LMX4 Lidocaine 4% w/w Numbing Cream 30g

LMX4 topical anaesthetic cream minimises the pain in so many ways. Has been used by Healthcare professionals for years to numb the skin quickly and effectively. LMX 4% Topical Anaesthetic Cream contains 4% Lidocaine and can be used to relieve pain caused by minor burns, sunburn, and insect bites. About LMX4 Let the versatility and fast action of LMX4 help you minimise the pain of dermal pain management. Applicable Procedures & Conditions: Laser Hair Removal, Dermal Fillers/Injections, Tattoo Application & Removal, Bikini Wax, Skin/Laser Surgery, Medium depth peels, Permanent Make-up, Skin irritations, Burns, Sunburn, Insect bites.  LMX4 is a 4% Lidocaine topical anaesthetic cream available without a prescription.

• Provides effective, safe, anaesthetic action to help you address common hurts
• Clinically proven to work for children and adults
• Clinically proven to be fast-acting and safe
• Clinically proven safe across a range of applications
• Convenient for you to use Warnings
• Easy to use
• Device free application
• Painlessly applied

For external use only.

Dosage and how to apply LMX4 provide anaesthesia prior to administration of painful topical treatments on larger surface areas of intact skin

Adults and the elderly aged 18 years and over:

Use 1.5g to 2g on each 10cm2 area of skin, to cover a maximum total area of 900cm2 (approximately equal to a back or thigh).

1. Apply LMX4 approximately 30 to 60 minutes before the procedure starts.
2. Using the quantities stated above, apply the cream in a thin layer to the skin.
3. Ensure the cream is not accidentally rubbed off the skin.
4. After approximately 30 to 60 minutes, remove the cream with a tissue or gauze.
5. The procedure should begin shortly after removal of the cream.

The cream should not be reapplied for at least 12 hours after it has been removed.

Do not use on patients below 18 years of age.

If you use more LMX4 than you should:

Overdose is unlikely, but talk to your doctor or nurse straight away, even if you do not feel any symptoms. An overdose may include using more than recommended amount, applying the cream to large areas or using the cream for longer than recommended. The following overdose symptoms may be experienced: blurred vision, dizziness or drowsiness, difficulty breathing, trembling, chest pain or an irregular heartbeat.

Store at controlled room temperature 59°-86°F (15°-30°C).

Take special care with LMX4:

Talk to your doctor or pharmacist before use if:

You are acutely ill or elderly (you will be more sensitive to lidocaine).
You have a history of being sensitive to the ingredients of any medicines.
You have a severe liver (hepatic) disease.

Using with other medicines:

Tell your doctor or pharmacist if you have recently used any other medicines, with or without a prescription, but specially:

LMX4 or any other local anaesthetic.
Any medicine used to prevent or treat an irregular heart beat, such as tocainide, mexiletime or amiodarone.
The beta-blocker propranolol, for the treatment of hypertension.
Cimetidine, for the treatment of heartburn or stomach ulcers.

Always use LMX4 exactly as instructed. Ask immediately if you have any questions.

Precaution when using LMX4:

For external use only. Do not exceed the recommended dose.
Do not apply to raw or blistered skin, in the ear, inside the nose, in the mouth, to the anus (back passage), where there is a skin rash or eczema, or where there are cuts, grazes or wounds.
Avoid getting LMX4 cream in your eyes, as it may cause irritation. If you accidentally get in your eye, immediately rinse it well with lukewarm water or sodium chloride (salt) solution and protect it until sensation returns.
How you use LMX4 changes, depending upon why you are using the product. Make sure you choose and follow the correct dosage section overleaf.
Your doctor or nurse will tell you where you should apply the cream. If the cream is to be used over large areas, a doctor or nurse will apply it for you.
LMX4 blocks all sensation in the treated area. Avoid scratching, rubbing and exposure to extreme hot and cold until the anaesthetic effects has worn off.

Active Ingredients: Lidocaine (4% w/w) Inactive Ingredients: Benzyl Alcohol, Carbomer 940, Cholesterol, Hydrogenated Lecithin, Polysorbate 80, Propylene Glycol, Trolamine, Vitamin E Acetate, Water.

Dosage and how to apply LMX4 Lidocaine 4% w/w Cream 30g:

For pain relief prior to needle insertion into the skin and a vein:

1g of cream is approximately equal to a 5cm length of cream squeezed from the 5g tube or 3.5cm squeezed from the 30g tube.

• Adults, including the elderly, and children over 1 year of age: Use 1g to 2.5g of cream to cover an area of skin 2.5cm x 2.5cm (1"x1") where the needle will be inserted. Do not leave on the skin for longer than 5 hours.
• Infants over 3 months but below 1 year of age: No more than 1g of cream should be applied. Do not leave on the skin for longer than 4 hours.
• Infants over 1 month but below 3 months of age: No more than 1g of cream should be applied. Do not leave on the skin for longer than 1 hour.
• Do not use on infants below one month old.

