Lidoderm is a topical patch that delivers lidocaine to skin and nerves to reduce localized pain. You’ll often see it prescribed for postherpetic neuralgia (nerve pain after shingles) and other focal nerve pain. It works locally, so most people get relief at the application site without the drowsiness or stomach upset that come with many oral pain meds.
Start with clean, dry, intact skin. Peel the patch from the backing and place it over the painful area. You can cut the patch to size if the pain area is small—just cut before removing the backing. Most people wear one or more patches for up to 12 hours, then remove them for at least 12 hours before reapplying. Follow your prescriber’s instructions for number of patches; typical guidance is up to three 5% patches at once but check your prescription.
Wash your hands after handling the patch unless you’re treating your hands. Don’t apply to cuts, broken skin, or large raw areas. Avoid heat sources—hot baths, heating pads, or electric blankets—over the patch, because heat can raise lidocaine absorption and increase side effects. If you need to swim or shower, remove the patch first and replace it afterward if directed by your doctor.
Most side effects are local and mild: redness, itching, or a rash where the patch sits. Some people get contact dermatitis and need to stop using the patch. Systemic effects—like dizziness, ringing in the ears, sleepiness, or breathing problems—are rare but can happen if too much lidocaine is absorbed. Stop use and seek medical help if you feel faint, confused, or have trouble breathing.
Tell your doctor if you have liver disease, severe heart problems, or are taking medicines that affect heart rhythm. Also mention pregnancy or breastfeeding—your prescriber will weigh risks and benefits. Don’t give Lidoderm to children without medical advice.
Want alternatives? Topical lidocaine creams, gels, or generic lidocaine patches may work similarly. Depending on the pain, doctors may suggest nerve-targeted oral medications (like certain anticonvulsants or antidepressants) or physical therapy. If a patch doesn’t help after a few weeks, check back with your prescriber to adjust treatment.
Buying tips: Lidoderm often requires a prescription. If you shop online, use a licensed pharmacy and avoid sites that don’t require a prescription—counterfeit products are common. Keep the patch in its original package, store at room temperature away from heat, and fold used patches in half with sticky sides together before throwing them away so pets or children can’t access them.
If you’re unsure whether Lidoderm fits your pain type, ask your doctor one simple question: what outcome should I expect in the next two weeks, and when should I stop if it doesn’t help? That makes follow-up clear and keeps your treatment practical and safe.
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