LidavexGel 5%

Manufacturer
Oncora Pharma, LLC
Effective date
2026-07-08
Label type
HUMAN PRESCRIPTION DRUG LABEL
Version
1
Source
weekly-update
Hydrated at
2026-07-17 21:45:10

Label at a glance#

ProductLidexaGel 5%
Active ingredientLIDOCAINE HYDROCHLORIDE
Label structure14 sections

Label contents#

Full prescribing information#

DESCRIPTION

DESCRIPTION SECTION

LidexaGel® 5% Gel contains 50 mg of Lidocaine HCI per gram in a mild acidic vehicle with Water, Glycerin, Carbopol 21 Ultra, Phenoxyethanol, Ethylhexyl Glycerin, Propylene Glycol, Aloe Vera Leaf, Propanediol, Dimethicone, and Sodium Hydroxide.

Lidocaine HCl is chemically designated as acetamide, 2-(diethylamino)-N-(2,6 dimethylphenyl), and has the following structure:

Chemical Structure
Chemical Structure

CLINICAL PHARMACOLOGY:

CLINICAL PHARMACOLOGY SECTION

Mechanism of Action: LidexaGel® 5% Gel releases lidocaine from a mild acidic vehicle to stabilize the neuronal membrane by inhibiting the ionic fluxes required for initiation and conduction of impulses, thereby effecting local anesthetic action. A mild acidic vehicle lowers pH to increase protection against alkaline irritants and to provide a favorable environment for healing.

Pharmacokinetics:

PHARMACOKINETICS SECTION

Lidocaine may be absorbed following topical administration to mucous membranes, its rate and extent of absorption depending upon the specific site of application, duration of exposure, concentration and total dosage. In general, the rate of absorption of local anesthetic agents following topical application occurs most rapidly after intratracheal administration. Lidocaine is also well-absorbed from the gastrointestinal tract, but little intact drug appears in the circulation because of biotransformation in the liver. Lidocaine is metabolized rapidly by the liver and metabolites and unchanged drug are excreted by the kidneys. Biotransformation includes oxidative N-dealkylation, ring hydroxylation, cleavage of the amide linkage and conjugation. N-dealkylation, a major pathway of biotransformation, yields the metabolites monoethylglycinexylidide and glycinexylidide. The pharmacological/ toxicological actions of these metabolites are similar to, but less potent than, those of lidocaine. Approximately 90% of lidocaine administered is excreted in the form of various metabolites and less than 10% is excreted unchanged. The primary metabolite in urine is a conjugate of 4-hydroxy-2, 6-dimethylaniline. The plasma binding of lidocaine is dependent on drug concentration and the fraction bound decreases with increasing concentration. At concentrations of 1 to 4 g of free base per mL, 60 to 80 percent of lidocaine is protein bound. Binding is also dependent on the plasma concentration of the alpha-1-acid glycoprotein. Lidocaine crosses the blood-brain and placental barriers, presumably by passive diffusion. Studies of lidocaine metabolism following intravenous bolus injections have shown that the elimination half-life of this agent is typically 1.5 to 2 hours. Because of the rapid rate at which lidocaine is metabolized, any condition that affects liver function may alter lidocaine kinetics. The half-life may be prolonged two-fold or more in patients with liver dysfunction. Renal dysfunction does not affect lidocaine kinetics, but may increase the accumulation of metabolites. Factors such as acidosis and the use of CNS stimulants and depressants affect the CNS levels of lidocaine required to produce overt systemic effects. Objective adverse manifestations become increasingly apparent with increasing venous plasma levels above 6 g free base per mL. In the rhesus monkey, arterial blood levels of 18-21 g/mL have been shown to be threshold for convulsive activity.

INDICATIONS:

INDICATIONS & USAGE SECTION

For the temporary relief of pain.

CONTRAINDICATIONS:

CONTRAINDICATIONS SECTION

Tuberculous or fungal lesions of skin vaccinia, varicella and acute herpes simplex and in persons who have shown hypersensitivity to any of its components. Lidocaine is contraindicated in patients with a known history of hypersensitivity to local anesthetics of the amide type.

WARNINGS:

WARNINGS AND PRECAUTIONS SECTION

For external use only. Not for ophthalmic use.

