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psd 502

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Description

Lidocaine, Prilocaine Drug Combination: A topical local anesthetic preparation that is composed of a mixture of lidocaine and prilocaine. It is used to provide anesthesia during minor surgery and for the treatment of PREMATURE EJACULATION. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID9911821
SCHEMBL ID2019133
MeSH IDM0534845

Synonyms (16)

Synonym
101362-25-8
lidocaine and prilocaine
oraqix
emla
psd 502
psd502
propanamide, n-(2-methylphenyl)-2-(propylamino)-, mixt. with 2-(diethylamino)-n-(2,6-dimethylphenyl)acetamide
lidocaine, prilocaine drug combination
lidocaine - prilocaine mixt.
lidocaine-prilocaine mixt.
lidocaine prilocaine spray
medicaina
lidocaine/prilocaine
SCHEMBL2019133
DTXSID60893697
Q4019783

Research Excerpts

Toxicity

ExcerptReferenceRelevance
" The potential for toxic effects from such use has not been studied in a controlled manner."( Ocular toxicity following topical application of anesthetic cream to the eyelid skin.
Cohen, RG; Hartstein, M; Ladav, M; Lahav, M; Woog, JJ, 1996
)
0.29
" After 1 hour of treatment, the eyelid and anterior segment were examined for evidence of adverse reaction."( Ocular toxicity following topical application of anesthetic cream to the eyelid skin.
Cohen, RG; Hartstein, M; Ladav, M; Lahav, M; Woog, JJ, 1996
)
0.29
"No significant adverse effects were noted on external lid and anterior segment examination."( Ocular toxicity following topical application of anesthetic cream to the eyelid skin.
Cohen, RG; Hartstein, M; Ladav, M; Lahav, M; Woog, JJ, 1996
)
0.29
" The external application of EMLA cream may be safe in the periorbital region."( Ocular toxicity following topical application of anesthetic cream to the eyelid skin.
Cohen, RG; Hartstein, M; Ladav, M; Lahav, M; Woog, JJ, 1996
)
0.29
"5 g lidocaine-prilocaine cream to the heel under occlusion four times a day during 30 min is safe in preterm neonates."( Safety of lidocaine-prilocaine cream application four times a day in premature neonates: a pilot study.
Essink-Tebbes, CM; Hekster, YA; Liem, KD; van Dongen, RT; Wuis, EW, 1999
)
0.3
" The authors conclude that EMLA is safe but not efficacious for relieving pain from heel lance in preterm infants."( Management of pain from heel lance with lidocaine-prilocaine (EMLA) cream: is it safe and efficacious in preterm infants?
Aranda, J; Jack, A; Johnston, C; Koren, G; Narciso, J; Stevens, B; Stremler, R; Taddio, A, 1999
)
0.3
" The measured peak plasma concentration of lidocaine or prilocaine did not reach toxic levels in any patient."( The efficacy and safety of EMLA cream for awake fiberoptic endotracheal intubation.
Afshar, M; Cypel, D; Goldberg, ME; Gratz, I; Larijani, GE; Mandel, R; Mroz, L, 2000
)
0.31
"We describe a 3-year-old child with mollusca contagiosa whose caregiver applied a eutectic mixture of 5% lidocaine and prilocaine (EMLA) in excessive amounts with the subsequent development of adverse reactions, including methemoglobinemia and hypoxemia."( Lidocaine and prilocaine toxicity in a patient receiving treatment for mollusca contagiosa.
Jackson, JB; Touma, S, 2001
)
0.31
" The studies selected had a sufficient number of geriatric and nongeriatric adults and a uniform, standardized pain stimulus (split-skin grafting), pain rating (visual analogue scale, verbal rating scale) and adverse event recording."( Split-skin grafting with lidocaine-prilocaine cream: A meta-analysis of efficacy and safety in geriatric versus nongeriatric patients.
Lillieborg, S; Wahlgren, CF, 2001
)
0.31
" Lidocaine and prilocaine concentrations were below toxic levels; o-toluidine was not detected."( Safety and pharmacokinetics of EMLA in the treatment of postburn pruritus in pediatric patients: a pilot study.
Bch, MB; Clarke, HM; Hubley, P; Jacobson, S; Kopecky, EA; Koren, G; Palozzi, L,
)
0.13
"The pretreatment with nitrous oxide is a time effective and safe method for use at paediatric outpatient departments to reduce pain, facilitate venous cannulation, and thereby reduce the number of costly cancellations of planned procedures."( Nitrous oxide inhalation is a safe and effective way to facilitate procedures in paediatric outpatient departments.
Ekbom, K; Jakobsson, J; Marcus, C, 2005
)
0.33
" Neither anesthetic was systemically absorbed in any cat, and no adverse clinical signs were observed."( Adverse effects of EMLA (lidocaine/prilocaine) cream and efficacy for the placement of jugular catheters in hospitalized cats.
Gibbon, KJ; Kurian, JR; Strom, TL; Trepanier, LA; Wagner, KA, 2006
)
0.33
" While safe and well-tolerated when used appropriately, an overdose of these anesthetics increases the risk for local anesthetic systemic toxicity (LAST), which in severe cases can present with seizures, cardiac dysrhythmias, and ultimately cardiovascular collapse."( Local anesthetic systemic toxicity in the pediatric patient.
Baker, KA; McMahon, K; Paster, J, 2022
)
0.72
"Spontaneous reports notified to the French Pharmacovigilance Network were retrieved and followed by a case-by-case review, according to the following criteria: LA as suspected drug, age < 18 years, adverse drug reactions related to nervous system, cardiac, respiratory, psychiatric or general disorders."( Local anesthetics systemic toxicity in children: analysis of the French pharmacovigilance database.
Bouazza, N; Boyer-Gervoise, M; Callot, D; Chouchana, L; Lesage, F; Oualha, M; Paret, N; Schweitzer-Chaput, A; Treluyer, JM, 2023
)
0.91
" Treatment-emergent adverse events occurred in 38."( Safety and Pharmacokinetics of PSD502 in Healthy Chinese Male and Female Volunteers: Two Randomized, Double-Blind, Placebo-Controlled, Phase I Trials.
Diao, L; Li, H; Liu, L; Liu, Z; Lu, J; Niu, X; Qi, L; Sun, Y; Wang, F; Wang, X; Zhao, L; Zhou, Y; Zhu, J, 2023
)
0.91

