Bactine

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Generic Name: Bactine Brand Name(s): Generics only. No brands available.

Uses

What is Bactine® (lidocaine topical) used for?

Lidocaine is a local anesthetic (numbing medication). It works by blocking nerve signals in your body.

Bactine® (for use on the skin) is used to reduce pain or discomfort caused by skin irritations such as sunburn, insect bites, poison ivy, poison oak, poison sumac, and minor cuts, scratches, or burns. Bactine® is also used to treat rectal discomfort caused by hemorrhoids.

Bactine® may also be used for purposes not listed in this medication guide.

How should I take Bactine® (lidocaine topical)?

Use this medicine exactly as directed on the label, or as it has been prescribed by your doctor. Do not apply this medicine in larger amounts than recommended.

Improper use of lidocaine topical may result in death.

Lidocaine topical comes in many different forms (gel, spray, cream, lotion, ointment, liquid, skin patch).

Do not take by mouth. Lidocaine topical is for use only on the skin. If this medicine gets in your eyes, nose, mouth, rectum, or vagina, rinse with water.

Use the smallest amount of medicine needed to numb the skin or relieve pain. Your body may absorb too much of this medicine if you use too much, if you apply it over large skin areas, or if you apply heat, bandages, or plastic wrap to treated skin areas. Skin that is cut or irritated may also absorb more topical medication than healthy skin.

Do not apply this medicine to swollen skin areas or deep puncture wounds. Avoid using the medicine on skin that is raw or blistered, such as a severe burn or abrasion.

Do not cover treated skin unless your doctor has told you to.

Lidocaine topical may be applied with your finger tips or a cotton swab.

If your medicine comes with patient instructions for safe and effective use, follow these directions carefully. Ask your doctor or pharmacist if you have any questions.

How do I store Bactine® (lidocaine topical)?

Bactine® is best stored at room temperature away from direct light and moisture. To prevent drug damage, you should not store Bactine® in the bathroom or the freezer. There may be different brands of Bactine® that may have different storage needs. It is important to always check the product package for instructions on storage, or ask your pharmacist. For safety, you should keep all medicines away from children and pets.

You should not flush Bactine® down the toilet or pour them into a drain unless instructed to do so. It is important to properly discard this product when it is expired or no longer needed. Consult your pharmacist for more details about how to safely discard your product.

Precautions & warnings

What should I know before using Bactine® (lidocaine topical)?

Before using this drug, tell your doctor if:

  • You are pregnant or breastfeeding. This is because, while you are expecting or feeding a baby, you should only take medicines on the recommendation of a doctor.
  • You are taking any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • You have allergy with any of active or inactive ingredients of Bactine® or other medications.
  • You have any other illnesses, disorders, or medical conditions.

An overdose of numbing medicine can cause fatal side effects if too much of the medicine is absorbed through your skin.

Do not use large amounts of lidocaine topical, or cover treated skin areas with a bandage or plastic wrap without medical advice.

Keep both used and unused lidocaine skin patches out of the reach of children or pets. The amount of lidocaine in the skin patches could be harmful to a child or pet who accidentally sucks on or swallows the patch.

You should not use lidocaine topical if you are allergic to any type of numbing medicine.

Fatal overdoses have occurred when numbing medicines were used without the advice of a medical doctor (such as during a cosmetic procedure like laser hair removal). However, overdose has also occurred in women treated with a numbing medicine before having a mammography.

Be aware that many cosmetic procedures are performed without a medical doctor present.

To make sure lidocaine topical is safe for you, tell your doctor if you have:

  • Liver disease
  • You take a heart rhythm medicine.

Is it safe during pregnancy or breastfeeding?

There are no adequate studies in women for determining risk when using Bactine® during pregnancy or while breastfeeding. Please always consult with your doctor to weigh the potential benefits and risks before taking Bactine®. Bactine® is pregnancy risk category B, according to the US Food and Drug Administration (FDA).

FDA pregnancy risk category reference below:

  • A=No risk
  • B=No risk in some studies
  • C=There may be some risk
  • D=Positive evidence of risk
  • X=Contraindicated
  • N=Unknown

Side effects

What side effects can occur from Bactine® (lidocaine topical)?

Get emergency medical help if you have signs of an allergic reaction: hives; difficulty breathing; swelling of your face, lips, tongue, or throat.

