Lidocaine 5% Ointment

Generic For: Xylocaine

Lidocaine 5% Ointment (brand name Xylocaine) is a prescription topical anesthetic that temporarily numbs the skin and mucous membranes to relieve pain and itching. It is commonly used for minor burns, skin abrasions, and anogenital discomfort such as hemorrhoid-related pain. After a licensed provider reviews your information, your medication ships directly from a licensed U.S. pharmacy.

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Buy Lidocaine 5% Ointment (Xylocaine) Online

A topical local anesthetic ointment for skin pain, minor burns, and anogenital discomfort

Lidocaine 5% Ointment Quick Facts

Drug classTopical local anesthetic
TreatsSkin pain, minor burns, anogenital itching, pain from abrasions
FormOintment
Typical dosingApply to the affected area topically 1-2 times a day as needed for pain for 1-4 weeks.
Prescription requiredYes — prescription only

What Is Lidocaine 5% Ointment?

Lidocaine 5% Ointment is a topical medication that belongs to a class of drugs called local anesthetics. It works by blocking nerve signals in the area where it is applied, producing temporary numbness that reduces pain and itching. The ointment form allows it to stay in place on skin and mucous membranes for localized relief. It requires a prescription and should be used exactly as directed by your healthcare provider.

What Does Lidocaine 5% Ointment Treat?

Pain from minor burns
Pain and itching from skin abrasions
Anogenital pruritus (itching)
Hemorrhoid-related pain and discomfort
Temporary anesthesia of accessible mucous membranes
Lubrication and anesthesia for endotracheal intubation (clinical use)

Lidocaine 5% Ointment Dosage

Apply a thin layer topically to the affected area as directed, up to 3–4 times daily.
Single application should not exceed 5 g of ointment (approx. 250 mg lidocaine).
Do not exceed 17–20 g of ointment in 24 hours.

Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.

Lidocaine 5% Ointment Side Effects

Common side effects

  • Redness at application site
  • Mild burning or stinging
  • Itching
  • Skin irritation
  • Swelling at application site
  • Temporary numbness beyond the treated area

Serious side effects

Stop taking this medication and seek medical attention right away if you experience:

  • Allergic reaction (rash, hives, swelling of face or throat, difficulty breathing)
  • Irregular or slow heartbeat
  • Dizziness, drowsiness, or confusion
  • Seizures
  • Blurred vision or ringing in the ears
  • Bluish discoloration of skin or lips (possible methemoglobinemia)

Warnings & Interactions

Do not use on large areas of skin or on broken, blistered, or severely irritated skin unless directed
Do not apply heat or tightly bandage treated areas, which can increase absorption
Risk of serious systemic toxicity with excessive dosing or misuse
Contraindicated in patients with known hypersensitivity to amide-type local anesthetics
Use caution with other local anesthetics or Class I antiarrhythmic drugs (e.g., mexiletine)
Use caution in patients with severe liver disease
Keep out of reach of children; accidental ingestion can be dangerous

Tell your prescriber about all medications, supplements, and health conditions before starting lidocaine 5% ointment.

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Frequently Asked Questions

What is lidocaine used for?

Lidocaine 5% Ointment is a topical local anesthetic used to temporarily relieve pain and itching from minor burns, skin abrasions, and anogenital conditions such as hemorrhoids. It works by numbing the nerves in the treated area.

How does lidocaine ointment work?

Lidocaine blocks sodium channels in nerve endings, which stops pain signals from reaching the brain. This produces temporary numbness in the area where the ointment is applied, usually within a few minutes.

Do I need a prescription for Lidocaine 5% Ointment?

Yes. Lidocaine 5% Ointment is a prescription-strength product in the U.S. A licensed healthcare provider must review your health information and determine it is appropriate before it can be dispensed.

How do I order Lidocaine 5% Ointment online?

Complete a brief health questionnaire, and a licensed provider will review your information. If a prescription is appropriate, your medication is dispensed and shipped from a licensed U.S. pharmacy directly to your address.

How much lidocaine ointment can I use at once?

A single application should not exceed 5 grams of ointment, and total daily use should not exceed the limit set by your provider (generally no more than 17–20 grams per day). Using more than directed increases the risk of serious side effects.

How long does lidocaine ointment take to work?

Numbness typically begins within about 3 to 5 minutes of application to skin or mucous membranes. The effect is temporary, so follow your provider's instructions on how often to reapply.

Is lidocaine ointment safe to use every day?

It can be used as directed for short-term relief, but you should not exceed the prescribed dose or frequency. Talk to your provider if your symptoms do not improve or if you feel you need it for more than a few days.