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Asthesia (lidocaine, prilocaine) is a local, topical anesthetic used to minimize or eliminate pain during routine procedures on the skin, including the genitals and lips. It should not be directly applied to mucous membranes, such as inside the mouth, vagina, or anus. Nor should it be applied to broken or infected skin.

This particular medication is in cream form and contains two active ingredients, lidocaine and prilocaine. Combined the two ingredients form an eutectic mixture, which means the compound solidifies at a lower temperature than either component would on its own.

Using Asthesia Cream

Asthesia cream is typically used in minor procedures, such as:

• Tattooing
• Laser tattoo removal
• Body piercing
• Waxing
• Laser hair removal
• Permanent cosmetics
• Injections
• Pre-infiltration anesthesia
• Piles
• Lip sores
• Other minor surgical procedures

The cream is applied at least one hour prior to the procedure. Effects are greater the longer the cream is left on the body, for up to three hours. Effects are also greater if the cream is covered with an occlusive (air-tight) dressing. Effects last 1 to 2 hours, depending on how long the cream was applied, beyond three hours, and will then begin to decline.

There should be at least a three-hour break between applications of Asthesia. In small amounts it is unlikely to produce harm, though it may cause loss of, or at least delayed, muscle control on the application site. In larger amounts caution should be exercised and instructions, either from the doctor or on the insert included with each product, should be followed closely. Too much of this medication can produce side effects.

The application site should be clean and dry prior to application of Asthesia. Hands should be washed after application. Avoid use of other products on the skin where Asthesia cream is applied unless specifically instructed to do so by a doctor.

The cream is sometimes used on broken skin or mucous membranes, but this is inadvisable without doctor instruction. Application on these sites significantly increases the amount of medication absorbed into the bloodstream, which is not suitable for everyone.

Asthesia cream is non-addictive; it contains no opiates, steroids, nitrates, or any other such drugs.

Possible Complications

Asthesia should not be used on children under 12 years old without explicit doctor instruction. The medication can interfere with growth in younger patients.

The cream is unlikely to cause harm to unborn or nursing babies, but expectant or breastfeeding mothers should generally avoid use unless the benefits outweigh the risks.

Patients who have kidney or liver disorders, glucose-6-phosphate deficiency, or congenital or idiopathic methemoglobinemia should use this product with caution.

Side effects are very unlikely when this product is used as directed. More commonly using too much or application to mucous membranes or damaged skin allows too much to be absorbed into the bloodstream, which can produce side effects ranging from mild to dangerous:

• Paleness
• Redness
• Nervousness
• Rash
• Allergic reaction
• Nausea
• Increased or decreased blood pressure
• Slowed heartbeat
• Cold or warmth
• Hormone fluctuations

Again the above are unlikely, especially if Asthesia cream is used as directed. If experiencing side effects, wash the cream off immediately and seek medical attention if side effects are severe.

Mild warmth, stinging, itching, and so forth when the cream is first applied is normal and these effects should wear off in moments.