XYLOCAINE 20 mg /Ml Solution

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Doctor
5.0(14)

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 Xilocaine 2%

Contents of the leaflet

  1. Leaflet attached to the packaging: information for the user
  2. Xylocaine 2%, 20 mg/ml, solution for injection
    1. Read the leaflet carefully before using the medicine, as it contains important information for the patient.
    2. Table of contents of the leaflet
  3. What is Xylocaine 2% and what is it used for
  4. Important information before using Xylocaine 2%
    1. When not to use Xylocaine 2%:
    2. Warnings and precautions
    3. Children and adolescents
    4. Xylocaine 2% and other medicines
    5. Xylocaine 2% with food and drink
    6. Pregnancy and breastfeeding
    7. Driving and operating machinery
    8. Xylocaine 2% contains methyl parahydroxybenzoate (E 218) and sodium
  5. How to use Xylocaine 2%
    1. Using Xylocaine 2% in elderly patients
    2. Using a higher than recommended dose of Xylocaine 2%
    3. Stopping the use of Xylocaine 2%
  6. Possible side effects
    1. Severe allergic reactions (rare, occurring in less than 1 in 1000 patients):
    2. Very common (may occur in more than 1 in 10 treated patients)
    3. Common (may occur in less than 1 in 10 treated patients)
    4. Uncommon (may occur in less than 1 in 100 treated patients)
    5. Rare (may occur in less than 1 in 1000 treated patients)
    6. Reporting side effects
  7. How to store Xylocaine 2%
  8. Contents of the packaging and other information
    1. What Xylocaine 2% contains
    2. What Xylocaine 2% looks like and what the pack contains
    3. Marketing authorization holder
    4. Manufacturer
    5. Date of last revision of the leaflet: 10/2024
    6. Other sources of information

Leaflet attached to the packaging: information for the user

Xylocaine 2%, 20 mg/ml, solution for injection

Lidocaine hydrochloride

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

  • Keep this leaflet, so you can read it again if you need to.
  • If you have any doubts, consult your doctor or nurse.
  • If the patient experiences any side effects, including any possible side effects not listed in this leaflet, tell your doctor or nurse. See section 4.

Table of contents of the leaflet

  • 1. What is Xylocaine 2% and what is it used for
  • 2. Important information before using Xylocaine 2%
  • 3. How to use Xylocaine 2%
  • 4. Possible side effects
  • 5. How to store Xylocaine 2%
  • 6. Contents of the packaging and other information
Doctor consultation

Not sure if this medicine is right for you?

Discuss your symptoms and treatment with a doctor online.

1. What is Xylocaine 2% and what is it used for

Xylocaine 2% contains the active substance lidocaine hydrochloride, which belongs to a group of medicines called local anesthetics of the amide type.
Xylocaine 2% is indicated for use in adults and adolescents over 12 years of age for:

  • infiltration anesthesia,
  • peripheral nerve blocks, such as brachial plexus block, intercostal block,
  • central blocks with epidural and spinal anesthesia.

In children from 1 year to 12 years of age, it is recommended to use another medicine with a lower concentration of lidocaine hydrochloride.

2. Important information before using Xylocaine 2%

When not to use Xylocaine 2%:

  • if the patient is allergic to lidocaine hydrochloride, other local anesthetics of the amide type, or any of the other ingredients of this medicine (listed in section 6),
  • if the patient is allergic to methyl and (or) propyl parahydroxybenzoate [methyl and (or) propylparaben] or their metabolite, para-aminobenzoic acid (PABA),
  • if, for any reason, local anesthesia is contraindicated, for epidural anesthesia in patients with very low blood pressure, e.g., in cardiogenic or hypovolemic shock, for spinal anesthesia, or for caudal anesthesia.

