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Lidocaine

Lidopat patch 5% (3 patchs/pack)

TAH Drug Code ELIDP
Indications Relief of post-herpetic neuralgia.
Dosing Apply to intact skin once daily up to 12 hours within a 24-hours period. Maximum: 3 patches/24 hours. When needed, the patches may be cut into smaller sizes with scissors prior to removal of the release liner.
Hepatic Impairment Dose adjustment not necessary
Renal Impairment Dose adjustment not necessary
Contraindications Known history of sensitivity to local anesth of the amide type. Avoid in cardiac disease patients: 2nd & 3rd degree AV block (without pacemaker), severe SA block (without pacemaker), current administration of Class I antiarrhythmic agents (quinidine, flecainide, disopyramide, procainamide) to patients previously on amiodarone therapy, hypotension due to arrhythmia, bradycardia, ventricular arrhythmia.
Adverse Effects Severe hepatic disease. Avoid application to broken or inflamed skin or contact with eyes.
Pregnancy Compatible
Lactation No (Limited) Human Data - Probably Compatible
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Xylocaine jelly 30gm, 2%

TAH Drug Code EXYLJ
Indications Surface anaesth.
Dosing Urethral anesthesia Men 20 mL is instilled slowly until the patient has a feeling of tension or until almost half the tube (10 mL) has been emptied. Apply a penile clamp for several mins, then instill the rest of the jelly. Women 5-10 mL in small portions to fill the whole urethra. Endoscopy 10-20 mL. Lubrication for endotracheal intubation 2 mL applied to the surface of the tube just prior to insertion. Children < 12 years Maximum: 6 mg/kg.
Hepatic Impairment Dose adjustment not necessary
Renal Impairment Dose adjustment not necessary
Contraindications Known hypersensitivity to local anesth of the amide type.
Adverse Effects Rarely, anaphylactic shock. Post-op sore throat following endotracheal tube lubrication. Acute systemic toxicity.
Pregnancy Compatible
Lactation No (Limited) Human Data - Probably Compatible
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Xylocaine spray 10%, 50mL

TAH Drug Code EXYSP
Indications Local anesthesia.
Dosing Each press of the plunger releases 10mg of Lidocaine. No need to dry the sprayed area before use. For mucosal surface anesthesia, effect lasts 10-15 minutes. Anesthesia occurs within 1-5 minutes, depending on the area of use. - ENT procedures: 3 sprays for maxillary sinus puncture or minor surgery. - Pleural fluid drainage: 3 sprays. - Labor and delivery: Up to 20 sprays (200mg Lidocaine) at most. - Respiratory or digestive procedures: Up to 20 sprays (200mg Lidocaine), with a maximum of 400mg Lidocaine for prolonged procedures. Total dosage should not exceed 400mg when combined with other Lidocaine products. - Dental procedures: 1-5 mucosal sprays. Special Patients: Elderly, children above 12 years, acutely ill, or septic patients should receive appropriate doses based on their age, weight, and condition.
Hepatic Impairment Dose adjustment not necessary
Renal Impairment Dose adjustment not necessary
Contraindications Allergic history to local anesthetics of the amide class or other ingredients in the spray solution.
Adverse Effects Local irritation, allergic reactions, acute systemic toxicity.
Pregnancy Compatible
Lactation No (Limited) Human Data - Probably Compatible
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Xylocaine 2% inj 20mL局麻

TAH Drug Code IXYL2
Indications For the production of local or regional anesth by infiltration, IV regional anesth, minor & major nerve blocks, epidural block & subarachnoid block.
Dosing Maximum recommended single dose of lidocaine is 3 mg/kg (plain solution) or 7 mg/kg (solution with adrenaline). Adult, 70 kg: Retrobulbar or peribulbar: 4 mL of 2% solution (80 mg). Sciatic nerve block: 15-20 mL of 2% solution (300-400 mg). Epidural anesthesia, Lumbar: 15-25 mL of 2% solution (300-500 mg). Epidural anesthesia, Thoracic: 15-20 mL of 2% solution (300-400 mg).
Hepatic Impairment Dose adjustment not necessary
Renal Impairment Dose adjustment not necessary
Contraindications Epidural or spinal anesth in patients with uncorrected hypotension or with coagulation disorders or receiving anti-coagulation treatment; inflammation &/or sepsis in the region of proposed inj or in the presence of septicemia; general contraindications related to epidural anesth should also be taken into account.
Adverse Effects CNS reactions, either excitatory or depressant. CV reactions, mainly depressant. Maternal hypotension. Rarely allergic reactions.
Pregnancy Compatible
Lactation No (Limited) Human Data - Probably Compatible
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Xylocaine 2% IV 100mg/5mL

TAH Drug Code IXYL2V
Indications Emergency treatment of ventricular arrhythmia.
Dosing Adult IV 50-100 mg (1-2 mg/kg) slow IV within 1-2 mins. If no effect is observed after the 1st inj, the same dose may be repeated after 5 mins. May repeat at 10-20 min intervals but not > 300 mg during a 1 hr period. IV infusion 1-2 mg/min.
Hepatic Impairment Dose adjustment not necessary
Renal Impairment Dose adjustment not necessary
Contraindications Complete AV block. Amide local anesthetic hypersensitivity.
Adverse Effects Conduction block, shock. Rarely malignant hyperthermia. Confusion, dizziness, drowsiness, nervousness, euphoria, vomiting, numbness.
Pregnancy Compatible
Lactation No (Limited) Human Data - Probably Compatible
More Info UpToDate