Can i buy lidocaine injection over the counter

Buy Xylocaine Injection Online

Xylocaine injection is available to buy from Blue Sky Drugs online pharmacy with a valid prescription. Ordering is simple; just call or go online, set up a basic account and then wait for your order to arrive at your door! Blue Sky Drugs is you trusted source for high quality, affordable medications. We are established as the online generic pharmacy, and although Xylocaine does not yet currently have a generic equivalent, we always guarantee the lowest prices on all of our medications. For more information on Xylocaine injection or to place your order today call us toll free, 1.866.995.7387 or email .

How Xylocaine Injection Works

Xylocaine injection is a local anesthetic that is most commonly prescribed to treat heart arrhythmias also known as irregular heartbeats. It may also be used for resistant seizure movement, as well as used by doctors for numbing the body. Xylocine is usually injected directly into a large vein or dense muscle. It works by preventing the nerves from sending pain signals to the brain. Lidocaine injection numbs the area of your body to help reduce pain or discomfort caused by invasive medical procedures such as surgery, needle punctures, or insertion of a catheter or breathing tube.

Xylocaine Injection Possible Side Effects

Side effects are the negative results of a medication, and unfortunately almost every medication can potentially cause some unwanted side effects in the person using the medication. Xylocaine side effects are generally temporary are nor very severe. Be sure to contact your doctor if any of the following side effects persist or become severe:
• Confusion
• Dizziness, drowsiness
• Mental changes, muscle twitching
• Nausea
• Pain at the injection site
• Ringing in the ears
• Shakiness, slurred speech
• Tingling or numbness
• Visual changes

Stop taking the medication and notify your doctor immediately if you experience any of the following:
• symptoms of an allergic reaction (difficulty breathing, skin rash, itching, swelling)

Xylocaine Guidelines

Although Xylocaine is available to buy without a doctor’s prescription, it is recommended that you speak with a health care professional before taking this medication. Tell your doctor or pharmacist of your medical history, especially any history of heart problems or liver disease, as well as any medications you are currently taking. Do not use Xylocaine if you are allergic to Lidocaine or to any of the ingredients in Xylocaine injection. Only use this medication during pregnancy only if clearly needed. Xylocaine will excrete into breast milk, so be sure to consult your doctor before breastfeeding while using.

Save Your Money with Generic Pharmacy

Blue Sky Drugs has established itself as the industry leader in dispensing high quality generic medications, and although Xylocaine does not currently have a generic equivalent, we always guarantee the lowest prices on our entire inventory; we even have a price match guarantee in place, ensuring that if you find your medication cheaper on another site, we will match that price for you. Our staff is well informed and available to answer any questions you may have.

All prices are in US dollars.

The content on this page has been supplied to BlueSkyDrugs.com by an independent third party contracted to provide information for our website. BlueSkyDrugs relies on these third parties to create and maintain this information and cannot guarantee the medical efficacy, accuracy or reliability of the information that has been provided to us. If you require any advice or information about the drugs on this page, a medical condition or treatment advice, you should always speak to a health professional. Please note that not all products, including any referenced in this page, are shipped by our affiliated Canadian Pharmacy. We affiliate with other dispensaries that ship product to our customers from the following jurisdictions: Canada, , New Zealand, Australia, Turkey, Mauritius, India, and United Kingdom. The items in your order maybe shipped from any of the above jurisdictions. The products are sourced from various countries as well as those listed above. Rest assured, we only affiliate with our authorized dispensaries that procure product through reliable sources.

