{"id":16729,"date":"2021-12-17T10:37:54","date_gmt":"2021-12-17T10:37:54","guid":{"rendered":"https:\/\/zeepedia.com\/?p=16729"},"modified":"2021-12-20T09:29:49","modified_gmt":"2021-12-20T09:29:49","slug":"lidocaine-prilocaine-alternova","status":"publish","type":"post","link":"https:\/\/zeepedia.com\/medical\/medicines\/lidocaine-prilocaine-alternova\/","title":{"rendered":"Lidocaine \/ Prilocaine Alternova &#8211; Prilocaine uses, dose and side effects"},"content":{"rendered":"\n<p>25 mg \/ g + 25 mg \/ g&nbsp;cream<br>lidocaine&nbsp;+ prilocaine<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What Lidocaine \/ Prilocaine Alternova is and what it is used for<\/h2>\n\n\n\n<p>Lidocaine \/ Prilocaine Alternova contains two active substances,&nbsp;lidocaine&nbsp;and prilocaine.&nbsp;They belong to the drug group&nbsp;local anesthetics&nbsp;(local anesthetics).<\/p>\n\n\n\n<p><br>Lidocaine \/ Prilocaine Alternova works by numbing the skin for a short time.\u00a0The cream\u00a0one is applied to the skin before certain medical procedures.\u00a0The pain in the skin decreases but you can still feel pressure and touch.<\/p>\n\n\n\n<p><br>Lidocaine\u00a0and prilocaine contained in Lidocaine \/ Prilocaine Alternova may also be approved for the treatment of other conditions not mentioned in this product information.\u00a0Ask your doctor, pharmacist, or other healthcare professional if you have any further questions, and always follow their instructions.<br><br>Adults, adolescents,<strong> and children<\/strong><\/p>\n\n\n\n<p>Cream&nbsp;one can be used to numb the skin before<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>needle stick (eg an&nbsp;injection&nbsp;or a blood test)<\/li><li>minor skin surgeries.<\/li><\/ul>\n\n\n\n<p><br><strong>Adults and young people<\/strong><\/p>\n\n\n\n<p>Cream&nbsp;one can also be used to<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>numb the genitals before<ul><li>injection<\/li><li>medical procedures, e.g.&nbsp;removal of genital warts.<\/li><\/ul><\/li><\/ul>\n\n\n\n<p>Only a doctor or nurse should apply Lidocaine \/ Prilocaine Alternova when used on the genitals.<\/p>\n\n\n\n<p><strong><br>Adults<\/strong><\/p>\n\n\n\n<p>Cream&nbsp;one can also be used to numb the skin before<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>cleaning or removing damaged skin on leg ulcers.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What you need to know before using Lidocaine \/ Prilocaine Alternova<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Do not use Lidocaine \/ Prilocaine Alternova<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>if you are allergic to&nbsp;lidocaine&nbsp;or prilocaine or similar types of local anesthetics, or any of the other ingredients of this medicine (listed in section 6).<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Warnings and cautions<\/h2>\n\n\n\n<p>Talk to your doctor or pharmacist before using Lidokain \/ Prilokain Alternova:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>if you or your child have a rare inherited blood disorder called &#8220;glucose-6-phosphate dehydrogenase deficiency&#8221;.<\/li><li>if you or your child has a problem with the pigment content in the blood, so-called &#8220;methemoglobinemia&#8221;.<\/li><li>Do not use Lidocaine \/ Prilocaine Alternova on skin areas with rashes, cuts, abrasions or other open wounds, with the exception of leg ulcers.&nbsp;If you have any of these problems, talk to your doctor or pharmacist before using a&nbsp;cream&nbsp;.<\/li><li>If you or your child has itchy skin called&nbsp;atopic eczema&nbsp;, it may be enough if the&nbsp;cream is applied&nbsp;to the skin for a shorter time.