Product Summary
This product requires a valid prescription for shipment, please note that HealthWarehouse.com may not accept prescriptions faxed or emailed by patients.
IMPORTANT: HOW TO USE THIS INFORMATION: This is a summary and does NOT have all possible information about this product. This information does not assure that this product is safe, effective, or appropriate for you. This information is not individual medical advice and does not substitute for the advice of your health care professional. Always ask your health care professional for complete information about this product and your specific health needs.
LIDOCAINE VISCOUS - ORAL
(LYE-doe-kane)
COMMON BRAND NAME(S): Xylocaine Viscous
USES: Viscous lidocaine is used to relieve pain and discomfort from a sore throat/mouth. It is also used to numb the lining of the mouth and throat before certain medical/dental procedures (e.g., dental impressions). This numbing helps prevent the urge to close the throat (gag reflex), which might make the procedure more difficult. Lidocaine is an amide-type local anesthetic that starts to numb the area minutes after application.
HOW TO USE: Shake the bottle well before measuring each dose carefully. Use a special measuring spoon or device to measure your dose. Do not use a household spoon since you may get an incorrect dose. Do not mix with other liquid or food unless directed by your doctor. For mouth pain, swish the prescribed amount in your mouth and spit out. Do not swallow the medication. Viscous lidocaine is usually used as needed when you have pain or soreness, but do not use it more often than every 3 hours or as directed by your doctor. The usual maximum dose for an adult is 15 milliliters for each dose and no more than 8 doses in 24 hours. Dosage is based on your medical condition and response to therapy. Be very careful to measure the dose carefully, especially if you are using this medication in a child. Accidental overdose has occurred in children when the dose was not correct. Dosage in children may also be based on age and weight and is less than the adult dose. For infants and children younger than 3 years, carefully measure the prescribed dose and apply to the area to be treated with a cotton swab. To treat a sore throat, gargle with the medication, then swallow it to numb the throat, or spit out, as directed by your doctor. This medication numbs the nose and throat. This will make swallowing difficult and increase your risk of choking or swallowing the wrong way. Do not eat or chew gum for 1 hour after using this product or until your mouth/throat is no longer numb. It is especially important to make sure children do not eat or chew gum for at least 1 hour after use. Be careful not to accidentally bite your tongue or mouth. Follow your doctor's instructions carefully, and do not increase your dose or use this more often than prescribed without your doctor's approval. Using too much product or using it too often can increase the risk of very serious side effects. Tell your doctor if your condition persists or worsens.
SIDE EFFECTS: Mild nausea, stinging, and burning may occur. Dizziness and drowsiness may also occur. If these effects persist or worsen, notify your doctor promptly. Remember that your doctor has prescribed this medication because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using this medication do not have serious side effects. Seek immediate medical attention if any of these rare but serious side effects occur: slow/shallow breathing, slow/irregular heartbeat, mental/mood changes (e.g., severe drowsiness, confusion, nervousness), seizures, fainting, vision changes (e.g., double or blurred vision). A very serious allergic reaction to this drug is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: rash, itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing. This is not a complete list of possible side effects. If you notice other effects not listed above, contact your doctor or pharmacist. In the US - Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088. In Canada - Call your doctor for medical advice about side effects. You may report side effects to Health Canada at 1-866-234-2345.
PRECAUTIONS: Before using lidocaine, tell your doctor, dentist, or pharmacist if you are allergic to it; or to other anesthetics (e.g., bupivacaine, prilocaine); or if you have any other allergies. This product may contain inactive ingredients (such as PABA), which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your dentist, doctor, or pharmacist your medical history, especially of: bites/cuts/scrapes/sores in your mouth or throat, heart problems (e.g., irregular heartbeat), severe infection with high fever (e.g., sepsis), liver disease. Lidocaine may cause a condition that affects the heart rhythm (QT prolongation). QT prolongation can infrequently result in serious (rarely fatal) fast/irregular heartbeat and other symptoms (such as severe dizziness, fainting) that require immediate medical attention. The risk of QT prolongation may be increased if you have certain medical conditions or are taking other drugs that may affect the heart rhythm (see also Drug Interactions section). Before using lidocaine, tell your doctor or pharmacist if you have any of the following conditions: certain heart problems (heart failure, slow heartbeat, QT prolongation in the EKG), family history of certain heart problems (QT prolongation in the EKG, sudden cardiac death). Low levels of potassium or magnesium in the blood may also increase your risk of QT prolongation. This risk may increase if you use certain drugs (such as diuretics/"water pills") or if you have conditions such as severe sweating, diarrhea, or vomiting. Talk to your doctor about using lidocaine safely. To minimize dizziness and lightheadedness, get up slowly when rising from a sitting or lying position. This drug may make you dizzy or drowsy. Do not drive, use machinery, or do any activity that requires alertness until you are sure you can perform such activities safely. Limit alcoholic beverages. Caution is advised when using this drug in the elderly because they may be more sensitive to the effects of the drug, especially the effects on the heart. Caution is advised when using this drug in children because they may be more sensitive to the effects of the drug, especially dizziness and drowsiness. During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. It is not known if this medication passes into breast milk. Consult your doctor before breastfeeding.
