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► Emla Plaster (lidocaine + prilocaine) - Practical Medicine

Emla Plaster (lidocaine + prilocaine) - a patch

The name of the preparation Character; dose; package Manufacturer Price 100% Price after refund In which pharmacy?
Emla Plaster plaster; 1 patch contains: 25 mg lidocaine, 25 mg prilocaine; 2 slices Aspen Pharma 35.25 Check

Note: reimbursed drug prices are in line with the regulations in force from July 1, 2018.

The preparation contains the substance:lidocaine + prilocaine

The drug is available without a prescription

What is EMLA Plaster?

Combined preparation containing 2 active substances with local anesthetic effect.

What does Emla Plaster contain and how does it work?

It is a combined preparation containing Lidocaine and prilocaine, local anesthetics with amide structure. Lidocaine inhibits the formation and transmission of nerve impulses. It works by blocking sodium channels, special structures in the membranes of nerve cells. Blocking the flow of sodium ions through the neuronal cell membrane prevents it from depolarizing and thus initiating and conduction of the nerve impulse. Lidocaine acts on pain ends and sensory nerves, it belongs to drugs with a rapid onset of action. It is administered only by parenteral route. Prilocaine works like lidocaine but longer. The degree of skin anesthesia depends on the duration of the preparation on the skin and on the dose used. If the preparation remains on the skin for 1-2 hours, the anesthesia is maintained for 2 hours after the removal of the occlusive dressing. When used as recommended, the absorption of active substances into the blood in adults is low, and the blood levels achieved in the blood are much lower than those with toxic symptoms.

When to use Emla Plaster?

The preparation is indicated in local anesthesia of the skin before puncturing and catheterization of veins, blood collection for examinations and before surgical procedures within the skin.

When not to use this preparation?

Unfortunately, even if there are indications to use the preparation, it can not always be used. You can not use the product if you are allergic (you are hypersensitive) to any of the ingredients or other local anesthetics with amide structure.
It must not be used in premature babies (born before 37 weeks of gestation).
Contraindication to the use of the preparation is congenital or idiopathic methemoglobinemia.

When should you use extreme caution when using Emla Plaster?

Certain diseases and other circumstances may constitute a contraindication to use or indication to change the dosage of the preparation. In some situations it may be necessary to carry out specific check-ups.
Caution should be exercised in people who are deficient in Glucose -6-phosphate dehydrogenase due to the increased risk of methaemoglobinaemia.
The patch is intended for use on the skin only. Do not use the patch on mucous membranes. Do not use on open wounds.
Use caution if the patch is used around the eyes. Irritation and anesthesia of the Corn ea is possible. Protect your eyes from contact with the patch. If accidental contact occurs, immediately flush eyes with water or saline. A dressing should be put on because corneal anesthesia weakens defense reflexes. The dressing can be removed when the corneal defensive reflexes return.
Use with caution in people with atopic dermatitis. Do not leave the patch on the skin for longer than 15-30 minutes.
Due to the lack of clinical experience, it should not be used in children up to 3 months of age or in children from 3-12 months of age who are given other medicines inducing methemoglobin formation, eg sulphonamides.
Precautions require the use of a patch before subcutaneous administration of vaccines containing live microorganisms. In this case, it is recommended to control the immune response. Depending on the concentration of lidocaine and prilocaine, they may have antibacterial and antiviral effects, which may impair the effectiveness of the vaccine.

Does this preparation affect the ability to drive vehicles?
There was no effect of the preparation on the ability to drive vehicles and operate equipment / machines.

Dosage of Emla Plaster

The preparation has the form of a therapeutic patch. Do not exceed the recommended doses because it will not increase the effectiveness of the drug and may harm your health and life. If you have any doubts regarding the use of the preparation, consult a physician.
Adults and children from 13 months of age:
The patch should be applied to undamaged skin. 1 or more patches should be applied to the site to be anesthetized, leave for at least one hour, not more than for 5 hours.
In children 13 months-5. do not stick more than 10 patches at the same time and 6-12 in children. not more than 20 patches.
Children from 3-12. month of life:
Apply 1-2 patches to the place to be anesthetized, leave for at least 1 hour, not longer than for 4 hours. Do not stick more than 2 slices at a time.

Can I use Emla Patch during pregnancy and breastfeeding?

During pregnancy, do not use any medicine without consulting your doctor!
It is very important that before using any medicine during pregnancy or breastfeeding, consult a physician and explain beyond any doubt the potential risks and benefits associated with the use of the drug. If you are pregnant or planning to become pregnant, you should consult your doctor before using the product.
The use of the preparation during pregnancy is only allowed at the request of the doctor, when the doctor deems it necessary.
Lidocaine and prilocaine are excreted in the breast milk of a nursing woman (however, in the case of the patch used, these are small amounts). Before using the product during breastfeeding, consult a doctor.

Can I use other preparations in parallel?

Tell your doctor about all medicines you have recently taken, including those that are over the counter.
The use of patches in people who receive other methaemoglobin inducing drugs in parallel (eg sulphonamides) may increase the amount of methemoglobin formed.
Patches should be used with caution in people who are taking concomitant anti-arrhythmic drugs (such as tocaine, mexiletine) or other local anesthetics, because it is possible to sum up toxic effects.

What side effects can occur?

Like all medicines, Emla Plaster can cause side effects, although they will not occur in all patients who use this medicine. Remember that the expected benefits of using the drug are usually greater than the damage resulting from the occurrence of side effects.
The most frequently observed adverse reactions were reactions at the site of application, including redness, blanching, edema, pruritus and burning. Rare hypersensitivity reactions, including Anaphylactic reactions (possible anaphylactic shock). Rare methemoglobinemia in children. Rare purpura or petechiae at the site of application, especially after long-term use in children with atopic dermatitis or infectious mucosa and irritation of the cornea after accidental contact of the eye with the patch.

Other preparations on the Polish market containing lidocaine + prilocaine

Anesderm (cream)
Emla (cream)
Motti (cream)