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EMLA Cream

EMLA Cream

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EMLA Cream for Local Anaesthesia

 

You can use this topical anaesthetic to numb your skin before minor medical procedures or needle insertions. The cream contains two active ingredients that work together to provide effective local numbing when applied to intact skin. Healthcare professionals commonly recommend this treatment before blood tests, injections, or minor surgical procedures to reduce discomfort.

This numbing cream requires advance planning as it needs time to take effect. You should apply it under an occlusive dressing and allow sufficient contact time for the anaesthetic effect to develop properly.

 

How This Topical Anaesthetic Works

 

The cream contains lidocaine and prilocaine, two local anaesthetics that temporarily block nerve signals in your skin. When you apply the cream, these ingredients penetrate through your skin layers to reach the nerve endings underneath. This process temporarily prevents pain signals from reaching your brain, creating a numbing effect in the treated area.

The anaesthetic effect develops gradually and reaches maximum effectiveness after the recommended application time. The numbing sensation will wear off naturally as your body processes and eliminates the active ingredients from the treated skin area.

 

Who Can Benefit from Local Anaesthetic Cream

 

This treatment suits adults and children who need skin numbing before medical procedures. You might find it particularly helpful if you have needle phobia or heightened sensitivity to minor procedures. Many people use it alongside other first aid preparations when preparing for medical appointments.

The cream is suitable for use on various body areas, but you should always follow the specific instructions for your intended application site:

  • Adults requiring numbing before blood tests or injections
  • Children over 12 months old for minor procedures
  • Patients preparing for small skin biopsies or minor surgery
  • Individuals with anxiety about needle-based medical procedures

 

Why Choose This Established Anaesthetic Formula

 

This EMLA cream uses a well-established combination of local anaesthetics that has been used in clinical practice for many years. The dual-ingredient formula provides reliable numbing effects when used according to the instructions. Healthcare professionals trust this formulation because of its consistent performance and well-documented safety profile.

The cream's formulation allows for controlled penetration into your skin layers, providing effective anaesthesia without systemic absorption when used appropriately. This makes it a practical choice for routine medical procedures where local numbing is beneficial.

 

Clinical Application and Storage Requirements

 

You should store this medication at room temperature and protect it from freezing. The cream maintains its effectiveness when kept in its original packaging away from direct heat and light. Always check the expiry date before use and dispose of any expired medication safely through your local pharmacy.

For optimal results, you need to apply the cream under an occlusive dressing as directed. This creates the right conditions for the anaesthetic ingredients to penetrate your skin effectively and provide the intended numbing effect.

This product is a medicine. Speak to your doctor or pharmacist before using if you have an underlying medical condition or are taking other medicines.

 

Application Instructions for Numbing Effect

You should apply a thick layer of cream to clean, intact skin at least one hour before your procedure. Cover the treated area completely with an occlusive dressing to prevent the cream from rubbing off and to enhance penetration. The exact application time depends on the procedure type and the area being treated, so follow your healthcare provider's specific instructions.

Remove the dressing and wipe away excess cream just before your procedure begins. The numbing effect typically lasts for one to two hours after removal, depending on the application time and individual response.

Dosage Guidelines and Safety Considerations

You should not exceed the recommended application area or duration specified in the product instructions. For children, the dosage and application time may differ from adult recommendations, so always follow age-appropriate guidelines. Do not apply the cream to broken skin, mucous membranes, or areas with active skin conditions unless specifically directed by a healthcare professional.

If you need repeated applications, allow adequate time between treatments and do not exceed the maximum recommended frequency. Always wash your hands thoroughly after applying the cream to prevent accidental contact with sensitive areas like your eyes.

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Understanding Potential Side Effects

Like all medicines, EMLA cream can have side effects, although not everyone will experience them. Most people tolerate this local anaesthetic well when used as directed, but you should be aware of possible reactions that may occur at the application site or systemically.

The most common side effects involve local skin reactions where you applied the cream. These typically develop during or shortly after the application period and usually resolve on their own once the cream is removed and the anaesthetic effect wears off.

You may find it helpful to explore other creams and ointments if you experience persistent skin reactions or if this treatment doesn't suit your needs.

  • Temporary skin paleness or redness at the application site
  • Mild burning or stinging sensation when first applied
  • Skin swelling or slight puffiness in the treated area
  • Temporary changes in skin sensation beyond the intended numbing
  • Allergic skin reactions including rash or itching
  • Skin irritation or dermatitis at the application site
  • Temporary skin discolouration that fades over time
  • Rare cases of systemic effects if absorbed in large quantities
  • Contact sensitivity developing with repeated use
  • Blistering or severe skin reactions in sensitive individuals

If you experience these or any other side effects, speak to your doctor or pharmacist right away. For more information about reporting side effects please see the MHRA Yellow Card Scheme.

Patient Information Leaflet

Important - Before taking any medication, it is always important to read the Patient Information Leaflet (PIL)

Written and reviewed by our qualified team

GPhC Number: 2233073
Tarun Kumar

Reviewed by:

Tarun Kumar

Superintendent/ Clinical Lead

📖 Find out more about our team of medical content authors and how we ensure the accuracy of our content with our content guidelines.

Content last updated: 31 Mar 2025

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