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LidoPro Ointment
lidocaine/ menthol/ capsaicin/ methyl salicylate topical
Uses .
- [ lidocaine topical ]
- anesthetic for reducing muscle/joint pain
- [ menthol topical ]
- analgesic for reducing muscle/joint pain
- [ capsaicin topical; methyl salicylate topical ]
- counterirritant for reducing muscle/joint pain
Dosing .
12 yo and older
- [ topical ointment ]
- Dose: apply prn up to 4x/day; Info: avoid use on damaged, irritated, or infected skin; avoid occlusive dressings or heat
renal considerations
- [ capsaicin topical; lidocaine topical; menthol topical; methyl salicylate topical ]
- renal impairment: consider alternatives, dose adjustment not possible with fixed-dose combo
- HD/PD: consider alternatives, dose adjustment not possible with fixed-dose combo
hepatic considerations
- [ capsaicin topical; lidocaine topical; menthol topical; methyl salicylate topical ]
- hepatic impairment: not defined; Info: caution advised if severe hepatic disease
Formulations .
topical ointment
- [active ingredients]
- lidocaine 4%; menthol 10%; capsaicin 0.0325%; methyl salicylate 27.5%
Contraindications / Cautions .
- hypersensitivity to drug or ingredient ( capsaicin topical; menthol topical; methyl salicylate topical; lidocaine topical )
- hypersensitivity to amide anesthetics ( lidocaine topical )
- aspirin triad ( methyl salicylate topical )
- asthma, ASA-induced ( methyl salicylate topical )
- asthma, NSAID-induced ( methyl salicylate topical )
- influenza (patients <19 yo) ( methyl salicylate topical )
- skin break ( lidocaine topical )
- skin inflammation ( lidocaine topical )
- treatment site infection ( lidocaine topical )
- urticaria, ASA-induced ( methyl salicylate topical )
- urticaria, NSAID-induced ( methyl salicylate topical )
- varicella (patients <19 yo) ( methyl salicylate topical )
- viral infection (patients <19 yo) ( methyl salicylate topical )
- caution: asthma ( methyl salicylate topical )
- caution: debilitated patients ( lidocaine topical )
- caution: elderly patients ( lidocaine topical )
- caution: heart block ( lidocaine topical )
- caution: hepatic disease, severe ( lidocaine topical )
- caution: hepatic impairment ( lidocaine topical )
- caution: illness, acute ( lidocaine topical )
- caution: nasal polyp ( methyl salicylate topical )
- caution: peds patients ( lidocaine topical )
- caution: rash ( lidocaine topical )
- caution: sepsis ( lidocaine topical )
- caution: shock, severe ( lidocaine topical )
- caution: skin temperature incr. ( lidocaine topical )
Drug Interactions .
Overview
capsaicin topical
analgesic topical
- None
lidocaine topical
topical anesthetic
- displaces liposomal agent
- lowers seizure threshold
- methemoglobinemia
menthol topical
analgesic topical; antitussive topical
- None
methyl salicylate topical
topical salicylate
- antiplatelet effects
- hyperuricemic effects
Contraindicated
Avoid/Use Alternative
Monitor/Modify Tx
Caution Advised
Adverse Reactions .
Serious Reactions
- anaphylactoid reaction ( lidocaine topical ; methyl salicylate topical )
- anaphylaxis ( methyl salicylate topical )
- angioedema ( methyl salicylate topical )
- arrhythmia ( lidocaine topical )
- bronchospasm ( methyl salicylate topical )
- burns, severe ( menthol topical ; methyl salicylate topical ; capsaicin topical )
- cardiac arrest ( lidocaine topical )
- CNS depression ( lidocaine topical )
- CNS excitation ( lidocaine topical )
- coma ( lidocaine topical )
- familial malignant hyperthermia exacerbation ( lidocaine topical )
- hypersensitivity reaction ( menthol topical )
- neurotoxicity ( capsaicin topical ; methyl salicylate topical )
- Reye syndrome ( methyl salicylate topical )
- salicylism ( methyl salicylate topical )
- seizures ( lidocaine topical )
Common Reactions
- abnormal sensations ( lidocaine topical )
- anxiety ( lidocaine topical )
- burning ( methyl salicylate topical ; capsaicin topical )
- dizziness ( lidocaine topical )
- erythema ( capsaicin topical ; methyl salicylate topical )
- hypersensitivity reaction ( lidocaine topical )
- hyperuricemia ( methyl salicylate topical )
- lightheadedness ( lidocaine topical )
- local edema ( lidocaine topical )
- local erythema ( lidocaine topical )
- local irritation ( methyl salicylate topical ; menthol topical )
- rash ( methyl salicylate topical )
- thermal hyperalgesia ( capsaicin topical ; methyl salicylate topical )
- vomiting ( lidocaine topical )