Lidocaine 2% Injection: Complete Medicine Guide
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026
When to Call Your Doctor IMMEDIATELY
- Difficulty breathing or swelling of the face, lips, or throat
- Seizures or convulsions
- Irregular or very slow heartbeat
- Severe dizziness or fainting
- Bluish discoloration of lips or skin
- Chest pain or palpitations
- Confusion or unusual drowsiness
If experiencing severe symptoms, call emergency services immediately.
What is biocaine 2% injection used for?
This medicine is a local anesthetic containing lidocaine 2% that is used to numb a specific area before minor surgical, dental, or diagnostic procedures. It works by blocking nerve signals and is given by a healthcare professional.
- Generic Name: Lidocaine
- Manufacturer: Biochem Pharmaceutical Industries
- Form: Allopathy
- Pregnancy Category: Consult doctor
- Prescription Required: Yes
🇮🇳 biocaine 2% injection के बारे में (Hindi Summary)
उपयोग: यह दवा लिडोकेन 2% इंजेक्शन के रूप में एक स्थानीय एनेस्थेटिक है, जिसका उपयोग छोटी सर्जरी, दांतों के इलाज, और कुछ जांच प्रक्रियाओं से पहले शरीर के किसी हिस्से को सुन्न करने के लिए किया जाता है। यह दवा नसों में सोडियम चैनल को ब्लॉक करके दर्द का संकेत दिमाग तक पहुंचने से रोकती है, जिससे उस हिस्से में दर्द महसूस नहीं होता। यह दवा केवल डॉक्टर या प्रशिक्षित स्वास्थ्यकर्मी द्वारा ही दी जानी चाहिए। इसे घर पर खुद से न लगाएं। अगर आपको लिडोकेन या इसी तरह की दवाओं से एलर्जी है, तो डॉक्टर को पहले बताएं।
साइड इफेक्ट्स: इस दवा के आम दुष्प्रभावों में लगाने या इंजेक्शन वाली जगह पर हल्की जलन, चुभन, लालिमा या सूजन शामिल हैं। कुछ लोगों को चक्कर आना, नींद आना, धुंधला दिखना, जी मिचलाना या मुंह में धातु जैसा स्वाद महसूस हो सकता है। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन इनमें तेज एलर्जी, सांस लेने में कठिनाई, दौरे, अनियमित दिल की धड़कन या दिल का दौरा शामिल हो सकते हैं। अगर ऐसा कुछ हो, तो तुरंत डॉक्टर से संपर्क करें।
सुरक्षा सलाह: यह दवा केवल योग्य डॉक्टर या स्वास्थ्यकर्मी की देखरेख में ही दी जानी चाहिए। इसे घर पर खुद से न लगाएं। अपने डॉक्टर को अपनी सभी दवाओं के बारे में बताएं, खासकर दिल, दौरे या अन्य एनेस्थेटिक दवाओं के बारे में। आंखों के संपर्क में न आने दें। अगर आप गर्भवती हैं, गर्भधारण की योजना बना रही हैं या स्तनपान करा रही हैं, तो डॉक्टर को बताएं। जब तक पता न चले कि यह दवा आप पर कैसा असर करती है, तब तक वाहन न चलाएं। बच्चों की पहुंच से दूर रखें।
💊 biocaine 2% injection Uses & Benefits
[{"condition":"Local anesthesia for minor surgical procedures","description":"This medicine is used to numb a specific area of the body before procedures such as suturing, incision and drainage, or removal of small skin lesions.","evidence":"Well-established"},{"condition":"Surface anesthesia of mucous membranes","description":"It can be applied to the mouth, throat, or respiratory tract to reduce pain or discomfort during examinations or minor interventions.","evidence":"Well-established"},{"condition":"Dental procedures","description":"It is used to provide local anesthesia for dental work such as fillings, extractions, and other painful dental interventions.","evidence":"Well-established"},{"condition":"Diagnostic procedures","description":"It may be used to numb areas before certain diagnostic tests that require insertion of instruments or needles.","evidence":"Well-established"}]
Off-label uses: [{"condition":"Management of certain types of neuropathic pain","description":"In some cases, lidocaine may be used off-label for pain associated with nerve damage, but this must be decided by a specialist.","evidence":"Limited"},{"condition":"Treatment of certain arrhythmias","description":"Intravenous lidocaine has been used off-label for specific heart rhythm disturbances, but this is not a standard use for the topical or local injection form.","evidence":"Limited"}]
Primary treatment for: Local anesthesia for surgical and dental procedures.
