lidocaine viscous

  • Pharmacy Author:
    Omudhome Ogbru, PharmD

    Dr. Ogbru received his Doctorate in Pharmacy from the University of the Pacific School of Pharmacy in 1995. He completed a Pharmacy Practice Residency at the University of Arizona/University Medical Center in 1996. He was a Professor of Pharmacy Practice and a Regional Clerkship Coordinator for the University of the Pacific School of Pharmacy from 1996-99.

  • Medical and Pharmacy Editor: Charles Patrick Davis, MD, PhD
    Charles Patrick Davis, MD, PhD

    Charles Patrick Davis, MD, PhD

    Dr. Charles "Pat" Davis, MD, PhD, is a board certified Emergency Medicine doctor who currently practices as a consultant and staff member for hospitals. He has a PhD in Microbiology (UT at Austin), and the MD (Univ. Texas Medical Branch, Galveston). He is a Clinical Professor (retired) in the Division of Emergency Medicine, UT Health Science Center at San Antonio, and has been the Chief of Emergency Medicine at UT Medical Branch and at UTHSCSA with over 250 publications.

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Seizures, heart and lung failure, and death have occurred when children less than three were treated with lidocaine viscous solution.

PRESCRIPTION: Yes

GENERIC AVAILABLE: Yes

PREPARATIONS: Oromucosal solution: 2% (20 mg/mL)

STORAGE: Lidocaine Viscous should be stored aft 15 C – 30 C (59 F – 86 –F).

DOSING: Adults: 5-10 ml of lidocaine viscous is recommended for the treatment of painful mucous membranes of the mouth or throat. No more than 6 doses should be given in 24 hours and the maximum dose is 60 ml or 1200 mg lidocaine.

To provide anesthesia prior to insertion of medical instruments or catheters into the upper respiratory or digestive tracts, 10 to 15 ml (200 to 300 mg) is recommended not to exceed 400 mg/day.

To treat diseases of the upper gastrointestinal tract, 5 to15 ml of lidocaine is recommended not to exceed 60 ml or 1200 mg per day.

Children 2-12 years: Dosing is based on weight. Do not exceed 1 ml per 5 kg of child's weight per dose. Do not exceed 4 mg/kg or 4 doses in 24 hours.

DRUG INTERACTIONS: Lidocaine topical administration results in low systematic or blood levels are therefore does not have any known clinically significant drug-drug interactions. The following drug interactions have been observed with intravenous lidocaine use.

Toxicity may result when lidocaine is used with other local anesthetics or drugs which are structurally related to amide-type local anesthetics. Antiarrhythmic drugs such as mexiletine and amiodarone may increase blood concentrations of lidocaine.

Lidocaine is mainly metabolized or broken down by liver enzymes. Strong inhibitors of these liver enzymes such as fluvoxamine, erythromycin, and itraconazole may decrease the breakdown of lidocaine and cause an increase in its blood concentrations.

Medically Reviewed by a Doctor on 9/18/2015

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