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Lambdalina 40 mg/g crema

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Doctor
5.0(16)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
This page is for general information. Consult a doctor for personal advice. Call emergency services if symptoms are severe.
About the medicine

How to use LAMBDALINA 40 mg/g CREAM

Contents of the leaflet

  1. Introduction
  2. What is LAMBDALINA and what is it used for
  3. What you need to know before you use LAMBDALINA
  4. How to use LAMBDALINA
  5. Possible side effects
  6. Storing LAMBDALINA
  7. Contents of the pack and other information

Introduction

Package Leaflet: Information for the User

LAMBDALINA 40 mg/g Cream

Lidocaine

Read all of this leaflet carefully before you start using this medicine because it contains important information for you.

  • Keep this leaflet, you may need to read it again.
  • If you have any further questions, ask your doctor or pharmacist.
  • This medicine has been prescribed for you only. Do not pass it on to others. It may harm them, even if their signs of illness are the same as yours.
  • If you get any side effects, talk to your doctor or pharmacist. This includes any possible side effects not listed in this leaflet. See section 4.

Contents of the pack

  1. What is LAMBDALINA and what is it used for
  2. What you need to know before you use LAMBDALINA
  3. How to use LAMBDALINA
  4. Possible side effects
  5. Storing LAMBDALINA
  6. Contents of the pack and other information

1. What is LAMBDALINA and what is it used for

LAMBDALINA 40 mg/g cream contains lidocaine and is a medicine that induces local loss of sensitivity (local anesthesia) of the skin.

LAMBDALINA is used to desensitize the skin in relation to needle insertion (e.g. prior to blood tests).

Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

2. What you need to know before you use LAMBDALINA

Do not use LAMBDALINA

  • if you are allergic to lidocaine or any of the other ingredients of this medicine (listed in section 6).
  • if you are allergic (hypersensitive) to local anesthetics, soy or peanuts.
  • in premature children (born before the 37th week of gestation).

Warnings and precautions

Consult your doctor or pharmacist before starting to use LAMBDALINA:

  • in case of surgical interventions in the ear canal or inner ear, as there is a risk of damaging the inner ear.
  • if you have a serious illness, e.g. heart disease or severe liver failure.
  • if you are taking medicines for heart rhythm disorders (see Use of other medicines)
  • near the eyes, as lidocaine can cause eye irritation. Additionally, with the loss of protective reflexes, corneal irritation or scratches can occur. If LAMBDALINA comes into contact with the eyes, rinse them with warm water immediately and protect them until sensation returns.
  • if you are about to receive a vaccination with a live vaccine (e.g. tuberculosis vaccine). Vaccines should not be administered in areas where LAMBDALINA has been applied, as the effect of the vaccine may be affected.

Please inform your doctor if you are affected by any of the above-mentioned situations.

LAMBDALINA should only be used on undamaged skin (not on mucous membranes, wounds, or eczema).

Other medicines and LAMBDALINA

Tell your doctor or pharmacist if you are using or have recently used or might use any other medicines.

It is especially important for your doctor to know if you have been treated with any of the following medicines, as the risk of side effects may be increased:

  • lidocaine at high doses for other reasons.
  • other local anesthetics
  • medicines for arrhythmias (heart rhythm disorders), e.g. tocainide, mexiletine, and amiodarone.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or plan to become pregnant, consult your doctor before using this medicine.

Occasional use of LAMBDALINA during pregnancy is unlikely to cause harmful effects on the fetus.

LAMBDALINA passes into breast milk but is unlikely to affect the baby during breastfeeding.

Driving and using machines

LAMBDALINA has no known influence on the ability to drive and use machines.

LAMBDALINA contains propylene glycol, benzyl alcohol, hydrogenated soybean lecithin, and polysorbate 80.This medicine contains 75 mg of propylene glycol per gram of cream. Propylene glycol may cause skin irritation.

Lambdalina contains hydrogenated soybean lecithin. If you are allergic to peanuts or soy, do not use this medicine.

This medicine contains 15 mg of benzyl alcohol per gram of cream. Benzyl alcohol may cause allergic reactions and may cause moderate local irritation.

This medicine contains polysorbate 80, which may cause allergic reactions.

