Lidocaine/prilocaine (Subgingival)

Introduction

Lidocaine (LYE-doe-kane), Prilocaine (PRIL-oh-kane)

Used as an anesthetic (numbing medicine) during dental procedures.

Brand Name(s)

Oraqix

There may be other brand names for this medicine.

When This Medicine Should Not Be Used

You should not use this medicine if you have had an allergic reaction to lidocaine, prilocaine, or similar anesthetics such as bupivacaine, mepivacaine, or dibucaine. You should not use this medicine if you have a blood disorder called methemoglobinemia.

How to Use This Medicine

Gel/Jelly

• A nurse or other trained health professional will give you this medicine.

Drugs and Foods to Avoid

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Make sure your doctor knows if you are using acetaminophen, benzocaine, chloroquine (Aralen® Phosphate), dapsone, or gentian violet. Tell your doctor if you are also using mexiletine (Mexitil®), nitrofurantoin (Furadantin®, Macrobid®), nitroglycerin (Minitran®, Nitro-Bid®), para-aminosalicylic acid (Paser®), phenobarbital, phenytoin (Dilantin®), primaquine, quinine, a sulfonamide (such as trimethoprim/sulfamethoxazole, Bactrim®), or tocainide (Tonocard®).

Warnings While Using This Medicine

• Make sure your doctor knows if you are pregnant or breastfeeding, or if you have liver disease or a blood disease called glucose-6-phosphate dehydrogenase (G6PD) deficiency.
• The numbness may last for 30 minutes after you receive this medicine. There is an increased risk of injury to your tongue, lips, and the inside of your mouth while you are numb. To avoid injury, do not chew solid foods or foods that are too hot or cold until normal feeling has returned to the area. Do not test the feeling in your mouth by biting it or poking things in your mouth.
• This medicine is applied only to your gums. It should not be used in the area near the eyes. This medicine can cause serious eye irritation.

Possible Side Effects While Using This Medicine

Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing.
• Dizziness or fainting.
• Fast, slow, pounding, or uneven heartbeat.
• Numbness in the mouth that continues.
• Pain, swelling, irritation, redness, sores, or blisters in the mouth.
• Skin, lips, or nailbeds turning pale gray or blue color.
• Tremors or seizures.

If you notice these less serious side effects, talk with your doctor:

• Changes in taste.
• Fever, chills, cough, runny or stuffy nose, sore throat, and body aches.
• Headache.
• Muscle aches or pain.
• Nausea.
• Tiredness.