Background pattern
Lignox

Lignox

Ask a doctor about a prescription for Lignox

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 Lignox

Package Leaflet: Information for the User

LIGNOX, 50 mg/g, gel

(Lidocaine hydrochloride)

Read the package leaflet carefully before using the medicine, as it contains important information for the patient.

  • 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 symptoms are the same as yours. If you get any side effects, talk to your doctor or pharmacist. See section 4.

Table of Contents of the Leaflet

  • 1. What is Lignox and what is it used for Important information before using Lignox
  • 3. How to use Lignox
  • 4. Possible side effects
  • 5. How to store Lignox Contents of the pack and other information

What is Lignox and what is it used for

Lignox gel is used for surface anesthesia of mucous membranes and skin:

  • surface anesthesia of mucous membranes before injection (in order to reduce the pain associated with needle insertion); especially in patients sensitive to pain;
  • surface anesthesia in dental procedures, e.g. scaling (removal of dental tartar), superficial incisions of abscesses;
  • in the extraction of heavily mobile milk teeth and permanent teeth (in periodontal diseases);
  • in prosthetics: as a preventive measure to eliminate the patient's gag reflex when taking impressions in the oral cavity. Lidocaine, the active substance of the medicine, is a local anesthetic of amide structure, with a short duration of action. Local anesthetics penetrate the epithelium and reach the pain receptors located in the submucosal membrane. They cause local, surface anesthesia of the mucous membrane (e.g. oral cavity), wound surfaces, and skin. When applied in small amounts to the skin or mucous membranes, they have only local anesthetic effects, without systemic effects.

Important information before using Lignox

When not to use Lignox:

if the patient is allergic to lidocaine hydrochloride and other local anesthetics of amide structure or any of the other ingredients of this medicine (listed in section 6);

  • in children under 4 years of age.

Relative contraindications are: shock, atrioventricular block II and III, myasthenia, severe liver damage. Use with caution in patients treated with tricyclic antidepressants and MAO inhibitors.

Warnings and precautions

The gel must not be swallowed, excess should be spat out.
NOTE: The preparation contains an active substance that may give a positive result in doping tests.

Lignox and other medicines

Tell your doctor about all medicines you are taking or have recently taken, as well as medicines you plan to take.
Lidocaine enhances the effect of muscle relaxants. It weakens the effect of sulfonamides.

Overdose

Lidocaine is easily and quickly absorbed from mucous membranes; in the case of use in children, in patients with low body weight, or in the case of using large amounts, it is recommended to calculate the dose based on the patient's body weight.
In children and patients in poor general condition, the maximum daily dose is 2.9 mg/kg body weight and should be calculated individually for each case.
Do not exceed the dose of 3 mg/kg body weight. The maximum daily dose for adults, which should not be exceeded, is 200 mg of lidocaine, which corresponds to 4.5 g of gel (approximately 8.5 cm of squeezed gel).
In the event of symptoms of toxicity from the nervous, respiratory, or circulatory system, immediate resuscitative measures should be taken: ensure proper ventilation using oxygen, administer anticonvulsant drugs and drugs that increase blood pressure.

Pregnancy and breastfeeding

If you are pregnant or breastfeeding, think you may be pregnant, or are planning to have a baby, ask your doctor for advice before using this medicine.
There is insufficient evidence regarding the safety of using Lignox gel in pregnant women. The medicine should not be used in pregnant women.
The safety of use in breastfeeding women has not been established.

Driving and using machines

Lignox causes mild, transient impairment of psychophysical fitness, ability to drive vehicles, and operate machinery.
Your doctor will inform you when you can resume activities that require increased attention after the procedure.
Lignox contains cochineal red (E 124).It may cause allergic reactions.
Due to the presence of aspartame (E 951), the medicine may be harmful to patients with phenylketonuria.

