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 |
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Benzocaine
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Benzocaine Containing Brands
Benzocaine is used in following diseases
Drug - Drug Interactions of Benzocaine
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