Lidocaine for pain relief

Warning

NHS Borders 

Chronic Pain Service
Borders General Hospital
Melrose
TD6 9BS
Telephone: 01896 826323

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"Information given on this site is not meant to take the place of a talk with your doctor or health worker."

Lidocaine Plaster

Please read all of this leaflet carefully before you start using this medicine. Keep this leaflet, you may need to read it again

  • if you have any further questions, contact the Pain Clinic or ask your doctor or pharmacist
  • this medicine has been prescribed for you. Do not pass it on to others. It may harm them, even if their symptoms are the same as yours
  • please tell your doctor or pharmacist if:
    - any of the side effects gets serious, or
    - you notice any side effects not listed in this leaflet

Introduction

The Consultant in Pain Management has recommended a trial of Lidocaine 5% Medicated Plasters for pain
relief. The trial period will be on average between 1week up to one month.

This leaflet has information on:

1. What are they and what are they used for
2. Before you use them
3. How to use them
4. Possible side effects
5. How to store them

Will this medicine help?

  • your pain is unique to you
  • everyone reacts to medicine in different ways
  • you will be the best person to know if the medicine is helping you
  • you will also know best whether you want to carry on taking it after the trial

What are Lidocaine plasters and what are they used for

These plasters contain lidocaine which works by reducing the pain in your skin. It is used mainly to treat the pain caused by postherpetic neuralgia.

After you have had shingles, you may get postherpetic neuralgia due to damage to the nerves in your skin. This can be very painful and the pain can last for a long time.

It may also be useful for other types of neuropathic pain described as burning, shooting or stabbing.

Before you use Lidocaine plasters

Do not use if you are hypersensitive (allergic) to lidocaine or any of the other ingredients of the plaster
you are prescribed if you have had an allergic reaction to other products which are similar to lidocaine, such as bupivacaine, etidocaine, mepivacaine or prilocaine.

Take special care

You should talk to your doctor before using Lidocaine plasters if you have any of the following:

  • severe liver disease
  • severe heart problems, or
  • severe kidney problems

They should not be used on injured skin or open wounds.

It should not be used on or near the eyes or mouth.

Taking other medicines

There is a very low risk of the plaster interacting with other medicines. However, please tell your doctor or
pharmacist if you are taking or have recently taken any other medicines. This includes medicines bought without a prescription.

Pregnancy and breastfeeding

Lidocaine plasters should not be used in pregnancy unless clearly necessary. Ask your doctor or pharmacist for advice before taking any medicine. There are no studies of the plaster in women who breast feed.

When using lidocaine plasters, there may be only very small amounts of the active substance lidocaine in the blood stream. An effect on breast-fed infants is unlikely

Driving and using machines

Lidocaine plasters are not likely to affect ability to drive and use machines. Therefore you may drive or operate machinery whilst using them.

Important information about some ingredients of Lidocaine plasters

The plasters may cause skin irritation or an allergic reaction. Allergic reactions may happen after using the
plaster for some time. Please check your skin regularly.

How to use a Lidocaine Plaster

Always use Lidocaine plasters exactly as your doctor has told you. If you are not clear on how to use the plasters please contact the Pain Clinical Nurse Specialist or check with your doctor or pharmacist.

The usual daily dose is to use between one and three plasters on the painful areas of your skin. Plasters may be cut into smaller pieces to fit the affected area. You should not use more than three plasters at the same time.

The plasters should be removed after 12 hours of use, so that you have a 12 hour period with no plaster.
Usually, you will feel some pain relief on the first day you use the plaster. However, it may take up to two to four weeks until the full pain relief effect is seen.

Before you place a plaster on the affected area

if the painful area of skin has hairs on it, you can cut these off using scissors. Do not shave them off the skin should be clean and dry creams and lotions may be used on the affected skin when you are not wearing the plaster. The skin should be clean and dry before the plaster is stuck onto your skin if you have had a recent bath or shower, you should wait until your skin cools before using the plaster

Sticking the plaster on

Step 1: open the sachet and take out one or more plasters
tear open or cut the sachet along the dotted line, when using scissors, be careful not to damage the plasters take out one or more plasters depending on the size of the painful area on your skin


Step 2: close the sachet
close the sachet tightly after use, the plaster contains water, and will dry out if the sachet is not closed properly


Step 3: cut the plaster

if necessary if you need to, cut the plaster to the size to fit the painful area of skin before removing the liner


Step 4: remove the liner
remove the transparent liner from the plaster, try not to touch the sticky part of the plaster


Step 5: apply the plaster and press it firmly onto the skin

apply up to three plasters to the painful area of skin
press the plaster onto your skin
press for at least 10 seconds to make sure the plaster sticks firmly
make sure that all of it sticks to your skin, including the edges

Leave the plaster on for 12 hours only


It is important that the plaster is in contact with your skin for only 12 hours. For example, if you have more pain at night you might want to put the plaster on at 7pm and remove it at 7am.