How to use Lignox

Apply 0.1 to 0.2 g of gel (i.e. approximately 2 to 3 mm of squeezed gel) to the dried mucous membrane using a swab, which corresponds to 4 to 8 mg of lidocaine.
Do not exceed the dose of 3 mg/kg body weight.
Lidocaine is easily and quickly absorbed from mucous membranes – in the case of use in children, in adults with low body weight, or in the case of using large amounts, it is recommended to calculate the dose based on the patient's body weight.
In children and patients in poor general condition, the maximum daily dose is 2.9 mg/kg body weight and should be calculated individually for each case.
The maximum daily dose for adults, which should not be exceeded, is 200 mg of lidocaine, which corresponds to 4.5 g of Lignox gel (i.e. approximately 8.5 cm of squeezed gel).
Lidocaine administered in gel starts working after 2-5 minutes; its effect lasts for 10 to 15 minutes.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
Occasionally, the product may cause an allergic reaction, rarely anaphylactic shock.
Side effects (taste disorders, tongue numbness, headaches, dizziness, feeling of anxiety, rapid breathing) may occur in the case of overdose, i.e. when too large a dose is administered in relation to body weight.
Side effects related to systemic action depend on the concentration of lidocaine in serum, which depends on the administered dose, site of administration, local blood flow, body weight, and the patient's general condition.
The likelihood of side effects from the cardiovascular or central nervous system after proper use of the gel is negligible.
An undesirable effect that may occur after using lidocaine is drowsiness of varying severity .

Reporting side effects

If you get any side effects, talk to your doctor, pharmacist, or nurse. Side effects can also be reported directly to the Department of Adverse Reaction Monitoring of Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products
Al. Jerozolimskie 181 C
02-222 Warsaw
Phone: +48 22 49-21-301
Fax: +48 22 49-21-309
e-mail: [email protected]
Side effects can also be reported to the marketing authorization holder.
By reporting side effects, you can help provide more information on the safety of this medicine.

How to store Lignox

Store below 25°C. Do not freeze.
Store the tube tightly closed.
Medicines should be kept out of the sight and reach of children.
Check the expiry date on the packaging.
Do not use this medicine after the expiry date stated on the tube. The expiry date refers to the last day of the month stated.
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.

Contents of the pack and other information

What Lignox contains

The active substance is lidocaine hydrochloride.
1 g of gel contains 50 mg of lidocaine hydrochloride.
The other ingredients are: macrogol 400, macrogol 4000, cetylpyridinium chloride, aspartame (E

  • 951), cochineal red (E 124), strawberry flavor, purified water.

What Lignox looks like and contents of the pack

Lignox is a uniform, soft, opaque gel of a color from light pink to red, with a strawberry flavor.
The packaging of the medicine is a tube containing 20 g of gel. The tube, along with the leaflet, is placed in a cardboard box.

Marketing authorization holder and manufacturer

CHEMA-ELEKTROMET
Cooperative
ul. Przemysłowa 9
35-105 Rzeszów
tel. 17 862 05 90
e-mail: [email protected]

Date of last revision of the leaflet:

  • Country of registration
  • Prescription required
    Yes
  • Manufacturer
  • Importer
    Chema-Elektromet Spółdzielnia Pracy

Online doctors for Lignox

Discuss dosage, side effects, interactions, contraindications, and prescription renewal for Lignox – subject to medical assessment and local rules.

0.0(0)
Doctor

Abdullah Alhasan

General medicine10 years of experience

Dr. Abdullah Alhasan is a physician specialising in cardiology and general medicine, with international clinical experience and a commitment to evidence-based care. He offers online consultations for adults, focusing on both acute symptoms and long-term health management.

Main areas of consultation:

  • Chest pain, shortness of breath, heart palpitations, high blood pressure
  • Hypertension control and cardiovascular disease prevention
  • Interpretation of ECG, blood tests, and Holter monitor results
  • Management of heart failure and coronary artery disease
  • General medical issues: infections, fever, fatigue, gastrointestinal symptoms
  • Guidance on diagnostics, treatment plans, and medication adjustments
Dr. Alhasan’s approach is based on thorough assessment, clear communication, and personalised care – helping patients understand their health and make informed decisions about their treatment.
CameraBook a video appointment
€69
Today19:35
Today19:50
November 302:00
November 302:15
November 302:30
More times
5.0(31)
Doctor

Nuno Tavares Lopes

Family medicine17 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. He offers online consultations in Portuguese, English, and Spanish — combining global expertise with a patient-centred, evidence-based approach.