PRECAUTIONS:

WARNINGS AND PRECAUTIONS SECTION

If irritation or sensitivity occurs or infection appears, discontinue use and institute appropriate therapy. LidavexGel 5% should be used with caution in ill, elderly, debilitated patients and children who may be more sensitive to the systemic effects of lidocaine.

Carcinogenesis, Mutagenesis and Impairment of Fertility:

CARCINOGENESIS & MUTAGENESIS & IMPAIRMENT OF FERTILITY SECTION

Studies of lidocaine in animals to evaluate the carcinogenic and mutagenic potential of the effect on fertility have not been conducted.

Use in Pregnancy:

PREGNANCY SECTION

Teratogenic Effects; Pregnancy Category B. Reproduction studies have been performed for lidocaine in rats at doses up to 6.6 times the human dose and have revealed no evidence of harm to the fetus caused by lidocaine. There are, however, no adequate and well-controlled studies in pregnant women. Animal reproduction studies are not always predictive of human response. General consideration should be given to this fact before administering lidocaine to women of childbearing potential, especially during early pregnancy when maximum organogenesis takes place.

Nursing Mothers:

NURSING MOTHERS SECTION

It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when this drug is administered to a nursing mother.

Pediatric Use:

PEDIATRIC USE SECTION

Dosage in pediatric patients would be reduced commensurate with age, body weight and physical condition.

ADVERSE REACTIONS:

ADVERSE REACTIONS SECTION

During or immediately after treatment, the skin at the site of treatment may develop erythema or edema or may be the locus of abnormal sensation.

DOSAGE:

DOSAGE & ADMINISTRATION SECTION

Adults and children 12 years of age and older: apply a thin film to the affected areas(s) two or three times per day or as directed by a licensed healthcare practitioner.

HOW SUPPLIED:

HOW SUPPLIED SECTION

LidexaGel® 5% Gel is supplied in a 3 oz. (85 g) tube with CRC cap (NDC
85477-730-07).
KEEP THIS AND ALL MEDICATIONS OUT OF THE REACH OF CHILDREN.
Store at 20º-25ºC (68º-77º F) [see USP Controlled Room Temperature]. Protect
from freezing.

LABEL

PACKAGE LABEL.PRINCIPAL DISPLAY PANEL

Manufactured for:
Oncora Pharma

Dallas, TX 75228

For questions or information call: 214-785-6588

 

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Product Linked Resources#

Resource, Code type, Value table
ResourceCode typeValueEquivalent identifiersSource image
BarcodeEAN-130036000291452GTIN-13: 0036000291452
EAN-13: 0036000291452
GTIN-12: 036000291452
UPC-A: 036000291452
GTIN storage (14 digits): 00036000291452
lidexagel-2.jpg

Products#

Every source-derived product name is available through these pages.

DailyMed product names page 1 of 1 · 14 matching rows.

NDC Codes#

Product NDC, Package NDC table
Product NDCPackage NDC
85477-73085477-730-07

Ingredients#

Every source-derived ingredient row is available through these pages.

DailyMed ingredient rows page 1 of 1 · 11 matching rows.

Source Document#

Source XML

openFDA label cross-check#

OpenFDA label data provides additional search and identifier links. DailyMed’s Structured Product Label is the canonical label on FDA.report. Matching records are deduplicated before they are shown below.

Matched openFDA labels page 1 of 1 · 1 matching rows.

Brand, Generic, Manufacturer table
BrandGenericManufacturerSPL set IDEffective dateAvailable safety fieldsJoin
LidexaGel 5%LIDOCAINE HCLOncora Pharma, LLCb45a7d2f-111f-4390-9b90-570b1c9f5ffc2026-07-08Warnings, Adverse reactionsExact identifier
ndc (package): 85477-730-07
ndc (product): 85477-730
ndc11 (package): 85477073007
spl id: 3899614e-a1ed-4642-937b-5d8e55a81c9a
spl set id: b45a7d2f-111f-4390-9b90-570b1c9f5ffc

Reported adverse events (FAERS/openFDA)#

Adverse event summaries are temporarily unavailable. Other product information remains available.