9/7/2022

Products Affected - Description

• • Xylocaine injection, Fresenius Kabi, 1%, 20 mL vial, 25 count, NDC 63323-0485-27
  • Xylocaine injection, Fresenius Kabi, 1%, 50 mL vial, 25 count, NDC 63323-0485-57
  • Xylocaine injection, Fresenius Kabi, 2%, 10 mL vial, 25 count, NDC 63323-0486-17
  • Xylocaine injection, Fresenius Kabi, 2%, 20 mL vial, 25 count, NDC 63323-0486-27
  • Xylocaine injection, Fresenius Kabi, 2%, 50 mL vial, 25 count, NDC 63323-0486-57
  • Xylocaine-MPF injection, Fresenius Kabi, 0.5%, 50 mL vial, 25 count, NDC 63323-0491-57
  • Xylocaine-MPF injection, Fresenius Kabi, 1%, 10 mL sterile-pack ampule, 5 count, NDC 63323-0492-97
  • Xylocaine-MPF injection, Fresenius Kabi, 1%, 2 mL vial, 25 count, NDC 63323-0492-27
  • Xylocaine-MPF injection, Fresenius Kabi, 1%, 30 mL vial, 25 count, NDC 63323-0492-37
  • Xylocaine-MPF injection, Fresenius Kabi, 1%, 5 mL vial, 25 count, NDC 63323-0492-57
  • Xylocaine-MPF injection, Fresenius Kabi, 1.5%, 10 mL ampule, 5 count, NDC 63323-0493-97
  • Xylocaine-MPF injection, Fresenius Kabi, 2%, 10 mL ampule, 5 count, NDC 63323-0496-97
  • Xylocaine-MPF injection, Fresenius Kabi, 2%, 5 mL vial, 25 count, NDC 63323-0495-07
  • Lidocaine Hydrochloride injection, Amphastar, 2%, 5 mL Luer-Jet Emergency syringe, 10 count, NDC 76329-3390-01
  • Lidocaine Hydrochloride injection, Eugia US, 1%, 2 mL ampule, 10 count, NDC 55150-0158-72
  • Lidocaine Hydrochloride injection, Eugia US, 1%, 2 mL vial, 10 count, NDC 55150-0161-02
  • Lidocaine Hydrochloride injection, Eugia US, 1%, 30 mL vial, 1 count, NDC 55150-0163-30
  • Lidocaine Hydrochloride injection, Eugia US, 1%, 5 mL ampule, 10 count, NDC 55150-0159-74
  • Lidocaine Hydrochloride injection, Eugia US, 1%, 5 mL vial, 10 count, NDC 55150-0162-05
  • Lidocaine Hydrochloride injection, Eugia US, 2%, 2 mL ampule, 10 count, NDC 55150-0160-72
  • Lidocaine Hydrochloride injection, Eugia US, 2%, 2 mL vial, 10 count, NDC 55150-0164-02
  • Lidocaine Hydrochloride injection, Eugia US, 2%, 5 mL vial, 10 count, NDC 55150-0165-05
  • Lidocaine Hydrochloride injection, Fresenius Kabi, 1%, 10 mL vial, 25 count, NDC 63323-0201-10
  • Lidocaine Hydrochloride injection, Fresenius Kabi, 1%, 2 mL vial, 25 count, NDC 63323-0201-02
  • Lidocaine Hydrochloride injection, Fresenius Kabi, 2%, 2 mL vial, 25 count, NDC 63323-0202-02