Pharmacokinetics

ExcerptReferenceRelevance
" Plasma sample analysis was carried out by employing liquid chromatography coupled with tandem mass spectrometric (LC-MS/MS) method, and the pharmacokinetic analysis of the mouse plasma samples was estimated by standard non-compartmental methods."( A pharmacokinetic study of a topical anesthetic (EMLA® ) in mouse soft tissue laceration.
Al-Musawi, A; Andersson, L; Kombian, SB; Matar, K, 2012
)
0.38
" Nanorap pharmacodynamic (PD) and its physical proprieties were also evaluated."( Pharmacokinetic and pharmacodynamic evaluation of a nanotechnological topical formulation of lidocaine/prilocaine (nanorap) in healthy volunteers.
Arruda, AM; Castelli, MR; Chen, LS; Costa, SF; De Nucci, G; de Oliveira, MA; de Souza, W; Gagliano-Jucá, T; Lopes, AG; Mendes, GD, 2015
)
0.42

Compound-Compound Interactions

ExcerptReferenceRelevance
" This study aimed to demonstrate the efficacy and safety of three intrarectal local anesthesia (IRLA) combined with PPNB in patients undergoing transrectal ultrasonography (TRUS)-guided prostate biopsy."( Prospective comparison among three intrarectal anesthetic treatments combined with periprostatic nerve block during transrectal ultrasonography-guided prostate biopsy.
Campos-Salcedo, JG; Canizalez-Román, A; Parés-Hipólito, J; Sedano-Lozano, A; Shelton, LM; Torres-Gomez, JJ; Valdez-Flores, MA; Valdez-Flores, RA, 2018
)
0.48
"Intrarectal application of EMLA cream is a more efficient pain reduction than either 2% lidocaine gel or 100 mg indomethacin suppository when applied combined with PPNB."( Prospective comparison among three intrarectal anesthetic treatments combined with periprostatic nerve block during transrectal ultrasonography-guided prostate biopsy.
Campos-Salcedo, JG; Canizalez-Román, A; Parés-Hipólito, J; Sedano-Lozano, A; Shelton, LM; Torres-Gomez, JJ; Valdez-Flores, MA; Valdez-Flores, RA, 2018
)
0.48
" We speculated that the application of compound lidocaine/prilocaine combined with tetracaine spray would better prevent coughing caused by tracheal extubation."( Compound lidocaine/prilocaine cream combined with tetracaine prevents cough caused by extubation after general anaesthesia: a randomised controlled trial.
Gao, J; Li, T; Li, Y; Wang, M; Zhang, E; Zhang, H; Zhang, L; Zhao, X, 2023
)
0.91
"Patients scheduled for laparoscopic cholecystectomy or cholecystectomy combined with common bile duct exploration under general anaesthesia were randomly assigned to Group C (saline spray), Group L (2 g compound lidocaine/prilocaine cream contains 5 mg of lidocaine and 5 mg prilocaine)), Group T (tetracaine) and Group F (compound lidocaine/prilocaine cream combined with tetracaine)."( Compound lidocaine/prilocaine cream combined with tetracaine prevents cough caused by extubation after general anaesthesia: a randomised controlled trial.
Gao, J; Li, T; Li, Y; Wang, M; Zhang, E; Zhang, H; Zhang, L; Zhao, X, 2023
)
0.91
"Compound lidocaine/prilocaine cream combined with tetracaine may be a more effective approach for preventing coughing and stabilising circulation during extubation following general anaesthesia."( Compound lidocaine/prilocaine cream combined with tetracaine prevents cough caused by extubation after general anaesthesia: a randomised controlled trial.
Gao, J; Li, T; Li, Y; Wang, M; Zhang, E; Zhang, H; Zhang, L; Zhao, X, 2023
)
0.91