DRUG INTERACTIONS: Your doctor or pharmacist may already be aware of any possible drug interactions and may be monitoring you for them. Do not start, stop, or change the dosage of any medicine before checking with them first. Before using this medication, tell your doctor or pharmacist of all prescription and nonprescription/herbal products you may use. Many drugs besides lidocaine may affect the heart rhythm (QT prolongation), including amiodarone, dofetilide, pimozide, procainamide, quinidine, sotalol, macrolide antibiotics (such as erythromycin), among others. Therefore, before using lidocaine, report all medications you are currently using to your doctor or pharmacist. Tell your doctor or pharmacist if you also take drugs that cause drowsiness such as: certain antihistamines (e.g., diphenhydramine), anti-seizure drugs (e.g., carbamazepine), medicine for sleep or anxiety (e.g., alprazolam, diazepam, zolpidem), muscle relaxants, narcotic pain relievers (e.g., codeine), psychiatric medicines (e.g., chlorpromazine, risperidone, amitriptyline, trazodone). Check the labels on all your medicines (e.g., cough-and-cold products) because they may contain drowsiness-causing ingredients. Ask your pharmacist about using those products safely. This document does not contain all possible interactions. Therefore, before using this product, tell your doctor or pharmacist of all the products you use. Keep a list of all your medications with you, and share the list with your doctor and pharmacist.
OVERDOSE: If overdose is suspected, contact your local poison control center or emergency room immediately. US residents should call the US National Poison Hotline at 1-800-222-1222. Canada residents should call a provincial poison control center. Symptoms of overdose may include: severe dizziness/drowsiness, seizures, slow/irregular heartbeat.
NOTES: Do not share this medication with others. This medication has been prescribed for your current condition only. Do not use it later for another condition unless told to do so by your doctor. A different medication may be necessary in that case.
MISSED DOSE: Not applicable.
STORAGE: Store at room temperature away from sunlight and moisture. Do not freeze. Keep all medicines away from children and pets. Do not flush medications down the toilet or pour them into a drain unless instructed to do so. Properly discard this product when it is expired or no longer needed. Consult your pharmacist or local waste disposal company for more details about how to safely discard your product.
Information last revised July 2010. Copyright(c) 2010 First Databank, Inc.
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FAQs
Use lidocaine exactly as directed. Do not use more or less of it or use it more often than prescribed by your doctor. For a sore or irritated mouth, the dose should be placed in the mouth, swished around until the pain goes away, and spit out. For a sore throat, the dose should be gargled and then may be swallowed.
What is lidocaine HCl viscous solution 2%? ›
Lidocaine Hydrochloride Oral Topical Solution, USP (Viscous) 2% is indicated for the production of topical anesthesia of irritated or inflamed mucous membranes of the mouth and pharynx. It is also useful for reducing gagging during the taking of X-ray pictures and dental impressions.
How do you use lidocaine HCl 2%? ›
If your doctor has prescribed this medication, use it as directed. Before use on the skin, clean and dry the affected area as directed. Apply a thin layer of medication to the affected area of skin, usually 2 to 3 times a day or as directed. If you are using the spray, shake the canister well before using.
Can you swallow 2% viscous lidocaine? ›
Is it safe to swallow lidocaine viscous? You can swallow lidocaine viscous only if you're using it to ease redness, swelling, and skin irritations in your throat. Don't swallow more than directed by your provider.
Can you mix viscous lidocaine with water to gargle? ›
Do not dilute (mix) with water or any other liquid. If you have sores or irritation in your mouth or on your gums, swish the viscous lidocaine all around your mouth. Once your whole mouth is coated, spit out the viscous lidocaine.
