LOX VISCOUS 2% Oral Solution 100ml

Anaesthesia - Local Rx required
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INTRODUCTION

LOX VISCOUS 2% contains Lignocaine which belongs to the group of medicines called Local Anesthetics. It is used to cause numbness of the oral cavity. It provides pain relief and reduces discomfort in the oral cavity when the mucosal membranes of the mouth or the throat has been inflamed, irritated, or infected.

It also anesthetizes the oral cavity, respiratory tract, and digestive tract prior to the insertion of catheters or certain instruments used during diagnostic procedures (such as bronchoscopy or esophagoscopy). It also helps in preventing gag reflux (vomiting sensation) that occurs during dental procedures (such as X-rays of the oral cavity or dental impressions).

LOX VISCOUS 2% may also help in reducing pain and discomfort that is associated with the problems of upper gastrointestinal tract such as esophagitis (inflammation of the food pipe).

Following the administration of LOX VISCOUS 2%, avoid oral foods or chewing gums for at least 60 minutes or until sensation comes back in your mouth. This is because you may experience trouble in swallowing or accidentally bite your tongue or cheek muscles during this period. Do not drink water or other fluids after applying LOX VISCOUS 2% as it may reduce its anesthetic effects.

Before using LOX VISCOUS 2% inform your doctor if you have any liver, kidney, or heart problems. You must also inform your doctor if you have severe injury or bleeding in the mouth, or throat or epilepsy before using LOX VISCOUS 2%.

LOX VISCOUS 2% should be used in pregnant or breastfeeding women only if it is considered necessary by the physician. The most common side effects of using LOX VISCOUS 2% are irritation or itching at the site of application which is usually mild and disappears once the anesthetic effect begins. However, consult your doctor if it bothers you.

USES OF LOX VISCOUS 2%

It is used to:

  • Cause numbness of mouth, throat, respiratory tract, or digestive tract
  • Relieve pain, discomfort, irritation and inflammation of the mouth, throat (pharynx) or esophagus
  • Prevent gag reflux (vomiting sensation) during dental procedures

HOW LOX VISCOUS 2% WORKS

LOX VISCOUS 2% is a local anesthetic agent. It reduces pain sensation and causes numbness of body parts by blocking the flow of certain ions (sodium ions) through the nerves that causes pain sensation. As a result, it limits the transfer of pain signals from the peripheral part of the body (i.e., face, hands, legs, abdomen, pelvis or where the medicine has been applied) to the brain which ultimately leads to loss of sensation.

DIRECTIONS FOR USE

LOX VISCOUS 2% should be used under proper medical supervision. It is usually administered by the physician after proper dilutions. However, it may also be self-administered by the patients if instructed by the doctor.

LOX VISCOUS 2% is for oral topical use only where patients may be advised to swish or gargle the medicine within the mouth followed by spitting out. However, your doctor may also ask you to swallow the medicine if numbness of throat or respiratory/digestive tract is involved.

Your doctor will decide the correct dose, duration of therapy or frequency of administration for you depending upon your age, body weight, health condition and sites where numbness is required in the body.

SIDE EFFECTS OF LOX VISCOUS 2%

COMMON

  • itching or irritation at the site of application
  • feeling dizzy or drowsy
  • slow heartbeat, low blood pressure

RARE

Consult your doctor immediately if you experience any of the following side effects after using LOX VISCOUS 2%:

  • allergic reactions such as (skin rash, itching, swelling of the face, lips, throat, or tongue causing difficulty in breathing or swallowing)
  • lethargy, difficulty, or inability to breath
  • signs of methemoglobinemia (such as pale, grey, or bluish discoloration of the skin, headache, abnormal or irregular heartbeat, dizziness, and tiredness etc.)
  • dizziness or drowsiness along with numbness of tongue, ringing in the ears, blurred vision, vomiting, very slow heartbeat, feeling faint, nervousness, unusual sweating, trembling or seizures

HOW TO MANAGE SIDE EFFECTS

Dizziness:

Avoid standing or walking while you are feeling dizzy. Try to rest and relax. Get enough sleep. Consult your doctor if you continue to feel dizzy for a prolonged period.

WARNING & PRECAUTIONS

PREGNANCY

LOX VISCOUS 2% should be used in pregnant women only if it is considered necessary by the physician. Therefore, inform your doctor before using LOX VISCOUS 2% if you are pregnant or think you may be pregnant.