Call your doctor at once if you have:

  • Severe burning, stinging, or irritation where the medicine was applied
  • Swelling or redness
  • Sudden dizziness or drowsiness after medicine is applied
  • Confusion, blurred vision, ringing in your ears
  • Unusual sensations of temperature

Common side effects include:

  • Mild irritation where the medication is applied.
  • Numbness in places where the medicine is accidentally applied.

Not everyone experiences these side effects. There may be some side effects not listed above. If you have any concerns about a side-effect, please consult your doctor or pharmacist.

Interactions

What drugs may interact with Bactine® (lidocaine topical)?

Bactine® may interact with other drugs that you are currently taking, which can change how your drug works or increase your risk for serious side effects. To avoid any potential drug interactions, you should keep a list of all the drugs you are using (including prescription drugs, nonprescription drugs, and herbal products) and share it with your doctor and pharmacist. For your safety, do not start, stop, or change the dosage of any drugs without your doctor’s approval.

Does food or alcohol interact with Bactine® (lidocaine topical)?

Bactine® may interact with food or alcohol by altering the way the drug works or increase the risk for serious side effects. Please discuss with your doctor or pharmacist any potential food or alcohol interactions before using this drug.

What health conditions may interact with Bactine® (lidocaine topical)?

Bactine® may interact with your health condition. This interaction may worsen your health condition or alter the way the drug works. It is important to always let your doctor and pharmacist know all the health conditions you currently have.

Dosage

The information provided is not a substitute for any medical advice. You should ALWAYS consult with your doctor or pharmacist before using Bactine® (lidocaine topical).

What is the dose of Bactine® (lidocaine topical) for an adult?

Usual Adult Dose for Anesthesia

2% viscous solution: Gargle 15 mL, undiluted, and spit out or swallow, no less than every 3 hours.

Maximum dose: 300 mg for normal healthy adult – not to exceed 4.5 mg/kg (2 mg/lb), or 8 doses in 24 hours.

Usual Adult Dose for Gastrointestinal Tract Examination

2% viscous solution: Gargle 15 mL, undiluted, and spit out or swallow, no less than every 3 hours.

Maximum dose: 300 mg for normal healthy adult – not to exceed 4.5 mg/kg (2 mg/lb), or 8 doses in 24 hours.

Usual Adult Dose for Pain

Lidocaine 0.5% spray: Apply a thin film to affected area up to 3 to 4 times daily as needed.

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed.

3% gel: Apply a thin film to affected area 2 to 3 times daily as needed. Maximum dose: A single application should not exceed 4 pumps; do not exceed 12 pumps in 24 hours.

4% cream, gel, solution: Apply a thin film to affected area 3 to 4 times daily as needed.

5% ointment: Apply topically for adequate control of symptoms. Maximum dose: 5 gm per single application (approximately 6 inches of ointment squeezed from the tube); 20 gm total in any day.

Usual Adult Dose for Pruritus

Lidocaine 0.5% spray: Apply a thin film to affected area up to 3 to 4 times daily as needed.

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed

3% gel: Apply a thin film to affected area 2 to 3 times daily as needed. Maximum dose: A single application should not exceed 4 pumps; do not exceed 12 pumps in 24 hours.

4% cream, gel, solution: Apply a thin film to affected area 3 to 4 times daily as needed.

5% ointment: Apply topically for adequate control of symptoms. Maximum dose: 5 gm per single application (approximately 6 inches of ointment squeezed from the tube); 20 gm total in any day

Usual Adult Dose for Burns – External

Lidocaine 0.5% spray: Apply a thin film to affected area up to 3 to 4 times daily as needed.

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed.

3% gel: Apply a thin film to affected area 2 to 3 times daily as needed. Maximum dose: A single application should not exceed 4 pumps; do not exceed 12 pumps in 24 hours.

4% cream, gel, solution: Apply a thin film to affected area 3 to 4 times daily as needed.

5% ointment: Apply topically for adequate control of symptoms. Maximum dose: 5 gm per single application (approximately 6 inches of ointment squeezed from the tube); 20 gm total in any day

Usual Adult Dose for Hemorrhoids

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed.

3% gel: Apply a thin film to affected area 2 to 3 times daily as needed. Maximum dose: A single application should not exceed 4 pumps; do not exceed 12 pumps in 24 hours.

