Check out our most popular compounded medications! Get Started
Dashboard
Formulas

Lidocaine HCl 5 mg/mL Otic Solution

FDA-approved generic
Dose form
Otic Solution
Active ingredients
Lidocaine Hydrochloride

Lidocaine HCl 5 mg/mL Otic Solution is a liquid formulation specifically designed for use in the ear canal. It provides targeted treatment for conditions such as ear infections, inflammation, and pain.

View more
For prescribers
Prescription details
RxThis formula
Dose formSee below
Quantity____
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription detailsOrder form
Controlled substance: e-prescribe (EPCS) from your EHR. Faxed and phoned prescriptions cannot be accepted for this preparation.
Send it from your EHR, or fax to (401) 284-4506. How to e-prescribe this formula
Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.
To prescribe, you must be a verified prescriber.
To prescribe, you must be in a state where we hold an active out-of-state pharmacy license.
Starting at
Get started as a patient
Get Started
This medication requires a prescription from your doctor
Ships within 1 to 2 business days after pharmacist verification
HSA and FSA eligible
Check if we ship to your state
No prescription yet?

Get a one-page sheet with everything your doctor needs to prescribe this and send it to Bayview.

Licensed to fill prescriptions for patients in RI, MA, CT, NJ, NH, FL, ME and PA. New York patients are served on a limited basis while nonresident registration is pending.

For prescribersSign in for prescription details and order forms.
Compounded preparations are prepared by Bayview pursuant to a prescription for an individual patient. They are not FDA-approved and have not been evaluated by FDA for safety or effectiveness.
Lidocaine Hydrochloride
Otic Solution
Service area

Can we ship this formula to your state?

Bayview fills prescriptions for patients in Connecticut, Florida, Maine, Massachusetts, New Hampshire, New Jersey, Pennsylvania and Rhode Island. New York patients are served on a limited basis while nonresident pharmacy registration is pending.

Check your state

Available in

Tap a state to check it.

Our current service area

Currently licensed Limited basis, registration pending Not available for this formula Not currently licensed

Select a state on the map or use the checker.

Formula Information

A small arrow pointing down

Lidocaine Hydrochloride 5 mg/mL Otic Solution is a specially compounded liquid formulation designed for administration into the ear canal. Lidocaine HCl is a local anesthetic agent that works by blocking nerve signals in the body, providing temporary numbness or loss of sensation in the area where it is applied. This otic solution is intended for patients experiencing pain or discomfort due to various ear conditions, such as acute otitis media or otitis externa (commonly known as swimmer's ear), and can be particularly beneficial in alleviating symptoms associated with inflammation or infection of the ear.

The targeted delivery of Lidocaine HCl directly into the ear canal allows for rapid onset of analgesia, providing significant relief from pain and discomfort. This can improve patient compliance with other necessary treatments and enhance overall comfort during the healing process. The solution is administered using a specific ear dropper or applicator, ensuring precise dosing and minimizing the potential for systemic absorption.

For prescribers, this formulation offers a valuable option for patients who require localized pain management within the ear. This can be particularly important for patients who may be sensitive to systemic medications or for those in whom systemic analgesics are contraindicated.

Patients using Lidocaine HCl 5 mg/mL Otic Solution should follow their healthcare provider's instructions carefully. Before administration, it is important to ensure the ear is clean and that the tympanic membrane (eardrum) is intact, as the presence of a perforated eardrum may contraindicate the use of certain otic preparations. Using the provided dropper or applicator, patients should administer the prescribed number of drops into the affected ear while tilting the head to allow the solution to flow down the ear canal. Remaining in this position for a few minutes can enhance the effectiveness of the treatment.

Potential side effects may include mild irritation, redness, or a transient burning sensation at the site of application. These effects are typically temporary, but if they persist or worsen, patients should consult their healthcare provider. It is also important to report any signs of allergic reaction, such as rash, itching, swelling, or dizziness, to a medical professional promptly.

At Bayview Pharmacy, our team of experienced compounding pharmacists is dedicated to providing personalized medication solutions to meet the unique needs of each patient. If you have any questions about Lidocaine HCl 5 mg/mL Otic Solution or how it may benefit your treatment plan, please reach out to us. We are here to assist both patients and healthcare providers in achieving optimal therapeutic outcomes.

Drug Interactions

A small arrow pointing down

Lidocaine HCl 5 mg/mL Otic Solution is a topical anesthetic formulation intended for administration in the ear canal. It is primarily used to alleviate pain and discomfort associated with various ear conditions, such as otitis externa (commonly known as swimmer's ear), otitis media, and other inflammatory or infectious ear disorders. By numbing the affected area, it provides symptomatic relief, allowing patients to experience reduced pain and discomfort during the healing process.

