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