Local anaesthetic + vasoconstrictor
Lidocaine with phenylephrine
Adult dose
Dose: Topical/spray per formulation, e.g. nasal procedures
Route: Topical
Frequency: per procedure
Clinical pearls
- Nasal/airway anaesthesia with mucosal vasoconstriction
Contraindications
- Severe hypertension
- Tachyarrhythmia
- Hypersensitivity
- Concurrent MAOI
Side effects
- Tachycardia
- Hypertension
- LA toxicity
Interactions
- MAOIs
- TCAs
- β-blockers
Reference: BNF; https://bnf.nice.org.uk/drugs/lidocaine-with-phenylephrine/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.
Calculators