LMX4 Lidocaine 4% w/w Cream 30g numbs the skin fast. It helps with pain during medical and cosmetic work. People use it for blood tests, tattoos, and small procedures. It suits adults and kids over one month old. This cream works best when left on for 30 to 60 minutes. Many trust LMX4 for safe and fast relief.

Key Features:

• Pain Relief: Numbs the skin fast for less pain during procedures.
• Quick Effect: Works in 30 minutes for easy pain control.
• Many Uses: Helps with blood tests, tattoos, and skin work.
• Simple to Apply: Use a thick layer and cover for best results.

How does LMX4 Lidocaine 4% w/w Cream work?

LMX4 Lidocaine 4% w/w Cream blocks pain signals in the skin. It calms nerve endings to stop pain during minor procedures.

What procedures can LMX4 be used for?

LMX4 helps with blood tests, tattoos, and skin treatments. It also aids in laser hair removal and other cosmetic work.

How long should LMX4 be applied before a procedure?

Apply LMX4 at least 30 minutes before the procedure. Leave it on for up to 60 minutes for better results.

Can LMX4 be used on children?

Yes, LMX4 suits kids over one month old. Always ask a doctor before use.

Patient Information Leaflet

Active ingredient:

Lidocaine 40mg per gram.

Other ingredients:

Benzyl alcohol, carbomers, cholesterol, phospholipon 80H (hydrogenated soy lecithin), polysorbate 80, propylene glycol, trolamine, vitamin E acetate, purified water.

Patient Information Leaflet

For pain relief when inserting a needle:

1g of cream ≈ 5cm squeezed from the 5g tube or 3.5cm from the 30g tube.

• Adults and children over 1 year:
  • Apply 1g to 2.5g over a 2.5cm x 2.5cm area.
  • Do not leave on for more than 5 hours.
• Infants (3 months – 1 year):
  • Apply no more than 1g.
  • Do not leave on for more than 4 hours.
• Infants (1 – 3 months):
  • Apply no more than 1g.
  • Do not leave on for more than 1 hour.
• Do not use on infants under 1 month old.

Instructions:

1. Apply at least 30 minutes before the procedure.
2. Spread a uniform layer over the area.
3. If advised, cover with a dressing to prevent rubbing.
4. Before the procedure, remove the cream with a gauze swab.

For numbing larger areas (adults only):

• Apply 1.5g to 2g per 10cm².
• Maximum total area: 900cm² (e.g., back or thigh).
• Do not exceed the recommended dose.
• Apply 30 to 60 minutes before the procedure.
• Do not use on children under 18 for large areas.
• Wait at least 12 hours before reapplying.

If you use more LMX4 than you should:

• Overdose is unlikely but may cause blurred vision, dizziness, drowsiness, difficulty breathing, trembling, chest pain, or irregular heartbeat.
• Contact a doctor immediately if you experience any of these symptoms.

Patient Information Leaflet

Do not use LMX4 if:

• You are allergic to lidocaine or any of the other ingredients.
• You are allergic to similar local anaesthetics.
• The patient is an infant below one month old.

Warnings and precautions:

Talk to your doctor, nurse, or pharmacist before using LMX4 if:

• You are acutely ill, debilitated, or elderly (you may be more sensitive to lidocaine).
• You have a history of sensitivity to local anaesthetics.
• You have severe liver disease.
• You are about to receive a live vaccine (e.g., tuberculosis vaccine), as LMX4 may affect its effectiveness.

Other medicines and LMX4:

Tell your doctor if you are taking:

• Other local anaesthetics, including lidocaine.
• Medicines for irregular heartbeat (e.g., tocainide, mexiletine, amiodarone).
• The beta-blocker propranolol (used for hypertension).
• Cimetidine (used for heartburn or ulcers).

Pregnancy, breastfeeding, and fertility:

• If you are pregnant, breastfeeding, or planning to have a baby, consult your doctor before using LMX4.

Important information about ingredients:

• Propylene glycol (75mg per gram) – may cause skin irritation.
• Benzyl alcohol (15mg per gram) – may cause allergic reactions or mild irritation.

Patient Information Leaflet

Like all medicines, LMX4 can cause side effects, although not everyone gets them.

Rare side effects (affects up to 1 in 1,000 people):

• Severe allergic reaction (rash, swelling, low blood pressure, anaphylactic shock). Seek medical help immediately if this occurs.

Common side effects (affects up to 1 in 10 people):

• Skin irritation, redness, itching, dryness, or rash.
• Eye irritation if the cream gets into the eyes.

If any side effects occur, stop using LMX4 and seek medical advice.
Report side effects via the MHRA Yellow Card Scheme at www.mhra.gov.uk/yellowcard.

Patient Information Leaflet