LANACANE Creme Ref.[8442] Active ingredients: Benzocaine

Source: Medicines & Healthcare Products Regulatory Agency (GB)  Revision Year: 2021  Publisher: Reckitt Benckiser Healthcare (UK) Ltd, Slough, SL1 4AQ

Contraindications

Hypersensitivity to benzocaine or to any of the excipients listed in section 6.1 or paraaminobenzoic acid (PABA), parabens or paraphenylenediamine or to commercial hair dyes as there is cross-sensitivity between these products.

A history of allergy to local anaesthetics such as procaine, butacaine or any other ‘caine’ anaesthetics.

In patients who have a history of or are suspected to have methaemoglobinaemia (see section 4.8).

Do not use with sulphonamides (see section 4.5).

Do not use with cholinesterase inhibitors (see section 4.5).

Do not apply to large areas of skin, eczematous, sunburnt, infected or broken skin.

Special warnings and precautions for use

Local anaesthetics should not be used in patients with complete heart block.

Not for use on extensive body area or on the mouth or eyes or under conditions in which significant inhalation is likely.

This medicine contains fragrance with citronellol, benzyl benzoate, geraniol, benzyl alcohol, citral, cinnamal, alcohol, linalool and d-limonene that may cause allergic reactions.

Benzyl benzoate and benzyl alcohol may cause local irritation.

Lanacane contains sulphonated castor oil which may cause skin reactions.

Interaction with other medicinal products and other forms of interaction

Sulphonamides: Benzocaine is metabolised to para-aminobenzoic acid and may antagonise the effects of sulphonamides.

Cholinesterase Inhibitors: Cholinesterase inhibitors inhibit the metabolism of benzocaine.

Fertility, pregnancy and lactation

Do not use in pregnancy or during breast feeding without first consulting a doctor.

Pregnancy

There are limited amounts of data from the use of benzocaine in pregnant women.

Breast feeding

There is insufficient information on the excretion of benzocaine metabolites in human milk.

Fertility

No known effects.

Effects on ability to drive and use machines

None.

Undesirable effects

Adverse events which have been associated with benzocaine are given below, listed by system organ class and frequency. Frequencies are defined as: very common (≥1/10), common (≥1/100 and <1/10), uncommon (≥1/1000 and <1/100), rare (≥1/10,000 and <1/1000), very rare (<1/10,000) and not known (cannot be estimated from the available data). Within each frequency grouping, adverse events are presented in order of decreasing seriousness.

System Organ ClassFrequencyAdverse Event
Blood and Lymphatic System Disorders Not knownMethaemoglobinaemia
Immune System Disorders Not knownHypersensitivity reactions, dermatitis allergic

Reporting of suspected adverse reactions

Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme at: www.mhra.gov.uk/yellowcard.

Incompatibilities

None known.

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