4%, 5% lotion or cream: Apply a thin film to affected area up to 6 times daily as needed.

Usual Adult Dose for Postherpetic Neuralgia

5% patch: Apply patch(es) to intact skin to cover the most painful area for up to 12 hours in a 24-hour period. Maximum dose: 3 patches, 12 out of 24 hours.

What is the dose of Bactine® (lidocaine topical) for a child?

Usual Pediatric Dose for Hemorrhoids

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed.. Maximum dose: 4.3 mg/kg (2 mg/lb)

3% gel: Apply to affected area 2 to 3 times daily as needed. Maximum dose: A single application should not exceed 4 pumps; do not exceed 12 pumps in 24 hours

4%, 5% lotion or cream: Children 12 years and older: Apply thin film to affected area up to 6 times daily as needed.

Usual Pediatric Dose for Pain

Lidocaine 0.5% spray: 2 years and older: Apply thin film to affected area up to 3 to 4 times daily as needed.

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed

3% gel: Apply thin film to affected area 2 to 3 times daily as needed. Maximum dose: 12 pumps in 24 hours

4% cream, gel, solution: Apply thin film to affected area 3 to 4 times daily as needed. Maximum dose: 4.5 mg/kg (2 mg/lb)

5% ointment: Apply topically for adequate control of symptoms. Maximum dose: 4.5 mg/kg (2 mg/lb).

Usual Pediatric Dose for Pruritus

Lidocaine 0.5% spray: 2 years and older: Apply thin film to affected area up to 3 to 4 times daily as needed.

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed.

3% gel: Apply thin film to affected area 2 to 3 times daily as needed. Maximum dose: 12 pumps in 24 hours.

4% cream, gel, solution: Apply thin film to affected area 3 to 4 times daily as needed. Maximum dose: 4.5 mg/kg (2 mg/lb).

5% ointment: Apply topically for adequate control of symptoms. Maximum dose: 4.5 mg/kg (2 mg/lb).

Usual Pediatric Dose for Burns – External

Lidocaine 0.5% spray: 2 years and older: Apply thin film to affected area up to 3 to 4 times daily as needed.

3% lotion or cream: Apply a thin film to affected area 2 to 3 times daily as needed.

3% gel: Apply thin film to affected area 2 to 3 times daily as needed. Maximum dose: 12 pumps in 24 hours.

4% cream, gel, solution: Apply thin film to affected area 3 to 4 times daily as needed. Maximum dose: 4.5 mg/kg (2 mg/lb).

5% ointment: Apply topically for adequate control of symptoms. Maximum dose: 4.5 mg/kg (2 mg/lb).

Usual Pediatric Dose for Anesthesia

2% Oral solution (viscous):

Infants and children less than 3 years: One quarter teaspoon applied to area with a cotton tipped applicator no more frequently than every 3 hours. Maximum dose: 4 doses per 12-hour period

Children 3 years and older: No more than 4.5 mg/kg/dose (or 300 mg/dose), swished in the mouth and spit out no more frequently than every 3 hours

Usual Pediatric Dose for Gastrointestinal Surgery

2% Oral solution (viscous):

Infants and children less than 3 years: One quarter teaspoon applied to area with a cotton tipped applicator no more frequently than every 3 hours. Maximum dose: 4 doses per 12-hour period.

Children 3 years and older: No more than 4.5 mg/kg/dose (or 300 mg/dose), swished in the mouth and spit out no more frequently than every 3 hours.

Usual Pediatric Dose for Local Anesthesia

0.5% powder injection system:

Ages 3 to 18 years: Apply one 0.5 mg lidocaine topical to the site of intact skin planned for venipuncture or peripheral intravenous cannulation, 1 to 3 minutes prior to needle insertion

How is Bactine® (lidocaine topical) available?

Bactine® is available in the following dosage forms and strengths:

  • Ointment

What should I do in case of an emergency or overdose?

In case of an emergency or an overdose, call your local emergency services or go to your nearest emergency room.

What should I do if I miss a dose?

If you miss a dose of Bactine®, take it as soon as possible. However, if it is almost time for your next dose, skip the missed dose and take your regular dose as scheduled. Do not take a double dose.

Hello Health Group does not provide medical advice, diagnosis or treatment.

msBahasa Malaysia

Review Date: October 3, 2017 | Last Modified: October 3, 2017