LIDOCAINE SPRAY - MUCOUS MEMBRANE
Common Brand Name(s): Altaseptic, Xylocaine
Phonetic Pronunciation: (LIE-doh-cane)
Information last revised May 2010
Uses:
Lidocaine spray is used to numb the lining of the mouth and throat before certain medical procedure (e.g., intubation). It is a local anesthetic that starts to numb the lining of the mouth and throat 1-2 minutes after application. It also helps prevent the urge to close the throat (gag reflex), which might make the procedure more difficult.
Missed Dose
Not applicable.
How To Use
This medication is usually sprayed within the mouth by a health care professional immediately before your procedure. 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 this product is used 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 their procedures. Be careful not to accidentally bite your tongue or mouth.
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. 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.
Notes
It takes only 1-2 minutes for the numbing effect of this medication to occur, and it usually lasts for 10-15 minutes.
Overdose
This medicine may be harmful if swallowed. If overdose or swallowing 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.
Precautions
Before using lidocaine, tell your doctor or pharmacist if you are allergic to it; or to other amide-type anesthetics (e.g., bupivacaine, prilocaine); or if you have any other allergies. This product may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details. Before using this medication, tell your 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 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.
Storage
Store spray at room temperature between 59-86 degrees F (15-30 degrees C) away from heat and open flames. Because the contents of the canister are under pressure, do not puncture or burn the container. Keep all medicines out of reach of 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.
Side Effects
Mild nausea, stinging, swelling, and burning may occur. Dizziness and drowsiness may also occur. If these effects persist or worsen, notify your doctor. 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.
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.
The information contained in the First DataBank databases is intended to supplement the knowledge of physicians, pharmacists, and other healthcare professionals regarding drug therapy problems and patient counselling information. This information is advisory only and is not intended to replace sound clinical judgment in the delivery of healthcare services. First DataBank disclaims all warranties, whether expressed or implied, including any warranty as to the quality, accuracy, and suitability of this information for any purpose.
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