Bedfordshire and Luton Joint Formulary
Bedford Hospital NHS Trust
Bedfordshire CCG
Luton & Dunstable University Hospital NHS Foundation Trust
Luton CCG

 
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15 Anaesthesia

Any drug not listed on the Formulary should be considered Non-Formulary - Not recommended for prescribing

15-02 Lidocaine

Lidocaine
Formulary
0.5% & 1% Injection (10mL)
1% & 2% Injection (5mL)
1% Injection Ampoule


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Lidocaine 10% laryngojet®
Formulary
10mg/dose

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Lidocaine 2.5% with Prilocaine 2.5% EMLA®
Formulary

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Lidocaine 5% and Phenylephrine 0.5%
Formulary

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Lidocaine 5% Plaster Versatis®
Restricted

Restricted - Must be initiated  only for the licensed indication: post herpetic neuralgia,  in line with the JPC guideline.

The evidence for the effectiveness of lidocaine medicated plasters is limited, of low quality, and the clinical effectiveness remains unclear. However, low quality individual studies indicate that it may have a role in pain relief.

Response to treatment should be evaluated after 4 weeks of treatment. Patients with an inadequate initial response after 4 weeks, (improvement after this time is unlikely) – DISCONTINUE treatment.

The therapeutic benefit should be reassessed regularly at least every three months.

The DTC previously approved for palliative patients for neuropathic pain where systemic treatment is not tolerated. This indication is under review.

Link  Primary Care Guidelines for the Management of Chronic Non-cancer Pain in Adults (Sep 2018)
 

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Lidocaine with Adrenaline (1% / 1:200,000)
Formulary

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Lidocaine2% with Chlorhexidine 0.25%
Formulary
Brands include Instillagel.

N.B. Available from Main Stores (not Pharmacy).

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LMX Lidocaine
Formulary
Lidocaine W/W 4% Cream

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LAT
Restricted
LAT Gel

Restricted - To be used prior to suturing of wounds in children only

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