Benzocaine

Indications
Mouth/Throat
Sore throat
Adult: Up to 10 mg lozenge may be dissolved slowly in the mouth and repeated every 2 hr as necessary.
Child: Not recommended for child under 3 yr old.
Elderly: May require lower doses.
Mouth/Throat
Surface anaesthesia of mouth and throat
Adult: As gel, paste, spray or solution up to 20%: Apply to affected area up to 4 times daily.
Elderly: May require lower doses.
Topical/Cutaneous
Topical analgesia and anaesthesia
Adult: As gel, paste, cream, lotion, spray, solution or suppository up to 20%: Apply to affected area as directed.
Elderly: May require lower doses.

Special Populations: Elderly: May require lower concentrations and/or lower dosages of mucosal-local anaesthetics, esp for endoscopic procedures.
Contraindications
Hypersensitivity. Complete heart block. Low plasma-cholinesterase concentrations. Pyrogenic infection at or near the skin. Inj into or application to inflamed, infected tissues, to damaged skin mucosa or on perforated tympanic membrane.
Warnings / Precautions
Elderly, debilitated, child. Epilepsy, impaired cardiac conduction or resp function, shock or hepatic impairment. Myasthenia gravis. Avoid: Contact with middle ear; prolonged use or application on extensive areas of the skin. Avoid eating or drinking for at least 3-4 hr after the anaesthetic; rubbing or touching the eye while anaesthesia persists. The anaesthetised eye should be protected from dust and bacterial contamination. Chemical burns must be neutralised before treatment with benzocaine. Pregnancy.
Adverse Reactions
Hypersensitivity reactions; vertigo; nystagmus; sensitization. CNS excitation; tinnitus; blurred vision; nausea and vomiting; muscle twitching and tremors; convulsions. Numbness of tongue and perioral region; drowsiness. CVS effects; angioedema; contact dermatitis; burning and stinging effects.
Drug Interactions
Antagonism with sulfonamides; aminosalicylic acid; anticholinesterases; suxamethonium; antiarrhythmics; MAOIs; TCAs.
See Below for More benzocaine Drug Interactions
Lab Interactions
Cytoscopic procedures following pyelography. Pancreatic function determination using bentiromide.
Mechanism of Actions
Benzocaine is a local anaesthetic which acts by preventing the generation and transmission of impulses along nerve fibers and at nerve endings. Depolarisation and ion-exchange are inhibited. In general, loss of pain occurs before loss of sensory, autonomic and motor functions.
Onset: 1 min.
Duration: 15-20 min.
ATC Classification
C05AD03 - benzocaine ; Belongs to the class of local anesthetics. Used in the topical treatment of hemorrhoids and anal fissures.
D04AB04 - benzocaine ; Belongs to the class of topical anesthetics used in the treatment of pruritus.
N01BA05 - benzocaine ; Belongs to the class of esters of aminobenzoic acid. Used as local anesthetics.
R02AD01 - benzocaine ; Belongs to the class of local anesthetics used in throat preparations.
Available As
  • Benzocaine 0.5% w/v
  • Benzocaine 1%
  • Benzocaine 1% w/v
  • Benzocaine 1.25%
  • Benzocaine 10 mg
  • Benzocaine 15% w/v
  • Benzocaine 2%
  • Benzocaine 2% w/v
  • Benzocaine 2% w/w
  • Benzocaine 2.5%
  • Benzocaine 2.5% w/v
  • Benzocaine 2.7%
  • Benzocaine 2.7% w/v
  • Benzocaine 2.70% w/v
  • Benzocaine 20% w/w
  • Benzocaine 28.35 mg
  • Benzocaine 3%
  • Benzocaine 5 mg
  • Benzocaine 7.50% w/w
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