most appropriate CidalEaze Cream Generic Name: lidocaine hydrochloride Dosage Form: cream Overview Side Effects Dosage Professional Interactions More Pregnancy Warnings Breastfeeding Warnings User Reviews Support Group Q & A Disclaimer: This drug has not been found by FDA to be safe and effective, and this labeling has not been approved by FDA. For further information about unapproved drugs, click here. Rx Only DESCRIPTION: CidalEaze (Lidocaine 3% Cream) is a topical anesthetic indicated for the relief of pruritus, pruritic eczemas, abrasions, minor burns, insect bites, pain, soreness, and discomfort due to pruritus ani, pruritus vulvae, hemorrhoids, anal fissures, and similar conditions of the skin and mucous membranes. ACTIVE INGREDIENTS: Each gram of CidalEaze (Lidocaine 3% Cream) contains lidocaine hydrochloride 3% (30 mg). INACTIVE INGREDIENTS: aluminum sulfate, calcium acetate, cetyl alcohol, glycerine, glyceryl monostearate SE, methyl paraben, mineral oil, propyl paraben, purified water, sodium hydroxide, sorbitan stearate, stearic acid, stearyl alcohol, and white petrolatum. Slideshow Women's Health: Separating Fact From Fiction CLINICAL PHARMACOLOGY: MECHANISM OF ACTION: CidalEaze (Lidocaine 3% Cream) releases lidocaine from a mild acidic vehicle to stabilize the neuronal membrane by inhibiting the ionic fluxes required for initiation and conduction of impulses, thereby effecting local anesthetic action. A mild acidic vehicle lowers pH to increase protection against alkaline irritations and to provide a favorable environment for healing. Lidocaine is chemically designated as acetamide, 2- (diethylamino)-N-(2,6-dimethylphenyl), and has the following structure. PHARMACOKINETICS: Lidocaine may be absorbed following topical administration to mucous membranes, its rate and extent of absorption depending upon the specific site of application, duration of exposure, concentration and total dosage. In general, the rate of absorption of local anesthetic agents following topical application occurs most rapidly after intratracheal administration. Lidocaine is also well-absorbed from the gastrointestinal tract, but little intact drug appears in the circulation because of biotransformation in the liver. Lidocaine is metabolized rapidly by the liver and metabolites and unchanged drug are excreted by the kidneys. Biotransformation includes oxidative N-dealkylation, ring hydroxylation, cleavage of the amide linkage and conjugation. N-dealkylation, a major pathway of biotransformation, yields the metabolites monoethylglycinexylidide and glycinexylidide. The pharmacological/toxicological actions of these metabolites are similar to, but less potent than, those of lidocaine. Approximately 90% of lidocaine administered is excreted in the form of various metabolites and less than 10% is excreted unchanged. The primary metabolite in urine is a conjugate of 4-hydroxy-2, 6-dimethylaniline. The plasma binding of lidocaine is dependent on drug concentration, and the fraction bound decreases with increasing concentration. At concentrations of 1 to 4 g of free base per mL, 60 to 80 percent of lidocaine is protein bound. Binding is also dependent on the plasma concentration of the alpha-1-acid glycoprotein. Lidocaine crosses the blood-brain and placental barriers, presumably by passive diffusion. Studies of lidocaine metabolism following intravenous bolus injections have shown that the elimination half-life of this agent is typically 1.5 to 2 hours. Because of the rapid rate at which lidocaine is metabolized, any condition that affects liver function may alter lidocaine kinetics. The half-life may be prolonged two-fold or more in patients with liver dysfunction. Renal dysfunction does not affect lidocaine kinetics, but may increase the accumulation of metabolites. Factors such as acidosis and the use of CNS stimulants and depressants affect the CNS levels of lidocaine required to produce overt systemic effects. Objective adverse manifestations become increasingly apparent with increasing venous plasma levels above 6 g free base per mL. In the rhesus monkey, arterial blood levels of 18-21 g/mL have been shown to be threshold for convulsive activity. INDICATIONS: Anesthetic for relief of pruritus, pruritic eczemas, abrasions, minor burns, insect bites, pain, soreness and discomfort due to pruritus ani, pruritus vulvae, hemorrhoids, anal fissures, and similar conditions of the skin and mucous membranes. CONTRAINDICATIONS: Traumatized mucosa, secondary bacterial infection of the area of proposed application and known hypersensitivity to any of the components. Lidocaine is contraindicated in patients with a known history of hypersensitivity to local anesthetics of the amide type. WARNINGS: For external use only. Not for ophthalmic use. PRECAUTIONS: