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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

The Effect of Intravenous Lidocaine on Trigeminal Neuralgia

Not Applicable
Completed
Conditions
Trigeminal Neuralgia
Interventions
First Posted Date
2013-10-08
Last Posted Date
2013-10-08
Lead Sponsor
Pain Relief & Palliative Care Center, Athens, Greece
Target Recruit Count
20
Registration Number
NCT01955967

Intraoperative Lidocaine Infusion for Postoperative Pain Management in Obese Patients

Phase 3
Completed
Conditions
Bariatric Surgical Pain
Interventions
Drug: Placebo
Drug: Lidocaine
First Posted Date
2013-09-17
Last Posted Date
2017-10-26
Lead Sponsor
University of South Florida
Target Recruit Count
20
Registration Number
NCT01944098
Locations
🇺🇸

Tampa General Hospital, Tampa, Florida, United States

Effect of Perioperative Intravenous Lidocaine on Postoperative Quality of Recovery in Patients Undergoing Spine Surgery

Phase 2
Withdrawn
Conditions
Pain
Interventions
Other: Placebo (normal saline)
Drug: Lidocaine
First Posted Date
2013-08-29
Last Posted Date
2015-10-01
Lead Sponsor
Baylor College of Medicine
Registration Number
NCT01930877
Locations
🇺🇸

Ben Taub General Hospital, Houston, Texas, United States

Intravenous Lidocaine Infusion in the Management of Post-operative Pain in Colorectal Patients

Phase 1
Withdrawn
Conditions
Colorectal Disorders
Interventions
First Posted Date
2013-04-22
Last Posted Date
2016-03-08
Lead Sponsor
Children's Hospital Medical Center, Cincinnati
Registration Number
NCT01836614
Locations
🇺🇸

Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, United States

Evaluation of Oral Midazolam in First-trimester Surgical Abortions

Phase 4
Completed
Conditions
Pain
Anxiety
Nausea
Interventions
First Posted Date
2013-04-12
Last Posted Date
2018-06-25
Lead Sponsor
Oregon Health and Science University
Target Recruit Count
124
Registration Number
NCT01830881
Locations
🇺🇸

Planned Parenthood Columbia Willamette, Portland, Oregon, United States

Effect of Esmolol on Pain Due to Rocuronium

Phase 4
Completed
Conditions
Injection Site Irritation
Interventions
First Posted Date
2013-04-05
Last Posted Date
2019-10-04
Lead Sponsor
Ankara Diskapi Training and Research Hospital
Target Recruit Count
90
Registration Number
NCT01824758
Locations
🇹🇷

Diskapi Teaching and Research Hospital, Ankara, Altindag, Turkey

Liver Fibrosis in Alpha-1 Antitrypsin Deficiency (Liver AATD)

Completed
Conditions
Alpha-1 Antitrypsin Deficiency
Liver Fibrosis
AAT Deficiency
AATD
Interventions
Device: Abdominal ultrasound
Procedure: History and physical
Procedure: Intravenous catheter
Procedure: Blood draw
Other: Liver questionnaire
Procedure: Liver Biopsy
Drug: Midazolam
Drug: Fentanyl
Drug: Lidocaine
Drug: Acetaminophen
Drug: Lorazepam
Drug: Oxycodone/Acetaminophen
Drug: Ondansetron
First Posted Date
2013-03-13
Last Posted Date
2023-08-21
Lead Sponsor
University of Florida
Target Recruit Count
109
Registration Number
NCT01810458
Locations
🇺🇸

Shands at the University of Florida, Gainesville, Florida, United States

Intrathecal Magnesium for Same-day-surgery

Phase 3
Terminated
Conditions
Transient Neurologic Syndrome
Interventions
First Posted Date
2013-02-18
Last Posted Date
2014-03-10
Lead Sponsor
Hospital General de Ciudad Real
Target Recruit Count
21
Registration Number
NCT01794247
Locations
🇪🇸

Hospital General Universitario de Ciudad Real, Ciudad Real, Spain

🇪🇸

Hospital General universitario de Ciudad Real, Ciudad Real, Castilla-La Mancha, Spain

Lidocaine Analgesia for Urethral Catheterization in Children

Not Applicable
Completed
Conditions
Pediatric Presentation of Urinary Tract Infection
Interventions
First Posted Date
2013-01-31
Last Posted Date
2016-04-11
Lead Sponsor
Seattle Children's Hospital
Target Recruit Count
80
Registration Number
NCT01780324
Locations
🇺🇸

Seattle Children's Hospital, Seattle, Washington, United States

Pain on Injection of Propofol: a Comparison of Lidocaine and Alkalinized Lidocaine

Phase 4
Completed
Conditions
Pain on Injection of Propofol,Lidocaine, Alkalinized Lidocaine
Interventions
Drug: alkalinized lidocaine
Drug: Lidocaine
Drug: Placebo (for alcalinized lidocaine)
First Posted Date
2013-01-23
Last Posted Date
2013-01-23
Lead Sponsor
Inonu University
Target Recruit Count
300
Registration Number
NCT01773044
Locations
🇹🇷

Inonu university medicine faculty, Malatya, Turkey

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