  • 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. 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.
CameraBook a video appointment
€59
Today19:35
Today19:55
Today20:15
Today20:35
November 308:00
More times
5.0(10)
Doctor

Duarte Meneses

Family medicine4 years of experience

Dr. Duarte Meneses is a licensed family medicine and general practice doctor based in Portugal, with additional expertise in occupational health. He provides online consultations for adults, offering medical support for both acute symptoms and chronic health conditions.

  • Common symptoms such as fever, sore throat, cough, fatigue, or digestive issues
  • Chronic conditions including hypertension, diabetes, high cholesterol, and thyroid problems
  • Mental health concerns such as stress, sleep issues, anxiety, and burnout
  • Preventive care: health check-ups, lifestyle advice, and follow-up for existing conditions
  • Work-related health questions, sick leave documentation, and medical guidance for returning to work
Dr. Meneses graduated from the University of Beira Interior and has years of experience working with diverse patient populations. He is fluent in Portuguese, English, Spanish, and French.

His approach is friendly, clear, and focused on delivering practical medical advice tailored to each patient’s needs.

CameraBook a video appointment
€65
Today19:35
Today20:00
Today20:25
Today20:50
November 309:00
More times
5.0(1)
Doctor

Ngozi Precious Okwuosa

General medicine5 years of experience

Dr. Ngozi Precious Okwuosa is a Primary Care Physician with over 5 years of clinical experience in Hungary, Sweden, and Nigeria. A graduate of the University of Szeged (cum laude), she offers online consultations for adults in the areas of internal medicine, women’s health, and postoperative care.

Key areas of consultation:

  • Preventive and family medicine
  • Women’s health, including gynaecology and obstetrics
  • Chronic disease management: hypertension, diabetes, and more
  • Mental health support, anxiety, and counselling
  • Postoperative care and lab test interpretation
She has conducted research on the genetic background of stroke and is skilled in communicating with patients from diverse cultural backgrounds. Her approach combines clinical expertise with empathy and clear communication.
CameraBook a video appointment
€60
Today19:35
Today20:25
Today21:15
Today22:05
November 306:00
More times
5.0(3)
Doctor

Iryna Reznychenko

Gynecology25 years of experience

Dr Iryna Reznychenko is an obstetrician-gynaecologist, paediatric gynaecologist, and certified lactation consultant. She provides online consultations for women at all stages of life – from adolescence to menopause. Her work combines medical care for gynaecological conditions with dedicated support for breastfeeding challenges, both physical and emotional.

Areas of expertise:

  • interpretation of test results and personalised treatment planning
  • menstrual irregularities, PCOS, endometriosis
  • abnormal uterine bleeding, endometrial hyperplasia, cervical dysplasia
  • care during perimenopause and menopause, hormonal balance, cancer prevention
  • breastfeeding issues: nipple pain, cracked skin, blocked ducts, low milk supply
  • support during the postpartum and lactation period
Dr Reznychenko offers a clear, attentive and professional approach. Her consultations help prevent minor discomforts from developing into more serious concerns – all in a convenient online format.
CameraBook a video appointment
€50
Today20:20
November 308:30
November 309:20
November 310:10
November 311:00
More times
5.0(4)
Doctor

Salome Akhvlediani

Pediatrics11 years of experience

Dr Salome Akhvlediani is a paediatrician providing online consultations for children of all ages. She supports families with preventive care, diagnosis, and long-term management of both acute and chronic conditions.

Her areas of focus include:

  • Fever, infections, cough, sore throat, and digestive issues.
  • Preventive care – vaccinations, regular check-ups, and health monitoring.
  • Allergies, asthma, and skin conditions.
  • Nutritional advice and healthy development support.
  • Sleep difficulties, fatigue, and behavioural concerns.
  • Ongoing care for chronic or complex health conditions.
  • Guidance for parents and follow-up after medical treatment.

Dr Akhvlediani combines professional care with a warm, attentive approach – helping children stay healthy and supporting parents at every stage of their child’s growth.

