TOPICAL ANESTHETICS, LMX TOPICAL CREAM
Topical anesthetics are agents which act to reduce pain sensation in the area in which they are applied on e.g skin, front of eyes, nose e.t.c. They are available in form of anesthetic creams, sprays, solutions or gels. They are used for pain relief. They are used on skin to numb pain caused by sun burns, minor cuts, insect bites and also to numb skin during venipuncture. They act by reversibly blocking nerve conduction near their site of administration, producing temporary loss of sensation in the area.
LMX cream is an anesthetic agent used for relieving pain caused by anal or rectal problems and also for producing anesthesia prior to venipuncture or administration of pain medication. It is for topical use only. Generic name is lidocaine, LMX comes in different formulations; LMX 4 and LMX 5 LMX is manufactured by Ferndale Labs a leading U.S pharmaceutical company who specializes in dermatology. LMX 4 contains Lidocaine 4% and also propylene glycol. It is a white to off-white yellowish cream. Tube sizes available are 15g and 30g LMX 5 contains Lidocaine 5%, Benzyl Alcohol, Carbomer 940, Cholesterol, Hydrogenated Lecithin, Isopropyl Myristate, Polysorbate 80, Propylene Glycol, Trolamine, Vitamin E Acetate, and Water. LMX 5 is water-based and therefore a non oily formulation. These topical anesthetic numbing creams are available without a doctor’s prescription unlike EMLA which is only available with a doctor’s prescription. EMLA is 2.5% lidocaine and 2.5% prilocaine. LMX 5 is an absolute life saver when it comes to body piercings, laser tattoo removal, laser hair removal and waxing. It works well in reducing the pain to almost negligible. It has the highest concentration of Lidocaine allowed by FDA that can be sold without a prescription – 5%. Dr Numb an anesthetic cream in UK also has 5% lidocaine. LMX price for 5% formulation (LMX 5 topical anesthetic cream) is averagely $36.48 for 15 g and $59 for 30g in the USA. LMX 4 topical anesthetic cream is averagely $30 for 15 g, $44 for 25 g and $50 for 30g in the USA.
Chart showing LMX ranges in different pharmacies in the USA
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LMX 4 & 5 Product Description
LMX cream is an anesthetic agent indicated for relieving pain caused by anal or rectal problems and also for producing anaesthesia prior to venipuncture or administration of painful medication. Although they have several other non medical uses NB It is only used topically.
LMX cream could be made of 4% lidocaine or 5% lidocaine. LMX 4 and 5 respectively LMX 4 Topical Anesthetic Cream is also a pretty good topical anesthetic cream for waxing because it acts in just about 10-minutes by numbing wherever you rubbed the gel, it is fast acting and efficient LMX 5 Cream can be used as a topical anesthetic cream for tattoos to reduce the pain experienced during laser tattoo removal and is used also as topical anesthetic cream for laser hair removal. It completely numbs the pain.
LMX is available with or without prescription for use in hair waxing and tattoo anesthesia. A prescription is recommended for safety.
LMX ANAESTHETIC CREAM DOSING
LMX 4 anesthetic cream
For venous cannulation or venipuncture: ADULTS
Apply 1g to 2.5g of cream onto the skin to cover a 2.5cm x 2.5cm (6.25cm2) area where venous cannulation or venipuncture will occur.
LMX 4 anaesthetic cream is not recommended for use in infants under 1 month of age
For Painful topical treatments on larger surface of intact skin: ADULTS
Apply the cream at a dosage of approximately 1.5g to 2g LMX4 /10cm2 skin to be treated, or multiples thereof, up to a maximum area of 900cm2. Apply until response is achieved, which is generally for between 30 to 60 minutes. The LMX 4 comes are 15g, 25g or 30g tube sizes.
LMX 5 anesthetic cream
For hemorrhoids Apply a thin film to affected area up to 6 times daily as needed. The LMX 5 tube sizes are either 15g or 30g.
Steps in LMX topical anesthetic cream application
- Wash the area to be applied thoroughly
- Dry the area with soft cloth
- Apply a thin film of LMX to affected area. Rub the medicine in until it is evenly distributed.
- LMX 5 comes with an applicator to help with rectal application. Attach it to the tube. Lubricate the applicator well with medicine, and then gently insert the applicator into the rectum. Squeeze the tube to deliver the medicine.
Before using LMX 4 or 5
Make sure you are not allergic to any of the ingredients used in making it or to similar medication for example bupivacaine or prilocaine. Inform your doctor of any allergies you have.
