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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
- acetaminophen
- articaine
- benzocaine topical
- bupivacaine
- bupivacaine liposomal
- butamben
- chloroprocaine
- chloroquine
- cyclophosphamide
- dapsone
- dapsone topical
- flutamide
- fosphenytoin
- hydroxyurea
- ifosfamide
- isosorbide dinitrate
- isosorbide mononitrate
- lidocaine
- lidocaine topical
- mepivacaine
- metoclopramide
- nitric oxide
- nitrite
- nitrofurantoin
- nitroglycerin
- nitroprusside
- phenazopyridine
- phenobarbital
- phenytoin
- prilocaine topical
- primaquine
- procaine
- quinine
- rasburicase
- resorcinol topical
- ropivacaine
- sulfadiazine
- sulfamethoxazole
- sulfasalazine
- tafenoquine
- tetracaine
- varicella vaccine, live
Avoid/Use Alternative
- aldesleukin
- amifampridine
- enoxaparin
- fondaparinux
- ibuprofen
- indomethacin
- iohexol
- meclofenamate
- piroxicam
Monitor/Modify Tx
- abrocitinib
- acalabrutinib
- ado-trastuzumab emtansine
- afatinib
- alpha-tocopherol (vitamin E)
- alprostadil intracavernous
- alprostadil intravenous
- alteplase
- amiodarone
- anacaulase topical
- anagrelide
- antithrombin
- apixaban
- asparaginase
- aspirin
- avapritinib
- axitinib
- bevacizumab
- binimetinib
- bivalirudin
- brentuximab vedotin
- bromelain
- bromfenac ophthalmic
- bupropion
- cabazitaxel
- cabozantinib
- calaspargase
- cangrelor
- caplacizumab
- carfilzomib
- celecoxib
- cilostazol
- citalopram
- clopidogrel
- collagenase clostridium histolyticum
- cysteamine
- dabigatran
- dalteparin
- danshen
- desvenlafaxine
- deuruxolitinib
- diclofenac
- diclofenac ophthalmic
- diclofenac topical
- diflunisal
- dimethyl fumarate
- diosmin
- dipyridamole
- diroximel fumarate
- dofetilide
- duloxetine
- edoxaban
- encorafenib
- epoprostenol
- eptifibatide
- erlotinib
- escitalopram
- ethanol (alcoholic beverage)
- etodolac
- evening primrose oil
- fenoprofen
- fenugreek
- fluoxetine
- flurbiprofen
- flurbiprofen ophthalmic
- fluvoxamine
- fruquintinib
- garlic
- gefitinib
- gemtuzumab ozogamicin
- ginkgo
- heparin
- hydrocortisone
- ibrutinib
- ibuprofen lysine
- ibutilide
- icosapent ethyl
- imatinib
- iopamidol
- ketoprofen
- ketorolac
- ketorolac ophthalmic
- lenvatinib
- levomilnacipran
- lifileucel
- magnesium salicylate
- mefenamic acid
- meloxicam
- methotrexate
- milnacipran
- mitotane
- monomethyl fumarate
- mycophenolate mofetil
- mycophenolic acid
- nabumetone
- naproxen
- nattokinase
- nepafenac ophthalmic
- nilotinib
- nintedanib
- nusinersen
- obinutuzumab
- omega-3-acid
- oxaliplatin
- oxaprozin
- pacritinib
- paroxetine
- pazopanib
- pegaspargase
- penicillin G
- pentosan polysulfate sodium
- piperacillin
- pirtobrutinib
- plasminogen, human
- ponatinib
- porfimer
- pralsetinib
- prasugrel
- probenecid
- ramucirumab
- ranibizumab
- regorafenib
- remibrutinib
- resveratrol
- reteplase
- revakinagene taroretcel
- rivaroxaban
- saw palmetto
- selpercatinib
- selumetinib
- sepiapterin
- sertraline
- sirolimus albumin-bound
- sorafenib
- sotalol
- sotatercept
- sulindac
- sunitinib
- temsirolimus
- tenecteplase
- ticagrelor
- tipranavir
- tirofiban
- tisotumab vedotin
- tivozanib
- tolmetin
- tovorafenib
- trametinib
- trazodone
- treprostinil
- upadacitinib
- vadadustat
- valproic acid
- vandetanib
- venlafaxine
- vilazodone
- vinpocetine
- vorapaxar
- vortioxetine
- warfarin
- willow bark
- zanubrutinib
- ziv-aflibercept
Caution Advised
- acetazolamide
- bismuth subsalicylate
- brivaracetam
- busulfan
- cannabidiol
- carbamazepine
- cenobamate
- chlorambucil
- clobazam
- clomipramine
- clonazepam
- clorazepate
- clozapine
- cocaine
- diazepam
- disopyramide
- eslicarbazepine acetate
- ethosuximide
- felbamate
- fenfluramine
- flecainide
- gabapentin
- ganaxolone
- hydroxychloroquine
- lacosamide
- lamotrigine
- levetiracetam
- lorazepam
- magnesium citrate
- methsuximide
- mexiletine
- midazolam
- oxcarbazepine
- perampanel
- polyethylene glycol
- polyethylene glycol/electrolytes
- pregabalin
- primidone
- procainamide
- promethazine
- propafenone
- quinidine (antiarrhythmic)
- rufinamide
- salicylic acid topical
- salsalate
- sodium picosulfate
- stiripentol
- sulfate bowel prep
- tiagabine
- topiramate
- tramadol
- treosulfan
- vigabatrin
- zonisamide
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 )