Is a topical lidocaine patch safe during pregnancy?

Understanding the Safety of Topical Lidocaine Patches During Pregnancy
The use of topical lidocaine patches during pregnancy is a topic of considerable interest and concern for expectant mothers seeking relief from pain. As with any medication, the safety profile of lidocaine must be carefully evaluated in the context of pregnancy.
Current Medical Guidance
According to recent medical reviews, topical lidocaine is classified as a US FDA pregnancy category B drug. This designation indicates that while there are no adequate and well-controlled studies in pregnant women, animal studies have not demonstrated a risk to the fetus. However, the use of lidocaine is generally recommended only when clearly needed, and the benefits must outweigh the potential risks.
Research Findings
A review of the available literature reveals that lidocaine does not appear to increase the risk of birth defects. One study specifically noted that the background risk of birth defects in any pregnancy is about 3-5%, and the use of lidocaine as a local anesthetic did not show a higher incidence of these defects. Furthermore, while human studies on the effects of topical anesthetics during pregnancy are limited, animal studies have not indicated any significant problems associated with lidocaine.
Medical Supervision Recommended
Despite the reassuring data, medical supervision is strongly advised when considering the use of lidocaine patches during pregnancy. The Australian Therapeutic Goods Administration (TGA) emphasizes that the use of lidocaine should be approached with caution, particularly during early pregnancy when organ development is occurring. This caution is echoed by healthcare professionals who recommend that any use of lidocaine should be discussed with a doctor to ensure that it is appropriate for the individual’s specific circumstances.
Conclusion
In summary, topical lidocaine patches can be considered safe during pregnancy when used as directed and under medical supervision. The existing evidence suggests that they do not pose a significant risk of birth defects or other complications. However, it is crucial for pregnant individuals to consult with their healthcare providers to weigh the benefits against any potential risks, ensuring the best outcomes for both mother and child.

Who should not use topical lidocaine?

Lidocaine skin creams such as EMLA, Denela and Nulbia may not be suitable for people with porphyria, methaemoglobinaemia or G6PD deficiency because they contain a combination of local anaesthetics.

Does lidocaine pass through the placenta?

LIDOCAINE is a weak base (pK 7.86) and rapidly crosses the placenta in its unionized state.

Is it safe to use pain relief patches while pregnant?

Can pregnant women use pain patches and topical gels for back pain treatment? “Local treatment with patches or topical gels is generally safe as the absorption is very minimal. But they should be used as little as possible,” says Dr Phoon.

Why can’t I use Salonpas while pregnant?

Do not use during the last 3 months of pregnancy because it may cause problems in the unborn child or complications during delivery” for both the Salonpas Pain Relief Patch and Salonpas Arthritis Pain labels.

When should you not use a lidocaine patch?

Unless otherwise directed by your doctor, do not apply this medicine to open wounds, burns, or broken or inflamed skin.

Is Salonpas lidocaine safe for pregnancy?

During pregnancy, this medication should be used only when clearly needed. Discuss the risks and benefits with your doctor. This medication passes into breast milk.

Can I use a lidocaine patch while pregnant?

Lidocaine topical Pregnancy Warnings
Use is not recommended unless clearly needed. Comment: Medical supervision is recommended during pregnancy. This drug crosses the placenta. Animal studies did not show evidence of harm to the fetus.

Do lidocaine patches enter the bloodstream?

If you wear too many lidocaine transdermal patches or topical systems or wear them for too long, too much lidocaine may be absorbed into your blood. In that case, you may experience symptoms of an overdose.

What happens if you put the patch on while pregnant?

If you do get pregnant and accidentally use the patch during the early part of your pregnancy, it won’t increase the chances of birth defects. It’s important to remember that the chance of having any of these problems while using the birth control patch is really, really low for most people.

Can you use patches while pregnant?

With medical advice, these licensed NRT products can be used in pregnancy. When you chew nicotine gum, the nicotine is absorbed through the lining of your mouth. Nicotine patches are not ideal for pregnant women as they deliver a stronger flow of nicotine. If you do choose patches, only use them during the day.