Xylocaine 10 mg/0,1 ml Pump Spray
Clinical Summary
Quick overview from the medicine insert
Indication
Surface anaesthesia on mucous membranes.
Dosage (summary)
Adults: 20-200 mg depending on procedure; max 5-7 mg/kg.
Onset of Action / Duration
Onset: 1-3 mins, Duration: 10-15 mins
Special Populations
- Elderly
- Children over 12 years
- Patients with liver damage
- Patients with renal dysfunction
Pregnancy & Breastfeeding
Safety in pregnancy not established; minimal risk in breastfeeding.
Key Drug Interactions
- Antidysrhythmics (e.g., amiodarone)
- Cimetidine
- Beta-blockers
Contraindications
- Hypersensitivity to lidocaine
- Neonates
- Infants
Common side effects
- Local irritation
- Sore throat
- Hoarseness
- Convulsions
- Hypotension
Counselling Points
- Do not eat for 60 mins post-application
- Monitor for signs of toxicity
- Use minimal effective dose
Serious warnings
- Caution in patients with epilepsy
- Risk of aspiration
- Avoid on endotracheal tube cuffs
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