Warnings and precautions

Before starting treatment with Xylocaine 2%, discuss it with your doctor or nurse:

  • if the patient has experienced an allergic reaction (hypersensitivity) during or after anesthesia, if the patient has been diagnosed with an allergy to local anesthetics,
  • if the patient is breastfeeding,
  • if the patient has severe liver disease or reduced liver blood flow,
  • if the patient has kidney function disorders,
  • if the patient has heart rhythm disorders (e.g., partial or complete heart block),
  • if the patient has circulatory disorders,
  • if the patient has fluid in the chest cavity (pleural effusion),
  • if the patient has blood poisoning (sepsis),
  • if the patient is taking antiarrhythmic medications, such as amiodarone,
  • if the patient has acute porphyria.

Rarely, in some types of anesthesia, nerve damage may occur, which can sometimes be permanent. Certain types of injections near the eye can very rarely cause transient blindness and prolonged eye muscle disorders.

Children and adolescents

Xylocaine 2% is indicated for use in adolescents over 12 years of age.
In children from 1 year to 12 years of age, it is recommended to use another medicine - a solution for injection with a lower concentration of lidocaine hydrochloride.

Xylocaine 2% and other medicines

Tell your doctor about all medicines the patient is currently taking or has recently taken, as well as medicines the patient plans to take, including those available without a prescription.
Also, inform your doctor about any worrying reactions that have occurred after taking other medicines.
In particular, inform your doctor about taking any of the following medicines:

  • other local anesthetics
  • medicines used to treat irregular heartbeat (e.g., amiodarone, mexiletine)
  • medicines used to treat stomach and duodenal ulcers (e.g., cimetidine)
  • beta-blockers (medicines used to treat high blood pressure and hyperthyroidism)

Xylocaine 2% with food and drink

Not applicable.

Pregnancy and breastfeeding

If the patient is pregnant or breastfeeding, thinks she may be pregnant, or plans to have a child, she should consult her doctor before using this medicine.
Lidocaine crosses the placenta and may enter fetal tissues.
Lidocaine enters human milk in small amounts, but its effect on the breastfed child is unlikely if used in recommended doses.

Driving and operating machinery

Depending on the dose, local anesthetics may have a slight effect on mental functions, as well as affect motor functions and coordination.

Xylocaine 2% contains methyl parahydroxybenzoate (E 218) and sodium

The medicine may cause allergic reactions (possible late reactions) and, exceptionally, bronchospasm. The medicine should not be used for spinal anesthesia, or for caudal anesthesia.
The medicine contains 124.5 mg of sodium (main component of common salt) per vial (50 ml). This corresponds to 6.23% of the maximum recommended daily sodium intake in adults.

Medicine questions

Started taking the medicine and have questions?

Discuss your symptoms and treatment with a doctor online.

3. How to use Xylocaine 2%

Xylocaine 2% is administered by a doctor in a hospital setting.
The doctor will determine the appropriate dose of Xylocaine 2% based on the type of anesthesia and the patient's general condition.

Using Xylocaine 2% in elderly patients

In elderly patients, the dose of the medicine should be reduced.

Severe side effects due to overdose are extremely rare and require specialized treatment. The doctor is properly qualified and has the necessary equipment in such situations.
The first symptoms indicating an overdose of the medicine are: dizziness, feeling of numbness around the mouth, numbness of the tongue, hypersensitivity to sound. You should immediately tell your doctor if such symptoms occur. Blurred vision and muscle tremors are serious signs.
In the case of severe overdose or intravascular administration, seizures or loss of consciousness and respiratory arrest may occur.
Stopping the administration of the medicine as soon as the first symptoms of overdose appear reduces the risk of severe side effects.

Stopping the use of Xylocaine 2%

If you have any further doubts about the use of the medicine, consult your doctor or nurse.

4. Possible side effects

Like all medicines, this medicine can cause side effects, although not everybody gets them.
Side effects directly caused by the medicine are sometimes difficult to distinguish from the physiological effects of nerve blocks (e.g., decrease in blood pressure, bradycardia), the direct effect of needle puncture (e.g., nerve damage), or are an indirect effect of the puncture (e.g., subarachnoid hemorrhage).

