Lidocaine (Topical/EMLA)

A topical anesthetic that numbs the skin. EMLA cream (a mixture of lidocaine and prilocaine) is the gold standard for reducing pain during vaccinations.

Dosage by Body Weight

Apply a thick layer 60 minutes before the procedure and cover with an occlusive dressing.

  1. Body Weight
    Infants <10 kg
    Dose
    Max 1 gram
    Frequency
    Single application
    Tracking Notes
    Do not leave on for more than 4 hours.

Formulation

CreamPatchSpray

Purpose

Local anesthesia of the skin before needle insertion or minor surgery.

Generic Name

Lidocaine / Prilocaine

Branded Drug Names

Lidocaine (Topical/EMLA) is listed as a generic drug name. Common branded medicines that may contain the same active ingredient include:

Scheduled Drug

No. This medicine is generally not treated as a scheduled/prescription-only drug in common consumer references, but local rules may vary.

Alternatives

Safety Advice

Alcohol

CAUTION

Lidocaine (Topical/EMLA): Alcohol may increase dizziness, stomach upset, dehydration, or other side effects. Avoid or limit alcohol and follow medical advice.

Pregnancy

SAFE IF PRESCRIBED

Lidocaine (Topical/EMLA): Use during pregnancy only if prescribed after a healthcare provider weighs the benefits and risks.

Breast Feeding

SAFE IF PRESCRIBED

Lidocaine (Topical/EMLA): Use while breastfeeding only with healthcare provider guidance, especially for repeated or long-term treatment.

Driving

CAUTION

Lidocaine (Topical/EMLA): This medicine may cause dizziness, drowsiness, weakness, or blurred vision in some people. Avoid driving if affected.

Liver

CAUTION

Lidocaine (Topical/EMLA): Use with caution in liver disease and consult your healthcare provider if you have abnormal liver tests or jaundice.

Kidney

CAUTION

Lidocaine (Topical/EMLA): Use with caution in kidney disease because dose adjustment or monitoring may be needed for some patients.

Disclaimer: This information is for educational purposes only. WHO references and weight bands are simplified for tracking and must not replace medical advice. Always consult with a healthcare professional before starting or changing any medication.