asthesia cream - Prilocaine (2.5% w/w) + Lidocaine (2.5% w/w) medicine

asthesia cream - Uses, Price, Side Effects & Substitutes

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๐Ÿญ Torrent Pharmaceuticals Ltd ๐Ÿ“ฆ Varies by brand ๐Ÿ’Š Allopathy ๐Ÿ“… Updated: Jun 22, 2026
๐Ÿ“‹ Prescription Required ๐Ÿ’Š Generic Available
Medically Reviewed
Dr. SaathiMed Expert Panel | Jun 22, 2026

What is asthesia cream used for?

Asthesia Cream (Prilocaine + Lidocaine) is used to treat PAIN ANALGESICS. It contains Prilocaine (2.5% w/w) + Lidocaine (2.5% w/w), which Stabilizes neuronal membranes by inhibiting sodium ion channels, blocking nerve . Always consult your doctor before use. Take as prescribed.

  • Generic Name: Prilocaine + Lidocaine
  • Manufacturer: Torrent Pharmaceuticals Ltd
  • Form: Allopathy
  • Pregnancy Category: B
  • Prescription Required: Yes
๐Ÿ’ก Did You Know? India is the largest provider of generic medicines globally, supplying over 50% of global vaccine demand.

๐Ÿ’Š asthesia cream Uses & Benefits

Topical anesthesia for dermal procedures, venipuncture, minor surgery.

Off-label uses: Post-herpetic neuralgia, Mucosal anesthesia

๐Ÿ“‹ Drug Information

Generic Name(s)Prilocaine + Lidocaine
Brand NameAsthesia Cream
ManufacturerTorrent Pharmaceuticals Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassPAIN ANALGESICS
Action ClassLocal Anesthetics
Route of AdministrationTopical
StorageStore at 20-25ยฐC (68-77ยฐF); do not freeze.
Shelf LifeAs per manufacturer

๐Ÿ”ฌ Pharmacology (PK/PD)

Pharmacokinetics

AbsorptionAbsorbed through intact skin; systemic absorption depends on application area and duration.
DistributionDistributed to highly perfused organs; crosses placenta and blood-brain barrier.
Protein BindingLidocaine: ~70%; Prilocaine: ~55%
MetabolismLidocaine: Hepatic (CYP1A2, CYP3A4); Prilocaine: Hepatic and renal.
Half-LifeLidocaine: 1.5-2 hours; Prilocaine: 1.5-2 hours.
ExcretionRenal (metabolites and unchanged drug).
BioavailabilitySystemic bioavailability depends on application; typically low.
Onset of Action30-60 minutes
Peak Plasma Time2-4 hours
Duration of Action1-2 hours after removal

How It Works

Stabilizes neuronal membranes by inhibiting sodium ion channels, blocking nerve impulse conduction.

Mechanism Steps

1Penetrates skin barrier
2Binds to voltage-gated sodium channels
3Inhibits sodium influx

๐Ÿ’ก How to Take asthesia cream

Follow your doctor's prescription exactly.

โš ๏ธ Side Effects of asthesia cream

โœ… Common Side Effects

  • Application site erythema
  • Edema
  • Itching

๐Ÿšจ Serious Side Effects

  • Methemoglobinemia
  • Cardiac arrhythmias
  • Seizures

โš ๏ธ Rare Side Effects

  • Allergic dermatitis
  • Anaphylaxis

Consult your doctor if you experience any unusual symptoms.

๐Ÿ”ฌ Drug Interactions

โš ๏ธ DrugSeverityEffect
Class I antiarrhythmics Major Increased risk of cardiac toxicity
Other local anesthetics Major Additive systemic toxicity
CYP1A2 inhibitors Moderate Increased lidocaine levels
CYP3A4 inhibitors Moderate Increased lidocaine levels
Acetaminophen Minor Possible increased methemoglobin risk
Beta-blockers Minor Reduced lidocaine clearance

๐Ÿšจ Major Interactions

  • Class I antiarrhythmics
  • Other local anesthetics

โšก Moderate Interactions

  • CYP1A2 inhibitors
  • CYP3A4 inhibitors

โ„น๏ธ Minor Interactions

  • Acetaminophen
  • Beta-blockers

๐Ÿฝ๏ธ Food Interactions

No significant food interactions.

๐Ÿท Alcohol Interaction

May increase CNS depression.

๐Ÿ›ก๏ธ Safety & Warnings

๐Ÿšซ Contraindications

Hypersensitivity to amide anesthetics, methemoglobinemia, severe hepatic impairment.

๐Ÿ“Š Monitoring Parameters

Monitor for signs of systemic toxicity, methemoglobinemia, local reactions.

๐Ÿคฑ Lactation Safety

Use with caution; small amounts excreted in breast milk.

๐Ÿ’Š Overdose Management

Discontinue use; symptomatic and supportive care; treat methemoglobinemia with methylene blue if needed.

โฐ Missed Dose

Not applicable; apply as needed before procedure.

๐Ÿ‘จโ€โš•๏ธ Reviewed by Expert

Dr. SaathiMed Expert Panel

MD, PhD - Pharmacology

Reviewed: Jun 22, 2026

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