If you have more pain during the day you might want to use the plaster at 7am, and remove it at 7pm.

Bathing, showering and swimming

If at all possible contact with water should be avoided whilst using Lidocaine plasters. Bathing, showering or swimming can be done when you are not wearing the plaster. If you have had a recent bath or shower, you should wait until your skin cools before using the plaster.

If the plaster comes off

Very rarely the plaster might fall off, or come unstuck. If it does, try sticking it back on the same area. If it does not stay on, remove it and put a new plaster on the same area.

If you forget to remove the plaster after 12 hours

As soon as you remember, remove the old plaster. A new plaster can be used again after 12 hours.

If you forget to use the plaster

If you forget to use a new plaster after the 12 hour period with no plaster, you should stick on a new one as soon as you remember.

If you use more plasters than you should

If you use more plasters than necessary or wear them for too long, this may increase the risk of getting side effects.

If you have any further questions on using Lidocaine plasters, contact the Pain Clinical Nurse Specialist or ask your doctor or pharmacist.

How to remove and dispose of Lidocaine plasters

When changing the plaster, remove the old plaster slowly. If it does not come off easily, you can soak it in warm water for a few minutes before removing it. Used plasters still contain active ingredient, which may be harmful to others. Fold the used plasters in half, with the sticky sides together. Throw them away so that they are out of the reach of children and pets.

You should follow local guidelines for domestic waste when throwing away used or unused plasters. If you have any unused plasters take these to your Community pharmacist who will advise on how to dispose of
them.

Do not flush them down the toilet.

Possible side effects and safe storage

Like all medicines, Lidocaine plasters can cause side effects, although not everybody gets them.

Please tell the pain clinical nurse specialist or your doctor or pharmacist if:

  • any of the side effects gets serious, or
  • you notice any side effects not listed in this leaflet

If you get irritation or burning sensation whilst you are using the plaster, you should remove it. The area of irritation should stay plaster free until this stops.

Very common side effects which may affect more than 1 person in 10 are listed below.

These include skin conditions at or around where the plaster is put on:

  • redness
  • rash
  • itching
  • burning
  • dermatitis
  • small blisters

Uncommon side effects which may affect between 1 person in 100 and 1 in 1,000:

  • skin injury
  • skin wounds

Very rare side effects which may affect less than 1 person in 10,000 are listed below:

  • open wound
  • severe allergic reaction
  • allergy

How to store Lidocaine plasters

  • store the plasters in the original sachet, and close it tightly after first opening. Once open, the plasters should be used within 14 days do not use after the expiry date on the sachet and carton
  • The expiry date refers to the last day of that month
  • do not use if you notice that the sachet has been damaged. If this happens, the plasters may dry out and become less sticky
  • do not refrigerate or freeze
  • keep out of the reach and sight of children

Follow up arrangements

You will not need to come to the hospital for a review. A follow up plan will be arranged with you prior to trialling the plaster.

On reviewing your response you may be asked a few questions. These will help you to give feedback on how your pain is responding to the Lidocaine plaster.

You may be asked:

  • how you are using the plasters
  • your pain score
  • the level of distress caused by your pain
  • how you are sleeping
  • how you rate what you are able to do
  • your overall impression of how your pain has changed since starting the medicine

After the trial period

If you do benefit, your GP will be contacted asking them to consider continuing the prescription. If you get no benefit. We will discuss with you how best to stop using it. We will write to your GP to keep him or her up to date.

Personal notes

Please use the space below to write down any questions or comments you may have. This may be a useful
reminder for your follow up.

 


 


 


 


 


 


An important note

This leaflet may not answer all your questions, or tell you everything you may need to know

Please get in touch with the Pain Service staff if you have any questions

We will keep your GP up to date by letter

The Pain Clinic Consultant will be kept up to date on your response to this medicine

Useful telephone numbers

Chronic Pain Service (Clinical Nurse Specialist)
tel: 01896 826335

Or please leave a message with the Pain Service secretary on
tel: 01896 826323

Chronic Pain Service
Borders General Hospital
Melrose
TD6 9BS
Telephone: 01896 826323

Editorial Information

Next review date: 28/02/2025

Author(s): Scott C.

Author email(s): clare.scott@borders.scot.nhs.uk.

Approved By: Clinical Governance & Quality

Reviewer name(s): Scott C.