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Lignox

Lignox

Ask a doctor about a prescription for Lignox

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Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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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.

5.0(96)
Doctor

Alina Tsurkan

Family medicine12 years of experience

Dr. Alina Tsurkan is a licensed family medicine physician based in Portugal, offering online consultations for adults and children. She provides professional primary care, with a focus on prevention, accurate diagnosis, and long-term management of acute and chronic conditions.

Dr. Tsurkan supports patients with a wide range of health issues, including:

  • Respiratory infections: cold, flu, bronchitis, pneumonia, and lingering coughs.
  • ENT conditions: sinusitis, tonsillitis, otitis (ear infections), sore throat, allergic rhinitis.
  • Eye conditions: allergic or infectious conjunctivitis, red eyes, irritation.
  • Digestive issues: acid reflux (GERD), gastritis, irritable bowel syndrome (IBS), constipation, bloating, nausea.
  • Urinary and reproductive health: urinary tract infections (UTIs), cystitis, prevention of recurrent infections.
  • Chronic diseases: hypertension, elevated cholesterol, weight management.
  • Neurological complaints: headaches, migraines, sleep disturbances, fatigue, general weakness.
  • Children’s health: fever, infections, digestive issues, follow-ups, vaccination guidance.

She also provides:

  • IMT medical certificates for driving licence exchange in Portugal.
  • Personalised preventive care and wellness consultations.
  • Interpretation of test results and medical reports.
  • Follow-up care and medication review.
  • Support in managing multiple coexisting conditions.
  • Remote prescription management and medical documentation.

Dr. Tsurkan’s approach is evidence-based and holistic. She works closely with each patient to develop an individualised care plan that addresses both symptoms and root causes. Her goal is to empower patients to take control of their health and maintain well-being through lifestyle adjustments, routine check-ups, and early intervention.

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  • Supportive care for oncology patients – pain control, symptom relief, and side effect management.
  • Preventive medicine and health screenings.
  • Development of tailored treatment plans based on clinical guidelines.

With a patient-centred approach, Dr. Raevskii helps individuals manage both chronic illnesses and complex oncological cases. His consultations are guided by current medical standards and adapted to each patient’s needs.

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What patients commonly consult her for:

  • High blood pressure, type 2 diabetes, cholesterol management
  • Cold and flu symptoms: fever, cough, sore throat
  • Fatigue, sleep problems, headaches, general discomfort
  • Ongoing care for chronic conditions and medication review
  • Help interpreting test results and lab reports
  • Preventive check-ups and advice on healthy lifestyle habits

Dr Kovalenko combines evidence-based practice with a respectful, patient-centred approach. She takes time to explain, listens attentively, and helps each person make confident, informed decisions about their health.

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  • Preventive care: health check-ups, lifestyle advice, second opinions

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She helps with:

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  • Review and adjustment of antibiotics
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  • Chronic condition flare-ups, high blood pressure, headaches, fatigue
  • Lab and test interpretation
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  • Patient navigation: what tests are needed, which specialists to see, when an in-person visit is required
Dr Minorskaya also specialises in the diagnosis and management of gastrointestinal conditions, including bloating, abdominal pain, chronic nausea, IBS, and SIBO. She supports patients with unexplained physical symptoms that may be linked to somatisation or stress, helping them find relief and improve quality of life.

She offers care for people undergoing GLP-1 therapy (Ozempic, Mounjaro, and others) for weight management. Her support follows Spanish clinical guidelines, from treatment planning and side effect counselling to regular follow-ups and coordination with private or public healthcare providers.

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  • ENT conditions such as sinusitis, ear infections, and tonsillitis.
  • Digestive issues including gastritis, acid reflux, and irritable bowel syndrome (IBS).
  • Urinary tract infections and other common infections.
  • Management of chronic diseases: high blood pressure, diabetes, thyroid disorders.
  • Acute conditions requiring urgent medical attention.
  • Headaches, migraines, and minor injuries.
  • Wound care, health check-ups, and ongoing prescriptions.

With a patient-focused and evidence-based approach, Dr. Ben Ami supports individuals at all stages of life — offering clear medical guidance, timely interventions, and continuity of care.

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  • Internal medicine: heart, lungs, gastrointestinal tract, urinary system. Management of chronic conditions, symptom control, second opinions.
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  • Oncological surgery: diagnosis review, treatment planning, and long-term follow-up.
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  • International education: Ukraine – Germany – Spain.
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Consultations are available in English and Portuguese. Patients value his clarity, professionalism, and balanced approach to evidence-based care.

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In addition to pain management, Dr. Popov helps patients with:
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  • High blood pressure and metabolic conditions such as diabetes.
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Online consultations last up to 30 minutes and include a detailed symptom review, personalised treatment planning, and medical follow-up when needed.

Dr. Popov’s approach is rooted in evidence-based medicine, combined with individualised care tailored to each patient’s history, lifestyle, and clinical needs.

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