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Lidocaine and tetracaine (Topical application route)

Pronunciation:

LYE-doe-kane, TE-tra-kane

Brand Names:

  • Synera

Dosage Forms:

  • Patch, Extended Release
  • Cream

Classifications:

Therapeutic—

Anesthetic Combination

Chemical—

Amino Amide

Uses of This Medicine:

Lidocaine and tetracaine combination is used on the skin to cause numbness or loss of feeling for patients having certain medical or skin procedures.

Lidocaine and tetracaine combination belongs to a group of medicines known as topical local anesthetics. It deadens 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.

Before Using This Medicine:

In deciding to use a medicine, the risks of taking the medicine must be weighed against the good it will do. This is a decision you and your doctor will make. For this medicine, the following should be considered:

Allergies—

Tell your doctor if you have ever had any unusual or allergic reaction to this medicine or any other medicines. Also tell your health care professional if you have any other types of allergies, such as to foods, dyes, preservatives, or animals. For non-prescription products, read the label or package ingredients carefully.

Children—

Appropriate studies performed to date have not demonstrated pediatric-specific problems that would limit the usefulness of lidocaine and tetracaine combination in children. However, safety and efficacy have not been established in children below 3 years of age.

Older adults—

Appropriate studies performed to date have not demonstrated geriatric-specific problems that would limit the usefulness of lidocaine and tetracaine combination in the elderly.

Other medicines—

Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your doctor may want to change the dose, or other precautions may be necessary. Tell your healthcare professional if you are taking any other prescription or nonprescription (over-the-counter [OTC]) medicine.

Other interactions—

Certain medicines should not be used at or around the time of eating food or eating certain types of food since interactions may occur. Using alcohol or tobacco with certain medicines may also cause interactions to occur. Discuss with your healthcare professional the use of your medicine with food, alcohol, or tobacco.

Other medical problems—

The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:

  • Infection at or near the place of application or
  • Large sores, broken skin, or severe injury at the area of application—Use with caution. The chance of side effects may be increased.
  • Liver disease, severe or
  • Pseudocholinesterase deficiency (enzyme problem)—Use with caution. The effects may be increased because of slower removal of the medicine from the body.

Proper Use of This Medicine:

A nurse or other trained health care professional will apply this medicine before your medical procedure.

The patch is applied to your skin about 20 to 30 minutes before your procedure. Tell your doctor if you still have feeling in the skin after 30 minutes have passed.

Be careful not to get any of this medicine in your eyes, because it can cause severe eye irritation. If any of the medicine does get in your eyes, wash the eyes with water and check with your doctor right away.

Precautions While Using This Medicine:

It is very important that your doctor check you closely for any problems or unwanted effects that may be caused by this medicine.

This medicine may cause a serious type of allergic reaction called anaphylaxis. Anaphylaxis can be life-threatening and requires immediate medical attention. Call your doctor right away if you have itching; hives; hoarseness; trouble with breathing; trouble with swallowing; or any swelling of your hands, face, or mouth while you are using this medicine.

Check with your doctor right away if you have a skin rash, burning, stinging, swelling, or irritation of your skin.

Lidocaine and tetracaine combination cause numbness or loss of feeling in the skin. Be careful not to injure the treated skin by rubbing, scratching, or exposing the skin to extreme cold or heat.

Side Effects of This Medicine:

Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention.

Check with your doctor or nurse immediately if any of the following side effects occur:

More common
Flushing or redness of the skin
swelling
unusually warm skin
Less common
Blistering, burning, crusting, dryness, or flaking of the skin
change in the color of treated skin
itching, scaling, severe redness, soreness, or swelling of the skin
rash
Rare
Burning, crawling, itching, numbness, prickling, "pins and needles", or tingling feelings
cough or hoarseness
fainting or loss of consciousness
fast or irregular breathing
fever or chills
hives or welts
lower back or side pain
painful or difficult urination
swelling of the eyes or eyelids
tightness in the chest or wheezing
trouble with breathing
Incidence not known
Blurred vision
chest pain or discomfort
cold, clammy, or pale skin
confusion
difficulty with breathing
difficulty with swallowing
dizziness
dizziness, faintness, or lightheadedness when getting up from a lying or sitting position suddenly
fast, slow, or irregular heartbeat
feelings of coldness, heat, or numbness
irregular, fast or slow, or shallow breathing
large, hive-like swelling on the face, eyelids, lips, tongue, throat, hands, legs, feet, or sex organs
no breathing
noisy breathing
pale or blue lips, fingernails, or skin
puffiness or swelling of the eyelids or around the eyes, face, lips, or tongue
seizures
shakiness in the legs, arms, hands, or feet
shortness of breath
slow heart rate
sweating
trembling or shaking of the hands or feet
twitching
unconsciousness
unusual tiredness or weakness

Get emergency help immediately if any of the following symptoms of overdose occur:

Symptoms of overdose
Change in consciousness
fast, pounding, or irregular heartbeat or pulse
no blood pressure or pulse
stopping of heart

Some side effects may occur that usually do not need medical attention. These side effects may go away during treatment as your body adjusts to the medicine. Also, your health care professional may be able to tell you about ways to prevent or reduce some of these side effects. Check with your health care professional if any of the following side effects continue or are bothersome or if you have any questions about them:

Rare
Headache
nausea
sleepiness or unusual drowsiness
vomiting
Incidence not known
Continuing ringing or buzzing or other unexplained noise in the ears
depression
double vision
drowsiness
false or unusual sense of well-being
fear
hearing loss
nervousness

Other side effects not listed may also occur in some patients. If you notice any other effects, check with your healthcare professional.

Call your doctor for medical advice about side effects. You may report side effects to the FDA at 1-800-FDA-1088.


Last Updated: 4/4/2014

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