Also treats: Surface anesthesia for mucous membranes, Diagnostic procedures requiring numbing
📋 Drug Information
| Generic Name(s) | Lidocaine |
| Brand Name | Anas Dee Gel |
| Manufacturer | Biochem Pharmaceutical Industries |
| Packaging / Form | Varies by brand (Allopathy) |
| Therapeutic Class | PAIN ANALGESICS |
| Action Class | Local anaesthetic (Amides) |
| Route of Administration | Topical |
| Storage | Store at room temperature between 15°C and 30°C. Protect from light and moisture. Do not freeze. Keep in the original container. |
| Shelf Life | The shelf life is typically 24 to 36 months from the date of manufacture, but refer to the expiry date on the pack. |
| WHO Guideline | Not established from the available information. |
| ICMR Guideline | Not established from the available information. |
👨⚕️ Doctor's Practical Tips
Evidence-based practical advice from experienced clinicians
🔍 Is This Medicine Right for Your Symptom?
Educational reference. Always consult a doctor for diagnosis.
🔬 How This Medicine Works (Pharmacology)
Pharmacokinetics
How It Works
This medicine works by blocking sodium channels in the membranes of nerve cells. When sodium channels are blocked, the nerve cell cannot generate or conduct an electrical impulse, which leads to a reversible loss of sensation in the area where the medicine is applied or injected. This effect is localized and temporary, and it allows painful procedures to be performed without causing distress to the patient.
Mechanism Steps
💡 How to Take biocaine 2% injection
Strength: Injection solution, 2% (20 mg/mL).
Dosage Information
| Adult Dosage | The dose of this medicine depends on the procedure, the area to be anesthetized, and the patient's overall health. For local infiltration, a common concentration is 2%, but the maximum safe dose must be calculated by the clinician based on body weight and other factors. The usual maximum dose for a healthy adult is up to 4.5 mg per kg of body weight, but this may be lower if other medicines or health conditions are present. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Pediatric Dosage | Pediatric dosing is not established from available information. Consult a pediatrician. |
| Elderly Dosage | Elderly patients may be more sensitive to the effects of this medicine and may require lower doses. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Renal Impairment | Patients with severe kidney disease may need dose adjustment because metabolites can accumulate. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Hepatic Impairment | Patients with liver disease may need lower doses because this medicine is metabolized in the liver. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function. |
| Maximum Daily Dose | The maximum daily dose should not exceed 4.5 mg per kg of body weight for adults, and it should be determined by a qualified clinician. Do not exceed the prescribed dose. |
Dosage Timeline
🍽️ Food Timing Guide
⏰ What to Do If You Miss a Dose
⚠️ Side Effects of biocaine 2% injection
✅ Common Side Effects
🚨 Serious Side Effects
⚠️ Rare Side Effects
Consult your doctor if you experience any unusual symptoms.
🔬 Drug Interactions
| Drug | Severity | Effect |
|---|---|---|
| Other amide local anesthetics | Major | |
| Amiodarone | Major | |
| Cimetidine | Major | |
| Propranolol | Moderate | |
| Ketoconazole | Moderate | |
| Opioids | Minor | |
| Sedatives | Minor |
🚨 Major Interactions
- Other local anesthetics (amide type)
- Antiarrhythmic drugs (e.g., amiodarone, mexiletine)
- Cimetidine
⚡ Moderate Interactions
- Beta-blockers (e.g., propranolol)
- CYP3A4 inhibitors (e.g., ketoconazole, ritonavir)
🍷 Alcohol Interaction
Alcohol may increase the sedative effects of this medicine and should be avoided while it is being used, especially if you feel drowsy or dizzy.
🔎 Check Your Other Medicines
Educational tool. Always confirm with your doctor or pharmacist.
🛡️ Safety & Warnings
🚫 Contraindications
["Known allergy to lidocaine or other amide local anesthetics","Severe heart block or severe heart failure","Severe liver disease","Use in areas with poor blood supply or infection","Hypovolemia or shock"]
⚠️ Warnings & Precautions
["This medicine should only be used by trained healthcare professionals.","Do not use on large areas of skin or mucous membranes without medical supervision.","Avoid contact with the eyes.","Use with caution in elderly patients and those with heart, liver, or kidney disease.","Do not use if the solution is discolored or contains particles.","Keep out of reach of children.","Inform your doctor if you are pregnant, planning pregnancy, or breastfeeding."]
🤱 Lactation Safety
Lidocaine passes into breast milk in small amounts. It is generally considered safe for breastfeeding mothers when used in standard doses for local anesthesia. However, breastfeeding should be avoided for a short period after a large dose or if the mother feels drowsy. Consult your doctor for specific advice.
💊 Overdose Management
Overdose with this medicine can cause severe central nervous system and cardiac toxicity. Symptoms include dizziness, confusion, seizures, slow heartbeat, low blood pressure, and cardiac arrest. If overdose is suspected, seek emergency medical care immediately. Treatment is supportive and may include oxygen, intravenous fluids, and medications to control seizures and heart rhythm. There is no specific antidote, but lipid emulsion therapy may be used in severe cases.
⏰ Missed Dose
This medicine is usually given as a single dose before a procedure, so a missed dose schedule is not applicable. If you are using it at home as part of a prescribed regimen and miss a dose, contact your doctor for advice. Do not double the dose to make up for a missed one.
