II. Indications

  1. Postherpetic Neuralgia (or other localized peripheral neuropathic pain)
  2. Other localized pain (e.g. Musculoskeletal Low Back Pain)

III. Preparations

  1. Lidocaine 5% Patch (prescription $7/patch, Lidoderm)
  2. Lidocaine 4% Patch (OTC $2/patch, Lidocare, Icy Hot)

IV. Dosing

  1. Apply one patch to affected area for no more than 12 hours
  2. Remove patch, and maintain 12 hours free of Lidocaine before applying the next patch
  3. Apply a new patch for 12 of every 24 hours as needed

V. References

  1. (2017) Presc Lett 24(11):13

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Cost: Medications

lidoderm (on 4/19/2017 at Medicaid.Gov Survey of pharmacy drug pricing)
LIDODERM 5% PATCH Generic $3.04 each

Ontology: Lidocaine Transdermal Patch (C1251704)

Definition (NCI) A transdermal patch containing a 5 percent aqueous base solution of the synthetic amide-type anesthetic lidocaine with analgesic activity. Upon topical application and transdermal delivery, the active ingredient lidocaine binds to and blocks voltage-gated sodium channels in the neuronal cell membrane; lidocaine-mediated stabilization of neuronal membranes inhibits the initiation and conduction of nerve impulses and produces a reversible local anesthesia.
Concepts Clinical Drug (T200)
English Lidocaine Transdermal Patch, Lidocaine Patch