&nbsp;If the&nbsp;cream is left&nbsp;on the skin for longer than 30 minutes, it may lead to more local skin reactions (see also section 4 &#8220;Possible side effects&#8221;).<\/li><li>if you are taking certain medicines to treat heart rhythm disorders (&nbsp;class III&nbsp;antiarrhythmics&nbsp;, such as&nbsp;amiodarone&nbsp;).&nbsp;In that case, your doctor will monitor your heart function.<\/li><\/ul>\n\n\n\n<p>Since the\u00a0cream\u00a0may be absorbed more easily into freshly shaved skin, it is important to follow the recommended\u00a0dosage, skin surface, and application time.<br><br>Avoid contact with Lidocaine \/ Prilocaine Alternova as it may irritate.\u00a0In case of contact with Lidocaine \/ Prilocaine Alternova, rinse immediately with plenty of lukewarm water or saline (sodium chloride).\u00a0Be careful not to get anything in your eye until the sensation has returned.<\/p>\n\n\n\n<p><br>Lidocaine \/ Prilocaine Alternova should not be used on a damaged eardrum.<\/p>\n\n\n\n<p><br>If you are using Lidocaine \/ Prilocaine Alternova before being vaccinated with a live vaccine (eg tuberculosis vaccine), you should make an appointment to see your doctor or nurse check the results of your vaccination.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Children and young people<\/h2>\n\n\n\n<p>In infants\/newborns under 3 months of age, a temporary increase in the blood pigment methemoglobin is common for up to 12 hours after the application of Lidocaine \/ Prilocaine Alternova\u00a0cream.\u00a0However, this temporary increase has no significant effect on the child.<\/p>\n\n\n\n<p><br>Clinical studies&nbsp;have not been able to confirm that Lidocaine \/ Prilokain Alternova is effective when sampling the heel in newborns or that it provides adequate pain relief during circumcision.<\/p>\n\n\n\n<p><br>Lidocaine \/ Prilocaine Alternova should not be applied to the genitals (eg penis) and genital mucosa (eg\u00a0vagina\u00a0) in children (under 12 years of age).\u00a0There are insufficient data on how the active ingredients are absorbed into the body.<br><br>Lidocaine \/ Prilocaine Alternova should not be used in children under 12 months of age treated concomitantly with other medicinal products that affect the amount of the blood pigment methemoglobin (eg\u00a0sulfonamides, see also section 2, \u201cOther medicinal products and Lidocaine \/ Prilocaine Alternova\u201d).<br><br>Lidocaine \/ Prilocaine Alternova should not be used in premature infants.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Other medicines and Lidocaine \/ Prilocaine Alternova<\/h2>\n\n\n\n<p>Tell your doctor or pharmacist if you are taking, have recently taken, or might take any other medicines.\u00a0This also applies to over-the-counter medicines and herbal medicines.\u00a0Lidocaine \/ Prilocaine Alternova can affect the way some other medicines work, and certain medicines can affect the way Lidocaine \/ Prilocaine Alternova works.<\/p>\n\n\n\n<p>You must tell your doctor or pharmacist if you or your child have recently taken or been treated with any of the following medicines:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Drugs for the treatment of&nbsp;infections&nbsp;,&nbsp;sulfonamides&nbsp;and&nbsp;nitrofurantoin&nbsp;.<\/li><li>Drugs for the treatment of&nbsp;epilepsy&nbsp;,&nbsp;phenytoin&nbsp;and phenobarbital.<\/li><li>Other local anesthetics.<\/li><li>Drugs for irregular heartbeats, such as&nbsp;amiodarone&nbsp;.<\/li><li>Cimetidine or&nbsp;beta-blockers&nbsp;, as these can increase the level of&nbsp;lidocaine&nbsp;in the blood.