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Lidocaine

Lidocaine 30 Patch

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What is Lidocaine?

Lidocaine is a local anesthetic that causes numbness or loss of feeling in a specific area of your body. Lidocaine is a generic version of several brand-names including Solarcaine. The average Lidocaine cost is about $505 for a box of 30, 5% patches. However, you can use our free Rx.com coupon card to save significantly on Lidocaine prices at a participating pharmacy near you.

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What is Lidocaine ?

Lidocaine is a local anesthetic that causes numbness or loss of feeling in a specific area of your body. Lidocaine is a generic version of several brand-names including Solarcaine. The average Lidocaine cost is about $505 for a box of 30, 5% patches. However, you can use our free Rx.com coupon card to save significantly on Lidocaine prices at a participating pharmacy near you.
  • Tremor or seizures
  • Confusion, dizziness, drowsiness, lightheadedness
  • Blurred or double vision
  • Slow, fast, or uneven heartbeat
  • Troubled or shallow breathing, trouble swallowing
  • Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
  • Pale, gray, or blue lips, nails, or skin, dark urine, headache, unusual tiredness or weakness
  • Your doctor will do lab tests at regular visits to check on the effects of this medicine. Keep all appointments.
  • Do not use a heating pad, electric blanket, or any other heat source over the patch. However, you may apply Ztlido® patch on the skin after exposure to a moderate heat setting.
  • Call your doctor if your symptoms do not improve or if they get worse.
  • Tell your doctor if you are pregnant or breastfeeding, or if you have kidney disease, liver disease, heart problems, lung or breathing problems, porphyria (enzyme problem), a blood disorder, G6PD, or epilepsy.
  • This medicine may cause methemoglobinemia (blood disorder).
  • Do not give lidocaine solution to a child younger than 3 years of age for teething pain, unless your doctor says it is okay.
  • Keep all medicine out of the reach of children. Never share your medicine with anyone.
What is lidocaine used for?
Lidocaine is a local anesthetic used to numb an area of the body. Injectable forms provide anesthesia for surgery and procedures (infiltration, nerve blocks, epidural, and spinal). Topical and viscous forms numb the skin or the lining of the mouth and throat. The prescription 5% patch and 1.8% topical system treat the pain of post-herpetic neuralgia (nerve pain after shingles), and OTC 4% patches and creams relieve minor muscle and joint aches. Given by IV, lidocaine can also treat certain acute heart rhythm problems.
Is lidocaine a prescription or over-the-counter drug?
Both. Lidocaine is available in prescription forms, such as injectable lidocaine, viscous solutions, and the 5% patch (Lidoderm) and 1.8% topical system (ZTlido) for post-herpetic neuralgia. It is also sold over the counter in lower-strength products such as Aspercreme, Lidocare, Salonpas, Absorbine Jr, and Bengay for minor aches and pains.
Does lidocaine have a boxed warning?
One form does. Lidocaine viscous 2%, the oral topical solution used to numb the mouth and throat, carries an FDA boxed warning because seizures, cardiopulmonary arrest, and death have been reported in infants and children under age 3. It should generally not be used for teething pain and, in young children, only when safer options are not available and exactly as directed. Most other lidocaine products, such as the OTC patches and creams, do not carry this boxed warning, but all forms can cause serious effects if too much is absorbed into the body.
What are the most common side effects of lidocaine?
Topical lidocaine can cause skin reactions at the site of use, such as redness or irritation. More serious effects come from too much being absorbed into the body and can include lightheadedness, ringing in the ears, tremors, or seizures, along with heart effects like a slow heartbeat, low blood pressure, or arrhythmias. A rare blood condition called methemoglobinemia can also occur. Use the lowest effective dose and contact your provider if you notice worrying symptoms.
Is lidocaine a controlled substance?
No. Lidocaine is not a controlled substance and has no DEA schedule.
How much does Lidocaine cost without insurance?
The price of Lidocaine without insurance varies by pharmacy, dosage, and quantity. Rx.com compares cash prices at more than 60,000 US pharmacies so you can find the lowest price near you. Many people save up to 79% off retail prices with a free Rx.com coupon.
What are the common side effects of Lidocaine?
Common side effects of Lidocaine may include: Tremor or seizures, Confusion, dizziness, drowsiness, lightheadedness, Blurred or double vision, Slow, fast, or uneven heartbeat, Troubled or shallow breathing, trouble swallowing. This is not a complete list — consult your pharmacist or doctor for full side effect information.
Is there a generic version of Lidocaine?
Generic versions may be available for Lidocaine. Generics contain the same active ingredients as brand-name drugs and are typically 80–90% cheaper. Search Lidocaine on Rx.com to compare generic and brand prices at pharmacies near you.
What is the cheapest pharmacy for Lidocaine?
The cheapest pharmacy for Lidocaine depends on your location and dosage. Rx.com compares prices at CVS, Walgreens, Walmart, Kroger, Costco, and thousands of independent pharmacies. Enter your ZIP code on Rx.com to find the lowest price for Lidocaine near you.

