Lidocaine Hydrochloride Injection Bp 2% W/V
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Lidocaine Hydrochloride Injection 2%
Lidocaine Hydrochloride
Important information about vour medicine
► Your doctor or nurse will give vou the injection
► If this injection causes vou anv problems talk to vour doctor, nurse or pharmacist
► Please tell vour doctor or pharmacist, if vou have anv other medical conditions or have an allergv to anv of the ingredients of this medicine
► Please tell vour doctor or pharmacist, if vou are taking anv other medicines
♦ Read all of this leaflet carefully before you start using this medicine because it contains important information for you. In some circumstances this may not be possible and this leaflet will be kept in a safe place should vou wish to read it.
♦ Keep this leaflet. You mav need to read it again
♦ Ifvouhaveanvfurtherquestions, ask your doctor, pharmacist or nurse.
♦ This medicine has been prescribed for vou onlv. Do not pass it on toothers. It mav harm them, even if their signs of illness are the same as vours.
♦ If vou get anv side effects, talk to your doctor, pharmacist or nurse. This includes anv possible side effects not listed in this leaflet. See section 4.
What is in this leaflet
1. What Lidocaine Hydrochloride Injection 2% is and what it is used for
2. What vou need to know before vou use Lidocaine Hvdrochloride Injection 2%
3. How to use Lidocaine Hydrochloride Injection 2%
4. Possible side effects
5. How to store Lidocaine Hydrochloride Injection 2%
6. Contents ofthe pack and otherinformation
1. What Lidocaine Hydrochloride Injection 2% is and what it is used for
Lidocaine Hydrochloride Injection 2% is a local
anaesthetic. It is used to:
♦ produce local anaesthesia (numb a specific area) and stop pain being felt in the area of the bodv where it is administered.
♦ control fast or abnormal heart beats that vou might experience after a heart attack.
2. What vou need to know before vou use Lidocaine Hvdrochloride Injection 2%
Do NOT use Lidocaine Hydrochloride
Injection 2%:
♦ if vou are sensitive or allergic to Lidocaine Hvdrochloride or anv of the other ingredients in this injection (listed in section 6). Tell vour doctor if you ever had an allergic or bad reaction, for example, skin rash or breathlessness, to any local anaesthetic medicines.
♦ if vou have certain heart disorders. Tell vour doctor if vou have anv heart problems particular^ where vour heart mav pump blood less efficient^, mav beat irregularlv, or mav beat more slowlv.
♦ if vou suffer from a state of decreased blood volume (hvpovolaemia)
♦ if vou suffer from Porphyria - a disorder of the blood. Tell vour doctor if vou have anv blood disorders.
Warnings and precautions
Talk to your doctor, pharmacist or nurse
before using Lidocaine Hydrochloride
Injection 2%:
♦ if vou suffer from a heart or a breathing disorder.
♦ ifvouhave kidney or liver disease.
♦ if vou are feeling unwell or run down for any reason.
♦ ifvou sufferfrom epilepsy or have fits.
♦ ifvou have myasthenia gravis (a condition causing weakness ofvourmuscles).
♦ ifvou are in shock.
, ♦ if vou have a blood disorder or an imbalance in the constituents of your blood.
i ♦ ifvou have inflammation or infection in the
■ area to be injected.
~ Other medicines and Lidocaine -Hydrochloride Injection 2%:
Tell vour doctor, pharmacist or nurse if vou are taking, have recentlv taken or might take anv other medicines, including medicines obtained without a prescription. This is especiallv important with the following medicines as thev mav interact with your Lidocaine Hydrochloride Injection 2%:
♦ Acetazolamide (used to reduce pressure within the eye).
♦ Cimetidine (forstomach ulcerorheartburn).
♦ Dolasetron (used to prevent / treat nausea and vomiting).
♦ Quinupristin and dalfopristin (antibiotics).
♦ Beta-blockers, e.g. propranolol, (for angina, high blood pressure or other heart problems)
♦ Calcium Channel Blockers e g. Verapamil, (forangina and high blood pressure).
♦ Diuretics (watertablets).
♦ Anti-virals - medicines used to treat infections caused bvviruses (e.g. HIV).
♦ Anti-arrhythmics - medicines used to regulate the rhythm of vour heart. (e.g. Amiodarone, mexiletine).
♦ Anti-psychotics - medicines used to treat certain psvchiatric conditions (e.g. Pimozide, Sertindole).
♦ Muscle relaxants (e.g. Suxamethonium).
♦ Opioids - strong pain relieving medicines ^5 (e.g. Fentanvl)
♦ Oral contraceptives or oral HRT (Hormone Replacement Therapv)
Pregnancy and breast-feeding:
If vou are pregnant or breast-feeding, think vou mav be pregnant or are planning to have a babv, ask vour doctor or pharmacist for advice before taking this medicine.