&nbsp;This effect has no practical significance in the recommended&nbsp;doses&nbsp;for short-term treatment with Lidocaine \/ Prilocaine Alternova.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Pregnancy, breastfeeding and fertility<\/h2>\n\n\n\n<p>If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor or pharmacist for advice before taking this medicine.<br><br>Occasional use of Lidocaine \/ Prilocaine Alternova during pregnancy is unlikely to harm the fetus.<br><br>The active substances in Lidocaine \/ Prilocaine Alternova (\u00a0lidocaine\u00a0and prilocaine) are excreted in breast milk, but in such small amounts that it generally does not pose a risk to the baby.<br><br>Animal studies have not shown any deterioration in male or female\u00a0fertility.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Driving and using machines<\/h2>\n\n\n\n<p>Lidocaine \/ Prilocaine Alternova has no or negligible effect on the ability to drive and use machines when used in recommended\u00a0doses.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Lidocaine \/ Prilocaine Alternova contains macrogolglycerol hydroxystearate<\/h2>\n\n\n\n<p>Macrogolglycerol hydroxy stearate may cause skin reactions.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to use Lidocaine \/ Prilocaine Alternova<\/h2>\n\n\n\n<p>Always use this medicine exactly as your doctor, pharmacist or nurse has told you.\u00a0If you are not sure, talk to your doctor, pharmacist, or nurse.\u00a0<strong>How to use Lidocaine \/ Prilocaine Alternova<br><\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Which&nbsp;cream&nbsp;to use, how much to use and how long it should last depends on what it is to be used for.<\/li><li>Your doctor, pharmacist or nurse will&nbsp;apply cream&nbsp;or show you how to do it.<\/li><li>If Lidocaine \/ Prilocaine Alternova is to be used on the genitals, only a doctor or nurse should apply the&nbsp;cream&nbsp;.<\/li><\/ul>\n\n\n\n<p><br><strong>Do not use Lidocaine \/ Prilocaine Alternova in the following areas:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Cuts, abrasions and wounds, except leg ulcers.<\/li><li>On skin with rash or&nbsp;eczema&nbsp;.<\/li><li>In or near the eyes.<\/li><li>Inside the nose, ears or mouth.<\/li><li>In the anal opening.<\/li><li>On the genitals of children.<\/li><\/ul>\n\n\n\n<p><br>People who frequently apply or remove&nbsp;cream&nbsp;should avoid contact with&nbsp;cream&nbsp;one to prevent the development of hypersensitivity.<\/p>\n\n\n\n<p><br>Make a hole in the tube&#8217;s protective\u00a0membrane\u00a0by pressing the lid against the\u00a0membrane.<\/p>\n\n\n\n<p><br><strong>Use on the skin before small procedures (eg needle sticks or simple skin operations):<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Apply&nbsp;cream&nbsp;one on the skin in a thick layer.&nbsp;Your doctor, pharmacist or nurse will show you where to apply the&nbsp;cream&nbsp;.<\/li><li>Then&nbsp;cover the cream&nbsp;with a bandage (plastic wrap).&nbsp;This is removed just before the procedure.&nbsp;If you are going to&nbsp;apply&nbsp;a&nbsp;cream&nbsp;yourself&nbsp;, check that you have been bandaged by your doctor, pharmacist or nurse.<\/li><li>The usual&nbsp;dose&nbsp;for adults and adolescents over 12 years of age is 2 g (grams).<\/li><li>For adults and adolescents over 12 years of age,&nbsp;cream&nbsp;one is&nbsp;applied&nbsp;at least 60 minutes before the procedure (unless&nbsp;cream&nbsp;one is used on the genitals).&nbsp;However, do not apply&nbsp;cream&nbsp;one earlier than 5 hours before the procedure.