3. How to use LAMBDALINA

Follow exactly the administration instructions of LAMBDALINA indicated by your doctor. In case of doubt, consult your doctor or pharmacist again.

The recommended dose is:

Children from6 to12 years:

The single dose to be applied is 2-3g. The recommended application time, i.e. the time the cream should be on the skin, is 60 minutes, but never more than two hours.

Adolescents over 12 years and adults:

The single dose to be applied is 2-3g. The maximum daily dose is 5 grams. The recommended application time is 60 minutes, but never more than two hours.

Children from2 to6 years:

Since there is not enough experience, LAMBDALINA is not recommended for this age group.

Children from0 to2 years:

Since there is no experience, LAMBDALINA should not be used for this age group.

1 gram of cream corresponds to approximately 2.5 cm in length.

Hand applying pressure on a circular white medicinal patch on the skin

  1. A thick uniform layer of cream should be applied to the area of skin to be treated.

Application of a square medicinal patch attached to the skin of an arm with visible dots

  1. Leave the cream on the skin according to the application times indicated above.

A dressing is recommended to prevent the cream from accidentally coming off before the end of the application time.

Hand applying a white compress over the injection site on the arm with a protective bandage

  1. Remove the cream. The skin area should be washed before surgery.

Close the tube after use.

If you think that the effect of LAMBDALINA is too strong or too weak, please consult your doctor or pharmacist.

If you use more LAMBDALINA than you should

Overdose is unlikely with normal use on undamaged skin.

If you have used more LAMBDALINA than you should, or if a child has accidentally ingested the medicine or too much has been applied to the skin, please contact your doctor or hospital for a risk assessment and advice.

In case of overdose or accidental ingestion, consult the Toxicology Information Service, phone 91562 04 20.

If you have any other questions about the use of this product, ask your doctor or pharmacist.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.

Uncommon (1 to 10 in 1000 people treated):

Local skin reactions (pallor, redness, itching, and burning) in the treated area. The symptoms are usually transient and mild.

Rare (1 to 10 in 10,000 people treated):

Allergic contact eczema.

Very rare (less than 1 in 10,000 people treated)

Allergic reactions (in severe cases, anaphylactic shock)

Stop using LAMBDALINA and contact your doctor immediately if you have any of the following symptoms (anaphylactic shock)

  • Swelling of the face, tongue, or throat
  • Difficulty swallowing
  • Hives and breathing problems.

If you think any of the side effects you are experiencing are serious or if you notice any side effects not listed in this leaflet, please tell your doctor or pharmacist.

Reporting of side effects

If you experience any side effects, talk to your doctor, pharmacist, or nurse. This includes any possible side effects not listed in this leaflet.

You can also report side effects directly through the Spanish Pharmacovigilance System for Human Use Medicines: www.notificaRAM.es.

By reporting side effects, you can help provide more information on the safety of this medicine.

5. Storing LAMBDALINA

Keep this medicine out of the sight and reach of children.

Do not use this medicine after the expiry date which is stated on the carton and tube after EXP. The expiry date is the last day of the month stated.

Do not store above 30°C.

After opening the tube, the shelf life is 6 months.

Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines no longer required. This will help protect the environment.

6. Contents of the pack and other information

Composition of LAMBDALINA

  • The active substance is lidocaine. 1 gram of cream contains 40 mg of lidocaine.
  • The other ingredients are purified water, propylene glycol, hydrogenated soybean lecithin, benzyl alcohol, polysorbate 80, carbomer 940, tromethamine, cholesterol.

Appearance and packaging

LAMBDALINA is a white to yellowish cream.

Presentation: 5 g, 10 g, 20 g, 30 g, 40 g, and 50 g in aluminum tubes. Not all pack sizes may be marketed.

Marketing authorization holder and manufacturer

Marketing authorization holder:

ISDIN, SA

Provençals 33

08019 Barcelona

Spain

Manufacturer:

Medinfar Manufacturing S.A.

