# Lidocaine

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DRUG INFORMATION

  ADULT
    - For intravenous regional anesthesia, only the 50 mL single-dose vial containing
      0.5% Lidocaine Hydrochloride Injection, USP should be used.
      Source: US FDA label for lidocaine (Accucaine), section 'dosage and
      administration', retrieved 2026-08-29
    - Epidural Anesthesia For epidural anesthesia, only the following available specific
      products of Lidocaine Hydrochloride Injection by Hospira are recommended: 1%. . .
      . . . . . . . . . . . . . . . . . 30 mL single-dose teartop vials 1.5%. . . . . .
      . . . . . . . . . . . . . . . . . 20 mL single-dose ampuls 2%. . . . . . . . . . .
      . . . . . . . . . . . . . .
      Source: US FDA label for lidocaine (Accucaine), section 'dosage and
      administration', retrieved 2026-08-29
    - Caudal and Lumbar Epidural Block: As a precaution against the adverse experiences
      sometimes observed following unintentional penetration of the subarachnoid space,
      a test dose such as 2−3 mL of 1.5% lidocaine hydrochloride should be administered
      at least 5 minutes prior to injecting the total volume required for a lumbar or
      caudal epidural block.
      Source: US FDA label for lidocaine (Accucaine), section 'dosage and
      administration', retrieved 2026-08-29

  CHILD
    - Dosages in pediatric patients should be reduced, commensurate with age, body
      weight and physical condition. See DOSAGE AND ADMINISTRATION .
      Source: US FDA label for lidocaine (Accucaine), section 'pediatric use', retrieved
      2026-08-29
    - Table 1 (Recommended Dosages) summarizes the recommended volumes and
      concentrations of Lidocaine Hydrochloride Injection, USP for various types of
      anesthetic procedures. The dosages suggested in this table are for normal healthy
      adults and refer to the use of epinephrine-free solutions. When larger volumes are
      required only solutions containing epinephrine should be used, except in those
      cases where vasopressor drugs may be contraindicated.
      Source: This line points to a numbered table that this card does not show - read
      that table in the label before you dose. US FDA label for lidocaine (Accucaine),
      section 'dosage and administration', retrieved 2026-08-29
    - Adults: For normal healthy adults, the individual maximum recommended dose of
      lidocaine HCl with epinephrine should not exceed 7 mg/kg (3.5 mg/lb) of body
      weight and in general it is recommended that the maximum total dose not exceed 500
      mg.
      Source: US FDA label for lidocaine (Accucaine), section 'dosage and
      administration', retrieved 2026-08-29

  RENAL IMPAIRMENT
    - No kidney-impairment dose in this label. Not a statement that none is needed.
      Source: Read and found silent: the US FDA label for lidocaine (Accucaine),
      retrieved 2026-08-29

  HEPATIC IMPAIRMENT
    - Dosages should be reduced for children and for elderly and debilitated patients
      and patients with cardiac and/or liver disease.
      Source: US FDA label for lidocaine (Accucaine), section 'dosage and
      administration', retrieved 2026-08-29

  PREGNANCY
    - Reproduction studies have been performed in rats at doses up to 6.6 times the
      human dose and have revealed no evidence of harm to the fetus caused by lidocaine.
      Source: US FDA label for lidocaine (Accucaine), section 'pregnancy', retrieved
      2026-08-29
    - There are, however, no adequate and well-controlled studies in pregnant women.
      Source: US FDA label for lidocaine (Accucaine), section 'pregnancy', retrieved
      2026-08-29
    - Animal reproduction studies are not always predictive of human response.
      Source: US FDA label for lidocaine (Accucaine), section 'pregnancy', retrieved
      2026-08-29

  BREASTFEEDING   [ CAUTION ]
    The label allows it only when the benefit is judged to outweigh the risk. Read the
      quote below.
    - It is not known whether this drug is excreted in human milk.
      Source: US FDA label for lidocaine (Accucaine), section 'nursing mothers',
      retrieved 2026-08-29
    - Because many drugs are excreted in human milk, caution should be exercised when
      lidocaine is administered to a nursing woman.
      Source: US FDA label for lidocaine (Accucaine), section 'nursing mothers',
      retrieved 2026-08-29
```

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