Elin Lidocaine Hydrochloride Special Precautions

Resuscitative equipment and drugs, including oxygen; should be immediately available when any local anesthetic is used.
The safe use of Lidocaine in humans has not been established with respect to possible adverse effects upon fetal development. Careful consideration should be given to this fact before administering this drug to women of childbearing potential, particularly during early pregnancy.
Local anesthetic procedures should be used with caution when there is inflammation and/or sepsis in the proposed injection.
Lidocaine Hydrochloride should also be used with caution in patients with severe shock, heart shock, or other conduction disturbances.
The lowest dose that results in effective anesthesia should be used to avoid high plasma levels and serious adverse effects. Debilitated, elderly patients, acutely ill patients and children should be given reduced doses commensurate with their age and physical status.
In using this drug for infiltration or regional nerve block anesthesia, injection should always be made slowly and with frequent aspirations. Drowsiness following an injection of Lidocaine Hydrochloride is usually an early indication of high blood level of the drug and may occur following inadvertent intravascular administration or rapid absorption of Lidocaine.
Local anesthetics react with certain metals and cause release of their respective ions, which, if injected, may cause severe local irritation. Adequate precautions should be taken to avoid this type of interaction (see Re-sterilization under Cautions for Usage).
This drug is not intended for spinal or epidural anesthesia.