Bioavailability

ExcerptReferenceRelevance
" We studied bioavailability and changes in methemoglobin levels following topical penile exposure to 1 g of EMLA cream for 1 hour in piglets."( Penile absorption of EMLA cream in piglets: implications for use of EMLA in neonatal circumcision.
Gazarian, M; Kent, G; Klein, J; Koren, G; Taddio, A, 1995
)
0.29

Dosage Studied

ExcerptRelevanceReference
" Physicians must adhere to recommendations to avoid mucous membrane contact and ensure appropriate dosing with these agents."( Topical anesthesia.
Keyes, PD; Rizos, J; Tallon, JM, 1998
)
0.3
"Data abstracted from each report included gestational age at birth, timing and dosage regimen of EMLA, control group treatment and outcomes."( Lidocaine-prilocaine cream for analgesia during circumcision in newborn boys.
Ohlsson, A; Ohlsson, K; Taddio, A, 2000
)
0.31
" Dosage had no significant effect."( Role of histamine release in nonspecific vasodilatation during anodal and cathodal iontophoresis.
Droog, EJ; Henricson, J; Horiuchi, Y; Lennquist, S; Sjöberg, F; Wikström, T, 2004
)
0.32
" In groups 6 and 7, additional fentanyl doses were lower than in the other groups, but only in group 7 was the total fentanyl dosage low."( Effectiveness of eutectic mixture of local anesthetic cream and occlusive dressing with low dosage of fentanyl for pain control during shockwave lithotripsy.
Basar, H; Basar, MM; Batislam, E; Ozcan, S; Tuglu, D; Yilmaz, E, 2005
)
0.33
" The requested frequency and dosage of meperidine, the first spontaneous voiding time, the frequency of single urinary catheterization, and a patient satisfaction score were also obtained."( Use of a topical anesthetic cream (EMLA) to reduce pain after hemorrhoidectomy.
Chen, HS; Hung, KC; Lin, SE; Shiau, JM; Su, HP; Tseng, CC,
)
0.13
"The VAS score and frequency and dosage of meperidine injections were significantly lower in the EMLA group than in the control group (P < ."( Use of a topical anesthetic cream (EMLA) to reduce pain after hemorrhoidectomy.
Chen, HS; Hung, KC; Lin, SE; Shiau, JM; Su, HP; Tseng, CC,
)
0.13
" (4) Cutaneous sensory blockade does not appear to alter nitric oxide-mediated vasodilation, adrenergic vasoconstriction, or cholinergic eccrine sweating dose-response sensitivity or responsiveness to maximal dose."( Topical anaesthesia does not affect cutaneous vasomotor or sudomotor responses in human skin.
Metzler-Wilson, K; Wilson, TE, 2013
)
0.39
" Timing and dosing of the drug can deserve to be adjusted according to patient's needs and their sexual ecology."( Real-life use of the eutectic mixture lidocaine/prilocaine spray in men with premature ejaculation.
Boeri, L; Fallara, G; Montorsi, F; Pozzi, E; Salonia, A, 2022
)
0.72
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (863)

TimeframeStudies, This Drug (%)All Drugs %
pre-199042 (4.87)18.7374
1990's342 (39.63)18.2507
2000's278 (32.21)29.6817
2010's160 (18.54)24.3611
2020's41 (4.75)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 24.30

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be moderate demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index24.30 (24.57)
Research Supply Index7.24 (2.92)
Research Growth Index5.31 (4.65)
Search Engine Demand Index54.66 (26.88)
Search Engine Supply Index3.93 (0.95)

This Compound (24.30)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials440 (46.41%)5.53%
Reviews92 (9.70%)6.00%
Case Studies98 (10.34%)4.05%
Observational5 (0.53%)0.25%
Other313 (33.02%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]