  • Lidocaine Hydrochloride injection, Fresenius Kabi, 2%, 5 mL Tear-top preservative-free vial, 25 count, NDC 63323-0208-05
  • Lidocaine Hydrochloride injection, Hikma, 1%, 5 mL preservative-free vial, 25 count, NDC 00143-9595-25
  • Lidocaine Hydrochloride injection, Hikma, 1%, 50 mL vial, 10 count, NDC 00143-9577-10
  • Lidocaine Hydrochloride injection, Hikma, 2%, 5 mL preservative-free vial, 25 count, NDC 00143-9594-25
  • Lidocaine Hydrochloride injection, Hikma, 2%, 50 mL vial, 10 count, NDC 00143-9575-10
  • Lidocaine Hydrochloride injection, Pfizer, 0.5%, 50 mL SD Tear Top preservative-free vial, 25 count, NDC 00409-4278-01
  • Lidocaine Hydrochloride injection, Pfizer, 0.5%, 50 mL SD Flip Top vial, 25 count, NDC 00409-4275-01
  • Lidocaine Hydrochloride injection, Pfizer, 1%, 2 mL preservative-free glass ampule, 50 count, NDC 00409-4713-32
  • Lidocaine Hydrochloride injection, Pfizer, 1%, 20 mL vial, 25 count, NDC 00409-4276-01
  • Lidocaine Hydrochloride injection, Pfizer, 1%, 30 mL preservative-free vial, 25 count, NDC 00409-4279-02
  • Lidocaine Hydrochloride injection, Pfizer, 1%, 5 mL emergency Ansyr syringe, 10 count, NDC 00409-9137-05
  • Lidocaine Hydrochloride injection, Pfizer, 1%, 5 mL preservative-free glass ampule, 50 count, NDC 00409-4713-02
  • Lidocaine Hydrochloride injection, Pfizer, 1%, 50 mL vial, 25 count, NDC 00409-4276-02
  • Lidocaine Hydrochloride injection, Pfizer, 1.5%, 20 mL preservative-free ampule, 25 count, NDC 00409-4776-01
  • Lidocaine Hydrochloride injection, Pfizer, 2%, 10 mL preservative-free glass ampule, 25 count, NDC 00409-4282-02
  • Lidocaine Hydrochloride injection, Pfizer, 2%, 2 mL preservative-free glass ampule, 25 count, NDC 00409-4282-01
  • Lidocaine Hydrochloride injection, Pfizer, 2%, 20 mL vial, 25 count, NDC 00409-4277-01
  • Lidocaine Hydrochloride injection, Pfizer, 2%, 5 mL emergency Ansyr syringe, 10 count, NDC 00409-1323-05
  • Lidocaine Hydrochloride injection, Pfizer, 2%, 5 mL LifeShield syringe, 10 count, NDC 00409-4903-34
  • Lidocaine Hydrochloride injection, Pfizer, 2%, 5 mL preservative-free vial, 10 count, NDC 00409-2066-05
  • Lidocaine Hydrochloride injection, Pfizer, 2%, 50 mL vial, 25 count, NDC 00409-4277-02
  • Lidocaine Hydrochloride injection, Pfizer, 4%, 5 mL preservative-free glass ampule, 25 count, NDC 00409-4283-01