BREASTFEEDING

LOX VISCOUS 2% should be used in breastfeeding women only if it is considered necessary by the physician. Therefore, inform your doctor before using LOX VISCOUS 2% if you are breastfeeding.

DRIVING AND USING MACHINES

LOX VISCOUS 2% does not affect your ability to drive or operate any heavy tools or machines when used under prescribed doses.

KIDNEY

LOX VISCOUS 2% should be used with caution in patients with kidney problems. Therefore, inform your doctor before using it.

LIVER

LOX VISCOUS 2% should be used with caution in patients with liver problems. Therefore, inform your doctor before using it.

ALLERGY

Do not use LOX VISCOUS 2% if you are allergic to lignocaine.

HEART DISEASE

LOX VISCOUS 2% should be used with caution in patients with heart diseases (such as abnormal or slow heartbeat, heart block, cardiac arrest etc.). Therefore, inform your doctor before using it.

OTHERS

Before using LOX VISCOUS 2% inform your physician if you:

  • have severe injury or bleeding in the mouth or throat
  • have epilepsy (fits)
  • have severe shock (sudden loss of blood flow in the body)
  • have acute illness or infections (sepsis)
  • have glucose-6-phosphate dehydrogenase deficiency (a genetic disorder that affects red blood cells)
  • have methemoglobinemia (build up toxic proteins in blood)
  • have porphyria (an inherited blood disorder)

Use in pediatrics:

LOX VISCOUS 2% can be used in children and adolescents (aged between 3-18 years). It should be used in children aged below 3 years only if prescribed by the physician. Your doctor will prescribe the suitable dose for your child based on their age, body weight, health condition and capacity for spitting and swallowing. It is generally not used to soothe teething pain in infants. However, consult your doctor for advice.

Use in geriatrics:

LOX VISCOUS 2% should be used with caution in the elderly patients. Your doctor will prescribe the suitable dose for you based on your age, body weight and sites where numbness is required in the body.

INTERACTIONS

A. Drug-Drug interactions:

Before using LOX VISCOUS 2% inform your doctor if you are taking any of the following medicines such as:

  • other local anesthetic agents (such as benzocaine, bupivacaine, mepivacaine, tetracaine, ropivacaine, prilocaine, procaine)
  • nitrates (such as nitric oxide, nitroglycerin, nitroprusside, nitrous oxide) used to treat chest pain
  • medicines used to treat arrythmia (such as quinidine, digoxin, amiodarone, mexiletine)
  • medicines used to treat cancer (such as cyclophosphamide, flutamide, hydroxyurea, ifosfamide, rasburicase)
  • medicines used to treat bacterial infections (such as nitrofurantoin, dapsone, para-aminosalicylic acid, sulfasalazine)
  • chloroquine, primaquine (used to treat malarial infection)
  • medicines used to treat epilepsy (such as phenobarbital, phenytoin, sodium valproate)
  • paracetamol (used to relieve pain and swelling)
  • metoclopramide (used to treat nausea and vomiting)
  • propranolol (used to treat high blood pressure)
  • cimetidine (used to treat stomach ulcers)
  • fluvoxamine (used to treat depression)

B. Drug-Food interaction:

Avoid eating foods or drinking water after applying LOX VISCOUS 2% as it may reduce its anesthetic effects.

Overdosage:

If you accidentally ingested more LOX VISCOUS 2%, contact your doctor immediately or visit a nearby hospital immediately. Symptoms of overdosage might include prolonged numbness around the mouth or lips, dizziness, blurred vision, fits, or sleepiness.

SYNOPSIS

Drug :  

Lignocaine

Pharmacological Category :  

Voltage Gated Sodium Channel Blockers

Therapeutic Indication :  

Local anesthesia

Dosage Forms :  

Injection, Gel, Cream, Ointment, Jelly, Topical Solution, Spray, Oral solution, Plaster

MORE INFORMATION

  • Keep LOX VISCOUS 2% out of reach of children
  • Store LOX VISCOUS 2% at room temperature

FAQs ABOUT LOX VISCOUS 2%

How long will it take for LOX VISCOUS 2% to induce numbness?