Can you drink water after using lidocaine viscous? ›
If you are using this medicine in the mouth or throat, do not eat or drink anything for at least 1 hour after using it. When this medicine is applied to these areas, it may cause swallowing and choking problems.
Can you put lidocaine in your mouth? ›
Lidocaine mouth and throat treatments are usually used for the relief of short-term pain. If the pain does not improve after using it for a few days, check with your doctor or dentist. See a dentist or doctor if the sore areas in your mouth are bothering you, or if they do not heal. You may need a different treatment.
How long does viscous lidocaine take to work? ›
Lidocaine starts to numb the affected area within 5 minutes after use. If you are using this product before certain procedures, tell your doctor if the area does not feel numb or the numbness does not go away.
Can you use lidocaine 2 viscous soln for tooth pain? ›
It works by blocking nerve signals in your body. Lidocaine viscous is used to treat sores inside the mouth, during dental procedures to numb the gums, and to numb the mouth and throat before a surgery or medical procedure. Lidocaine viscous should not be used to treat teething pain in infants.
How long does 2% lidocaine work? ›
How long does the numbing work? That really depends on several factors. However, Lidocaine is reported to begin numbing a particular area in 90 seconds or so, and numbness can last for about 60 to 90 minutes or longer.
Lidocaine Hydrochloride is the hydrochloride salt form of lidocaine, an aminoethylamide and a prototypical member of the amide class anesthetics. Lidocaine interacts with voltage-gated Na+ channels in the nerve cell membrane and blocks the transient increase in permeability of excitable membranes to Na+.
Do you swallow lidocaine hydrochloride? ›
The medication is for topical use in the mouth or throat. Do not swallow this medication unless you have been told to. Follow the directions on the prescription label. Use a specially marked spoon or container to measure the solution.
What happens if you accidentally swallow lidocaine viscous? ›
Seek emergency medical attention or call the Poison Help line at 1-800-222-1222 if anyone has accidentally swallowed the medication. An overdose of numbing medicine can cause fatal side effects if too much of the medicine is absorbed through your gums and into your blood.
How much lidocaine is in 2% viscous lidocaine? ›
COMPOSITION OF SOLUTION:
Each mL contains 20 mg of lidocaine HCl, flavoring, saccharin sodium, methylparaben, propylparaben and sodium carboxymethylcellulose in purified water.
What happens if you consume too much lidocaine? ›
Early symptoms are circumoral numbness, tongue paresthesia, and dizziness. Sensory complaints may include tinnitus and blurred vision. Excitatory signs, such as restlessness, agitation, nervousness, or paranoia, may progress to muscle twitches and seizures.
Can you gargle viscous lidocaine for pain? ›
Viscous lidocaine is used to relieve pain and discomfort from a sore throat/mouth. It is also used to numb the lining of the mouth and throat before certain medical/dental procedures (such as dental impressions).
How do you make viscous lidocaine taste better? ›
Conclusions: A brief rinse with a mint-flavoured, alcohol-based mouthwash prior to administration of topical lidocaine resulted in a significant improvement in the perceived flavour of topical lidocaine with a minimal reduction in subjective analgesia.
Does lidocaine make you sleepy? ›
Does lidocaine make you sleepy? One of the rare side effects of topical lidocaine is drowsiness or a feeling of overt sleepiness. Call your doctor for medical advice if these side effects are extreme or concerning. Take precautions to not overdose to prevent any severe side effects.
What not to do after lidocaine? ›
Avoid eating or chewing within 1 hour after lidocaine injection is used to numb your mouth or throat. You may have trouble swallowing which could lead to choking. You may also accidentally bite the inside of your mouth if you are still numb an hour after treatment with lidocaine injection.
What is the difference between lidocaine and lidocaine viscous? ›
Introduction: Lidocaine solution is generally used as topical anesthesia for bronchoscopy. However, due to unpleasant taste, some patients cannot tolerate, leading to inadequate blunting of Gag and cough reflexes. Lidocaine viscous has sweeter flavor and may improve the efficacy of this anesthesia.
For lidocaine
- Adults and teenagers—One tablespoonful of medicine (or less), swished around in the mouth, then spit out. ...
- Children 3 years of age and older—Apply a small amount of medicine to the sore places with a cotton-tipped applicator.
