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  • Active ingredient: Lidocaine
  • Medical form: Tube
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Xylocaine is a local anesthetic used for topical anesthesia to treat burns, bites and small wounds.

Generic Xylocaine 2mg

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  2mg x 6 tubes  $45.77 $7.63   Add to Cart

Generic Xylocaine Information

Introduction

Xylocaine is a widely used local anaesthetic that contains the active compound lidocaine. It belongs to the pain‑relief group of medicines and is employed to produce reversible loss of sensation in a defined area of the body. In the United Kingdom, Xylocaine is prescribed for procedures that require temporary numbness, for relief of acute pain, and for certain cardiac arrhythmias when administered intravenously. The original brand is marketed by AstraZeneca, while a range of generic formulations are available from licensed manufacturers.

What is Xylocaine?

Xylocaine is a brand name for the synthetic amide‑type local anaesthetic lidocaine. It is supplied as an injectable solution (commonly 1 % or 2 % w/v) for infiltration, nerve block, or epidural use, and as a topical preparation (e.g., 2 % gel, 4 % spray) for mucosal or skin anaesthesia. Lidocaine was first synthesized in 1943 by Swedish chemist Nils Löfgren and introduced into clinical practice in the 194s. The product is regulated by the Medicines and Healthcare products Regulatory Agency (MHRA) in the UK and must meet the standards of the European Pharmacopoeia for purity and potency.

Xylocaine is the generic version of the original brand Lidocaine Hydrochloride, containing the same active compound lidocaine. Our online pharmacy provides this generic alternative as a cost‑effective treatment option.

How Xylocaine Works

Lidocaine blocks voltage‑gated sodium channels in neuronal membranes. By preventing the influx of sodium ions, the drug inhibits the initiation and propagation of action potentials along peripheral nerves. The result is a reversible loss of sensory (and at higher concentrations, motor) function in the targeted tissue.

  • Onset of action: typically 2–5 minutes after infiltration for cutaneous procedures.
  • Duration: 30 minutes to 2 hours for standard 1 % solutions; longer with higher concentrations or adjunctive vasoconstrictors (e.g., epinephrine).
  • Metabolism and clearance: primarily hepatic via the cytochrome P450 system (CYP3A4, CYP1A2); metabolites are excreted renally. The plasma half‑life is approximately 90–120 minutes in healthy adults.

Conditions Treated with Xylocaine

  • Minor surgical procedures: excision of skin lesions, suturing, dental extractions, and biopsy. Local anaesthesia reduces procedural pain and improves patient comfort.
  • Endoscopic and bronchoscopic interventions: topical application to airway mucosa diminishes gag reflex and coughing.
  • Chronic neuropathic pain: transdermal or subcutaneous infiltration may be used as part of multimodal analgesia.
  • Cardiac arrhythmias (IV use only): lidocaine is indicated for ventricular tachycardia and ventricular fibrillation when immediate cardioversion is unavailable.
  • Labor analgesia (epidural or paracervical block): provides rapid onset of pain relief during the first stage of labour.

In the UK, the National Institute for Health and Care Excellence (NICE) recognises lidocaine as a first‑line local anaesthetic for most minor procedures, supporting its widespread adoption in primary and secondary care settings.

Who is Xylocaine For?

Xylocaine is appropriate for adult patients who require short‑term anaesthesia for diagnostic or therapeutic procedures. Typical candidates include:

  • Patients undergoing minor skin or oral surgery where general anaesthesia is unnecessary or contraindicated.
  • Individuals with acute traumatic injuries that need temporary pain control for wound cleaning or dressing changes.
  • Patients presenting with ventricular arrhythmias in an emergency department where rapid intravenous lidocaine can stabilise cardiac rhythm.

Contra‑indications or cautionary scenarios include:

  • Known hypersensitivity to lidocaine or other amide‑type local anaesthetics.
  • Severe hepatic impairment, which may reduce metabolic clearance and increase systemic toxicity.
  • Significant cardiac conduction disorders (e.g., second‑degree AV block) when large intravenous doses are contemplated.

Pregnant women and lactating mothers should only receive Xylocaine when the benefit outweighs potential risk, and the dose should be limited to the minimum effective amount.