Reason for the Shortage

• • Amphastar has lidocaine syringes on shortage due to increased demand.
  • Eugia has lidocaine on shortage due to increased demand.
  • Fresenius Kabi has lidocaine on shortage due to increased demand.
  • Pfizer has lidocaine presentations on shortage due to manufacturing delays and increased demand.

Available Products

• • Xylocaine injection, Fresenius Kabi, 0.5%, 50 mL vial, 25 count, NDC 63323-0484-57
  • Xylocaine-MPF injection, Fresenius Kabi, 1.5%, 20 mL ampule, 5 count, NDC 63323-0493-91
  • Xylocaine-MPF injection, Fresenius Kabi, 2%, 2 mL vial, 25 count, NDC 63323-0495-27
  • Lidocaine Hydrochloride injection, Pfizer, 1%, 5 mL LifeShield syringe, 10 count, NDC 00409-4904-34

Estimated Resupply Dates

• • Amphastar has 2% lidocaine 5 mL syringes on back order and the company cannot estimate a release date.
  • Eugia has 1% lidocaine 2 mL, 5 mL, and 30 mL vials and 2% lidocaine 2 mL and 5 mL vials on intermittent back order and the company is releasing product as it becomes available. The 1% lidocaine 2 mL and 5 mL ampules and 2% 2 mL ampules are on back order and the company cannot estimate a release date.
  • Fresenius Kabi has 0.5% Xylocaine-MPF 50 mL vials on back order and the company estimates a release date of early-October 2022. The 1% lidocaine 2 mL and 10 mL vials are on back order and the company estimates a release date of late-September 2022 for the 2 mL vials and mid- to late-September 2022 for the 10 mL vials. The 1% Xylocaine 20 mL and 50 mL vials are on back order and the company estimates a release date of early-October 2022 for the 20 mL vials and mid- to late-September 2022 for the 50 mL vials. The 1% Xylocaine-MPF 2 mL and 30 mL vials are on back order and the company estimates a release date of early-September 2022 for the 2 mL vials and early-September 2022 for the 30 mL vials. The 1% Xylocaine-MPF 5 mL vials are on back order and the company cannot estimate a release date. The 1% Xylocaine-MPF 10 mL vials in sterile packs are on back order and the company estimates a release date of mid-September 2022. The 1.5% Xylocaine-MPF 10 mL are on back order and the company cannot estimate a release date. The 2% Xylocaine 10 mL, 20 mL, and 50 mL vials are on back order and the company estimates a release date of early-October 2022 for the 10 mL and 20 mL vials and late-October 2022 for the 50 mL vials. The 2% Xylocaine-MPF 5 mL vials are on back order and the company estimates a release date of late-October 2022. The 2% Xylocaine-MPF 10 mL ampules are on back order and the company estimates a release date of mid- to late-September 2022. The 2% lidocaine 2 mL and 5 mL vials are on back order and the company estimates a release date of mid- to late-September 2022 for the 2 mL vials and mid-September 2022 for the 5 mL vials.
  • Hikma has the 1% lidocaine 5 mL and 50 mL vials on back order and the company estimates a release date of mid- to late-September 2022. The 2% lidocaine 5 mL and 50 mL vials are on back order and the company estimates a release date of mid- to late-September 2022.
  • Pfizer has 0.5% lidocaine 50 mL flip top vials on back order and the company estimates a release date of April 2023. The 0.5% lidocaine 50 mL tear top vials are on back order and the company estimates a release date of November 2022. The 1% lidocaine 20 mL and 50 mL vials are on back order and the company estimates a release date of September 2022 for the 20 mL vials and October 2022 for the 50 mL vials. The 1% lidocaine 30 mL preservative-free vials are on back order and the company estimates a release date of January 2023. The 1% lidocaine 2 mL and 5 mL ampules are on back order and the company estimates a release date of September 2022 for the 2 mL ampules and October 2022 for the 5 mL ampules. The 1% lidocaine 5 mL Ansyr syringes are on back order and the company estimates a release date of November 2022. The 1.5% lidocaine 20 mL ampules are on back order and the company estimates a release date of September 2022. The 2% lidocaine 2 mL preservative-free ampules are on back order and the company estimates a release date of September 2022. The 2% lidocaine 10 mL ampules are on back order and the company estimates a release date of September 2022. The 2% lidocaine 5 mL and 50 mL vials are on back order and the company estimates a release date of October 2022. The 2% lidocaine 20 mL vials are available in limited supply. The 2% lidocaine 5 mL Ansyr syringes are on back order and the company estimates a release date of September 2022. The 2% lidocaine 5 mL LifeShield syringes are available in limited supply. The 4% lidocaine 5 mL ampules are on back order and the company estimates a release date of November 2022.

Alternative Agents & Management

• • Bupivacaine and lidocaine are amide-type local anesthetics commonly used in clinical practice. The following table compares their pharmacodynamic and pharmacokinetic properties. Key differences between the products are onset of action, duration of action, and dose. In general, bupivacaine is a longer-acting local anesthetic, while lidocaine has a more rapid onset, but shorter duration of action.[1-2]

