Topical Local Anesthetics has 90 known drug interactions based on U.S. FDA drug labeling data. Of these, 1 are contraindicated combinations that should be avoided entirely. 50 are classified as major interactions requiring close medical supervision. Notable interactions include combinations with Amiodarone Hydrochloride, Betamethasone Sodium Phosphate, Betamethasone Acetate, Lidocaine, Iodixanol, Povidine Iodine, Bupivacaine Hydrochloride. Patients taking Topical Local Anesthetics should inform their healthcare provider of all current medications — including over-the-counter drugs and supplements — to avoid potentially harmful combinations. Data sourced from OpenFDA and the NIH National Library of Medicine.
- Total
- 90
- Contraindicated
- 1
- Major
- 50
- Moderate
- 39
Contraindicated (1)
- Topical Local Anesthetics + Amiodarone Hydrochloride— Increased risk of Torsade de Pointes. Avoid concomitant use.
Major (50)
- Topical Local Anesthetics + Betamethasone Sodium Phosphate, Betamethasone Acetate, Lidocaine, Iodixanol, Povidine Iodine— Serious dose-related cardiac arrhythmias may occur if preparations containing vasoconstrictor are used during or followi…
- Topical Local Anesthetics + Bupivacaine Hydrochloride— Serious dose-related cardiac arrhythmias may occur if preparations containing vasoconstrictor are used during or after a…
- Topical Local Anesthetics + Bupivacaine Hydrochloride And Epinephrine Bitartrate— Serious dose-related cardiac arrhythmias may occur if MARCAINE WITH EPINEPHRINE is used during or following potent inhal…
- Topical Local Anesthetics + Buprenorphine— CNS depressants that increase risk of respiratory depression, profound sedation, coma, and death with concomitant bupren…
- Topical Local Anesthetics + Buprenorphine And Naloxone— Concomitant use increases risk of respiratory depression, profound sedation, coma, and death due to additive CNS depress…
- Topical Local Anesthetics + Buprenorphine Hydrochloride— Concomitant use increases risk of respiratory depression, profound sedation, coma, and death due to additive CNS depress…
- Topical Local Anesthetics + Buprenorphine Hydrochloride And Naloxone Hydrochloride Dihydrate— Concomitant use increases risk of respiratory depression, profound sedation, coma, and death due to additive CNS depress…
- Topical Local Anesthetics + Butalbital, Acetaminophen And Caffeine— General anesthetics may enhance effects causing increased CNS depression.
- Topical Local Anesthetics + Butalbital, Aspirin, And Caffeine— Butalbital causes increased CNS depression when combined with general anesthetics.
- Topical Local Anesthetics + Butorphanol Tartrate— CNS depressant effects increase risk of respiratory depression, profound sedation, coma, and death.
- Topical Local Anesthetics + Cisatracurium Besylate— Administration with nitrous oxide/oxygen for >30 minutes may prolong duration of action and potentiate neuromuscular blo…
- Topical Local Anesthetics + Dexamethasone Sodium Phosphate, Lidocaine Hydrochloride, Povidine Iodine— Serious dose-related cardiac arrhythmias may occur if preparations containing vasoconstrictor epinephrine are used durin…
- Topical Local Anesthetics + Dexmethylphenidate Hydrochloride— Concomitant use may increase risk of sudden blood pressure and heart rate increase during surgery. Avoid use on day of s…
- Topical Local Anesthetics + Diethylpropion Hydrochloride— Concurrent use may result in arrhythmias.
- Topical Local Anesthetics + Diltiazem Hydrochloride— Depressed cardiac contractility, conductivity, and automaticity as well as vascular dilation.
- Topical Local Anesthetics + Dopamine Hydrochloride— Can sensitize the myocardium to dopamine effects and produce ventricular arrhythmias and hypertension.
- Topical Local Anesthetics + Gentamicin Sulfate— Neuromuscular blockade and respiratory paralysis possible when aminoglycosides administered to patients receiving anesth…
- Topical Local Anesthetics + Haloperidol Decanoate— Haloperidol may potentiate CNS depressants, increasing risk of enhanced CNS depression.