Risks, Side Effects, and Interactions

Common

  • Transient burning or tingling at the injection site.
  • Mild dizziness or light‑headedness, especially after rapid systemic absorption.
  • Localised swelling or erythema due to tissue irritation.

Rare

  • Allergic reactions ranging from urticaria to mild angioedema; true IgE‑mediated allergy to amide anaesthetics is uncommon.
  • Methemoglobinemia (particularly with high topical concentrations).
  • Transient visual disturbances such as blurred vision when administered near ocular tissues.

Serious

  • Systemic toxicity (Lidocaine toxicity): manifested as seizures, respiratory depression, cardiac arrhythmias, or cardiac arrest. Toxicity risk rises with accidental intravascular injection, excessive dose, or impaired hepatic function.
  • Severe anaphylaxis: rapid onset of airway compromise, hypotension, and circulatory collapse. Immediate emergency treatment is required.
Drug–Drug Interactions
  • CYP3A4 inhibitors (e.g., clarithromycin, ketoconazole) may increase plasma lidocaine concentrations, heightening toxicity risk.
  • Class I anti‑arrhythmic agents (e.g., quinidine, procainamide) can have additive effects on cardiac conduction.
  • Beta‑blockers may potentiate lidocaine’s negative chronotropic actions when given intravenously.
  • Epinephrine‑containing solutions slow systemic absorption, allowing higher safe doses for local infiltration but may increase cardiovascular load in susceptible patients.

Patients should disclose all current medications, including over‑the‑counter products and herbal supplements, to the prescribing clinician.

Practical Use: Dosing, Missed Dose, Overdose

Standard dosing ranges (adult, non‑pregnant):

  • Infiltration/nerve block (injectable): 1–5 mg kg⁻¹ of 1 % solution, not exceeding 300 mg per procedure.
  • Epidural analgesia: 1–2 % solution, typically 10–20 mL per bolus, titrated to effect.
  • Topical gel (2 %): apply a thin layer to the affected mucosa; repeat every 4–6 hours, not exceeding 4 g per day.

Missed dose: For scheduled topical use, apply the missed dose as soon as remembered, then continue with the regular schedule. Do not double the next dose.

Overdose management:

  • Mild overdose (e.g., >5 mg kg⁻¹ without severe symptoms): monitor cardiac rhythm and neurological status; supportive care may be sufficient.
  • Severe overdose (seizures, arrhythmia, respiratory depression): administer intravenous lipid emulsion therapy (20 % lipid emulsion bolus 1.5 mL kg⁻¹ followed by infusion) and provide advanced cardiac life support. Immediate medical emergency services are mandatory.

Practical precautions:

  • Avoid concurrent alcohol consumption, which can potentiate central nervous system depression.
  • Use caution in patients with renal insufficiency; while clearance is primarily hepatic, accumulation of metabolites may occur.
  • Do not inject into infected tissue or areas with compromised vascular supply.
  • For topical preparations, keep the product away from eyes and open wounds unless specifically indicated.

Buying Xylocaine from Our Online Pharmacy

Xylocaine can be purchased directly from our online pharmacy in the UK. Our service offers several advantages for patients who need reliable access to this essential local anaesthetic:

  • Affordable pricing: We source the medication close to manufacturer cost, passing savings on to the customer without compromising quality.
  • Verified quality: All batches are obtained from licensed, MHRA‑approved suppliers and undergo third‑party testing for potency and purity.
  • Guaranteed delivery: Discreet packaging is dispatched via express courier (typically 7 days) or regular airmail (approximately 3 weeks), with tracking available for every order.
  • Online‑only convenience: Our pharmacy broker model partners with overseas licensed pharmacies, enabling a seamless cross‑border supply chain while respecting patient privacy.

Patients who encounter limited stock in local pharmacies, face high out‑of‑pocket costs, or require a specific formulation (e.g., 2 % gel) may find our platform a safe, cost‑effective alternative.

FAQ

  • Is Xylocaine available in both brand‑name and generic forms in the UK?
    Yes. The original brand is marketed as Xylocaine by AstraZeneca, while multiple generic manufacturers produce lidocaine formulations that meet the same regulatory standards. Generic versions are typically less expensive and are widely prescribed.