Lidocaine starts working within 90 seconds and will last at the very least 20 minutes. Its elimination half-life is estimated to be about 90 – 120 minutes in most patients. When you leave the dentist's office it may feel like your lip is fat or inflamed. It may be difficult to eat or speak.
Does lidocaine need to be refrigerated? ›
Lidocaine is used for treatment of ventricular tachycardias (with pulse). According to the manufacturer's requirements, atropine, epinephrine, and lidocaine injections should be stored below 104 °F (40 °C) at room temperature, between 59 and 86 °F (15-30 °C), preferably at 77 °F (25 °C).
Does lidocaine work immediately? ›
When injected, the numbing effects of Lidocaine can begin working very quickly. In as little as four minutes and can last from 30 minutes up to three hours. However, other factors can play a role in how long the drug's effects last. It's a fast-acting local anesthetic.
Who should not use lidocaine? ›
Lidocaine skin creams such as EMLA, Denela and Nulbia may not be suitable for people with porphyria, methaemoglobinaemia or G6PD deficiency because they contain a combination of local anaesthetics.
What helps unbearable tooth pain? ›
Some of the steps that you can take to reduce your toothache, especially at night, are described in this article.
- Suitable medications. ...
- Applying cold compress. ...
- Anti-inflammatory drugs. ...
- Rinsing with saltwater. ...
- Rinsing your mouth with mouthwash. ...
- Sleeping in an elevated position. ...
- Using ointments to numb the pain.
“Anti-inflammatory drugs such as ibuprofen, Advil, Motrin or naproxen work well with dental pain because they reduce inflammation,” says Huang. Recent data has shown the combination of Advil (ibuprofen) and Tylenol (acetaminophen) is as effective as prescription opioids for tooth pain.
How much lidocaine does it take to numb a tooth? ›
In oral infiltration and / or mandibular block, initial dosages of 1.0 - 5.0 mL (1/2 to 21⁄2 cartridges) of 2% Xylocaine DENTAL (lidocaine HCl 2% solutions with a 1:50,000 or a 1:100,000 epinephrine concentration) are usually effective.
Is 2% lidocaine stronger than 1? ›
Is there really that big of a difference between 1% and 2% lidocaine? The short and sweet version is that there is no difference in pain reduction. However, in smaller patients the more highly concentrated 2% lidocaine (20mg/mL versus 10mg/mL) runs the risk of hitting that toxicity threshold with half the volume.
What is the maximum amount of 2% lidocaine? ›
When used without epinephrine the maximum individual dose should not exceed 4.5 mg/kg (2 mg/lb) of body weight, and in general it is recommended that the maximum total dose does not exceed 300 mg.
HOW LONG WILL NUMBNESS LAST? The numbness from your local anesthetic may last a few hours and perhaps as long as 24 hours. In very rare situations, the effect of lidocaine can last up to two days.
What is the strongest lidocaine you can buy over-the-counter? ›
When discussing the strength of an anesthetic, it can really depend on the concentration, where it is applied, how much is applied, what form it is applied in, and many other factors. The highest strength lidocaine that is available over-the-counter is 5% strength.
What is lidocaine HCL used for? ›
Lidocaine belongs to the family of medicines called local anesthetics. This medicine prevents pain by blocking the signals at the nerve endings in the skin. This medicine does not cause unconsciousness as general anesthetics do when used for surgery. This medicine is available only with your doctor's prescription.
What is the benefit of lidocaine HCL? ›
This product is used to help reduce itching and pain from certain skin conditions (such as scrapes, minor skin irritations, insect bites). It may also be used to help relieve nerve pain after shingles (infection with herpes zoster virus). Lidocaine belongs to a class of drugs known as local anesthetics.
How much lidocaine hydrochloride is safe? ›
Adults For normal healthy adults, the individual maximum recommended dose of Lidocaine Hydrochloride and Epinephrine Injection, USP should not exceed 7 mg/kg (3.5 mg/lb) of body weight, and in general it is recommended that the maximum total dose not exceed 500 mg.
Can you inject viscous lidocaine? ›
XYLOCAINE VISCOUS 2% (lidocaine hydrochloride) IS FOR TOPICAL USE ONLY AND MUST NOT BE USED FOR INJECTION.
How much oral lidocaine is toxic? ›
In general, lidocaine is dose-related, and toxicity may emerge at 8 mg/L or higher serum concentrations.