- Topical Local Anesthetics + Hyaluronidase— Hyaluronidase hastens onset and shortens duration of effect of local anesthetics, increasing incidence of systemic react…
- Topical Local Anesthetics + Hyaluronidase, Ovine— Hyaluronidase hastens onset and shortens duration of effect; increases incidence of systemic reactions due to wider spre…
- Topical Local Anesthetics + Hydrocodone Bitartrate And Acetaminophen— Concomitant use increases risk of respiratory depression, profound sedation, coma, and death; reserve for patients where…
- Topical Local Anesthetics + Ketorolac Tromethamine— Serious dose-related cardiac arrhythmias may occur if preparations containing vasoconstrictor are used during or followi…
- Topical Local Anesthetics + Levorphanol Tartrate— Additive CNS depression increasing risk of hypotension, respiratory depression, profound sedation, coma, and death.
- Topical Local Anesthetics + Lidocaine Hydrochloride— Serious dose-related cardiac arrhythmias may occur if lidocaine solutions containing epinephrine are used during or foll…
- Topical Local Anesthetics + Lidocaine Hydrochloride And Epinephrine Bitartrate— Serious dose-related cardiac arrhythmias may occur when epinephrine-containing preparations are used during or following…
- Topical Local Anesthetics + Lidocaine Hydrochloride, Bupivacaine Hydrochloride, Povidine Iodine— Serious dose-related cardiac arrhythmias may occur if preparations containing vasoconstrictor such as epinephrine are us…
- Topical Local Anesthetics + Lorazepam— Produces increased CNS-depressant effects including respiratory depression and sedation.
- Topical Local Anesthetics + Marcaine, Lidocaine, Kenalog, Povidone Iodine— Serious dose-related cardiac arrhythmias may occur if preparations containing vasoconstrictor are used during or followi…
- Topical Local Anesthetics + Mecamylamine Hydrochloride— Anesthesia may potentiate the action of Mecamylamine HCl.
- Topical Local Anesthetics + Mepivacaine Hydrochloride— Serious cardiac arrhythmias may occur if preparations containing vasoconstrictors are employed during or following their…
- Topical Local Anesthetics + Methadone Hydrochloride— CNS depressant effect increases risk of respiratory depression, profound sedation, coma, and death.
- Topical Local Anesthetics + Methylphenidate— Concomitant use may increase risk of sudden blood pressure and heart rate increase during surgery. Avoid use on day of s…
- Topical Local Anesthetics + Methylphenidate Hydrochloride— Concomitant use may increase risk of sudden blood pressure and heart rate increase during surgery. Avoid use on day of s…
- Topical Local Anesthetics + Methylprednisolone Acetate, Lidocaine Hydrochloride, Bupivacaine Hydrochloride, Povidine Iodine, Sodium Chloride, Isopropyl Alcohol— Serious dose-related cardiac arrhythmias may occur if preparations containing epinephrine are used during or following p…
- Topical Local Anesthetics + Metoprolol Tartrate And Hydrochlorothiazide— Some inhalation anesthetics may enhance the cardiodepressant effect of metoprolol.
- Topical Local Anesthetics + Morphine Sulfate— CNS depressants with additive effects increasing risk of hypotension, respiratory depression, and profound sedation.
- Topical Local Anesthetics + Nadolol— Exaggeration of hypotension induced by general anesthetics when administered concurrently with nadolol.
- Topical Local Anesthetics + Nalbuphine Hydrochloride— Concomitant use increases risk of respiratory depression, profound sedation, coma, and death due to additive CNS depress…
- Topical Local Anesthetics + Oxycodone Hydrochloride— Additive CNS depression with potential respiratory depression, hypotension, profound sedation, or coma. Dose reduction r…
- Topical Local Anesthetics + Pentazocine Hydrochloride And Naloxone Hydrochloride— Concomitant use increases risk of hypotension, respiratory depression, profound sedation, coma, and death due to additiv…
- Topical Local Anesthetics + Promethazine Hydrochloride— Promethazine may increase, prolong, or intensify the sedative action of general anesthetics; avoid or use reduced dosage…
- Topical Local Anesthetics + Promethazine Hydrochloride And Dextromethorphan Hydrobromide— Promethazine may increase, prolong, or intensify sedative action of general anesthetics.