Severe allergic reactions (rare, occurring in less than 1 in 1000 patients):

In the event of a severe allergic reaction, you should immediately tell your doctor.
Symptoms may include sudden onset of:

  • swelling of the face, lips, tongue, or throat. This can cause difficulty swallowing
  • severe or sudden swelling of the hands, feet, or ankles
  • difficulty breathing
  • severe itching of the skin (with a rash)
  • very low blood pressure, which can cause fainting or loss of consciousness

Other possible side effects:

Very common (may occur in more than 1 in 10 treated patients)

  • nausea
  • significant decrease in blood pressure (hypotension)

Common (may occur in less than 1 in 10 treated patients)

  • significant slowing of heart rate (bradycardia)
  • significant increase in blood pressure (hypertension)
  • paresthesia (sensory disturbances)
  • dizziness
  • seizures
  • vomiting

Uncommon (may occur in less than 1 in 100 treated patients)

  • symptoms of central nervous system toxicity (seizures, feeling of numbness around the mouth, numbness of the tongue, hypersensitivity to sound, visual disturbances, loss of consciousness, muscle tremors, dizziness, tinnitus, speech disorders)

Rare (may occur in less than 1 in 1000 treated patients)

  • neuropathy, i.e., nerve disease causing a feeling of tingling, numbness, or weakness of the innervated muscle
  • peripheral nerve damage
  • arachnoiditis
  • double vision
  • cardiac arrest
  • heart rhythm disorders
  • respiratory depression

Reporting side effects

If you experience any side effects, including any possible side effects not listed in this leaflet, tell your doctor, pharmacist, or nurse. Side effects can be reported directly to the Department of Monitoring of Adverse Reactions to Medicinal Products of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products
Al. Jerozolimskie 181C
02-222 Warsaw
tel.: +48 22 49 21 301
fax: +48 22 49 21 309
website: https://smz.ezdrowie.gov.pl
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.

5. How to store Xylocaine 2%

Store the medicine out of sight and reach of children.
Do not use this medicine after the expiry date stated on the carton after "EXP" and on the vial after "EXP". The expiry date refers to the last day of the month.
Shelf life after first opening of the vial: 3 days (72 hours).
Do not store above 25°C.
Do not leave needles or any metal objects in the opened vial. This may cause the release of metal ions, which can cause swelling at the injection site.
Medicines should not be disposed of via wastewater or household waste. Ask your pharmacist how to dispose of medicines that are no longer needed. This will help protect the environment.

6. Contents of the packaging and other information

What Xylocaine 2% contains

  • The active substance of the medicine is lidocaine. 1 ml of Xylocaine 2% contains 20 mg of lidocaine hydrochloride. Each 50 ml vial contains 1000 mg of lidocaine hydrochloride.
  • The other ingredients are: sodium chloride, methyl parahydroxybenzoate (E 218), sodium hydroxide 2 mol/l and (or) hydrochloric acid 2 mol/l to adjust the pH to 5.0-7.0, and purified water.

What Xylocaine 2% looks like and what the pack contains

Xylocaine 2% is a clear, colorless solution for injection.
It is supplied in vials made of colorless glass, in a cardboard box.
Pack size: 5 vials of 50 ml each.

Marketing authorization holder

Aspen Pharma Trading Limited
3016 Lake Drive
Citywest Business Campus
Dublin 24, Ireland
tel: +48 22 104 21 00

Manufacturer

Recipharm Monts
18 Rue de Montbazon
Monts, 37260
France

Date of last revision of the leaflet: 10/2024

Other sources of information

Detailed information about this medicine is available on the website of the Office for Registration of Medicinal Products, Medical Devices, and Biocidal Products https://www.urpl.gov.pl

Online doctors for Xilocaine 2%

Discuss questions about Xilocaine 2%, including use, safety considerations and prescription review, subject to medical assessment and local regulations.