Additional Safety Advice
This medicine must only be used under the supervision of a qualified healthcare professional. Do not apply or inject it at home unless specifically instructed and trained to do so. Inform your doctor about all medicines you take, especially those for heart rhythm problems, seizures, or other local anesthetics. Avoid contact with the eyes, and do not use it on broken skin or infected areas unless directed. If you are pregnant, planning pregnancy, or breastfeeding, tell your doctor before receiving this medicine. Do not drive or operate machinery until you know how this medicine affects you. Keep this medicine out of the reach of children, and store it exactly as directed on the label.
👴 Special Considerations for Elderly
💡 For Patients Above 65
Elderly patients may be more sensitive to the effects of this medicine and may require lower doses. They should be monitored closely for signs of toxicity.
🤰 Pregnancy Planning (TTC)
If you are planning pregnancy, inform your doctor before receiving this medicine. It is generally considered safe when used appropriately, but the decision should be made with your healthcare provider.
🏥 Post-Surgery Considerations
After surgery, follow your surgeon's instructions for care of the numbed area. Avoid touching or scratching until sensation returns. Report any unusual pain, swelling, or numbness to your doctor.
🦷 Dental Procedures
This medicine is commonly used in dental procedures to numb the mouth and gums. Inform your dentist about any allergies or heart conditions before the procedure.
💚 Lifestyle Tips for Better Results
🏋️ Exercise Considerations
Avoid strenuous exercise or activities that could injure the numb area until full sensation returns. Consult your doctor before resuming intense physical activity after a procedure.
🥗 Diet Recommendations
💼 Impact on Daily Work & Life
This medicine may cause drowsiness or dizziness in some people. Do not drive or operate heavy machinery until you know how it affects you. Most people can resume normal activities shortly after the numbness wears off.
🛑 When to Stop This Medicine
This medicine is usually given as a single dose, so there is no need to stop it. If you are using it as part of a prescribed regimen, do not stop without consulting your doctor.
📅 Long-Term Use Effects
Long-term effects of this medicine are not well established because it is typically used for short-term local anesthesia. Repeated or prolonged use may increase the risk of systemic toxicity, especially in patients with liver or heart disease. Monitoring may be required if used repeatedly.
🌿 Non-Medicine Approaches
These can complement medicine but do not replace prescribed treatment.
Medicines like bupivacaine or mepivacaine may be used as alternatives depending on the procedure.
Evidence: Well-establishedTechniques such as relaxation or distraction may help reduce anxiety during procedures.
Evidence: Limited💉 Vaccination Considerations
💉 If You're Getting Vaccinated
There are no known interactions between this medicine and vaccines. However, inform your doctor if you are scheduled for vaccination around the time of your procedure.
📦 Storage Guide
✅ DO
Store at room temperature (15-30°C)
❌ DON'T
Do not refrigerate or freeze
✅ DO
Keep in original container
❌ DON'T
Do not transfer to unmarked containers
✅ DO
Keep away from direct sunlight
❌ DON'T
Do not store in bathroom cabinet
✈️ Traveling with This Medicine
When traveling with this medicine, carry it in its original packaging along with a copy of your prescription. Store it at room temperature and protect it from extreme heat or cold. If you are flying, keep it in your carry-on luggage if possible, and be prepared to show documentation at security or customs. For long trips, check the expiry date and ensure you have enough for your needs. If you require this medicine for a medical procedure during travel, arrange it in advance with a healthcare provider.
💰 Cost Analysis & Savings
👥 Real Patient Stories
Educational, anonymized scenarios. Individual results may vary.
💬 Questions Patients Often Ask
A: This medicine starts working within a few minutes after injection or application.
A: The numbness usually lasts about 1 to 3 hours, depending on the dose and site.
A: It is generally considered safe when used appropriately, but you should inform your doctor if you are pregnant.
A: No, this medicine should only be used by a healthcare professional.
🤔 Common Patient Concerns
🔄 Substitutes for biocaine 2% injection
View AllAlternative brands with exact same active ingredient:
-
resocaine 2% injectionInd Swift Laboratories Ltd ₹4.86 64.7% CHEAPER
-
lox 2% jellyNeon Laboratories Ltd ₹10.78 21.6% CHEAPER
-
lignocad gelZydus Cadila ₹12.08 12.1% CHEAPER
-
lignopar 2% injectionBiomedica International ₹13.80 0.4% COSTLIER
-
wocaine 2% injectionWockhardt Ltd ₹17.58 27.9% COSTLIER
Medical Note: Always consult your doctor before switching medications.
🛑 Myths vs. Facts
- Myth: This medicine can be used for any type of pain.
Fact: This medicine is a local anesthetic and is only effective for numbing a specific area. It is not a general pain reliever. - Myth: It is safe to use this medicine without medical supervision.
Fact: This medicine should only be used by trained healthcare professionals because of the risk of serious side effects.
🔄 Alternative Options
Generic Alternatives
- Lidocaine 2% injection
Brand Alternatives
- Xylocaine 2% injection
- Lox 2% injection
- Lidocaine 2% injection