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Lidocaine 101: Patches, Arrhythmias & Toxicity Warnings
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• 08/26/25
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From code-cart to chronic pain clinic, lidocaine wears many hats. In this concise segment, Dr. Emmel zeroes in on the topical and injectable forms discussed in the vitual classroom.
1️⃣ Multiple dosage forms: patches for localized analgesia, jelly for procedural prep, and injections for minor surgical sites or dental work.
2️⃣ Systemic toxicity—yes, even topically: he underscores that inappropriate over-application or cutting a controlled-release patch can let the anesthetic flood the bloodstream, provoking neurological or cardiac symptoms.
3️⃣ Practical tips: never cut a lidocaine patch; follow labeled maximum-patch guidelines; rotate application sites to avoid rash or irritation.
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