Tell your doctor of any other medication you are taking Inform your doctor of any heart, liver or kidney problems You should not be pregnant or breastfeeding.
LMX SAFETY AND STORAGE
- Keep in a cool and dry place.
- Dispose off if it is outdated.
- Store out of reach of children
- Do not use LMX topical anesthetic cream in large amounts or for longer than recommended. This increases risk of side effects.
- Do not let LMX topical anesthetic cream get into your eyes, mouth or ears. If it gets into your eyes, wash off immediately with a lot of water.
- LMX 5 topical anesthetic cream should not be used in CHILDREN younger than 12 years old without a doctor’s opinion or direction.
- It is not known whether LMX is safe in pregnancy therefore you should avoid it while pregnant just in case.
LMX SIDE EFFECTS
The common LMX side effects include; Irritation, pruritus, erythema, rash, some systemic effects.
If you have the following symptoms contact a doctor immediately: rash, hives, itching, difficulty breathing, tightness in the chest, swelling of the mouth, face, lips, or tongue, blurred vision, chest pain, dizziness, drowsiness, irregular heartbeat, rectal bleeding, severe or persistent irritation.
LMX DRUG INTERACTIONS
LMX 4 and 5 topical anesthetic creams interact with the following drugs;
- amyl nitrite / sodium nitrite / sodium thiosulfate
- Citanest Forte (epinephrine / prilocaine)
- Citanest HCl Plain (prilocaine)
- Cyanide Antidote Kit (amyl nitrite / sodium nitrite / sodium thiosulfate)
- Emla (lidocaine / prilocaine topical)
- Emla Anesthetic Disc (lidocaine / prilocaine topical)
- epinephrine / prilocaine
- lidocaine / prilocaine topical
- Livixil Pak (lidocaine / prilocaine topical)
- Nithiodote (sodium nitrite / sodium thiosulfate)
- Oraqix (lidocaine / prilocaine topical)
- Relador Pak Plus (lidocaine / prilocaine topical)
- sodium nitrite
Lidocaine should be used with caution in patients receiving Class I anti- arrhythmic drugs (such as tocainide phenytoin and Disopyramide) since the toxic effects are additive.
Does LMX 4 work for as an anesthesia for tattoos?
It is weak but it does. LMX 5 is better at this.
What is the coverage area of one LMX 4 15 g tube?
Can cover the entire inside of one arm/elbow area (typical blood draw place, in other words) with a pretty generous layer and still have some left in the tube.
What are the most common side effects of LMX?
Include; Irritation, pruritus, erythema, rash, some systemic effects.
Can one get topical anesthetic cream over the counter?
Topical anesthetic cream over the counter is available, like for instance LMX 4, you can buy it online or the nearest pharmacy without a doctor’s prescription.
When will my order ship?
Orders are shipped Monday through Friday, excluding legal holidays.
How do I track my order to know where it is in transit?
Every time you place an order, you’ll receive an email from us notifying you of its status.
“My 7 year old daughter had to have blood drawn for her allergy testing and I found this as an alternative to EMLA cream. She also has had to start allergy shots and found that if I put the cream on the injection site 45-50 mins (30 mins wasn’t long enough) before her shot, she doesn’t feel when she’s stuck with the needle.”
“This worked very well on my 7 year-old son’s arm when he needed to have blood work done. He had a much better experience than before without the LMX.”
“I’ve used LMX anaesthetic for tattoos – hip, ribs, and wrist. Works great. Didn’t feel the wrist tattoo at all some tender areas on ribs & hip, but completely doable, even for a wimp like me.”
“I put this on approximately 1 hour before I have my laser hair removal session and this anaesthetic works wonders! Without the cream the laser hurts like cornbread hell! I won’t go without it.”
“I used LMX 5 topical anaesthetic creams for my laser hair removal sessions on my underarms and my upper lip and it worked really well.”
“LMX 4 topical anaesthetic cream is very effective. I like to use it prior to PICC insertion, before the sterile scrub. Best used by applying a blob at the site, and covering with a transparent dressing for at least 20 minutes.”
“LMX 5 topical anaesthetic cream is great stuff! The only thing I have ever tried that really works the way it says it will.”
“I bought LMX as an alternative to EMLA to use for my infant’s immunizations. It worked really well. There was no flinching and no crying — she was actually smiling!”
“I used LMX for laser hair removal. It does the job but not completely numb.”