4% (50 mL); may contain parabens
  • Aerosol spray (external): 4% (104 mL)
  • Transdermal patch:
    • Gen7T Plus and generics: 3.5% (5s, 10s, 15s); may contain menthol
    • Lidocaine Pain Relief and generics [OTC]: 4% (5s, 10s); may contain menthol, capsaicin, and methyl salicylate
    • Lidoderm and generics: 5% (1s, 15s, 30s)

For explanation of icons, see p. 763 FORMULARY

  • Oral solution (mouth/throat): 2% (15, 100 mL), 4% (4 mL)
  • Topical cream or gel 2.5% with 2.5% prilocaine: See Lidocaine and Prilocaine.

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