How much lidocaine is enough? ›
Adults—Apply to the affected area 3 or 4 times a day. The largest amount of ointment that should be used in a single application is 5 grams. If you use the 5% ointment, this is about 6 inches of ointment from the tube. Children—Dose is based on body weight and must be determined by your doctor.
How much viscous lidocaine is in a GI co*cktail? ›
Patients presenting to the ED with dyspeptic symptoms were randomized to receive 30 mL of antacid (Mylanta II), or 30 mL of antacid plus 15 mL of 2% viscous lidocaine (GI co*cktail).
How long does lidocaine overdose take? ›
Peak blood levels of lidocaine usually occur 10–25 minutes after injection. This is the point at which the toxic effects are most likely to be observed. The onset of symptoms is faster if accidental intravascular injection has occurred.
Common side effects of lidocaine injection may include:
nausea, vomiting; feeling hot or cold; confusion, ringing in your ears, blurred vision, double vision; or. numbness in places where the medicine is accidentally applied.
What is the most common side effect of lidocaine? ›
Check with your doctor right away if you or your child has the following symptoms after receiving this medicine: pale, gray, or blue-colored skin, lips, or nails, confusion, headache, lightheadedness, fast heartbeat, or unusual tiredness or weakness.
How long does it take for lidocaine viscous to work? ›
Lidocaine starts to numb the affected area within 5 minutes after use. If you are using this product before certain procedures, tell your doctor if the area does not feel numb or the numbness does not go away.
Can I rub lidocaine on my gums? ›
Put a small amount of lidocaine onto your finger. Gently rub it onto the sore parts of your gums.
Can you put lidocaine on your tooth? ›
One of the things you can do is use topical lidocaine and apply it to the base of the tooth. If you can just get lidocaine gel that can be used orally, those kinds of topical anesthetics are made for dental pain and apply it right at the base of the tooth right where it's hurting the most, that can be helpful.
How long does it take for lidocaine to work? ›
Lidocaine cream works quite quickly. Most people will start to feel a numbing effect within 30 to 60 minutes.
How do you know if lidocaine is working? ›
Lidocaine works quickly after application. You may experience a numbing effect after thirty to forty minutes of application. The medicine numbs the skin on which it is applied and the skin around it. Take precautions to apply it the right way after reading the label carefully, or ask your doctor.
How do you gargle with lidocaine viscous? ›
For lidocaine
- For pain in the mouth: Adults and teenagers—One tablespoonful of medicine (or less), swished around in the mouth, then spit out. Or, apply a total of 1 tablespoonful (or less) to the sore places with a cotton-tipped applicator. ...
- For sore throat pain: Adults and teenagers—One tablespoonful, used as a gargle.
Early symptoms are circumoral numbness, tongue paresthesia, and dizziness. Sensory complaints may include tinnitus and blurred vision. Excitatory signs, such as restlessness, agitation, nervousness, or paranoia, may progress to muscle twitches and seizures.
Can you swallow lidocaine at dentist? ›
Do not swallow the medicine unless your medical doctor or dentist has told you to do so. If you are using this medicine for a problem in the throat, gargle with the measured amount of medicine as directed by your doctor.
Ingestion of lidocaine can cause numbness of the mouth and throat, which can lead to trouble swallowing and even choking. If a substantial amount is ingested, enough can be absorbed into the bloodstream to affect vital organs, primarily the brain and heart.
How do you numb your gums before going to the dentist? ›
Descriptions. Lidocaine and prilocaine periodontal (gingival) gel is used on the gums to cause numbness or loss of feeling during dental procedures. This medicine contains a mixture of two topical local anesthetics (numbing medicines). It deadens the nerve endings in the gum.
What is good to numb a toothache? ›
Ice. Apply a cold compress to the aching tooth for 10 to 15 minutes to help numb the area. If your tooth is too sensitive, you can apply the ice to the outside of your mouth near the tooth.
How long does lidocaine 2% last? ›
How long does the numbing work? That really depends on several factors. However, Lidocaine is reported to begin numbing a particular area in 90 seconds or so, and numbness can last for about 60 to 90 minutes or longer.
Can you feel pain with lidocaine? ›
With an acidic pH of 4.7, lidocaine can cause an unpleasant burning sensation. A Cochrane meta-analysis of several RCTs determined that the addition of sodium bicarbonate (10:1 lidocaine: sodium bicarbonate [8.4% NaHCO3]) can considerably minimize pain.