- Topical Local Anesthetics + Pyridostigmine Bromide— Should be used cautiously or avoided during pyridostigmine treatment due to interference with neuromuscular transmission…
- Topical Local Anesthetics + Remifentanil Hydrochloride— CNS depressants increase risk of hypotension, respiratory depression, profound sedation, coma, and death.
- Topical Local Anesthetics + Rocuronium Bromide— May enhance rocuronium bromide activity and neuromuscular blockade.
- Topical Local Anesthetics + Serdexmethylphenidate And Dexmethylphenidate— Concomitant use may increase the risk of sudden blood pressure and heart rate increase during surgery.
- Topical Local Anesthetics + Temazepam— Produces additive CNS-depressant effects when co-administered with temazepam.
- Topical Local Anesthetics + Triamcinolone Acetonide— Serious dose-related cardiac arrhythmias may occur if preparations containing vasoconstrictor are used during or followi…
- Topical Local Anesthetics + Vancomycin Hydrochloride— Concomitant administration associated with erythema, histamine-like flushing, and anaphylactoid reactions.
- Topical Local Anesthetics + Verapamil Hydrochloride— Both inhalation anesthetics and verapamil depress cardiovascular activity by decreasing calcium ion movement. Concurrent…
Moderate (39)
- Topical Local Anesthetics + Acetaminophen And Codeine Phosphate— May enhance CNS depressant effects, causing increased CNS depression.
- Topical Local Anesthetics + Acetaminophen, Caffeine, Dihydrocodeine Bitartrate— Additive CNS depressant effects when combined with dihydrocodeine; dose reduction of one or both agents recommended.
- Topical Local Anesthetics + Apraclonidine— Possibility of additive or potentiating effect with CNS depressants.
- Topical Local Anesthetics + Brimonidine— Possibility of additive or potentiating CNS depressant effect with brimonidine.
- Topical Local Anesthetics + Brimonidine Tartrate— CNS depressant with potential for additive or potentiating effect when used with brimonidine tartrate ophthalmic solutio…
- Topical Local Anesthetics + Brimonidine Tartrate And Timolol Maleate— CNS depressant with possibility of additive or potentiating effect on central nervous system depression.
- Topical Local Anesthetics + Brimonidine Tartrate Ophthalmic Solution, 0.15%— CNS depressant; may result in additive or potentiating effect with brimonidine on the central nervous system.
- Topical Local Anesthetics + Brinzolamide/Brimonidine Tartrate— Potential additive or potentiating effect with CNS depressants. Specific interaction studies not conducted.
- Topical Local Anesthetics + Bupivacaine— Toxic effects are additive; concomitant use requires caution with monitoring for neurologic and cardiovascular effects f…
- Topical Local Anesthetics + Bupivacaine Hydrochloride Injection, Solution— Toxic effects are additive. Monitor patients for neurologic and cardiovascular effects related to local anesthetic syste…
- Topical Local Anesthetics + Butalbital And Acetaminophen— General anesthetics may enhance the effects of butalbital and acetaminophen, causing increased CNS depression.
- Topical Local Anesthetics + Butalbital And Acetaminophen Tablets— General anesthetics may have enhanced effects when combined with butalbital and acetaminophen, causing increased CNS dep…
- Topical Local Anesthetics + Butalbital, Acetaminophen, And Caffeine Capsules— General anesthetics may have enhanced effects, causing increased CNS depression.
- Topical Local Anesthetics + Carbachol And Brimonidine Tartrate— Anesthetics may result in additive or potentiating CNS depressant effects with YUVEZZI.