It may take around 5 minutes for LOX VISCOUS 2% to create numbness. However, this period may vary from person-to-person based on the dose and amount of LOX VISCOUS 2% that is administered to you.

How long does the effects of LOX VISCOUS 2% lasts long in the body?

The effects of LOX VISCOUS 2% may last for about 20-30 minutes after application. However, the recovery period may vary from person-to-person based on the dose and amount of the LOX VISCOUS 2% applied.

What is the use of LOX VISCOUS 2%?

LOX VISCOUS 2% is used to cause numbness of the oral cavity, respiratory tract, and digestive tract which may be helpful in reducing pain, inflammation, or discomfort of the mouth, throat, or esophagus, reduce gagging during dental procedures, and to cause loss of sensation to the patients prior to the insertion of catheter or instruments meant for diagnostic procedures (such as bronchoscopy or esophagoscopy).

How to use LOX VISCOUS 2%?

LOX VISCOUS 2% should be used under proper medical supervision. It is usually administered by the physician after proper dilutions. However, it may also be self-administered by the patients if instructed by the doctor. LOX VISCOUS 2% is for oral topical use or can be swallowed if necessary. Strictly follow the instructions mentioned by the doctor in case of self-administration.

Can LOX VISCOUS 2% be used in children?

Yes. LOX VISCOUS 2% can be used in children and adolescents (aged between 3-18 years). It should be used in children aged below 3 years only if prescribed by the physician.

Can LOX VISCOUS 2% be swallowed?

Yes, Your doctor may also ask you to swallow the medicine if numbness of throat or respiratory/digestive tract is involved.

Can you drink water for consuming LOX VISCOUS 2%?

Avoid eating foods or drinking water or other fluids after applying LOX VISCOUS 2% as it may reduce its anesthetic effects.

How often can we use LOX VISCOUS 2%?

LOX VISCOUS 2% should be used as instructed by the doctor. Your doctor will decide the duration of therapy for you depending upon your age, body weight, health condition and sites where numbness is required in the body.

Can LOX VISCOUS 2% be used in infants?

LOX VISCOUS 2% should be used in children aged below 3 years only if prescribed by the physician. Therefore, consult your doctor for advice before use.

Will LOX VISCOUS 2% cause sleepiness?

LOX VISCOUS 2% may cause sleepiness when used more than the recommended dosage. It may also happen if you apply this medicine more frequently within a shorter duration. In such cases, consult your doctor for advice.

Can I have food after using LOX VISCOUS 2%?

Avoid consuming food while your mouth and throat are numb or for at least 60 minutes after using LOX VISCOUS 2% as you may experience trouble in swallowing during this period. This may also involve the risk of biting your cheeks or tongue.

Can LOX VISCOUS 2% be used to reduce gagging?

LOX VISCOUS 2% is used to manage gagging sensation during dental procedures.

REFERENCES

1. KD. Tripathi. Drugs acting on peripheral (somatic) nervous system. Essentials of medical pharmacology. 8th Edition. 2019. Page – 392.

2. Sandy M Hopper, Franz E Babl, Michelle McCarthy, Chasari Tancharoen, Katherine J Lee and Ed Oakley. A double blind, randomised placebo-controlled trial of topical 2% viscous lidocaine in improving oral intake in children with painful infectious mouth conditions. BMC Paediatrics. November 2011. [Accessed on 10th September 2022] https://bmcpediatr.biomedcentral.com/articles/10.1186/1471-2431-11-106

3. Akron. Lidocaine Hydrochloride Oral Topical Solution, USP (Viscous) 2%. Dailymed.com. [Revised in July 2022]. [Accessed on 10th September 2022] https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=ff6b27bc-2ed7-4292-b8c8-da910bf68167&type=display

4. Lannett Company., Inc. Lidocaine Hydrochloride Oral Topical Solution, USP 4%. Dailymed.com. [Revised in November 2019]. [Accessed on 10th September 2022] https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=c3353e08-2a8c-4ace-ba89-114f7131b8de&type=display

5. Pharmascience Inc. PRESCRIBING INFORMATION. pms-LIDOCAINE VISCOUS 2% Lidocaine Hydrochloride Oral Topical Solution, USP. [Revised in April 2016]. [Accessed on 10th September 2022] https://pdf.hres.ca/dpd_pm/00034373.PDF

PRODUCT DETAILS

    Hsn Code
    30039034
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