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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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 classTopical local anesthetic
TreatsNumbing before needle procedures, minor skin procedures, superficial genital surgery
FormCream
Typical dosingApply to the affected area topically 2-3 times a day as needed for pain.
Prescription requiredYes — 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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Frequently Asked Questions

What is lidocaine prilocaine cream used for?

Lidocaine prilocaine cream is a topical anesthetic used to numb intact skin before needle procedures, minor skin procedures, and certain superficial genital procedures. It works by temporarily blocking nerve signals in the treated area.

Do I need a prescription for lidocaine prilocaine cream?

Yes. Lidocaine 2.5% prilocaine 2.5% cream is a prescription-only medication in the U.S. A licensed provider must review your health information and approve a prescription before it can be dispensed.

How does ordering and shipping work?

After you complete a brief health questionnaire, a licensed provider reviews your information. If a prescription is appropriate, your order is filled and shipped from a licensed U.S. pharmacy to your address.

How long does lidocaine prilocaine cream take to work?

For most skin procedures, the cream is applied under an occlusive dressing for at least 1 hour before the procedure; deeper procedures may require at least 2 hours. Follow your provider's instructions on timing and amount.

Is lidocaine prilocaine cream the same as EMLA?

Yes. EMLA is the brand name for lidocaine 2.5% prilocaine 2.5% cream, and generic versions contain the same active ingredients at the same strengths.

Are there risks from using too much lidocaine prilocaine cream?

Yes. Applying more cream, covering a larger area, or leaving it on longer than prescribed can cause too much medication to absorb, leading to serious effects including methemoglobinemia. Always use exactly as directed and seek medical care if you notice bluish skin or lips or trouble breathing.