- Topical Local Anesthetics + Clonidine— Epidural clonidine may prolong the duration of pharmacologic effects of epidural local anesthetics, including sensory an…
- Topical Local Anesthetics + Clonidine Hydrochloride— Epidural clonidine may prolong the duration of pharmacologic effects of epidural local anesthetics, including both senso…
- Topical Local Anesthetics + Dermatophagoides Farinae— Topical local anesthetics suppress flare responses and should be avoided at skin test sites.
- Topical Local Anesthetics + Diazepam— May potentiate or be potentiated by diazepam action. Careful consideration should be given when combining.
- Topical Local Anesthetics + Droperidol— Additive or potentiating CNS depressant effects; droperidol dose should be reduced when used concomitantly.
- Topical Local Anesthetics + Haloperidol Lactate— CNS depressants; haloperidol may potentiate their effects and enhance CNS depression.
- Topical Local Anesthetics + Histamine— May suppress the flare responses to histamine and should be avoided at skin test sites.
- Topical Local Anesthetics + Hydromorphone Hydrochloride— Additive CNS depressant effects; reduced dosage of hydromorphone recommended to avoid excessive effects.
- Topical Local Anesthetics + Lidocaine 5%— When used concomitantly with other local anesthetic products, the total amount absorbed from all formulations must be co…
- Topical Local Anesthetics + Lidocaine Hcl, Benzalkonium Chloride— When used concomitantly with other products containing local anesthetic agents, the total absorbed amount from all formu…
- Topical Local Anesthetics + Lidocaine Hydrochloride, Menthol— When used concomitantly with lidocaine hydrochloride/menthol, the total amount absorbed from all formulations must be co…
- Topical Local Anesthetics + Lidocaine, Dimethicone— When lidocaine patch 5% is used concomitantly with other products containing local anesthetic agents, the total amount a…
- Topical Local Anesthetics + Lidocaine, Menthol— When used concurrently with other local anesthetic products, total absorbed amount from all formulations must be conside…
- Topical Local Anesthetics + Lidothol Es Patch— When used concurrently with other local anesthetic products, total absorbed amount from all formulations must be conside…
- Topical Local Anesthetics + Magnesium Sulfate Heptahydrate— Additive CNS depressant effects when used with magnesium; dosage should be adjusted with caution.
- Topical Local Anesthetics + Magnesium Sulfate In Dextrose— Additive CNS depressant effects may occur; dosage adjustment needed when used concomitantly with magnesium sulfate.
- Topical Local Anesthetics + Methyldopa— Patients may require reduced doses of anesthetics when on methyldopa. Hypotension during anesthesia can be controlled by…
- Topical Local Anesthetics + Metoprolol Tartrate— Some inhalation anesthetics may enhance the cardiodepressant effect of metoprolol.
- Topical Local Anesthetics + Phenylephrine Hydrochloride— Phenylephrine may potentiate the cardiovascular depressant effects of inhalation anesthetic agents.
- Topical Local Anesthetics + Promethazine Hydrochloride And Phenylephrine Hydrochloride— Promethazine may increase, prolong, or intensify sedative action; agents should be avoided or administered in reduced do…
- Topical Local Anesthetics + Sodium Chloride, Sodium Gluconate, Sodium Acetate, Potassium Chloride, Magnesium Chloride, Sodium Phosphate, Dibasic, And Potassium Phosphate— Administration should be adjusted with caution in patients receiving magnesium-containing solutions due to additive cent…
- Topical Local Anesthetics + Sodium Nitroprusside— Hypotensive effect of sodium nitroprusside is augmented by inhaled anesthetics.
- Topical Local Anesthetics + Triamterene— Effects of preanesthetic and anesthetic agents may be potentiated when given with triamterene.
- Topical Local Anesthetics + Triamterene Capsules— Effects may be potentiated when given together with triamterene.
- Topical Local Anesthetics + Vancomycin— Concomitant administration has been associated with erythema and histamine-like flushing.