Emla Cream (Lidocaine/prilocaine)

Do's

• Ensure that the skin where the cream will be applied is clean and dry.   
• Squeeze out the prescribed amount of Emla cream directly onto the skin. 
• Take one of the enclosed occlusive dressings and remove the center cut-out piece.  
• Place the dressing over the cream, ensuring that you have a thick layer of cream underneath.  
• Smooth down the edges of the dressing carefully to avoid leakage. 
• Use a plastic film such as cling wrap if there is no dressing in the pack and secure it with adhesive tape. 
• Remove the paper frame from the dressing and mark the time of application on the occlusive dressing. This will help you keep track of how long the cream has been applied.   
• Check the patient information leaflet or follow your doctor's instructions for specific details, as it's important. 
• Remove the occlusive dressing shortly before the procedure or as directed by your doctor. 
• Wipe off the cream and clean the area with alcohol or as instructed by your doctor. 
• Apply the cream at least one hour before the start of the procedure, for most procedures, as directed by your healthcare provider. However, the exact timing may vary depending on your age and the type of procedure. 

Don'ts

• Do not rub in the Emla cream after applying. 

 The exact amount may vary depending on the procedure and your doctor's instructions. Emla cream needs time to achieve its numbing effect.    

Do not use Emla cream if you are allergic to lidocaine, prilocaine, or any other ingredients in the cream. Allergic reactions can include rash, itching, swelling, severe dizziness, or trouble breathing.

Using too much Emla cream or applying it to a large area of skin can lead to excessive absorption of the active ingredients, which may cause serious side effects. It is important to use the smallest amount of cream needed to numb the skin and avoid covering treated areas with a bandage or plastic wrap without medical advice.

Emla cream should not be used in neonates with a gestational age less than 37 weeks or in infants under the age of 12 months who are receiving treatment with methemoglobin-inducing agents. Methemoglobinemia is a condition where the blood is unable to carry oxygen effectively, and Emla cream may increase the risk of this condition.

When applying Emla cream to the skin of young children, it is important to maintain careful observation to prevent accidental ingestion of the cream or the occlusive dressing.

Emla cream should not be applied to an impaired tympanic membrane (eardrum) as it may have ototoxic effects when instilled into the middle ear.

Emla cream should be used with caution in infants due to the risk of methemoglobinemia. Caregivers should be instructed to avoid applying excessive amounts of the cream.

The amount of Emla cream absorbed from all formulations should be considered when used concomitantly with other products containing local anesthetic agents.

Side Effects

Common Side Effects:

• Redness, swelling, tingling/burning, or lightening of the skin
• Mild burning where the cream is applied
• Itching or rash
• Changes in skin color where the cream was applied

Serious Side Effects:

• Blistering of the skin where the cream is applied
• Slow/shallow breathing
• Dizziness or fainting
• Fast/slow/irregular heartbeat
• Mental/mood changes (such as confusion, nervousness)
• Seizures
• Severe drowsiness
• Pale/bluish/gray skin
• Unusual tiredness
• Shortness of breath
• Allergic reaction (rash, itching/swelling, severe dizziness, trouble breathing)

This is not an exhaustive list, and other side effects may occur. If you experience any unusual or severe side effects while taking  Emla cream,  contact your healthcare provider for medical advice.

Where to buy Emla cream?

Emla cream is available at most pharmacies with a valid prescription from your doctor. You can purchase it at local retail pharmacies or through online pharmacy services. If you're looking for a more affordable option, Canadian pharmacies offer competitive pricing on this medication. DoctorSolve is a certified online pharmacy intermediary that connects you with licensed Canadian pharmacies, providing access to safe and genuine Emla cream at lower costs. Simply add the medication with your required dosage and pack size to your cart, submit your valid prescription, and your order will typically arrive within 2-4 weeks.

How much does Emla cream cost?

Emla Cream prices in Canada vary based on factors such as dosage, brand, or generic. Brand Emla costs more than the generic version. For example, a 100g tube of 5% Emla Cream (brand name) is priced at $213 at a Canadian pharmacy through DoctorSolve.

Is Emla cream over the counter in Canada?

No, you cannot buy Emla cream over the counter because it is a prescription drug that requires medical supervision. Since it can cause serious side effects such as skin irritation, allergic reactions, or changes in skin color, a doctor must monitor its use to ensure safety.