Lidocaine and prilocaine are narcotic drugs . This combination is used in cream and plasters to numb the skin or mucous membranes. Doctors prescribe it in case of pain due to medical procedures or wound care. It is also used in sexual disorders (premature ejaculation).
This medication is used to numb the skin or mucous membranes in small procedures such as inserting a needle or removing warts . It is also used against the pain when cleaning an open leg (open wound or ulcer on the lower leg).
It works on the skin after 1-5 hours, with the wound of an open bone after a 0.5-1 hour and on mucous membranes after 5-60 minutes. The operation lasts for about 2 hours.
There are various sexual disorders. Premature ejaculation means that the ejaculation comes faster than the man or his partner wishes. If the penis does not become stiff or does not stay stiff enough for long enough, we speak of an erectile dysfunction. Also less sense in lovemaking can be a sexual disorder.
Too early ejaculation is common in puberty. This usually goes by itself. Sometimes the complaints remain.
Premature ejaculation can have various causes, such as feelings, an erection problem, inflammation of the prostate, thyroid abnormalities, medication or a nervous disorder.
Talk about your problems with your partner. Discussions with a doctor can also reduce complaints.
This medicine can sometimes help with premature ejaculation by reducing the sensation, Read more here.
The cream should be applied to the penis and should work for 5 to 10 minutes. The cream must be removed before sex. The cream can affect the rubber of condoms . Be aware that because of this condoms can tear more easily.
Look for the correct dosage on the label of the pharmacy.
- Make sure this medicine does not get in the eyes or in wounds . Do not rub your eye if you have applied this medicine with a finger. Wash your hands immediately after use. If it happens by accident or in a wound, rinse well with water to remove the medicine and consult a doctor immediately.
- Swear on the leg (open leg): apply the prescribed amount of cream to the wound. Do NOT rub the cream. Cover the cream with a sealing foil and allow it to work through the prescribed time. Then you can remove the foil, wipe away the cream and clean the wound.
- Skin without injuries : apply the patch or the prescribed amount of cream to the skin. Cover the cream with a sealing foil. Let the prescribed time work. Just before the procedure, the doctor or nurse will remove the patch or foil and remove the cream with a disinfectant solution.
- Mucous membrane (of the vagina or on the glans): the doctor or nurse will apply the cream. The cream then has to work for some time.
- On an ulcer on the leg: apply the cream for half an hour to one hour before you start cleaning the wound.
- The cream or the patch should be applied well before the procedure . The doctor or nurse indicates how long the medication has to work. This varies between ten minutes and five hours.
The main side effects are the following.
Rarely (from 1 to 10 in 100 people)
- Skin irritation . You notice this, for example, with redness, swelling of the injection site, itching, tingling or burning. Consult your doctor if this does not happen.
Very rare (affects less than 1 in 100 people)
- Hypersensitivity . You will notice a rash such as hives, swelling, redness or itching. A severe hypersensitivity can be seen from a swollen face, tightness and fainting. Consult your doctor immediately. Tell the pharmacist that you are hypersensitive to this medication. The pharmacy team can make sure that you do not get this medication or similar medicines again.
- Blue-gray discoloration of the skin or mucous membranes. Consult your doctor. This may indicate methemoglobinemia. This is a certain type of anemia , where the red blood cells in the blood can not give enough oxygen. Do you already suffer from methemoglobinaemia or have a certain congenital enzyme deficiency , G6PD deficiency ? Then consult your doctor for use.
Consult your doctor if you suffer too much from one of the above mentioned side effects or if you experience other side effects that you are worried about.
- Frequent : in more than 30 in 100 people
- Uncommon : in 10 to 30 in 100 people
- Rare : in 1 to 10 in 100 people
- Very rare : in less than 1 in 100 people
Apply the cream or patch as soon as possible. If possible, postpone the procedure so that the medicine can work in sufficient quantities.
Questions & Answers
There are no restrictions for this medication.
You can use this medicine safely in combination with other medications.
You can safely use this medication in the normal dosage. It has been used for years by pregnant women and women who are breastfeeding without harming the child.
You can stop using it at any time.
The combination lidocaine with prilocaine for the skin has been on the market since 1988. It is available for sale over the counter without the need for prescription in some countries while on prescription in other countries. It’s available under many brand names but Emla cream is the most popular one.