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LAMBDALINA 40 mg/g CREAM

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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.

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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).

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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

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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

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Anna Biriukova

General medicine 6 years exp.

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Dr Daria Portnova is a psychiatrist and psychotherapist with over 30 years of clinical experience. She works with adults and adolescents aged 14 and over, providing online psychiatric and psychotherapeutic consultations. In her practice, Dr Portnova supports patients facing the onset of mental health conditions, chronic psychiatric disorders, psychotic symptoms, trauma-related states, and complex emotional crises. Her work is structured and safety-focused, with an emphasis on stabilisation, accurate diagnosis, and long-term improvement in quality of life. Patients consult Dr Daria Portnova for the following concerns: 

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Maria Martelli

Anaesthesiology 12 years exp.

Dr Maria Martelli is a medical doctor specialising in anaesthesiology and pain medicine. She provides online consultations for adults, focusing on the assessment and management of acute, chronic, and complex pain conditions, as well as supportive care in serious illness. She graduated from the Medical University of Silesia in Katowice and completed her specialisation in Anaesthesiology and Intensive Care. Alongside hospital work, she has extensive experience in home and inpatient hospice care, supporting patients with severe pain and advanced disease. Since 2021, she has been a certified specialist and continues to work in anaesthesiology, intensive care, and pain treatment. Patients consult her for: 

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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.
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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