<\/li><li>In the case of children, the amount of Lidocaine \/ Prilocaine Alternova and how long it should be used depends on the child&#8217;s age.&nbsp;Your doctor, nurse or pharmacist will tell you how much&nbsp;cream&nbsp;to take and when to apply it.<\/li><\/ul>\n\n\n\n<p><br>You must follow the instructions below exactly when applying the\u00a0cream.<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Apply a dollop of&nbsp;cream&nbsp;to the area to be anesthetized (eg where the needle is to be inserted).&nbsp;A string of&nbsp;cream&nbsp;about 3.5 cm from a 30-gram tube corresponds to 1 g of&nbsp;cream&nbsp;.&nbsp;A half 5-gram tube corresponds to approximately 2 g of Lidocaine \/ Prilocaine Alternova.&nbsp;Do not rub in&nbsp;cream&nbsp;one.<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20150305000015#\" rel=\"noopener\"><\/a><\/li><li>Remove the adhesive protection from the dressing.<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20150305000015#\" rel=\"noopener\"><\/a><\/li><li>Carefully place the dressing over the click with&nbsp;cream&nbsp;.&nbsp;Do not apply&nbsp;cream&nbsp;under the dressing.<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20150305000015#\" rel=\"noopener\"><\/a><\/li><li>Remove the paper layer.&nbsp;Carefully apply the edges of the dressing to the skin.Then let it sit for at least 60 minutes if the skin is not damaged.&nbsp;Do not let the&nbsp;cream&nbsp;sit on the skin for more than 60 minutes in children under 3 months or for over 30 minutes in children with the itchy skin disease atopic&nbsp;dermatitis&nbsp;.&nbsp;If a&nbsp;cream&nbsp;is used on genitals or wounds, shorter application times can be applied as described below.<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20150305000015#\" rel=\"noopener\"><\/a><\/li><li>The doctor or nurse will remove the dressing and&nbsp;cream&nbsp;one just before the procedure (for example, just before the needle stick).<a href=\"https:\/\/www.fass.se\/LIF\/product?userType=2&amp;nplId=20150305000015#\" rel=\"noopener\"><\/a><\/li><\/ol>\n\n\n\n<p><strong>Use on larger areas of freshly shaved skin before outpatient procedures (eg hair removal):<\/strong><\/p>\n\n\n\n<p>The usual\u00a0dose\u00a0is 1 g of\u00a0cream\u00a0for each skin area of \u200b\u200b10 cm\u00b2 (10 square centimeters), which is allowed to sit for 1 to 5 hours under a dressing.\u00a0Lidocaine \/ Prilocaine Alternova should not be used on an area of \u200b\u200bfreshly shaved skin larger than 600 cm\u00b2 (600 square centimeters, eg 30 cm x 20 cm).\u00a0The maximum\u00a0dose\u00a0is 60 grams.<\/p>\n\n\n\n<p><br><strong>Use on the skin, before surgery in a hospital (eg removal of partial skin for transplantation) which requires more in-depth anesthesia:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Lidocaine \/ Prilocaine Alternova can be used in this way in adults and adolescents over 12 years of age.<\/li><li>The usual&nbsp;dose&nbsp;is 1.5 g to 2 g of&nbsp;cream&nbsp;for each skin area of \u200b\u200b10 cm&nbsp;<sup>2<\/sup>&nbsp;(10 square centimeters).<\/li><li>Cream&nbsp;one can lie on under a bandage for 2 to 5 hours.<\/li><\/ul>\n\n\n\n<p><br><strong>Use on the skin before removing wart-like lumps, so-called &#8220;mollusks&#8221;<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Lidocaine \/ Prilocaine Alternova can be used in children and adolescents with atopic&nbsp;dermatitis&nbsp;(&nbsp;atopic eczema&nbsp;).<\/li><li>Dose&nbsp;one depends on the age of the child and&nbsp;cream&nbsp;one is used for 30 to 60 minutes (30 minutes if the patient has atopic&nbsp;dermatitis&nbsp;).&nbsp;Your doctor, nurse or pharmacist will tell you how much&nbsp;cream&nbsp;to use.