Lidocaine 2.5% Prilocaine 2.5% Cream
Generic For: EMLA
Lidocaine 2.5% prilocaine 2.5% cream (brand name EMLA) is a prescription topical anesthetic that numbs intact skin before needle insertions, minor dermal procedures, and certain superficial genital procedures. After a licensed provider reviews your information and approves your prescription, your order ships from a licensed U.S. pharmacy.
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7-day supply · $0.83/gram
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- Select your medication
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Price: $25.00
HSA/FSA Eligible*Doctor visit fee & delivery cost not included in price. Refills at provider discretion.
Buy Lidocaine 2.5% Prilocaine 2.5% Cream (EMLA) Online
Lidocaine prilocaine topical anesthetic cream for numbing skin before needle sticks, minor skin procedures, and superficial genital surgery
Lidocaine 2.5% Prilocaine 2.5% Cream Quick Facts
| Drug class | Topical local anesthetic |
|---|---|
| Treats | Numbing before needle procedures, minor skin procedures, superficial genital surgery |
| Form | Cream |
| Typical dosing | Apply to the affected area topically 2-3 times a day as needed for pain. |
| Prescription required | Yes — prescription only |
What Is Lidocaine 2.5% Prilocaine 2.5% Cream?
Lidocaine prilocaine cream is a combination topical anesthetic containing two numbing medicines, lidocaine 2.5% and prilocaine 2.5%. Applied to intact skin under an occlusive dressing, it temporarily blocks nerve signals to reduce pain from procedures such as injections, IV placement, and minor skin surgery. It is also used on genital mucous membranes before certain superficial minor procedures. It requires a prescription and should be used exactly as directed to avoid absorbing too much medication.
What Does Lidocaine 2.5% Prilocaine 2.5% Cream Treat?
Numbing skin before needle insertions (injections, IV placement, blood draws)
Local anesthesia before minor dermal procedures (e.g., skin biopsy)
Anesthesia before superficial surgical procedures on intact skin
Numbing genital skin before local anesthetic infiltration
Anesthesia of genital mucous membranes before superficial minor surgery
Lidocaine 2.5% Prilocaine 2.5% Cream Dosage
Minor dermal procedures: Apply 2.5 g over 20–25 cm² of intact skin under occlusive dressing for at least 1 hour before procedure.
Major dermal procedures: Apply 2 g per 10 cm² under occlusive dressing for at least 2 hours.
Genital mucous membranes: Apply 5–10 g for 5–10 minutes before procedure; no occlusive dressing required.
Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.
Lidocaine 2.5% Prilocaine 2.5% Cream Side Effects
Common side effects
- Temporary skin paleness (blanching)
- Redness at application site
- Mild swelling
- Burning or stinging sensation
- Itching
- Temporary changes in skin sensation
- Warmth at application site
Serious side effects
Stop taking this medication and seek medical attention right away if you experience:
- Signs of methemoglobinemia (bluish or gray skin, lips, or nails; shortness of breath; unusual fatigue)
- Allergic reaction (hives, swelling of face or throat, difficulty breathing)
- Irregular heartbeat or dizziness
- Seizures or tremors
- Blistering or severe skin irritation at application site
Warnings & Interactions
Risk of methemoglobinemia, especially in infants and patients with G6PD deficiency or taking certain other drugs
Do not apply to broken, inflamed, or open skin unless directed by a provider
Do not exceed prescribed dose, area, or application time — excess absorption can cause serious toxicity
Avoid contact with eyes and ears
Contraindicated with known allergy to amide-type local anesthetics
Use caution with class I antiarrhythmics (e.g., mexiletine) and other local anesthetics
Not for use on mucous membranes except as specifically directed
Tell your prescriber about all medications, supplements, and health conditions before starting lidocaine 2.5% prilocaine 2.5% cream.
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