If irritation or sensitivity occurs or infection appears, discontinue use and institute appropriate therapy. CidalEaze (Lidocaine 3% Cream) should be used with caution in ill, elderly, debilitated patients and children who may be more sensitive to the systemic effects of lidocaine. CARCINOGENESIS, MUTAGENESIS, AND IMPAIRMENT OF FERTILITY: Studies of lidocaine in animals to evaluate the carcinogenic and mutagenic potential of the effect on fertility have not been conducted. USE IN PREGNANCY: Teratogenic Effects; Pregnancy Category B. Reproduction studies have been performed for lidocaine in rats at doses up to 6.6 times the human dose and have revealed no evidence of harm to the fetus caused by lidocaine. There are, however, no adequate and well-controlled studies in pregnant women. Animal reproduction studies are not always predictive of human response. General consideration should be given to this fact before administering lidocaine to women of childbearing potential, especially during early pregnancy when maximum organogenesis takes place. NURSING MOTHERS: Lidocaine is excreted in human milk. The clinical significance of this observation is unknown. Caution should be exercised when lidocaine is administered to a nursing woman. PEDIATRIC USE: Dosage in pediatric patients should be reduced commensurate with age, body weight and physical condition. ADVERSE REACTIONS: During or immediately after treatment, the skin at the site of treatment may develop erythema or edema or may be the locus of abnormal sensation. CALL YOUR DOCTOR ABOUT SIDE EFFECTS. Call your doctor about side effects. You may report side effects to the FDA at 1-800-FDA-1088. DOSAGE AND ADMINISTRATION: Apply a thin film to the affected area two or three times daily or as directed by a physician. HOW SUPPLIED: CidalEaze (Lidocaine 3% Cream) is supplied as a white cream in: 16 oz. (453.65 g) jar, NDC 15455-9526-1 STORAGE AND HANDLING Store at 20 C to 25 C (68 F to 77 F), excursions permitted between 15 C and 30 C (between 59 F and 86 F). Brief exposure to temperatures up to 40 C (104 F) may be tolerated provided the mean kinetic temperature does not exceed 25 C (77 F), however, such exposure should be minimized. [See USP Controlled Room Temperature]. Protect from Freezing. Keep tightly closed. See bottom of bottle and outside of carton for lot number and expiration date. Manufactured for: Alvix Laboratories, LLC 6601 Sunplex Drive Ocean Springs, MS 39564 1-888-526-5449 PATIENT INSERT PACKAGE LABEL.PRINCIPAL DISPLAY PANEL FOR EXTERNAL USE ONLY. NOT FOR OPHTHALMIC USE. Topical Anesthetic / Rx Only CidalEaze (Lidocaine 3% Cream) CIDALEAZE lidocaine hydrochloride cream Product Information Product Type HUMAN PRESCRIPTION DRUG LABEL Item Code (Source) NDC:15455-9526 Route of Administration TOPICAL DEA Schedule Active Ingredient/Active Moiety Ingredient Name Basis of Strength Strength LIDOCAINE HYDROCHLORIDE (LIDOCAINE) LIDOCAINE HYDROCHLORIDE ANHYDROUS 30 mg in 1 g Inactive Ingredients Ingredient Name Strength ALUMINUM SULFATE CETYL ALCOHOL CALCIUM ACETATE GLYCERIN GLYCERYL MONOSTEARATE METHYLPARABEN MINERAL OIL PROPYLPARABEN WATER SODIUM HYDROXIDE SORBITAN MONOSTEARATE STEARIC ACID STEARYL ALCOHOL PETROLATUM Packaging # Item Code Package Description 1 NDC:15455-9526-1 453.6 g in 1 JAR Marketing Information Marketing Category Application Number or Monograph Citation Marketing Start Date Marketing End Date unapproved drug other 08/11/2015 09/30/2018 Labeler - Alvix Laboratories, LLC (962445925) Registrant - Alvix Laboratories, LLC (962445925) Establishment Name Address ID/FEI Operations Alvix Laboratories, LLC 962445925 manufacture(15455-9526) Revised: 08/2017 Alvix Laboratories, LLC Next Interactions Print this page Add to My Med List More about CidalEaze (lidocaine topical) Side Effects During Pregnancy or Breastfeeding Dosage Information Drug Interactions Support Group En Español 0 Reviews Add your own review/rating Drug class: topical anesthetics Consumer resources CidalEaze Professional resources Wound Debridement Kit (FDA) Other brands: Lidocaine Viscous , Xylocaine Jelly , Xylocaine Topical , Astero , ... +15 more Related treatment guides Neuropathic Pain Anal Itching Anesthesia Burns, External ... +7 more} FEATURED: CAR-T Cell Therapy Overview Mechanism of Action KTE-C19 Studies KTE-C19 Cancer Targets Adverse Events Manufacturing Drug Status Rx OTC Availability Rx and/or OTC B Pregnancy Category No proven risk in humans N/A CSA Schedule Not a controlled drug Drug Class Topical anesthetics Related Drugs topical anesthetics lidocaine topical , Lidoderm , Emla , cocaine topical Anal Itching lidocaine topical , hydrocortisone topical , phenylephrine topical , Anusol-HC , Proctosol-HC , Proctozone HC , More... 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