Emla Cream (Lidocaine/prilocaine)

Emla Cream

(Brand Option)

Prescription RequiredPrescription Required
FormulationFormulation: Cream
Select Dosage

Select Quantity

$75.00

$134.00

$213.00

$65.00

Lidocaine/prilocaine

(Generic Alternative)

Prescription RequiredPrescription Required
FormulationFormulation: Cream
Select Dosage

Select Quantity

$39.00

$65.00

$89.00

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Emla Cream numbs the skin to reduce pain and discomfort during specific procedures. It's used for minor medical procedures like:
  • Injections (vaccinations, blood draws)
  • Skin biopsies
  • Removing stitches
It's also used for certain cosmetic procedures involving the skin like:
  • Laser treatment
  • Hair removal
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.    
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.
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.  
Generic name:

Lidocaine/prilocaine, Lidocaine/Prilocaine
Formulation:

Cream
Strength(s): 2.5/2.5%, 5%, 25/25mg
Quantities Available: 25, 30, 60, 90, 100
Important Information
The information above for Emla Cream (Lidocaine/Prilocaine) was provided to DoctorSolve.com by third parties. In no way should this information substitute for the advice of a physician. Consult a doctor or qualified health care professional if you have any medical concerns.
Dr. Zickler

Co-founder of DoctorSolve

Dr. Paul Zickler (Retired)

Dr. Paul Zickler co-founded DoctorSolve™ Health Care Solutions in 1999. He graduated from the faculty of medicine at the University of Western Ontario in 1972 and became an Emergency Physician. He practiced as an Emergency Physician for 18 years after which he co-owned and operated several ambulatory medical and travel clinics for 12 years and discovered his interest in prescription medicines.

More about Dr. Paul Zickler
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