Monograph Details

Pain & Pyrexia > Topical analgesics/anesthetics
SYNERA
Manufacturer
Endo Pharmaceuticals
Legal Classification
Rx
Pharmacological Class
Topical anesthetic.
Generic Name
Lidocaine 70mg, tetracaine 70mg; topical patch.
Indications
For local dermal analgesia for superficial venous access and superficial dermatological procedures (eg, excision, electrodessication, shave biopsy of skin lesions).
Adults and Children
<3yrs: see literature. Apply to intact skin. ≥3yrs: Prior to venipuncture or IV cannulation: apply for 20–30 minutes. Superficial dermatological procedures (eg, excision, shave biopsy): apply for 30 minutes prior to procedure. Remove patch if irritation or burning sensation occurs. Do not cut patches or remove top cover (may cause thermal injury). Do not cover holes on top side of patch.
Precautions
Avoid simultaneous or sequential application or for longer than recommended. Severe hepatic disease or pseudocholinesterase deficiency. Avoid eyes, mucous membranes, broken or inflamed skin, inadvertent trauma (eg, scratching, rubbing, exposure to extreme temperatures). Remove before undergoing MRI (contains iron powder). Effect on intradermal live vaccines unknown. Acutely ill or debilitated. Pregnancy (Cat.B). Nursing mothers.
Interactions
Toxicity potentiated by Class I antiarrhythmics (eg, tocainide, mexiletine), other local anesthetics.
Adverse Reactions
Local reactions (eg, erythema, blanching, edema), anaphylactoid reactions.
How Supplied
Patches—2, 10