  • What is the recommended storage condition for Xylocaine injectable solution?
    Store at controlled room temperature (15‑30 °C). Protect from direct sunlight, excessive heat, and freezing. Do not store in a bathroom where humidity is high.

  • Can Xylocaine be used for dental procedures performed abroad?
    Dental practitioners worldwide employ lidocaine for infiltration anaesthesia. When travelling, ensure the product is sealed, labelled, and conforms to the destination country’s import regulations.

  • Does the topical 2 % gel contain any preservatives that may cause allergic reactions?
    Most commercial 2 % lidocaine gels contain a small amount of methylparaben as a preservative. Patients with known parabens sensitivity should verify the ingredient list before use.

  • Are there any special considerations for patients with hepatic disease?
    Liver impairment reduces lidocaine metabolism, increasing the risk of systemic toxicity. Dose reductions of 25‑50 % are commonly recommended, and plasma levels should be monitored if large doses are required.

  • What is the legal limit for personal import of Xylocaine into the UK for self‑use?
    The UK permits import of a maximum of a three‑month supply for personal use, provided the medication is for a legitimate medical purpose and accompanied by a valid prescription from a UK‑registered clinician.

  • How does lidocaine differ from older local anaesthetics such as procaine?
    Lidocaine has a faster onset (2–5 minutes) and longer duration (30 minutes to 2 hours) compared with procaine, which typically requires 5–10 minutes to act and lasts less than an hour. Lidocaine is also less prone to causing allergic reactions because it is an amide rather than an ester.

  • Can Xylocaine be safely used on children over 12 years old?
    While the primary article focuses on adult use, lidocaine is approved for paediatric patients over 12 years when weight‑based dosing is applied. However, paediatric dosing must be calculated carefully by a qualified clinician.

  • Is there any interaction between Xylocaine and caffeine‑containing products?
    Caffeine does not significantly affect lidocaine pharmacokinetics. Moderate consumption is unlikely to alter the drug’s efficacy or safety profile.

  • What packaging formats are commonly used for Xylocaine sold online?
    Injectable lidocaine is typically supplied in sterile glass vials (1 mL, 5 mL, or 10 mL) or pre‑filled syringes. Topical gels are packaged in single‑use tubes or larger 30 g containers, each clearly labelled with concentration and expiry date.

  • Does Xylocaine appear on standard drug‑testing panels for employment or sport?
    Lidocaine is not a prohibited substance in most occupational or athletic drug‑testing programmes unless used in therapeutic doses. Therapeutic use exemptions may be required for higher systemic exposure.

  • Are there regional formulation differences between the UK and the US?
    The UK follows the European Pharmacopoeia, which standardises lidocaine concentration, pH, and allowable excipients. US formulations may include different preservatives (e.g., benzyl alcohol) and slightly varied pH levels, but the active lidocaine content remains equivalent.

Glossary

Local anaesthetic
A drug that temporarily blocks nerve conduction in a specific area, preventing the sensation of pain without affecting consciousness.
Voltage‑gated sodium channel
A protein in nerve cell membranes that opens to allow sodium ions to enter the cell, initiating an electrical impulse. Lidocaine blocks these channels, halting impulse transmission.
Methemoglobinemia
A condition where hemoglobin is oxidised to methemoglobin, reducing its ability to carry oxygen. Certain topical lidocaine formulations can precipitate this rare reaction at high doses.
Lipid emulsion therapy
An intravenous treatment using a fat‑based solution that can bind lipophilic toxins like lidocaine, thereby reducing their toxic effects on the heart and brain.

⚠️ Disclaimer

The information provided about Xylocaine is for general knowledge only. It does not replace professional medical consultation. All treatment decisions should be made under the supervision of a qualified healthcare provider. We assume all readers are responsible adults capable of making informed decisions about their health. Our online pharmacy offers access to Xylocaine for individuals who may have limited availability through traditional pharmacies, prescription‑based insurance schemes, or who are seeking affordable generic alternatives. Always consult your doctor before starting, changing, or discontinuing any medication.

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