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LAMBDALINA 40 mg/g CREAM

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5.0 (100)
Doctor

Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

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

Translated with AI

This page provides general information and does not replace a doctor’s consultation. Always consult a doctor before taking any medication. Seek urgent medical care if symptoms are severe.

Show original

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.

5.0 (191)
Doctor

Nuno Tavares Lopes

Family medicine 18 years exp.

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.

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Rita Isabel Calero Garcia

General medicine 2 years exp.

Dr. Rita Isabel Calero Garcia is a physician with extensive experience in emergency medical care, general medicine, and healthcare assistance in various clinical and out-of-hospital settings.

She currently works as a physician at the Canary Islands Emergency Service (Servicio de Urgencias Canario – SUC), where she is responsible for the assessment and care of patients in medical emergency situations, performing the initial diagnosis, patient stabilization, and coordination with hospital services when necessary.

She has also developed her professional activity within the Primary Care Management Service, providing consultations in general medicine. In this setting she is responsible for patient follow-up, management of acute and chronic conditions, as well as health promotion and disease prevention.

She has also worked as a physician in a mobile ICU unit, providing medical assistance in out-of-hospital emergencies, treating critical patients and participating in medicalized patient transport.

In addition, she has collaborated with the Red Cross, participating in healthcare support units, providing medical assistance at events and supporting emergency interventions.

Furthermore, she has provided medical services in the private sector with Salvaser, conducting clinical assessments of patients and providing healthcare services within private medical services.

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Jorge Correa Bellido

General medicine 7 years exp.

Dr. Jorge Correa Bellido is a Spanish physician who offers online consultations in Spanish and English. He graduated from the University of La Laguna and has a solid background in clinical practice and international research.

Throughout his career, he has participated in various medical and academic projects, including a research fellowship in Spain, where he contributed to evidence-based studies in the field of family medicine. This experience allowed him to broaden his global perspective on healthcare and comprehensive patient care.

Dr. Correa Bellido has worked with several healthcare providers in Spain, focusing particularly on patient-centered care and public health initiatives aimed at communities with limited access to healthcare services.

In addition, he actively participates in international medical conferences and workshops, which allows him to stay up to date with the latest medical advances and collaborate with healthcare professionals from different countries.

Dr. Correa Bellido provides comprehensive care for a wide variety of medical conditions, including:

  • respiratory infections
  • gastrointestinal disorders
  • cardiovascular problems
  • endocrine and metabolic diseases
  • musculoskeletal and dermatological conditions
  • as well as mental health conditions such as anxiety and depression.

He also treats infectious and allergic diseases, general health concerns, and provides guidance on prevention and healthy lifestyle habits.

His services include virtual consultations, diagnosis and management of acute and chronic diseases, prescription renewals, and personalized medical advice.

With a patient-centered approach and a strong commitment to continuous learning, Dr. Correa Bellido provides accessible and high-quality healthcare to patients both in Spain and around the world.

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Chikeluo Okeke

General medicine 4 years exp.

Dr Chikeluo Okeke is an internal medicine doctor with extensive international clinical experience. Originally from Nigeria, he has worked across multiple European healthcare systems and currently practises in Sweden. This professional path has given him a strong understanding of different medical approaches and the ability to work effectively with patients from diverse cultural and linguistic backgrounds.

Dr Okeke focuses on general internal medicine and adult primary care, combining clinical accuracy with careful attention to lifestyle, personal context, and everyday health concerns. His consultations are particularly well suited for people who seek medical advice online, live abroad, or need clear guidance without unnecessary complexity.

He provides online consultations covering symptom assessment, prevention, and long-term management of chronic conditions, helping patients understand what is happening and decide on appropriate next steps.

Common reasons for consultation:

  • General internal medicine concerns and initial health assessment.
  • Acute symptoms such as fever, cough, infections, pain, or weakness.
  • Chronic conditions and treatment adjustment.
  • Blood pressure issues, fatigue, metabolic concerns.
  • Preventive consultations and routine check-ups.
  • Interpretation of laboratory results and medical reports.
  • Medical advice for patients receiving care online.

Dr Okeke is known for his clear communication, calm approach, and cultural awareness. He listens carefully, explains medical decisions in a structured way, and supports patients in making informed choices about their health.

Online consultations with Dr Chikeluo Okeke offer reliable internal medicine care without geographic limitations, focused on medical relevance, clarity, and patient comfort.

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Joao Silva

General medicine 6 years exp.

Dr. João Silva is a physician with training and experience in the field of General and Family Medicine, dedicated to providing healthcare focused on the well-being and quality of life of his patients. Throughout his professional career, he has developed broad clinical competencies, striving to maintain a medical practice based on scientific evidence and continuous knowledge updates.

