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Is there an over the counter lidocaine? BACKGROUND: Topical anesthetics are commonly applied for a variety of indications. Several lidocaine -containing topical anesthetics are available for purchase over the counter (OTC). The OTC preparations had the highest serum lidocaine and MEGX levels. How is Lidocaine toxicity calculated? The formula is as follows: maximum allowable dose (mg/kg) x (weight in kg/10) x (1/concentration of local anesthetic) = mL lidocaine. Thus, if maximal dose is 7 mg/kg for lidocaine with epinephrine, using 1% lidocaine with epinephrine for a 60-kg patient: 7 x 6 x 1 = 42 mL lidocaine. Is lidocaine a prescription drug? Lidocaine is a local anesthetic (numbing medication). It works by blocking nerve signals in your body. Lidocaine viscous should not be used to treat teething pain in infants. How effective is Benzocaine? The onset of action is rapid (<1 minute), and the effective duration is 5 to 10 minutes. Benzocaine is most commonly available as a 20% aerosol spray that is easily applied to the oropharyngeal mucosa. The limiting factor in benzocaine use is the potential development of clinically significant methemoglobinemia.
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