Lidocaine Coupons & Prices

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Looking for a lidocaine coupon? Lidocaine is a widely used amide-type local anesthetic that is available as a low-cost generic, so you often will not need a brand name at all. Still, cash prices for lidocaine patches, creams, viscous solutions, and injectable vials vary a lot from one pharmacy to the next, which is why comparing matters. Rx.com compares lidocaine prices across more than 60,000 pharmacies so you can find a lower cash price near you. Enter your ZIP above to see today's price.

What is lidocaine and how does it work?

Lidocaine (lidocaine hydrochloride) is an amide-type local and topical anesthetic. It works by blocking sodium channels in nerves, which stops pain signals from reaching the brain in the area where it is applied or injected. It is the same core medicine sold under brand names such as Xylocaine, Lidoderm, and ZTlido, and in many over-the-counter products like Aspercreme, Lidocare, and Salonpas.

Lidocaine comes in several forms for different needs. Injectable lidocaine is used for infiltration, nerve-block, epidural, and spinal anesthesia during surgery and procedures. Topical and viscous forms numb the skin and the mucous membranes of the mouth and throat. The prescription 5% patch (Lidoderm) and 1.8% topical system (ZTlido) are approved to treat the pain of post-herpetic neuralgia (nerve pain after shingles), while OTC 4% patches and creams relieve minor muscle and joint aches. Given by IV, lidocaine can also treat certain acute heart rhythm problems (ventricular arrhythmias).

Lidocaine cost and savings without insurance

Lidocaine is available as a generic, and generics are generally much less expensive than brand-name products. Because it is so widely stocked, cash prices are often low, but they are far from uniform. What you pay can swing widely depending on the form (patch, cream, viscous solution, or injectable), the strength, and which pharmacy you use, even in the same town. That variation is exactly why it pays to compare rather than assume every pharmacy charges the same.

Rx.com checks lidocaine prices across more than 60,000 pharmacies and shows the current cash price with an Rx.com coupon at each one. Enter your ZIP above to see today's price near you and pick up the lowest option. If your prescriber has written for a brand-name product such as the 1.8% topical system, search for the ZTlido savings card on the manufacturer's official website; eligibility and terms vary, so review the details there.

Lidocaine brands and related options

Lidocaine is sold under many names, and the right one depends on the form and use. Prescription brands include Xylocaine (injectable and topical), Lidoderm (5% patch), and ZTlido (1.8% topical system), while OTC options such as Aspercreme, Lidocare, Salonpas, Absorbine Jr, and Bengay contain lower-strength lidocaine for minor aches.

Lidocaine is also combined with other anesthetics or compared to related ones. Lidocaine-prilocaine (sold as EMLA) pairs lidocaine with prilocaine for numbing the skin before minor procedures. Benzocaine is a different type of topical anesthetic sometimes used for similar mucosal numbing. If you are choosing between products, ask your pharmacist or prescriber which form and strength fit your situation, and use Rx.com to compare the cash price of each.

Lidocaine safety and side effects

Lidocaine viscous 2% (the oral topical solution used to numb the mouth and throat) carries an FDA boxed warning, the agency's strongest warning: life-threatening and fatal events, including seizures, cardiopulmonary arrest, and death, have been reported in infants and children under age 3. For that reason it should generally not be used for teething pain, and in young children it should be reserved for situations where safer options are not available or have failed and used exactly as directed. Other prescription and OTC lidocaine products do not carry this boxed warning, but real risks still exist when any form is overused or absorbed into the body in large amounts.

Using too much, applying it over large or broken areas, or accidental injection into a vein can cause systemic toxicity: lightheadedness, ringing in the ears, tremors, or seizures, and heart effects such as a slow heartbeat, low blood pressure, arrhythmias, or, rarely, cardiac arrest. A rare blood condition called methemoglobinemia can also occur, sometimes even at recommended doses. To lower risk, use the lowest effective dose, do not apply topical lidocaine to broken or irritated skin, and do not use it with a heating pad, since heat increases how much is absorbed. Depending on the form, lidocaine may also need to be avoided or used with caution in people with certain serious heart-rhythm conditions, so tell your prescriber about your heart history. This is general information, not medical advice. Talk with your doctor or pharmacist about your specific health history and follow the product instructions closely.

Sources & accuracy

This Lidocaine information was written and reviewed against authoritative U.S. medical sources — MedlinePlus (U.S. National Library of Medicine), DailyMed, and FDA prescribing information — and checked for accuracy. It is provided for education and is not a substitute for professional medical advice.

Verify the official label: Lidocaine on DailyMed (FDA)

Reviewed against FDA labeling · Last reviewed July 2026

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