Parque Industrial Armando Martins Tavares

Rua Outeiro da Armada, 5

Condeixa-a-Nova

3150-194 Sebal

Portugal

Date of last revision of this leaflet: May 2025

Online doctors for LAMBDALINA 40 mg/g CREAM

Discuss questions about LAMBDALINA 40 mg/g CREAM, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(16)

Sergey Ilyasov

PsychiatryNeurology7 years of experience

Dr Sergey Ilyasov is an experienced neurologist and qualified psychiatrist who provides online consultations for adults and adolescents. Combining deep neurological expertise with a modern psychiatric approach, he ensures comprehensive diagnostics and effective treatment for a wide range of conditions affecting both physical and mental health.

Dr. Ilyasov helps patients in the following cases:

  • Chronic headaches (migraine, tension-type headache), back pain, neuropathic pain, dizziness, numbness in limbs, coordination disorders.
  • Anxiety disorders (panic attacks, generalized anxiety disorder), depression (including atypical and treatment-resistant forms), sleep disturbances (insomnia, hypersomnia, nightmares), stress, burnout.
  • Chronic pain syndromes and psychosomatic symptoms (e.g., irritable bowel syndrome related to stress, vegetative-vascular dystonia).
  • Behavioral disorders and concentration difficulties in adolescents (including ADHD, autism spectrum disorders), nervous tics.
  • Memory impairments, phobias, obsessive-compulsive disorder (OCD), emotional swings, and support for post-traumatic stress disorder (PTSD).

Thanks to his dual specialization in neurology and psychiatry, Dr Sergey Ilyasov offers integrated and evidence-based care for complex conditions requiring a multidisciplinary approach. His consultations focus on accurate diagnosis, development of an individualized treatment plan (including pharmacotherapy and psychotherapeutic methods), and long-term support adapted to each patient's unique needs.

Book an online consultation with Dr. Sergey Ilyasov to receive qualified assistance and improve your well-being today.

Book a video appointment
€106
Doctor
5.0(38)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a General Practitioner with specialized training in chronic pain. He provides online consultations for adult patients in Spain and other European countries.

Dr. Popov understands that seeking help with weight-related concerns or pain that has persisted for months can be difficult. Many patients come to him after trying different approaches without feeling truly heard. During the consultation, the doctor creates a comfortable and supportive, non-judgmental environment where the patient’s medical history can be discussed in detail, questions can be answered, and the next steps can be decided together.

Weight Management and Metabolic Health

Dr. Popov can help assess overweight, obesity, and related conditions such as hypertension, diabetes, or metabolic disorders. During the consultation, the patient’s medical history, test results, current medications, and previous treatments will be reviewed.

If you would like to learn about possible medication options or have already started treatment, the doctor can assess your situation, review the effectiveness and tolerability of the therapy, and clearly explain its benefits, potential risks, and alternatives.

Not every patient requires the same treatment. A consultation does not guarantee a prescription — it provides an objective medical assessment and a plan tailored to your individual situation.

Pain and General Medicine

You can also consult Dr. Popov regarding:

* chronic pain, migraines, neuralgia, and fibromyalgia;

* back, neck, lower back, or joint pain;

* hypertension, diabetes, and follow-up of chronic conditions;

* review of test results, medical reports, and current treatment;

* preventive medicine and a second medical opinion.

How the Consultation Works

The video consultation lasts up to 30 minutes. The doctor will listen carefully, review the information you provide, and explain the next steps in clear and understandable language.

If additional tests, an in-person consultation, or urgent medical care are required, the doctor will inform you directly.

Dr. Popov’s goal is to make sure the patient feels heard and leaves the consultation with a clear understanding of their condition and the next steps they can take.

Book a video appointment
€86
Doctor
5.0(12)

Yevgen Yakovenko

General medicine12 years of experience

Dr. Yevgen Yakovenko is a licensed surgeon and general practitioner in Spain and Germany. He specialises in general, paediatric, and oncological surgery, internal medicine, and pain management. He offers online consultations for adults and children, combining surgical precision with therapeutic support. Dr Yakovenko works with patients across different countries and provides care in Ukrainian, Russian, English, and Spanish.

