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These procedures include urinary catheterisation (a procedure where a tube is used to drain your bladder or collect urine) or endoscopic procedures (where a small flexible camera is inserted through your nose, mouth, rectum, or a small incision in the skin.
EXCESSIVE DOSAGE, OR SHORT INTERVALS BETWEEN DOSES, CAN RESULT IN HIGH PLASMA LEVELS OF LIDOCAINE OR ITS METABOLITES AND SERIOUS ADVERSE EFFECTS. Following too high or repeated doses of viscous lidocaine in children under the age of three, serious side effects have been reported. Absorption from the wound surfaces and mucous membranes is variable but is especially high from the bronchial tree. Such applications may therefore result in rapidly rising or excessive plasma concentrations, with an increased risk for toxic symptoms, such as convulsions. PATIENTS SHOULD BE INSTRUCTED TO STRICTLY ADHERE TO THE RECOMMENDED DOSAGE. This is especially important in children where doses vary with weight. The management of serious adverse reactions may require the use of resuscitative equipment, oxygen and other resuscitative drugs (see OVERDOSAGE).
Lidocaine patches are all considered well tolerated medications with minimal side effects. Most people do not experience side effects from using them, but it is possible to experience redness, itching, or skin irritation in the area where you applied the patch to. If you experience any dizziness, headache, sleepiness, change in taste (e.g. metallic taste) or vision (e.g. blurry or double vision) while using lidocaine patches, you should speak with your healthcare provider immediately.
Apply the lidocaine patch or topical system to clean, dry, intact skin as directed. Choose an area where the patch will not be rubbed by tight clothing. Do not apply the patch or topical system to an open wound or cut, to skin that is irritated or red, or to skin that is affected by a rash, burn, or other skin problem. If irritation or a burning sensation occurs during lidocaine application, remove the lidocaine patch or system and do not reapply it until the irritation is gone. Prescription patches and topical systems may be cut into smaller sizes with scissors prior to removal of the release liner. Be sure to remove the current patch before you apply a new one.
Keep this medication in the container it came in, tightly closed, and out of reach of children. Store it at room temperature and away from excess heat and moisture (not in the bathroom). Do not store patches and topical systems outside the sealed envelope. Fold used patches or topical systems so that the adhesive side sticks to itself and then safely discard into trash and where children and pets cannot get to them.
When COVID-19 took over, where demand was suddenly higher than usual, the usual delay associated with anesthetic medications exacerbated the situation. This brings us to the second cause of Lidocaine scarcity: increased demand.
There are some situations where Lidocaine 5% Ointment should be used with caution or would not be recommended. For example in pregnant or breastfeeding women, patients who are acutely ill, debilitated, or elderly, people with severe liver disease, and people who are allergic to any of the active or inactive ingredients.
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