POM-P Switches - Lidocaine

Question 1

What are the main features of oral lidocaine products? (3)

Answer 1

Reclassified from GSL to P.
Pack size restricted to 10g.
Lidocaine-containing products authorised in adults or other indications (e.g. mouth ulcers) will clearly be labelled with ‘Not suitable for treatment of teething in children.’

Question 2

What does NICE guidelines state about treating teething? (2)

Answer 2

Counsel on oral lidocaine application.
Paracetamol/Ibuprofen suspension can be a considered if appropriate.

Question 3

What advice is given regarding the application of oral lidocaine products? (1)

Answer 3

Gently rubbing of the gum with a clean finger and allowing the child to bite on a clean and cool object.

Question 4

What is the maximum dose of oral lidocaine use? (2)

Answer 4

Apply a pea sized amount of gel to a clean fingertip and spread gently onto the sore area of the gum. If necessary, repeat dose after 3 hours.
Max 6 times in 24 hrs period.
Check licensing - certain brands > 5 months.