<\/li><\/ul>\n\n\n\n<p><br><strong>Use on the genitals before&nbsp;injection&nbsp;of local anesthetics<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Lidocaine \/ Prilocaine Alternova can only be used in this way in adults and adolescents over 12 years of age.<\/li><li>The usual&nbsp;dose&nbsp;is 1 g of&nbsp;cream&nbsp;(1-2 g on female genitals) on each skin area that is 10 cm&nbsp;<sup>2<\/sup>&nbsp;(10 square centimeters).<\/li><li>Cream&nbsp;one is applied under a dressing.&nbsp;Cream&nbsp;one may work for 15 minutes on men and for 60 minutes on women.<\/li><\/ul>\n\n\n\n<p><strong><br>Use on genitals before minor surgery (eg removal of&nbsp;condyloma&nbsp;)<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Lidocaine \/ Prilocaine Alternova can only be used in this way in adults and adolescents over 12 years of age.<\/li><li>The usual&nbsp;dose&nbsp;is 5-10 g of&nbsp;cream&nbsp;for 10 minutes.&nbsp;Cover bandages are not used.&nbsp;The procedure is then started immediately.<\/li><\/ul>\n\n\n\n<p><br><strong>Use on leg ulcers before cleaning or removing damaged skin<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>The usual&nbsp;dose&nbsp;is 1-2 g of&nbsp;cream&nbsp;on each skin area which is 10 cm&nbsp;<sup>2<\/sup>&nbsp;(10 square centimeters).&nbsp;Maximum&nbsp;dose&nbsp;is 10 grams.<\/li><li>Cream is&nbsp;applied under an airtight dressing, e.g.&nbsp;plastic wrap.&nbsp;This is done 30-60 minutes before the wound is to be cleaned.&nbsp;Wipe off the&nbsp;cream&nbsp;with a gauze bandage and start cleaning immediately.<\/li><li>Lidocaine \/ Prilocaine Alternova can be used for cleaning leg ulcers up to 15 times in 1-2 months.<\/li><li>The Lidocaine \/ Prilocaine Alternova tube is for single use when used on leg ulcers.&nbsp;After each occasion a patient has been treated, the tube with the remaining contents should be discarded.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">If you take more Lidocaine \/ Prilokain Alternova than you should<\/h2>\n\n\n\n<p>If you have used more Lidocaine \/ Prilocaine Alternova than your doctor, pharmacist or nurse have told you to, talk to one of them immediately, even if you have no symptoms.<\/p>\n\n\n\n<p><br>The symptoms when you have used too much Lidocaine \/ Prilocaine Alternova are listed below.&nbsp;If Lidocaine \/ Prilocaine Alternova is used according to the recommendations, it is unlikely that you will get these symptoms.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>You feel dizzy or faint.<\/li><li>Tingling in the skin around the mouth and numbness in the tongue.<\/li><li>Abnormal taste experience.<\/li><li>Dimsyn.<\/li><li>Tinnitus.<\/li><li>There is also a risk of&nbsp;acute&nbsp;methemoglobinemia (problems with the amount of pigment in the blood).&nbsp;The risk is greater if you have taken certain other medicines at the same time.&nbsp;Should this happen, the skin becomes bluish gray due to lack of oxygen.<\/li><\/ul>\n\n\n\n<p>In severe cases of overdose, the symptoms may be seizures, low\u00a0blood pressure, slow breathing, respiratory arrest, and altered heartbeat.\u00a0These reactions can be life-threatening.<br><br><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Possible side effects<\/h2>\n\n\n\n<p>Like all medicines, this medicine can cause\u00a0side effects, although not everybody gets them.<br><br>Contact a doctor or pharmacist if any of the following\u00a0side effects\u00a0occur or become uncomfortable.\u00a0Tell your doctor if there is anything else that makes you feel unwell while you are using Lidocaine \/ Prilocaine Alternova.