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Benzocaine

Uses of Benzocaine

  • The main use is to numb areas of the body to prevent pain during medical procedures or to provide relief from conditions such as toothaches, sore throats, and canker sores. It falls under the category of local anaesthetic medications.

  • It is also used in topical treatments to reduce pain and itching associated with haemorrhoids.

  • In addition to this, it is also used to reduce discomfort caused by dentures and orthodontic appliances, and it can alleviate pain from minor burns, insect bites, poison ivy and minor cuts and scratches on the skin.

Side effects of Benzocaine

  • Temporary burning, stinging or itching at the application site

  • Tenderness or redness of the gums

  • Bitter or unpleasant taste in the mouth

  • Allergic reactions (rash, hives, itching)

  • methaemoglobinaemia symptoms (shortness of breath, headache, fatigue, grey/blue-coloured skin).

How Benzocaine works

  • Benzocaine is a local anaesthetic.

  • It works by blocking the sodium channels in the neuronal cell membrane, reducing their permeability to sodium ions. As a result, the neuronal membrane stabilises, inhibiting depolarisation and preventing the initiation and conduction of nerve impulses. By blocking these nerve signals in the body, Benzocaine effectively numbs the area it is applied to, making it insensitive to pain.

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Ashmita BorgohainMedical Content Writer & Editor|

MSc (Applied Genetics)

Reviewed By

Dr. Chhavi Rosha
Dr. Chhavi Rosha Health & Medical Content Writer| 8 Years

BMS, FMC, MD Resident

Expert Advice

Dosage Forms Available

  • This medicine can be used topically available as various over-the-counter formulations such as gels and ointments which are applied to the skin or directly to the affected area in the mouth. As a spray or liquid, it is applied to the back of the throat or mouth, and in the form of lozenges or troches, it is taken orally.

Age and Dose Restrictions

  • Benzocaine products are meant for adults and children above 2 years of age.

Contraindications

  • This medicine is contraindicated in patients with known allergies to benzocaine or other "caine" anaesthetics.

  • It should not be used in patients with a history of methaemoglobinaemia (a rare blood disorder)

  • On open wounds or damaged skin. methaemoglobinaemia

Other Medications to Avoid

  • Benzocaine, when combined with nitroglycerine, can increase the risk of methaemoglobinaemia. It can also interact with non-steroidal anti-inflammatory drugs (e.g., aspirin, ibuprofen) and antidepressants (e.g., fluoxetine, citalopram), increasing the risk of methaemoglobinaemia or other adverse effects.

Overdose and Missed Dose

  • An overdose can lead to serious side effects. If you observe symptoms like shortness of breath, headache, fatigue, or grey/blue-coloured skin, inform your doctor immediately.

  • If you forget to apply or take Benzocaine as directed, do so as soon as you remember. But avoid repeating the dose if it is almost time for your next dose.

Management of Side Effects

Most side effects of this medicine are mild and temporary and often resolve when discontinuing the medicine. However, if you experience severe side effects or worsening of symptoms, consult your doctor. Common side effects include:

  • Temporary burning, stinging, or itching at the application site can be managed by applying a mild moisturiser.

  • Unpleasant taste in the mouth can be managed by drinking water or rinsing the mouth after using Benzocaine.

Use while Driving and Operating Machinery

  • It does not generally affect your ability to drive or operate heavy machinery. However, if you feel dizzy or disoriented after using it, avoid these activities.

Use in Pregnancy and Lactation

  • This medicine should be used during pregnancy or breastfeeding only if clearly needed and directed by your doctor, as the effects on a developing foetus or infant are unknown.

Caution in Other Conditions

  • Benzocaine should be used with caution in individuals with heart disease, as the medication could be absorbed into the bloodstream and impact the heart's function.

  • For individuals with respiratory problems, particularly asthma, use of this medicine should be under strict medical supervision due to potential risks associated with inhalation of medicine.

Special Dietary and Lifestyle Recommendations

  • Frequently rinsing your mouth with warm salt water can help reduce inflammation and promote healing in case of gum sores, canker sores, toothaches, etc.

  • Apply a cold compress to the affected skin area in case of minor burns and insect bites before applying this medicine for pain relief.

Frequently asked questions

No, this medicine is specifically designed to numb localised areas on the body to prevent or relieve pain during medical procedures or from conditions like toothaches, sore throat, canker sores, and other irritations in the mouth and gums. It is not a general painkiller.

There is no scientific evidence to suggest that Benzocaine has any direct impact on mood or behaviour. However, relief from pain and discomfort might indirectly improve a person's mood.

The numbing effect of Benzocaine typically lasts for about 10 to 15 minutes.

There are several natural methods for pain relief such as clove oil for toothaches and honey for sore throats, but they may not be as effective as Benzocaine. Always consult your doctor before trying alternative remedies.

Benzocaine is a local anaesthetic, not a narcotic or addictive substance. Therefore, it does not cause physical or psychological dependence.

There are no known food interactions with Benzocaine. However, it is recommended to avoid eating or drinking anything immediately after applying this medicine in the mouth to allow it to work effectively.

Yes, it does not contain any animal-derived ingredients and is suitable for both vegetarians and vegans.

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