dibucaine topical ointment (OTC)

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Brand and Other Names:Nupercainal

Dosing & Uses

AdultPediatric

Dosage Forms & Strengths

ointment

  • 10%
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Topical Pain

Apply topically to affected area up to 3-4 times/day; do not exceed 30 g/day

Dosing Considerations

Prolonged use not recommended

Administration

Wash hands before and after administration

May cover with light dressing if necessary

Do not apply to open wounds, burns, broken or inflamed skin; do not apply in nose, mouth or eyes

Other Indications & Uses

Hemorrhoids, sunburn, cuts, abrasions, insect bites, skin irritation

Dosage Forms & Strengths

ointment

  • 10%
more...

Topical Pain

<2 years (or <15 kg): Safety and efficacy not established

>2 years (and >15 kg): Apply topically to affected area up to 3-4 times/day; do not exceed 7.5 g/day

Dosing Considerations

Prolonged use not recommended

Administration

Wash hands before and after administration

May cover with light dressing if necessary

Do not apply to open wounds, burns, broken or inflamed skin; do not apply in nose, mouth or eyes

Patient should be monitored closely after administration to ensure that medication does not get in eyes or mouth

Other Indications & Uses

Hemorrhoids, sunburn, cuts, abrasions, insect bites, skin irritation

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Adverse Effects

Frequency Not Defined

Contact dermatitis

Photosensitivity

Flushing

Eye/skin irritation

N/V

Diarrhea

Chest pain

Palpitations

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Warnings

Contraindications

Hypersensitivity

Cautions

External use only

Avoid eyes, nose or mouth

Photosensitizing agent; avoid direct sunlight

Consult physician if condition worsens or does not improved

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Pregnancy & Lactation

Pregnancy category: C

Lactation: Unknown

Pregnant or breastfeeding patients should seek advice of health professional before using OTC drugs

Pregnancy Categories

A:Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.

B:May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.

C:Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.

D:Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.

X:Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.

NA:Information not available.

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Pharmacology

Mechanism of Action

Amide-type local anesthetics stabilize neuronal membranes and prevent generation/conduction of nerve impulses by reducing sodium permeability and increasing action potential threshold

Absorption

Poorly absorbed through intact skin

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Images

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