LIDOCAINE HYDROCHLORIDE MONOHYDRATE

Electrolyte / Mineral

Brand names: Zingo

Intradermal

Mechanism of Action

12.1 Mechanism of Action ZINGO delivers lidocaine hydrochloride monohydrate into the dermis. Lidocaine is an amide-type local anesthetic agent that blocks sodium ion channels required for the initiation and conduction of neuronal impulses, resulting in local anesthesia.

Indications

2) For external use only (5)

1 INDICATIONS AND USAGE ZINGO is indicated for use on intact skin to provide topical local analgesia prior to venipuncture or peripheral intravenous cannulation

in children 3–18 years of age. ZINGO is indicated for use on intact skin to provide topical local analgesia prior to venipuncture in adults.

Contraindications

• ---------------------CONTRAINDICATIONS--------------------- ZINGO is contraindicated in patients with a known history of sensitivity to local anesthetics of the amide type. (4)
• 4 CONTRAINDICATIONS ZINGO is contraindicated in patients with a known history of sensitivity to local anesthetics of the amide type.

FDA Warnings

---------------WARNINGS AND PRECAUTIONS--------------- Methemoglobinemia : Cases of methemoglobinemia have been reported in association with local anesthetic use
1) Patients with bleeding tendencies or platelet disorders could have a higher risk of superficial dermal bleeding (5) 5 WARNINGS AND PRECAUTIONS Do not use around the eyes
Patients with severe hepatic disease or pseudocholinesterase deficiency, because of their inability to metabolize local anesthetics normally, are at a greater risk of developing toxic plasma concentrations of lidocaine
Patients with bleeding tendencies or platelet disorders could have a higher risk of superficial dermal bleeding

Known Side Effects

9 documented side effects by frequency

Drug Not Working

>10%

Nausea

1-10%

Fatigue

1-10%

Headache

1-10%

Shortness of Breath

1-10%

Condition Worsened

0.1-1%

Diarrhea

0.1-1%

Vomiting

0.1-1%

Dizziness

0.1-1%

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Formulations

Dosage Forms

Tablet

Route

Intradermal