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Topical Analgesics
bulletLidoderm patch
bullet5% lidocaine
bulletApply up to three patches to intact skin
bulletCover the most painful area
bulletOnce-daily application per 24 hours (12 hours on/12 hours off)
bulletPatches may not be reused
bulletMay cut into smaller patches
bullet Duragesic (Fentanyl Transdermal System)
bulletDo not cut into smaller patches (released from a drug reservoir)
bulletEach patch lasts 3 days
bullet5 pads per box: cost about $80/box
bulletStart with the lowest dose. Comes in 25 ug, 50 ug, 75 ug, 100 ug/hour.
bulletEla max
bullet4% lidocaine
bulletEMLA cream
bullet2.5% lidocaine/2.5% prilocaine
bullet FDA labeling change 1998
bullet Capsaicin cream
bullet0.025% and 0.075%
bullet Zonalon (Doxepin HCl)
bulletLocal anesthesia - Topical application, local infiltration, and field block Post Graduate Medicine 1999
 

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