When considering the use of Lidocaine HCl 5 mg/mL Otic Solution, it is important to be aware of potential drug interactions that may affect its efficacy or safety. Although the systemic absorption of lidocaine from otic administration is generally low, interactions can still occur, particularly in patients with pre-existing conditions or those taking multiple medications. Patients and prescribers should be vigilant about the following potential interactions:

Firstly, caution is advised when using this otic solution in conjunction with other local anesthetics or medications that can potentiate the effects of lidocaine. Concurrent use may increase the risk of systemic toxicity, which can manifest as central nervous system effects such as dizziness, confusion, or seizures, as well as cardiovascular effects like bradycardia or hypotension. Patients should inform their healthcare provider of any other local anesthetics they are using, whether topically or systemically.

Secondly, patients taking antiarrhythmic drugs, particularly class I antiarrhythmics such as mexiletine or tocainide, should use Lidocaine HCl Otic Solution with caution. These medications can have additive effects on cardiac conduction, potentially leading to arrhythmias or other cardiac complications. Prescribers should carefully evaluate the risk-benefit ratio in such cases and consider monitoring cardiac function if necessary.

Additionally, patients on beta-blockers or cimetidine may experience increased plasma levels of lidocaine due to reduced hepatic clearance, heightening the risk of systemic toxicity. It is advisable for prescribers to adjust the dosage of lidocaine or monitor for signs of toxicity in patients receiving these medications concurrently.

Furthermore, patients with hepatic impairment or severe renal dysfunction may have altered lidocaine metabolism and excretion, respectively, which can increase the risk of accumulation and toxicity. In such cases, prescribers should consider dose adjustments or alternative therapies to mitigate potential adverse effects.

Lastly, while not a direct drug interaction, it is crucial to avoid using Lidocaine HCl 5 mg/mL Otic Solution in patients with a known hypersensitivity to lidocaine or other amide-type local anesthetics, as this can lead to severe allergic reactions.

For both patients and prescribers, it is essential to maintain open communication regarding all medications being taken, including over-the-counter drugs and supplements, to ensure safe and appropriate use of Lidocaine HCl 5 mg/mL Otic Solution. If you have any questions or concerns about potential drug interactions or the use of this formulation, please reach out to us at Bayview Pharmacy for further guidance and support.

How Does it Work

A small arrow pointing down

Lidocaine HCl 5 mg/mL Otic Solution is a specialized liquid formulation designed for direct application into the ear canal. This otic solution is primarily used to provide relief from pain and discomfort associated with various ear conditions, such as infections, inflammation, or other irritations. The active ingredient, Lidocaine Hydrochloride, is a local anesthetic that works by blocking the transmission of nerve signals in the ear, effectively numbing the area and reducing pain sensations.

When administered, the solution is applied directly into the ear canal using a specific ear dropper or applicator. This targeted delivery ensures that the medication acts precisely where it is needed, providing rapid relief from symptoms. The local anesthetic properties of Lidocaine HCl help to alleviate pain by inhibiting the sodium channels in the neuronal cell membranes. This inhibition prevents the initiation and conduction of nerve impulses, leading to a temporary loss of sensation in the treated area.

For patients experiencing ear infections, Lidocaine HCl 5 mg/mL Otic Solution can be particularly beneficial. Infections often lead to inflammation and swelling, which can cause significant discomfort. By numbing the affected area, this otic solution not only provides symptomatic relief but also allows patients to better tolerate other treatments that may be necessary to address the underlying infection.

Prescribers may choose this formulation for its efficacy in delivering localized pain relief without the systemic side effects associated with oral analgesics. The direct application into the ear canal minimizes the risk of systemic absorption, making it a safer option for patients who may be sensitive to systemic medications. Additionally, the precise dosing facilitated by the ear dropper ensures that patients receive the correct amount of medication, optimizing therapeutic outcomes.

It is important for both patients and prescribers to follow the administration instructions carefully to ensure the effectiveness of the treatment. Patients should be advised to avoid contaminating the dropper tip and to store the solution as directed to maintain its efficacy. If you have any questions or require further information about Lidocaine HCl 5 mg/mL Otic Solution, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to assist you with any inquiries you may have.

Frequently Asked Questions

A small arrow pointing down

What is Lidocaine HCl 5 mg/mL Otic Solution used for?

This otic solution is used for targeted treatment of various ear conditions, such as infections or inflammation, by providing localized relief in the ear canal.

How should I administer Lidocaine HCl 5 mg/mL Otic Solution?

Administer the solution using a specific ear dropper or applicator as directed by your healthcare provider. Follow the instructions carefully to ensure proper dosage and application.

