![]() ![]() ![]() Lidocaine can be found over-the-counter (OTC) as a topical cream or as a topical patch. It is often applied on the skin or may be injected depending on its use. Since she was doing well, she was allowed to go home.Lidocaine is an anesthetic that can reduce feeling in the area administered. The following day, the girl’s methemogobin level was down to 6.8%. Although there is an antidote that can be given for methemoglobinemia, it is usually reserved for more severe poisoning. Poison Control recommended observation and supportive therapy. Since she was doing well, she was allowed to go home. The capacity of the girl’s blood to carry oxygen was greatly reduced. The ER doctor called Poison Control and reported that the girl’s symptoms seemed to have improved but that her methemoglobin level was 15.1% (normal is around 1%). The mother was concerned and called Poison Control for advice, which advised her to take the girl to the nearest ER. The mother had used a very large amount to cover the areas–about 2-3 tubes! The procedure was completed without any problems.Ībout 3 hours later, the girl began to complain of feeling dizzy and nauseated. The cream was washed off after about 30 minutes. Prior to the procedure, the girl’s mother helped her apply a cream containing lidocaine to the areas being treated (legs, underarms, and mustache line).
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