Between 2013 and 2019, he completed the Integrated Master's Degree in Medicine at the Abel Salazar Institute of Biomedical Sciences in Porto, where he acquired a solid academic and clinical education.

Subsequently, between January 2021 and December 2021, he completed the General Internship at the Entre Douro e Vouga Hospital Center in Santa Maria da Feira, where he had the opportunity to work in different hospital settings and deepen his competencies in several areas of medicine.

From January 2022 until March 2026, he works as a Resident Physician in General and Family Medicine at USF Salvador Machado in Oliveira de Azeméis, developing clinical activities in primary healthcare, follow-up of chronic patients, and health promotion in the community.

Complementing his medical training, Dr. João Silva also completed a Postgraduate Degree in Continuing and Palliative Care at CESPU, strengthening his preparation in the comprehensive approach to patient care, especially in situations requiring prolonged care and multidisciplinary support.

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Daniel Cichi

Family medicine 24 years exp.

Dr Daniel Cichi is a family medicine doctor with over 20 years of clinical experience. He provides online consultations for adults, supporting patients with acute symptoms, chronic conditions, and everyday health concerns that require timely medical guidance. His background includes work in emergency care, ambulance services, and family medicine, which allows him to assess symptoms quickly, identify warning signs, and help patients choose the safest next steps – whether that means home care, treatment adjustment, or in-person evaluation. Patients commonly consult Dr Daniel Cichi for: 

  • acute symptoms: fever, infections, flu-like illness, cough, sore throat, shortness of breath;
  • chest discomfort, palpitations, dizziness, fatigue, and blood pressure concerns;
  • digestive problems: abdominal pain, nausea, diarrhoea, constipation, reflux;
  • sexually transmitted infections, erectile dysfunction;
  • muscle, joint, and back pain, minor injuries, post-traumatic symptoms;
  • chronic conditions: hypertension, diabetes, high cholesterol, thyroid disorders, weight loss, hair loss;
  • review and interpretation of lab tests, imaging reports, and medical documents;
  • medication review and treatment adjustment;
  • medical advice while travelling or living abroad;
  • second opinions and guidance on whether in-person care is needed.

Dr Cichi’s consultations are structured and practical. He focuses on clear explanations, risk assessment, and actionable recommendations, helping patients understand their symptoms and make informed decisions about their health.

5.0 (100)
Doctor

Tarek Agami

General medicine 11 years exp.

Dr. Tarek Agami is a general practitioner registered in both Portugal and Israel, with broad experience in family and preventive medicine. He offers online consultations for adults and children, providing personalised support for primary care needs, chronic disease management, and everyday health concerns.

Dr. Agami received clinical training and worked in leading medical institutions in Israel (Kaplan Medical Center, Barzilai Medical Center, Wolfson Medical Center) and Portugal (European Healthcare City, Viscura Internacional, Hospital Dr. José Maria Grande, Hospital Vila Franca de Xira). His approach combines international medical standards with individualised attention to each patient.

Main areas of consultation:

  • Diagnosis and treatment of acute and chronic conditions (high blood pressure, diabetes, respiratory infections, cardiovascular symptoms)
  • Evaluation of symptoms and guidance on further diagnostic testing
  • Preventive check-ups and regular health monitoring
  • Medical support during travel or after relocation
  • Treatment adjustments and lifestyle recommendations based on your personal history
Dr. Agami provides medical support for patients using GLP-1 medications (such as Ozempic or Mounjaro) 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 Portugal and Israel.

Dr. Agami is committed to evidence-based, patient-centred care, ensuring that each person receives trusted medical support tailored to their health goals.

Get LAMBDALINA 40 mg/g CREAM Prescription Online

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Frequently Asked Questions

Is a prescription required for LAMBDALINA 40 mg/g CREAM?

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.

What is the active substance in LAMBDALINA 40 mg/g CREAM?

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

How much does LAMBDALINA 40 mg/g CREAM cost in pharmacies?

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.

Who manufactures LAMBDALINA 40 mg/g CREAM?

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

Which doctors can assess the use of LAMBDALINA 40 mg/g CREAM online?

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.

How to buy LAMBDALINA 40 mg/g CREAM in Spain?

Spain has a well-developed healthcare infrastructure across major cities such as Madrid, Barcelona, Valencia, and Seville. Pharmacies are widely available and operate under strict regulations, ensuring access to prescribed medications.

You can buy LAMBDALINA 40 mg/g CREAM in Madrid, Barcelona, Seville, or Valencia at any local pharmacy with a valid prescription.

To obtain a prescription, you can use Oladoctor:

What are the alternatives to LAMBDALINA 40 mg/g CREAM?

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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