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What is LMX 4?
LMX 4 is used on the skin to stop itching and pain from certain skin conditions (e.g., scrapes, minor burns, eczema, insect bites) and to treat minor discomfort and itching caused by hemorrhoids and certain other problems of the genital/anal area (e.g., anal fissures, itching around the vagina/rectum). Some forms of LMX 4 are also used to decrease discomfort or pain during certain medical procedures/exams (e.g., sigmoidoscopy, cystoscopy). LMX 4 is a local anesthetic that works by causing temporary numbness/loss of feeling in the skin and mucous membranes.
How to use LMX 4
Before use on the skin, clean and dry the affected area as directed. Apply a thin layer of medication to the affected area of skin, usually 2 to 3 times a day or as directed.
If you are using the spray, shake the canister well before using. While holding the canister 3-5 inches (8-13 centimeters) from the affected area, spray until wet. If the affected area is on the face, spray the medication onto your hand and apply to the face. Do not spray near your eyes, nose, or mouth.
If you are using the foam, shake the canister well before using. Spray the foam onto your hand and apply to the affected area.
Do not use on large areas of the body, cover the area with waterproof bandages or plastic, or apply heat unless directed to do so by your doctor. These may increase the risk of serious side effects.
Wash hands immediately after use unless you are treating an area on the hands. Avoid getting the product in eyes, nose, or ears. If the medication gets in these areas, rinse the area immediately with clean water.
Dosage is based on your medical condition and response to therapy. Do not use more of LMX 4, use it more often, or keep using it longer than prescribed by your doctor. If you are using a nonprescription product, follow all the directions on the product package, or use as directed by your doctor. If there is an infection or sore in the area to be treated, do not use LMX 4 without consulting your doctor first.
Inform your doctor if your condition does not improve or worsens.
LMX 4 Side Effects
Temporary redness, stinging, and swelling may occur at the application site. If these effects persist or worsen, notify your doctor.
Remember that your doctor has prescribed LMX 4 because he or she has judged that the benefit to you is greater than the risk of side effects. Many people using LMX 4 do not have serious side effects.
Tell your doctor immediately if any of these rare but very serious side effects occur: slow/shallow breathing, slow/irregular heartbeat, seizures.
A very serious allergic reaction to LMX 4 is rare. However, seek immediate medical attention if you notice any of the following symptoms of a serious allergic reaction: new/worsening rash, new or worsening itching/swelling (especially of the face/tongue/throat), severe dizziness, trouble breathing.
LMX 4 Precautions
Before using lidocaine, tell your doctor or pharmacist if you are allergic to it; or to other amide type anesthetics (e.g., bupivacaine, prilocaine); or if you have any other allergies. LMX 4 may contain inactive ingredients, which can cause allergic reactions or other problems. Talk to your pharmacist for more details.
Before using LMX 4, tell your doctor or pharmacist your medical history, especially of: broken skin/infection in the area where lidocaine is to be used, heart disease, liver disease.
Caution is advised when using LMX 4 in children because they may be more sensitive to the side effects of the drug.
During pregnancy, LMX 4 should be used only when clearly needed. Discuss the risks and benefits with your doctor.
It is not known whether LMX 4 passes into breast milk. Consult your doctor before breast-feeding.
LMX 4 Intercations
Drug interactions may change how your medications work or increase your risk for serious side effects. This document does not contain all possible drug interactions. Keep a list of all the products you use (including prescription/nonprescription drugs and herbal products) and share it with your doctor and pharmacist. Do not start, stop, or change the dosage of any medicines without your doctor's approval.