Doctor
5.0(14)

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(36)

Andrei Popov

General medicinePain medicine7 years of experience

Dr. Andrei Popov is a family physician with specialized training in the management of chronic pain. He provides video consultations for adults in Spain and across Europe: whether you have been living with pain for months that no one has been able to properly explain, or you need to resolve a health issue without waiting weeks for an appointment.

His approach is clear: to listen, organize your case, and provide you with a practical roadmap based on evidence-based medicine and adapted to your medical history and personal needs.

Pain: how he can help

  • Chronic pain (more than 3 months
  • Migraine and recurrent or high-intensity headaches
  •  Neck, lower back, back and joint pain
  •  Post-traumatic pain after injuries or surgeries
  •  Pain of neurological origin: neuralgia, neuropathic pain, fibromyalgia

General medicine

  • Frequent respiratory infections (cold, flu, persistent cough)
  • Hypertension, diabetes and metabolic disorders
  • Review of laboratory tests and MRI/CT reports (explained in clear language)
  • Preventive medicine and health monitoring
  • Second opinions and treatment adjustments (when clinically appropriate)

What the consultation is like
 Each session lasts up to 30 minutes. We review symptoms, medical history, medications and any tests you provide, and you finish the consultation with a clear treatment plan, defined next steps, and criteria to understand when follow-up may be needed. If warning signs are detected, he will clearly advise whether you need in-person care or urgent medical attention.

Book a video appointment
€86
Doctor
5.0(22)

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(19)

Nuno Tavares Lopes

Family medicineGeneral 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
Doctor
5.0(6)

Anastasiia Hladkykh

Psychiatry15 years of experience

Dr Anastasiia Hladkykh is a physician-psychotherapist and psychologist with over 14 years of experience working with individuals struggling with various types of addictions and their families. She provides online consultations for adults, combining medical knowledge with deep psychological support and practical tools.

Key areas of expertise:

  • Addiction treatment: alcohol and drug dependence, gambling addiction, compulsive behaviours, codependent relationships.
  • Support for families of addicted individuals, behavioural correction within the family system, guidance for maintaining remission.
  • Mental health: depression, bipolar disorder, obsessive-compulsive disorder (OCD), anxiety disorders, phobias, PTSD, generalised anxiety, emotional trauma, and the psychological impact of loss or emigration.
  • Psychoeducation: explaining complex mental health concepts in simple language, helping patients and their families understand diagnoses and treatment steps.
Therapeutic approach:
  • Client-centred, straightforward, and empathetic – focused on practical outcomes and emotional stabilisation.
  • Prescribes medications when needed, but always aims to minimise unnecessary pharmaceutical use.
  • Certified in multiple evidence-based methods: CBT, NLP (Master Practitioner), Ericksonian hypnosis, symbol drama, art therapy, and systemic therapy.
  • Each consultation results in a clear, structured plan – patients leave knowing exactly what to do next.
Experience and background:
  • Member of the German association Gesundheitpraktikerin and the NGO “Mit dem Sonne in jedem Herzen.”
  • More than 18 publications in international peer-reviewed journals, translated into several languages.
  • Volunteer work with Ukrainian refugees and military personnel at the University Clinic of Regensburg.
Book a video appointment
€156

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Frequently Asked Questions

Is a prescription required for Xilocaine 2%?

Xilocaine 2% does not require a prescription in Poland. You can check with a doctor online whether this medicine may be appropriate for your situation.

What is the active substance in Xilocaine 2%?

The active ingredient in Xilocaine 2% is lidocaine. This information helps identify medicines with the same composition but different brand names.

Who manufactures Xilocaine 2%?

Xilocaine 2% is manufactured by Recipharm Monts. Pharmacy brands and packaging may differ depending on the distributor.

Which doctors can assess the use of Xilocaine 2% 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 Xilocaine 2% 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 Xilocaine 2% 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 Xilocaine 2% 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 Xilocaine 2%?

Other medicines with the same active substance (lidocaine) include Bobodent, Bravera Control, Dinexan. 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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