Pharm

Lidocaine Patch

search

Lidocaine Patch, Lidocare, Icy Hot, Lidoderm

  • See Also
  1. Lidocaine
  • Indications
  1. Postherpetic Neuralgia (or other localized peripheral neuropathic pain)
  2. Other localized pain (e.g. Musculoskeletal Low Back Pain)
  • Contraindications
  1. Avoid in severe liver disease (higher toxicity risk)
  • Precautions
  1. Avoid measures that increase systemic absorption, toxicity (e.g. LAST Reaction, Seizures, Arrhythmia)
    1. Do NOT use under Occlusion (e.g. overlying dressing)
    2. Limit application to unbroken skin only
    3. Do not apply with heat (e.g. electric blanket)
  • Medications
  1. Lidocaine 5% Patch (prescription $7/patch, Lidoderm)
  2. Lidocaine 4% Patch (OTC $2/patch, Lidocare, Icy Hot)
  • Dosing
  1. Apply one patch to affected area for no more than 12 hours
  2. Remove patch, and maintain 12 hours free of Lidocaine before applying the next patch
  3. Apply a new patch for 12 of every 24 hours as needed
  • Adverse Effects
  1. Application site reactions (e.g. Contact Dermatitis)
  2. Allergic Reaction (rare)
  3. Systemic toxicity if significant absorption (see precautions above)
    1. See Lidocaine
    2. See LAST Reaction
  • Safety
  1. Pregnancy category B
  2. Unknown safety in Lactation
  • Resources
  1. Lidocaine Patch (DailyMed)
    1. https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=5c66f3b9-6e04-47ab-8d94-21e89ceec154
  • References
  1. (2017) Presc Lett 24(11):13