Public health libraryEducational information. No account needed.

Medication guide

Lidocaine (4%)

Generic name
Lidocaine (4%)
Common brand names
Aspercreme with Lidocaine, Salonpas Lidocaine
Medication class
Topical local anesthetic

Overview

Its medication class is Topical local anesthetic. Common uses include Local temporary pain relief. Product forms and labels can differ, so follow the specific package instructions and ask a pharmacist or qualified healthcare professional about individual questions.

How to Take it

Route
Topical application to intact skin.
Time of day
Apply at symptom onset; often 2–4 times daily.
With food/water
No food involved; apply on clean, dry area after cleansing.
Preparation
Thin layer to affected skin only; avoid eyes, mouth, and open wounds.
Safe dose
Use smallest effective area and quantity.
Max dose
Stay within package coverage and frequency limits.
Frequency
As labeled, typically every 3–6 hours; avoid layering multiple analgesic topicals.
Other recommendations
Wash hands after use and avoid external heat/occlusive wraps unless instructed.

Common uses

  • Local temporary pain relief

Common side effects

  • Numbness
  • tingling
  • local burning or stinging
  • skin irritation
  • redness
  • rash
  • and dizziness

Important warnings

  • Do not use on open wounds, broken skin, or near mucosa unless explicitly labeled. Remove before heat application. Do not exceed recommended area or combine with other local anesthetics. Avoid over-application on children and in patients with severe liver disease or known anesthetic hypersensitivity. Seek care for palpitations, confusion, seizures, or breathing changes.

General interactions information

Low systemic interactions; avoid multiple lidocaine-containing products.

Sources / references

These references offer further reading. A source link does not establish that a clinician has reviewed every statement in this guide.

Editorial record

Recorded content review date:

A named medical reviewer and their credentials have not yet been documented for this guide.

Editorial standards and corrections
Browse all medications →