When you must not use it
If you are pregnant or breastfeeding do not use Xylocaine unless your doctor says so. Ask your doctor about the risks and benefits of using this medicine while you are pregnant or breastfeeding.
Xylocaine has been widely used during pregnancy and there have been no reports of any ill effects on the baby. It can be used during childbirth.
Your baby can take in very small amounts of Xylocaine from breast milk if you are breastfeeding, but it is unlikely that the amount available to the baby will do any harm.
Xylocaine will only be used if the solution is clear, the package is undamaged and the use by (expiry) date marked on the pack has not been passed.
Before you are given it
You must tell your doctor if:
- you have any allergies to
- any ingredients listed at the end of this leaflet
- other local anaesthetics eg. bupivacaine
- other substances
If you have an allergic reaction, you may get a skin rash, hay fever or an asthma attack.
- you have any of these medical conditions
- problems with your blood pressure or circulation
- blood poisoning
- problems with the clotting of your blood
- nerve problems, e.g. epilepsy
- heart, liver or kidney problems
- thyroid problems
- malignant hyperthermia
- skin infections
It may not be safe for you to take Xylocaine if you have any of these conditions.
Taking other medicines
Tell your doctor if you are taking any other medicines, including
- ones to control your heart beat
- ones for blood pressure (anti-hypertensives)
- ones for epilepsy or fits
- ones for depression
- any medicines that you buy at the chemist, supermarket or health food shop.
These medicines may affect the way Xylocaine works.
Your doctor or pharmacist can tell you what to do if you are taking any of these medicines.
If you have not told your doctor about any of these things, tell them before you are given any Xylocaine.
Xylocaine will be injected by your doctor into the skin, near a single nerve, or into an area which contains a large number of nerves.
This will result in an area of numbness at the site of injection, near the site of injection or in an area that may seem unrelated to the site of injection. The last will be the case if you are given an EPIDURAL injection (an injection around the spinal cord).
Xylocaine should not be injected directly into the blood.
The dosage you will be given will depend on your body size, age and the type of pain relief required. Your doctor will have had a lot of experience injecting Xylocaine or other local anaesthetics and will choose the best dose for you. They will be willing to discuss this decision with you.
The doctor giving you Xylocaine will be experienced in the use of local anaesthetics, so it is unlikely that you will be given an overdose.
However, if you are particularly sensitive to Xylocaine, or the dose is accidentally injected directly into your blood, you may develop problems for a short time with your sight or hearing. You may get a numb feeling in or around the mouth, feel dizzy or stiff, or have twitchy muscles.
Whenever you are given Xylocaine, equipment will be available to care for you if an overdose happens.
Things to be careful of
Be careful driving or operating machinery after you have been given Xylocaine.
You may be drowsy and your reflexes may be slow.
Do not drink alcohol while you are being given Xylocaine.
If you drink alcohol while you are being given Xylocaine your blood pressure may drop making you feel dizzy and faint.
Please talk to your doctor or pharmacist about these possibilities if you think they may bother you.
Xylocaine will be stored by your doctor or pharmacist under the recommended conditions.
2mL and 5mL Polyamp presentations, Xylocaine with adrenaline in glass ampoules and single dose vials should be kept in a cool dry place where the temperature stays below 25°C.
20mL Polyamp presentations, Xylocaine in glass ampoules should be kept in a cool dry place where the temperature stays below 30°C.