Lidocaine

Generic Name
Lidocaine
Brand Names
Agoneaze, Akten, Alivio, Anestacon, Anodyne Lpt, Astero, Band-aid Hurt-free, Cathejell, Curacaine, Depo-medrol With Lidocaine, Dermacinrx Lido V Pak, Dermacinrx Phn Pak, Dermacinrx Prikaan, Diphen, Emla, Fortacin, Glydo, Instillagel, Kenalog, Lido Bdk, Lido-prilo Caine Pack, Lidocan, Lidodan, Lidoderm, Lidopac, Lidopril, Lidopro, Lidosol, Lidothol, Lidotral, Lignospan, Marcaine, Max-freeze, Medi-derm With Lidocaine, Neo-bex, Octocaine, Octocaine With Epinephrine, Oraqix, P-care, P-care X, Pliaglis, Prilolid, Prizotral, Procomycin, Readysharp Anesthetics Plus Ketorolac, Readysharp-A, Readysharp-p40, Readysharp-p80, Relador, Synera, Triple Antibiotic, Venipuncture Px1, Viadur, Xylocaine, Xylocaine With Epinephrine, Xylocard, Xylonor, Zingo, Ztlido
Drug Type
Small Molecule
Chemical Formula
C14H22N2O
CAS Number
137-58-6
Unique Ingredient Identifier
98PI200987
Background

Ever since its discovery and availability for sale and use in the late 1940s, lidocaine has become an exceptionally commonly used medication . In particular, lidocaine's principal mode of action in acting as a local anesthetic that numbs the sensations of tissues means the agent is indicated for facilitating local anesthesia for a large variety of surgical procedures . It ultimately elicits its numbing activity by blocking sodium channels so that the neurons of local tissues that have the medication applied on are transiently incapable of signaling the brain regarding sensations . In doing so, however, it can block or decrease muscle contractile, resulting in effects like vasodilation, hypotension, and irregular heart rate, among others . As a result, lidocaine is also considered a class Ib anti-arrhythmic agent . Nevertheless, lidocaine's local anesthetic action sees its use in many medical situations or circumstances that may benefit from its action, including the treatment of premature ejaculation .

Regardless, lidocaine is currently available as a relatively non-expensive generic medication that is written for in millions of prescriptions internationally on a yearly basis. It is even included in the World Health Organization's List of Essential Medicines .

Indication

Lidocaine is an anesthetic of the amide group indicated for production of local or regional anesthesia by infiltration techniques such as percutaneous injection and intravenous regional anesthesia by peripheral nerve block techniques such as brachial plexus and intercostal and by central neural techniques such as lumbar and caudal epidural blocks .

Associated Conditions
Acute Otitis Media (AOM), Anorectal discomfort, Arrhythmia, Back Pain Lower Back, Bacterial Vaginosis (BV), Burns, Cervical Syndrome, Earache, Fissure;Anal, Haemorrhoids, Infection, Inflammatory Reaction caused by ear infection-not otherwise specified, Insect Bites, Joint Pain, Mixed Vaginal Infections, Multiple Myeloma (MM), Myringitis, Neuritis, Osteolysis caused by Bone Tumors, Osteoporosis, Otitis Externa, Pain caused by ear infection-not otherwise specified, Pain, Inflammatory, Postherpetic Neuralgia, Primary Hyperparathyroidism (PHPT), Rheumatic Diseases, Rheumatic Joint Disease, Sciatica, Skin Irritation, Soft Tissue Inflammation, Sore Throat, Sunburn, Susceptible infections, Trichomonas Vaginitis, Ulcers, Leg, Urethral Strictures, Ventricular Arrhythmia, Vulvovaginal Candidiasis, Abrasions, Anal discomfort, Cutaneous lesions, Gum pain, Minor burns, Superficial Wounds, Susceptible Bacterial Infections, Ulceration of the mouth, Viral infections of the external ear canal
Associated Therapies
Local Anaesthesia therapy, Post Myocardial Infarction Treatment, Regional Anesthesia therapy