  Table 1. Table. Comparison of Bupivacaine and lidocaine for Local Anesthesia1-6

  Property	Bupivacaine	Lidocaine
  *Duration of effect is prolonged by use of local anesthetics in combination with epinephrine, although magnitude of effect is not well-defined for all routes.
  Onset of action	Infiltration: 2-10 min Epidural: 4-7 min Spinal: 1-15 min	Not well-defined for anesthetic use as a single agent. In general local analgesia 1 to 3 min Spinal and Epidural rapid onset
  Duration of action: As a single agent	Infiltration: 2-8 h Nerve block, minor: 3-6 h Epidural: 3-9 h Spinal: 1.5-3.5 h	Infiltration: 0.5-2 h Nerve block, minor: 1-2 h Epidural: 100 min Spinal: 0.5-2 h
  Duration of action: Combined with epinephrine*	Infiltration: 3-4 h Nerve block, minor: 4-7 h	Infiltration: 2 h Nerve block, minor: 2-3 h
  Maximum dose	Single injections up to 175 mg without epinephrine or 225 mg with epinephrine; may repeat up to once every 3 hours. Maximum dosage: 400 mg/24 hours.	Maximum: 4.5 mg/kg/dose not to exceed 300 mg without epinephrine or 7mg/kg/dose not to exceed 500 mg with epinephrine; do not repeat within 2 hours. Maximum dose for spinal anesthesia is 100 mg.
  Protein Binding	82%-96%	60%-80%
  Volume of distribution	~2.5 L/kg	1.5 + 0.6 L/kg
  Half-life, terminal	Adults: 1.5-5 h Neonates: 8.1 h	Adults: 1.5-2 h Premature infants: 3.2 h
  Metabolism	Undergoes N-dealkylation in the liver.	Extensive hepatic metabolism (90%) with active metabolites.
  Elimination	Excreted in urine as metabolites and 5% as unchanged drug.	Excreted in urine as metabolites (90%) and unchanged drug (< 10 %).

  
  

References

• 1. Berde CB, Strichartz GR. Local anesthetics. In: Miller RD, ed. Miller's Anesthesia. 8th ed. Philadelphia, PA: Elsevier Saunders;2015:1028-1054.e4.
  2. Drasner K. Local anesthetics. In: Miller RD, Pardo MC, ed. Basics of Anesthesia. 6th ed. Philadelphia, PA: Elsevier Saunders;2011:130-142.
  3. Drugdex system. Micromedex 2.0 [database online]. http://www.micromedexsolutions.com. Updated March 13, 2018. Greenwood Village, CO: Truven Health Analytics; Accessed March 13, 2018.
  4. Lexi-Drugs Online. Hudson, OH: Lexi-Comp, Inc; 2018.
  5. Lidocaine hydrochloride and epinephrine injection, solution [package insert]. Lake Forest, IL: Hospira Inc; 2017.
  6. McEvoy GK, Snow EK, Kester L, Litvak K, Miller J, Welsh OH, eds. AHFS DI (Lexi-Comp Online). Bethesda, MD: American Society of Health-System Pharmacists; 2018.

Updated

Updated September 7, 2022 by Michelle Wheeler, PharmD, Drug Information Specialist. Created June 23, 2015 by Jane Chandramouli, PharmD, Drug Information Specialist. © 2022, Drug Information Service, University of Utah, Salt Lake City, UT.

Disclaimer

Drug Shortage Bulletins are copyrighted by the Drug Information Service of the University of Utah and provided by ASHP as its exclusive authorized distributor. ASHP and the University of Utah make no representations or warranties, express or implied, including, but not limited to, any implied warranty of merchantability and/or fitness for a particular purpose, with respect to such information, and specifically disclaim all such warranties. Users of this information are advised that decisions regarding the use of drugs and drug therapies are complex medical decisions and that in using this information, each user must exercise his or her own independent professional judgment. Neither ASHP nor the University of Utah assumes any liability for persons administering or receiving drugs or other medical care in reliance upon this information, or otherwise in connection with this Bulletin. Neither ASHP nor the University of Utah endorses or recommends the use of any particular drug. Any application of this information for any purpose shall be limited to personal, non-commercial use.

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