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Prescription Prescription Required FormationFormulation: Cream

Emla Cream

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Prescription Prescription Required FormationFormulation: Cream


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Emla Cream is a topical anesthetic cream used for decades to relieve the pain of minor skin procedures and medical treatments. It is a combination of two active ingredients, prilocaine, and lidocaine, which work together to numb the skin in preparation for injections, tattoos, laser hair removal, and other minor medical procedures. Emla Cream is easy to apply and can provide up to several hours of pain relief before wearing off.

Emla Cream is used to numb the skin before minor medical procedures such as venipuncture, lumbar puncture, vaccination, and circumcision. It is available in a cream form and is applied to the skin an hour before the procedure. EMLA Cream is effective in reducing distress, anxiety, and pain associated with medical procedures.

Uses and Dosage

EMLA comes in the form of a cream and is applied directly to the skin or the genital area. It should not be applied to broken, irritated, or open wounds unless specifically directed by your doctor. It is important to wash your hands before and after using EMLA Cream.

Apply EMLA Cream at least 1 hour before needle sticks and 2 hours before minor skin procedures. For certain genital procedures, it is recommended to have a health care professional apply the medication and remain lying down so the medication will stay in place.

Side effect

Common Side Effects of Emla Cream:

  • Changes in skin color where the medicine was applied
  • Itching
  • Mild burning where the medicine is applied
  • Rash

Serious Side Effects of Emla Cream:

  • Bruising or purple appearance of the skin
  • Confusion, blurred vision, ringing in your ears
  • Severe burning, stinging, or irritation where the medicine was applied
  • Sudden dizziness or drowsiness after medicine is applied
  • Swelling or redness
  • Unusual sensations of temperature

Form and strength

Emla Cream (Lidocaine/Prilocaine) is available in the following forms and strength:

Emla Cream: Cream

  • 5 %
  • 2.5/2.5%

Lidocaine/Prilocaine: Cream

  • 25/25mg


  • Before using this product, inform your doctor or pharmacist if you are allergic to lidocaine or prilocaine, or any other amide anesthetics, or if you have any other allergies. This product may contain inactive ingredients that could cause allergic reactions or other problems. Speak to your pharmacist for more information.
  • If you are pregnant or plan to become pregnant during treatment, it is important to tell your doctor so that they can help you decide whether or not it is safe for you to use Emla.
  • EMLA should not be used in rare patients with congenital or idiopathic methemoglobinemia and in infants under twelve months who are receiving treatment with methemoglobin-inducing agents. This is because the active ingredients in EMLA, lidocaine and prilocaine, can be toxic to the ear.
  • Application of EMLA to larger areas or for longer times than recommended can result in increased absorption of lidocaine and prilocaine, which can lead to serious adverse effects. Follow the recommended dosage and application time for EMLA to avoid these potential side effects.
  • EMLA should not be used in any clinical situation in which its penetration or migration beyond the tympanic membrane into the middle ear is possible. This is due to the risk of ototoxicity, as the active ingredients in EMLA, lidocaine, and prilocaine, can be toxic to the ear.

Frequently Asked Questions (FAQ)

Is Emla Cream safe to use?

Emla Cream is considered safe for use as directed. However, it should not be used on broken skin and should not be used for longer than is necessary.

How long does Emla Cream take to work?

Emla Cream takes about 30 minutes to work and can last up to 90 minutes.

How do I use Emla Cream?

Emla Cream should be applied to the area of the skin before the procedure and then covered with an occlusive dressing. The cream should be left on for at least one hour before the procedure.

What should I do if I forget to apply Emla Cream?

If you forget to apply Emla Cream, you should still go ahead with the procedure as it is still possible for the anesthetic to work. You may also apply ice to the area before the procedure to reduce discomfort.


Additional information

Generic name:

Lidocaine/Prilocaine, Lidocaine/prilocaine




2.5/2.5%, 5%, 25/25mg

Quantities Available:

25g, 30g, 60g, 90g, 100g


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Online Pharmacies Canada has provided information from third parties intended to increase awareness and does not contain all the information about Emla Cream (Lidocaine/prilocaine). Talk to your doctor or other qualified medical practitioners for medical attention or advice, or if you have any concerns about Emla Cream (Lidocaine/prilocaine).