CameraBook a video appointment
€45
November 306:00
November 306:40
November 307:20
November 308:00
November 308:40
More times
0.0(3)
Doctor

Karina Travkina

Otolaryngology (ENT)16 years of experience

Dr Karina Travkina is an ENT specialist providing online consultations for adults with acute and chronic conditions affecting the ears, nose and throat. She takes a structured and personalised approach to each consultation, beginning with a thorough review of symptoms and medical history, followed by diagnostic interpretation and a tailored treatment plan.

Common reasons for consultation include:

  • chronic pharyngitis and recurrent tonsillitis
  • allergic, vasomotor and medication-induced rhinitis
  • sinusitis, nasal obstruction, and postnasal drip
  • nosebleeds, earwax build-up, or foreign bodies in the ear, nose, or throat
  • Eustachian tube dysfunction and related complaints
Dr Travkina follows evidence-based guidelines and ensures patients receive clear explanations and follow-up recommendations. Whether you need help with ENT symptoms, clarification of test results, or guidance on next steps – she offers expert medical advice in a convenient online format.
CameraBook a video appointment
€69
November 306:00
November 306:30
November 307:00
November 307:30
November 407:00
More times
5.0(21)
Doctor

Ekaterina Agapova

Neurology8 years of experience

Dr. Ekaterina Agapova is a neurologist specialising in the diagnosis and treatment of neurological conditions and chronic pain. She provides online consultations for adults, combining evidence-based medicine with a personalised approach.

She offers expert care for:

  • Headaches and migraines, including tension-type and cluster headaches.
  • Neck and back pain, both acute and chronic.
  • Chronic pain syndromes – fibromyalgia, neuropathic pain, post-traumatic pain.
  • Mononeuropathies – carpal tunnel syndrome, trigeminal neuralgia, facial nerve palsy.
  • Polyneuropathies – diabetic, toxic, and other types.
  • Multiple sclerosis – diagnosis, monitoring, long-term support.
  • Dizziness and coordination disorders.
  • Sleep disturbances – insomnia, daytime sleepiness, fragmented sleep.
  • Anxiety, depression, and stress-related conditions.

Dr. Agapova helps patients manage complex neurological symptoms like pain, numbness, weakness, poor sleep, and emotional distress. Her consultations focus on accurate diagnosis, clear explanation of findings, and tailored treatment plans.

If you’re struggling with chronic pain, migraines, nerve disorders, or sleep problems, Dr. Agapova offers professional guidance to restore your well-being.

CameraBook a video appointment
€49
November 308:00
November 308:45
November 309:30
November 310:15
November 311:00
More times
5.0(9)
Doctor

Tetiana Fursenko

Otolaryngology (ENT)4 years of experience

Dr. Tetiana Fursenko is an ENT (ear, nose, and throat) specialist offering online consultations for both adults and children. She focuses on diagnosing and treating conditions of the upper respiratory tract using evidence-based medical guidelines and personalised treatment plans.

Common concerns addressed during consultation:

  • Nasal congestion, runny nose, sinusitis, rhinitis, and hay fever.
  • Ear pain, otitis (middle ear infections), earwax buildup, hearing loss.
  • Sore throat, tonsillitis, pharyngitis, chronic throat irritation.
  • Hoarseness, loss of voice, laryngitis.
  • Allergic rhinitis, sneezing, nasal itching, seasonal allergies.
  • Snoring, mouth breathing, enlarged adenoids.
  • Frequent colds, lingering post-viral symptoms.
  • Foreign objects in the ear or nose.
  • ENT-related check-ups and chronic condition follow-up.

Dr. Fursenko helps patients manage symptoms early, avoid complications, and receive timely treatment. Online ENT consultations are a convenient way to access care for both urgent and recurring conditions — from anywhere.

CameraBook a video appointment
€55
November 309:00
November 310:00
November 311:00
November 312:00
November 313:00
More times

Get updates and exclusive offers

Be the first to know about new services, marketplace updates, and subscriber-only promos.

Follow us on social media
FacebookInstagram
Logo
Oladoctor
Find a doctor
Doctors by specialty
Services
Choose language
© 2025 Oladoctor. All rights reserved.
VisaMastercardStripe