<br><br>A mild reaction (pale or\u00a0reddened\u00a0skin, slight swelling, burning, or itchy sensation at first) may occur on the skin where Lidocaine \/ Prilocaine Alternova is used.\u00a0These are normal reactions to the\u00a0cream\u00a0and the anesthetic.\u00a0They disappear after a short while without you having to do anything.<\/p>\n\n\n\n<p><br>If you get any annoying or unusual reactions while using Lidokain \/ Prilokain Alternova, stop using the&nbsp;cream&nbsp;and talk to your doctor or pharmacist as soon as possible.<\/p>\n\n\n\n<p><br><strong>Common&nbsp;side effects&nbsp;are&nbsp;<\/strong>&nbsp;<em>(may affect up to 1 in 10):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Transient local skin reactions (paleness,&nbsp;redness&nbsp;, swelling) on \u200b\u200bthe treated area during treatment of skin,&nbsp;mucous membranes&nbsp;of genitals or leg ulcers.<\/li><li>In the beginning a slight burning sensation,&nbsp;itching&nbsp;or&nbsp;feeling of&nbsp;heat in the treated area when treating&nbsp;mucous membranes&nbsp;on genitals or leg ulcers.<\/li><\/ul>\n\n\n\n<p><br><strong>Less common&nbsp;side effects&nbsp;are&nbsp;<\/strong>&nbsp;<em>(may affect up to 1 in 100):<\/em><\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>In the beginning a slight burning sensation,&nbsp;itching&nbsp;or&nbsp;feeling of&nbsp;heat in the treated area when treating skin.<\/li><li>Numbness (tingling) in the treated area during treatment of&nbsp;mucous membranes&nbsp;on genitals.<\/li><li>Irritated skin in the treated area when treating leg ulcers.<\/li><\/ul>\n\n\n\n<p><br><strong>Rare&nbsp;side effects&nbsp;are&nbsp;<\/strong>&nbsp;<em>(may affect up to 1 in 1000 people):<\/em>&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Allergic reactions, which in rare cases can turn into anaphylactic&nbsp;shock&nbsp;(rash, swelling, fever, difficulty breathing and fainting) when treating skin, genital&nbsp;mucosa&nbsp;on genitals or leg ulcers.<\/li><li>Methemoglobinemia (blood disease) in the treatment of skin.<\/li><li>Small punctate haemorrhages in the treated area (especially in children with&nbsp;eczema&nbsp;if the&nbsp;cream is&nbsp;allowed to sit on the skin for a long time) when treating the skin.<\/li><li>Eye irritation if Lidocaine \/ Prilocaine Alternova accidentally comes into contact with the eyes during skin treatment.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Additional side effects in children<\/h2>\n\n\n\n<p>Methemoglobinemia, a blood disorder, is more common in newborns and infants aged 0-12 months, often associated with overdose.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">How to store Lidocaine \/ Prilocaine Alternova<\/h2>\n\n\n\n<p>Keep this medicine out of the sight and reach of children.<br><br>Do not store above 30 \u00b0 C.&nbsp;Store in a cold place.&nbsp;Do not freeze.<\/p>\n\n\n\n<p>Used within 6 months after the first opening.<br><br>Do not use this medicine after the expiry date which is stated on the carton and tube after EXP.&nbsp;That.&nbsp;The expiration date is the last day of the specified month.<br><br>Medicines should not be disposed of via wastewater or household waste.&nbsp;Ask your pharmacist how to dispose of medicines no longer required.&nbsp;These measures will help to protect the environment.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Contents of the package and other information<\/h2>\n\n\n\n<h2 class=\"wp-block-heading\">Content declaration<\/h2>\n\n\n\n<ul class=\"wp-block-list\"><li>The active substances are&nbsp;lidocaine&nbsp;and prilocaine.&nbsp;Each gram of&nbsp;cream&nbsp;contains 25 mg of&nbsp;lidocaine&nbsp;and 25 mg of prilocaine.