II. Indications

  1. Postherpetic Neuralgia (or other localized peripheral neuropathic pain)
  2. Other localized pain (e.g. Musculoskeletal Low Back Pain)

III. Preparations

  1. Lidocaine 5% Patch (prescription $7/patch, Lidoderm)
  2. Lidocaine 4% Patch (OTC $2/patch, Lidocare, Icy Hot)

IV. Dosing

  1. Apply one patch to affected area for no more than 12 hours
  2. Remove patch, and maintain 12 hours free of Lidocaine before applying the next patch
  3. Apply a new patch for 12 of every 24 hours as needed

V. References

  1. (2017) Presc Lett 24(11):13

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Cost: Medications

lidoderm (on 1/1/2022 at Medicaid.Gov Survey of pharmacy drug pricing)
LIDODERM 5% PATCH Generic $1.78 each