Areas of medical expertise:

  • Acute and chronic pain: headaches, muscle and joint pain, back pain, abdominal pain, postoperative pain. Identifying the cause, selecting treatment, and creating a care plan.
  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
  • Pre- and postoperative care: risk assessment, decision-making support, follow-up after surgery, rehabilitation strategies.
  • General and paediatric surgery: hernias, appendicitis, congenital conditions, both planned and urgent surgeries.
  • Injuries and trauma: bruises, fractures, sprains, soft tissue damage, wound care, dressing, referral when in-person care is required.
  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
  • Obesity treatment and weight management: a medical approach to weight loss, including assessment of underlying causes, evaluation of comorbidities, development of a personalised plan (nutrition, physical activity, pharmacotherapy if needed), and ongoing progress monitoring.
  • Imaging interpretation: analysis of ultrasound, CT, MRI, and X-ray results, surgical planning based on imaging data.
  • Second opinions and medical navigation: clarifying diagnoses, reviewing current treatment plans, helping patients choose the best course of action.

Experience and qualifications:

  • 12+ years of clinical experience in university hospitals in Germany and Spain.
  • International education: Ukraine – Germany – Spain.
  • Member of the German Society of Surgeons (BDC).
  • Certified in radiological diagnostics and robotic surgery.
  • Active participant in international medical conferences and research.

Dr Yakovenko explains complex topics in a clear, accessible way. He works collaboratively with patients to analyse health issues and make evidence-based decisions. His approach is grounded in clinical excellence, scientific accuracy, and respect for each individual.

If you are unsure about a diagnosis, preparing for surgery, or want to discuss your test results – Dr Yakovenko will help you evaluate your options and move forward with confidence.

Book a video appointment
€72
Doctor
5.0(24)

Taisiia Proida

Psychiatry7 years of experience

Taisiia Proida is a general practitioner with a specialization in mental health and a cognitive behavioral therapist (CBT), a member of the European Psychiatric Association. She offers online consultations for adults aged 18 and over, combining evidence-based medicine with an individualised approach to mental health care. She specialises in consultations and ongoing support for a wide range of mental health concerns, including: 

  • Mood disorders: depression, bipolar disorder, postpartum depression.
  • Anxiety disorders: generalised anxiety, OCD, panic attacks, phobias.
  • Post-traumatic stress disorder (PTSD) and complex PTSD.
  • Attention deficit hyperactivity disorder (ADHD) and autism spectrum disorder (ASD). Assessment is provided only after an initial psychiatric evaluation and during a follow-up appointment.
  • Personality disorders and emotional instability.
  • Cyclothymia and mood fluctuations.
  • Schizophrenia spectrum and related conditions.

Dr. Proida combines clinical expertise with an empathetic approach, offering structured support based on evidence-based practices. Her work integrates CBT techniques with medical management, with a focus on anxiety and depressive disorders. She works with clients from different countries and cultural backgrounds, adapting her communication style and recommendations to individual needs. With experience in international clinical trials (Pfizer, Merck), she values clarity, trust, and collaborative partnership in patient care.

Book a video appointment
€156
Doctor
5.0(3)

Lina Travkina

General medicine13 years of experience

Dr. Lina Travkina is a licensed family and preventive medicine doctor based in Italy. She provides online consultations for adults and children, supporting patients across all stages of care – from acute symptom management to long-term health monitoring and prevention.Areas of medical care include:

  • Respiratory conditions: colds, flu, acute and chronic bronchitis, mild to moderate pneumonia, bronchial asthma.

  • ENT and eye conditions: sinusitis, tonsillitis, pharyngitis, otitis, infectious and allergic conjunctivitis.

  • Digestive issues: gastritis, acid reflux (GERD), IBS, dyspepsia, bloating, constipation, diarrhoea, functional bowel symptoms, intestinal infections.

  • Urological and infectious diseases: acute and recurrent cystitis, bladder and kidney infections, prevention of recurrent UTIs, asymptomatic bacteriuria.

  • Chronic conditions: hypertension, diabetes, hypercholesterolemia, metabolic syndrome, thyroid disorders, excess weight.

  • Neurological and general symptoms: headache, migraine, dizziness, fatigue, sleep disturbances, reduced concentration, anxiety, asthenia.

  • Chronic pain support: back, neck, joint, and muscle pain, tension syndromes, pain associated with osteochondrosis and chronic conditions.

