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Dosage

Missed Dose

Oral forms: Take the missed dose as soon as you remember, if you are on a dosing schedule. Usually, the injectable form is administered in a clinical/hospital set up by a qualified healthcare professional and the topical form has no dosing regimen, hence the likelihood of missing a dose is very low.

Overdose

Contact your doctor immediately if an overdose with this medicine is suspected. Symptoms of an overdose may include slowed or difficult breathing, change in heart rate, coma etc.

Interactions

Chlordiazepoxide   (moderate)

Fluconazole   (moderate)

Propranolol   (moderate)

Tramadol   (severe)

Amiodarone   (moderate)

Sodium Nitrite   (severe)

Prilocaine   (severe)

Cimetidine   (moderate)

Prescribes

Anesthesia

This medicine is used to numb a specific area of the body to reduce pain and discomfort caused by surgical or other invasive medical procedures. Both the injectable and topical forms are used for anesthesia.

Pain and irritation

This medicine is used to relieve pain, swelling and discomfort associated with conditions like sunburn, insect bites, minor cuts, scratches, and burns.

Hemorrhoids

This medicine is used to relieve pain, itching and discomfort caused by hemorrhoids.

Postherpetic Neuralgia

This medicine is used to relieve pain and burning sensation that lasts after the blisters or shingles have disappeared.

Cardiac arrythmia

This medicine is used for the management of heart rhythm disorders likely to occur during heart surgeries or a heart attack.

Gastrointestinal tract examination

This medicine is also used as a numbing medication before procedures like Endotracheal intubation.

Labor pain and discomfort

This medicine is also used during a spinal block to reduce pain and discomfort caused due to labor contractions.

Nerve block to relieve pain

This medicine is also injected into specific regions of the spinal cord to treat pains associated with spasm of blood vessels, surgical procedures in the neck or groin area, etc.

Side Effects

Flushing or redness of skin  

Injection site bruising and red coloration  

Nausea or Vomiting  

Cracked or scaly skin  

Fast heartbeat   (severe)

Difficulty in breathing   (severe)

Join pain and swelling   (severe)

Swelling of face, lips, eyelids, tongue, hands and feet   (severe)

Blurred vision  

Chills or cold sweats   (severe)

Dizziness when getting up suddenly from a sitting position  

Shaking and trembling of arms and feet  

Unusual tiredness and weakness  

Unpleasant aftertaste  

Ringing or buzzing in the ears  

Decrease/loss of hearing   (severe)

Unusual thirst  

Convulsions (seizures)   (severe)

Warnings

Other medicines

Malignant hyperthermia

Eye/Ear irritation

Teething problems

Topical anesthetics and food

Liver impairment

Kidney impairment

Heart disease

Monitoring of ECG

Respiratory Depression

Drowsiness and impairment of thinking

Pregnancy

Breast-feeding

When Not To Use

Allergy

This medicine is not recommended for use if you have a known history of allergy to XYLOCAINE 4% Solution 50ml or any other amide type local anesthetics.

Adams Stokes syndrome

This medicine is not recommended for use in patients having repeated episodes of fainting due to periodic onset and offset of blockage of impulses in the heart.

Heart block

This medicine is not recommended for use in patients having a secondary or tertiary degree of heart block and no pacemaker is implanted to correct the defect.

Wolff Parkinson White syndrome

This medicine is not recommended for use if you have this rare genetic condition that affects the conduction of impulses in the heart.