1. Apply LMX4 approximately 30 minutes before the procedure starts.
2. Using the quantity stated above, apply the cream in a uniform layer to the skin.
3. If told to do so, cover the cream with a dressing, to prevent it being accidentally rubbed off the skin.
4. Shortly before the procedure is due to begin, remove the dressing and remove the cream thoroughly with a gauze swab.

For pain relief prior to administration of painful topical treatments on larger surface areas of intact skin:

1g of cream is approximately equal to a 5cm length of cream squeezed from the 5g tube or 3.5cm squeezed from the 30g tube.

• Adults and the elderly aged 18 years and over: Use 1.5g to 2g on each 10cm² area of skin, to cover a maximum total area of 900cm² (approximately equal to a back or thigh). Do not exceed the recommended dose.
• Do not use on patients below 18 years of age for large surface areas.

1. Apply LMX4 approximately 30 to 60 minutes before the procedure starts.
2. Using the quantities stated above, apply the cream in a uniform layer to the skin.
3. Ensure the cream is not accidentally rubbed off the skin.
4. Shortly before the procedure is due to begin, remove the cream thoroughly with a gauze swab.

The cream should not be reapplied for at least 12 hours after it has been removed.

If you use more LMX4 Lidocaine 4% w/w Numbing Cream 30g than you should:

Overdose is unlikely, but talk to a doctor, nurse or other trained person involved in your treatment straight away, even if you do not feel any symptoms. An overdose may include using more than the recommended amount, applying the cream to large areas or using the cream for longer than recommended. The following overdose symptoms may be experienced: blurred vision, dizziness or drowsiness, difficulty breathing, trembling, chest pain or an irregular heartbeat.

Store at controlled room temperature 59°-86°F (15°-30°C).

Take special care with LMX4 Lidocaine 4% w/w Numbing Cream 30g:

Talk to your doctor or pharmacist before use if:

• You are acutely ill or elderly (you will be more sensitive to Lidocaine).
• You have a history of being sensitive to the ingredients of any medicines.
• You have a severe liver (hepatic) disease.

Using with other medicines:

Tell your doctor or pharmacist if you have recently used any other medicines, with or without a prescription, but especially:

• LMX4, Lidocaine or any other local anaesthetic.
• Any medicine used to prevent or treat an irregular heartbeat, such as tocainide, mexiletime or amiodarone.
• The beta-blocker propranolol, for the treatment of hypertension.
• Cimetidine, for the treatment of heartburn or stomach ulcers.

Always use LMX4 Lidocaine 4% w/w Numbing Cream 30g exactly as instructed. Ask immediately if you have any questions.

Precautions when using LMX4 Lidocaine 4% w/w Numbing Cream 30g:

• For external use only. Do not exceed the recommended dose.
• Do not apply to raw or blistered skin, in the ear, inside the nose, in the mouth, to the anus (back passage), where there is a skin rash, or where there are cuts, grazes or wounds.
• Avoid getting LMX4 cream in your eyes, as it may cause irritation. If you accidentally get it in your eye, immediately rinse it well with lukewarm water or sodium chloride (salt) solution and protect it until sensation returns.
• How you use LMX4 Lidocaine 4% w/w Numbing Cream 30g changes, depending upon why you are using the product. Make sure you choose and follow the correct dosage section.
• Your doctor or nurse will tell you where you should apply the cream. If the cream is to be used over large areas, a doctor or nurse will apply it for you.
• LMX4 blocks all sensation in the treated area. Avoid scratching, rubbing and exposure to extreme hot and cold until the anaesthetic effect has worn off.

Possible side effects:

Like all medicines, this medicine can cause side effects, although not everybody gets them.

• Allergic reaction: Rare (affecting up to 1 in 1000 people). Symptoms may include a rash, swelling, very low blood pressure or anaphylactic shock. If you experience an allergic reaction or anaphylactic shock, remove the cream and seek medical advice immediately.
• Skin irritation, redness, itching, dryness or rash: Common side effects (affecting up to 1 in 10 people) at the site of application.
• You may experience eye irritation if the cream is applied to or around the eye. Refer to 'Precautions when using LMX4' for what to do immediately after accidental eye exposure.

Reporting of side effects:

If you get any side effects, talk to a doctor, nurse or other trained person involved in your treatment. This includes any possible side effects not listed in this leaflet. You can also report side effects directly via the MHRA's Yellow Card Scheme, available at: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store. By reporting side effects you can help provide more information on the safety of this medicine.

Active Ingredients: Lidocaine (4% w/w)

Inactive Ingredients: Benzyl Alcohol, Carbomer 940, Cholesterol, Hydrogenated Lecithin, Polysorbate 80, Propylene Glycol, Trolamine, Vitamin E Acetate, Water.

External content warning: this link will take you to a third party website.
We cannot guarantee the Patient Information Leaflet is accurate and is for reference only.