Long Term Outcome After Serial Lidocaine Infusion in Peripheral Neuropathic Pain

Phase 3
Completed
Conditions
Interventions
First Posted Date
2014-08-15
Last Posted Date
2022-11-30
Lead Sponsor
Mahidol University
Target Recruit Count
29
Registration Number
NCT02217267
Locations
🇹🇭

Faculty of medicine Siriraj Hospital Mahidol University, Bangkoknoi, Bangkok, Thailand

Lidocaine as Local Anesthetics in Children Under Ketamine Sedation

First Posted Date
2014-07-31
Last Posted Date
2018-01-09
Lead Sponsor
Seoul National University Hospital
Target Recruit Count
58
Registration Number
NCT02205502
Locations
🇰🇷

Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Korea, Republic of

Efficacy of Variable Lidocaine Concentrations in Tumescent Anesthesia for Pain Control During and After Endovenous Laser Procedure; Non-inferiority Trial

First Posted Date
2014-07-16
Last Posted Date
2014-07-16
Lead Sponsor
Midwest Vein Center
Target Recruit Count
70
Registration Number
NCT02192411
Locations
🇺🇸

Midwest Vein Center, Chicago, Illinois, United States

Effect of Perioperative Intravenous Lidocaine Infusion and Magnesium Infusion on the Functional Recovery After General Anesthesia in the Patients Undergoing Breast Mastectomy

Not Applicable
Completed
Conditions
Interventions
First Posted Date
2014-07-10
Last Posted Date
2015-10-19
Lead Sponsor
Yonsei University
Target Recruit Count
126
Registration Number
NCT02185859
Locations
🇰🇷

Yonsei University, College of Medicine, Yonsei Health System, Yonsei Cancer Center, Seoul, Korea, Republic of

Does Injection Site Matter? A Randomized Controlled Trial to Evaluate Efficacy of Knee Intraarticular Injections on Improval of Patient Reported Outcomes.

Phase 4
Completed
Conditions
Interventions
First Posted Date
2014-06-27
Last Posted Date
2017-06-01
Lead Sponsor
University of Puerto Rico
Target Recruit Count
60
Registration Number
NCT02176304
Locations
🇵🇷

University of Puerto Rico School Of Medicine Outpatient Clinics, San Juan, Puerto Rico

Endoscopic Ultrasound-guided Ethanol Injection of Pancreatic Cystic Neoplasms

First Posted Date
2014-06-06
Last Posted Date
2018-02-05
Lead Sponsor
Mayo Clinic
Target Recruit Count
33
Registration Number
NCT02158039
Locations
🇺🇸

Mayo Clinic, Rochester, Minnesota, United States

Efficacy of Lidocaine Versus Placebo in Palliative Care Patients With Opioid-refractory Cancer Pain With Neuropathic Component: a Multicenter, Prospective, Double-blind Randomized Placebo-controlled Study.

First Posted Date
2014-05-14
Last Posted Date
2015-08-28
Lead Sponsor
Assistance Publique Hopitaux De Marseille
Target Recruit Count
200
Registration Number
NCT02137954
Locations
🇫🇷

- Service d'Oncologie Médicale et de Soins Palliatifs Assistance Publique Hopitaux de Marseille, Marseille, France

Lidocaine Versus Bupivacaine in Ambulatory Continuous Block With Elastomeric Pump

Phase 4
Completed
Conditions
Interventions
First Posted Date
2014-04-23
Last Posted Date
2016-05-24
Lead Sponsor
Pontificia Universidad Catolica de Chile
Target Recruit Count
70
Registration Number
NCT02121119
Locations
🇨🇱

División de Anestesia - Facultad de Medicina Pontificia Universidad Católica, Santiago, Región Metropolitana, Chile

Using Saline for Myofascial Pain Syndromes (USAMPS)

First Posted Date
2014-04-22
Last Posted Date
2019-05-01
Lead Sponsor
The University of Texas Health Science Center, Houston
Target Recruit Count
51
Registration Number
NCT02120261
Locations
🇺🇸

Memorial Hermann Hospital Texas Medical Center, Houston, Texas, United States

🇺🇸

Lyndon Baines Johnson General Hospital, Houston, Texas, United States

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