Additional care areas:

  • Preventive consultations and check-up planning.

  • Medical advice and follow-up consultations.

  • Test interpretation and diagnostic guidance.

  • Structured support for undiagnosed complaints.

  • Second opinion on diagnoses and treatment plans.

  • Nutritional and lifestyle support for vitamin deficiencies, anaemia, metabolic issues.

  • Post-operative recovery support and pain management.

  • Preconception counselling and postpartum support.

  • Immunity support and strategies to reduce frequency of infections.

Dr. Travkina combines evidence-based medicine with an attentive, personalised approach. Her consultations focus not only on treatment, but also on prevention, recovery, and long-term wellbeing.If during the consultation it becomes clear that your case requires in-person assessment or specialised care outside of her scope, the session will be terminated and the payment fully refunded.

Book a video appointment
€75
Doctor
5.0(21)

Nuno Tavares Lopes

General medicine18 years of experience

Dr. Nuno Tavares Lopes is a licensed physician in Portugal with 17 years of experience in emergency medicine, family and general practice, and public health. He is the Director of Medical and Public Health Services at an international healthcare network and serves as an external consultant for the WHO and ECDC.

  • Emergency care: infections, fever, chest/abdominal pain, minor injuries, paediatric emergencies

  • Family medicine: hypertension, diabetes, cholesterol, chronic disease management

  • Travel medicine: pre-travel advice, vaccinations, fit-to-fly certificates, travel-related illnesses

  • Sexual and reproductive health: PrEP, STD prevention, counselling, treatment

  • Weight management and wellness: personalised weight loss programmes, lifestyle guidance

  • Skin and ENT issues: acne, eczema, allergies, rashes, sore throat, sinusitis

  • Pain management: acute and chronic pain, post-surgical care

  • Public health: prevention, health screenings, long-term monitoring

  • Sick leave (Baixa médica) connected to Segurança Social in Portugal

  • IMT medical certificates for driving licence exchange

Dr. Nuno Tavares Lopes provides medical support for patients using GLP-1 medications (Mounjaro, Wegovy, Ozempic, Rybelsus) as part of a weight loss strategy. He offers individualised treatment planning, regular follow-up, dose adjustment, and advice on combining medication with sustainable lifestyle changes. Consultations follow the medical standards accepted in Europe.Dr. Lopes also provides interpretation of medical tests, follow-up care for complex patients, and multilingual support. Whether for urgent concerns or long-term care, he helps patients act with clarity and confidence.

Book a video appointment
€70

Frequently Asked Questions

LAMBDALINA 40 mg/g CREAM requires a prescription in Spain. You can check with a doctor online whether this medicine may be appropriate for your situation.

The active ingredient in LAMBDALINA 40 mg/g CREAM is lidocaine. This information helps identify medicines with the same composition but different brand names.

The average pharmacy price for LAMBDALINA 40 mg/g CREAM is around 15.64 EUR. Prices may vary depending on the manufacturer and dosage form.

LAMBDALINA 40 mg/g CREAM is manufactured by Isdin S.A.. Pharmacy brands and packaging may differ depending on the distributor.

Doctors such as Family doctors, Psychiatrists, Dermatologists, Cardiologists, Endocrinologists, Gastroenterologists, Pulmonologists, Nephrologists, Rheumatologists, Hematologists, Infectious disease physicians, Allergists, Geriatricians, Paediatricians, Oncologists may assess whether LAMBDALINA 40 mg/g CREAM is appropriate, depending on your situation and local regulations. You can book an online consultation to discuss your symptoms and possible next steps.

The prescription is issued by a doctor after assessing your health. In Spain, LAMBDALINA 40 mg/g CREAM is then dispensed in pharmacies with that prescription. An online consultation does not guarantee that a prescription will be issued: the decision always rests with the doctor.

To request a review, you can use Oladoctor:

Other medicines with the same active substance (lidocaine) include ACTILOGIC 700 MG MEDICATED ADHESIVE DRESSING, DYNEXAN 20 mg/g BUCAL GEL, INSTILLIDO 20 mg/ml GEL. These may have different brand names or formulations but contain the same therapeutic ingredient. Always consult a doctor before switching or starting a new medicine.

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