Can I use Lidocaine HCl 5 mg/mL Otic Solution for ear pain?

Yes, this formulation can help alleviate ear pain associated with infections or inflammation by numbing the affected area. However, consult your healthcare provider for appropriate use.

Are there any side effects associated with Lidocaine HCl 5 mg/mL Otic Solution?

Some possible side effects include temporary stinging or burning sensation in the ear. If you experience severe reactions or persistent discomfort, contact your healthcare provider immediately.

How often should I use Lidocaine HCl 5 mg/mL Otic Solution?

The frequency of use will depend on your specific condition and your healthcare provider's instructions. Always follow the prescribed dosage and schedule.

Can children use Lidocaine HCl 5 mg/mL Otic Solution?

Consult your healthcare provider before using this solution in children, as they will provide guidance based on the child's specific condition and needs.

Is it safe to use Lidocaine HCl 5 mg/mL Otic Solution with other ear medications?

Before combining this solution with other ear medications, consult your healthcare provider to avoid potential interactions and ensure safe use.

How should I store Lidocaine HCl 5 mg/mL Otic Solution?

Store the solution at room temperature, away from direct sunlight and moisture. Keep it out of reach of children and pets.

What should I do if I miss a dose of Lidocaine HCl 5 mg/mL Otic Solution?

If you miss a dose, apply it as soon as you remember. If it's almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not double the dose.

Can I use Lidocaine HCl 5 mg/mL Otic Solution if I have a perforated eardrum?

Do not use this solution if you have a perforated eardrum unless directed by your healthcare provider. It is important to have your condition evaluated to determine the appropriate treatment.

About this compounded preparation

This formulation is compounded by Bayview Pharmacy on a prescriber's order for an individual patient. It is not an FDA-approved drug product, and the FDA has not evaluated it for safety, effectiveness, or manufacturing quality.

A valid prescription is required. Availability depends on Bayview's licensure in your state. This page is general information, not medical advice. Discuss your situation with a licensed healthcare provider.

Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.
For prescribers

How to e-prescribe this formula

Controlled substance: e-prescribe only (EPCS). Faxed, phoned, and handwritten prescriptions cannot be filled. Rhode Island law (R.I. Gen. Laws § 21-28-3.18) requires Schedule II to V prescriptions to be transmitted electronically.
1

Find Bayview in your EHR's pharmacy directory

Search by NCPDP 4106882, or by name and ZIP: Bayview Pharmacy, Warwick, RI 02886. Select it as the destination pharmacy and save it as a favorite. Click any value to copy it.

NCPDP4106882NPI1750455143Address3844 Post Rd, Warwick, RI 02886Phone(401) 284-4505Fax(401) 284-4506
2

Enter the formula as a compound

Compounded preparations have no NDC, so this formula will not appear in your EHR's drug search. Use your system's compound, non-formulary, or free-text prescription entry and name the preparation exactly as written in step 3. If your EHR forces you to pick a listed drug, pick the closest entry for the active ingredient and put the full formula in the prescription body (the Sig or directions field), not in Notes to Pharmacy.

Compounded preparations have no NDC and will not appear in your drug search. For EPCS to validate, select a drug entry your EHR recognizes as controlled, usually the bulk powder entry for the active ingredient (for example Ketamine (bulk) powder, not a branded product), then put the full formula from step 3 in the prescription body. A free-text entry that does not validate as controlled will be rejected by your EPCS module.

3

Copy the prescription details

RxFormula name
Dose formDose form
Quantity________
SigAs directed by prescriber
Refills____
PharmacyBayview Pharmacy, Warwick RI, NCPDP 4106882
Copy prescription details

Quantity and directions are starting points for this dose form, not treatment recommendations. Dosing remains the prescriber's responsibility.

4

Send it

Transmit from your EHR. For this non-controlled preparation we also accept fax to (401) 284-4506 and phoned orders at (401) 284-4505. Order forms are on the formulation pages and in the prescriber portal.

Transmit with two-factor authentication through your EPCS-enabled EHR. No order form is offered for this preparation; e-prescribing guides for our controlled preparations are on the formulation pages.

Do not use Notes to Pharmacy for the formula. Some EHRs keep that field internal and never transmit it. A prescription that arrives without the formula is delayed while we call your office.

Licensed to dispense in RI, MA, CT, NJ, NH, FL, ME, and PA; New York is served on a limited basis while nonresident registration is pending. Compounded preparations are not FDA-approved. A valid prescription is required. Full guide, including steps by EHR: How to e-prescribe to Bayview. Questions about this formula: call (401) 284-4505.

Lidocaine HCl 5 mg/mL Otic Solution
Otic Solution
15 mL
controlled

Place drops into affected ear(s)

Twice daily