<\/li><li>Other ingredients: Macrogolglycerol hydroxystearate, carbomer 974P, sodium hydroxide, purified water.<\/li><\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">What the medicine looks like and contents of the pack<\/h2>\n\n\n\n<p><em>Appearance<\/em><\/p>\n\n\n\n<p>Lidocaine \/ Prilocaine Alternova is a white soft&nbsp;cream&nbsp;.<\/p>\n\n\n\n<p>The cream\u00a0one is available in an aluminum tube of 5 g and 30 g, with epoxy phenol varnish on the inside.<\/p>\n\n\n\n<p><br><em>Pack sizes<\/em><\/p>\n\n\n\n<p>1 x 30 g tub<\/p>\n\n\n\n<p>1 x 5 g tube (over-the-counter)<\/p>\n\n\n\n<p>1 x 5 g tube with 2 cover bandages (non-prescription)<\/p>\n\n\n\n<p>1 x 5 g tube with 3 cover bandages (over-the-counter)<\/p>\n\n\n\n<p>5 x 5 g tub<\/p>\n\n\n\n<p>5 x 5 g tube with 12 cover bandages<\/p>\n\n\n\n<p><br>Not all pack sizes may be marketed.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Marketing Authorization Holder and Manufacturer<\/h2>\n\n\n\n<p><em>Marketing Authorisation Holder<\/em><\/p>\n\n\n\n<p>Alternova A \/ S, Lodshusvej 11, 4230 Sk\u00e6lsk\u00f8r, Denmark<\/p>\n\n\n\n<p><em><br>Manufacturer<\/em><\/p>\n\n\n\n<p>Reform SA, These Pousi-Xatzi, Agiou Louka, Paiania, PO Box 37, Attiki-19002, Greece<\/p>\n\n\n\n<p><br>or<\/p>\n\n\n\n<p><br>Qualimetrix SA<\/p>\n\n\n\n<p>579 Mesogeion avenue, Agia Paraskevi,<\/p>\n\n\n\n<p>Athens, 15343, Greece&nbsp;<strong>This medicine is authorized in the European Economic Area under the names:<\/strong><br><strong><\/strong><\/p>\n\n\n\n<p>Denmark: Nulbia<\/p>\n\n\n\n<p>Bulgaria: ROMLA 25mg \/ 25mg \/ g Cream<\/p>\n\n\n\n<p>Germany: Emulus&nbsp;<sup>\u00ae<\/sup>&nbsp;25mg \/ g + 25mg \/ g Cream<\/p>\n\n\n\n<p>Poland: MOTTI<\/p>\n\n\n\n<p>Romania: ROMLA 25mg \/ 25mg \/ g Cream<\/p>\n\n\n\n<p>United Kingdom: Nulbia 5% Cream<\/p>\n\n\n\n<p>Spain: ANAMAP\u00ae 25 mg \/ g + 25 \/ g cream<\/p>\n\n\n\n<p>Czech Republic: ROMLA<\/p>\n\n\n\n<p>Slovakia: ROMLA<\/p>\n\n\n\n<p>Estonia: Nulbia<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Lidocaine \/ Prilocaine Alternova contains two active substances, lidocaine and prilocaine. They belong to the drug group local anesthetics (local anesthetics).<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"cybocfi_hide_featured_image":"","footnotes":""},"categories":[2200,15579],"tags":[4397,4400,4399,4405,15945,15948,15949,4408,5963,4398,4406,15946,15950,15947,15944],"class_list":["post-16729","post","type-post","status-publish","format-standard","hentry","category-medicines","category-l","tag-lidocaine","tag-lidocaine-cream","tag-lidocaine-side-effects","tag-prilocaine","tag-prilocaine-alternova","tag-prilocaine-alternova-cream","tag-prilocaine-alternova-side-effects","tag-prilocaine-cream","tag-prilocaine-side-effects","tag-what-is-lidocaine","tag-what-is-prilocaine","tag-what-is-prilocaine-alternova","tag-what-lidocaine-is-used-for","tag-what-prilocaine-alternova-is-used-for","tag-what-prilocaine-is-used-for"],"_links":{"self":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/16729","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/comments?post=16729"}],"version-history":[{"count":4,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/16729\/revisions"}],"predecessor-version":[{"id":16753,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/posts\/16729\/revisions\/16753"}],"wp:attachment":[{"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/media?parent=16729"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/categories?post=16729"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zeepedia.com\/medical\/wp-json\/wp\/v2\/tags?post=16729"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}