Driving and using machines:
Depending on where and how lidocaine hvdrochloride is used, it mav affect vour ability to drive or operate machinery. Ask vour doctor about when it would be safe to drive or operate machines.
You should not drive or use machinery if you
are affected bv the administration of Lidocaine Hydrochloride Injection 2%.
3. How to use Lidocaine Hydrochloride Injection 2%
Your nurse or doctor will give you the injection.
Your doctor will decide the correct dosage for you and how and when the injection will be given.
If you use more Lidocaine Hydrochloride Injection 2% than you should
Since the injection will be given to vou bv a doctor or nurse, it is unlikely that vou will be given too much.
If you think you have been given too much,
or vou begin to experience lightheadedness, numbness of vour tongue or a ringing in vour ears vou must tell the person giving vou the injection immediately
Lidocaine Hydrochloride Injection 2% is NOT intended for use in the eye.
4. Possible side effects
Like all medicines, Lidocaine Hvdrochloride Injection 2% can cause side effects, although not evervbodv gets them.
Allergic reactions:
♦ Allergic reactions to lidocaine hvdrochloride are rare, but tell vour doctor immediatety ifvou get anv difficulty with vour breathing, a rash or itchy skin.
Nervous and psychiatric disorders:
♦ Dizziness or lightheadedness, drowsiness, tremor, your tongue going numb - sometimes these svmptoms mav indicate that vou have been given too much lidocaine.
♦ Convulsions (seizures).
Eye disorders:
♦ Blurred or double vision.
Ear disorders:
♦ Tinnitus (aringinginvourears).
♦ Hyperacusis (vou are more sensitive to everyday sounds).
Heart disorders:
♦ Increased or decreased blood pressure.
♦ Slowing and stopping of your heart.
♦ Changes in the rhythm of your heart.
Breathing disorders:
♦ You mav find it more difficult to breathe or vour breathing mav stop.
Gastrointestinal disorders:
♦ Nausea (feeling sick) and vomiting (being sick).
Skin disorders:
♦ Rash, itching and swelling of the face.
♦ Pain, inflammation or numbness at the site of injection after the effects of the injection should have worn off.
Blood disorders
♦ You may experience a blueish discolouration to your skin, a headache, breathlessness and fatigue as a result of abnormal amounts of methaemoglobin (a form of haemoglobin) in your blood
After spinal injection of lidocaine, you
should tell your doctor if you experience
any of the following side effects:
♦ Pain or numbness in the back or lower legs.
♦ Difficulty in walking.
♦ Problems with controlling your bladder or bowels.
♦ Feeling faint or light headed.
♦ Slow heart rate or pulse rate.
For patients going home before the numbness or loss of feeling caused by a local anaesthetic wears off:
♦ During the time that the injected area feels numb, serious injury can occur without your knowing about it. Be especially careful to avoid injury until the anaesthetic wears off or feeling returns to the area.
If you think this injection is causing you any problems, or you are at all worried, talk to your doctor, nurse or pharmacist.
Reporting of side effects
If you get any side effects, talk to your doctor, pharmacist or nurse: This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the Yellow Card Scheme at: www.mhra.gov.uk/ yellowcard. By reporting side effects you can help provide more information on the safety of this medicine.
5. How to store Lidocaine Hydrochloride Injection 2%
Keep this medicine out of the sight and reach of children.
Your injection will be stored at less than 250C and protected from light.
Do not use this medicine after the expiry date which is stated on the label and carton after “Exp. date”. The expiry date refers to the last day of that month.
6. Contents of the pack and other information
What Lidocaine Hydrochloride Injection 2% contains:
The active substance is lidocaine hydrochloride. In Lidocaine Hydrochloride Injection 2% each ml of solution contains 20 mg of lidocaine hydrochloride in a sterile solution for injection.
The other ingredients are hydrochloric acid, sodium hydroxide and water for injections.
What Lidocaine Hydrochloride Injection 2% looks like and contents of the pack:
Lidocaine Hydrochloride Injection 2% is a clear, colourless, sterile solution in a clear glass ampoule containing 2, 5, 10 or 20 ml. Not all ampoule sizes may be marketed.
The marketing authorisation number of this medicine is: PL 01502/00021R
Marketing Authorisation Holder:
hameln pharmaceuticals ltd Gloucester United Kingdom “ Manufacturer:
hameln pharmaceuticals gmbh ^5 Langes Feld 13 31789 Hameln Germany hameln rds a.s.
Horna 36 900 01 Modra Slovak Republic
For any information about this medicine, please contact the Marketing Authorisation Holder
This leaflet was last approved April 2015.
44178/16/15