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Lidocaine Injectable

Lidocaine Injectable

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Select Strength: 2%
Select size: (50mL)
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Also available as a Solution

Lidocaine is a compounded formulation containing Lidocaine, prepared by Mixlab for veterinary use. Available by prescription.

Giving your pet an injection might feel intimidating at first, but with practice, it becomes routine. Follow these steps for safe and stress-free injections.

Get Your Supplies Ready

  1. Medication vial or pre-filled syringe
  2. Alcohol swabs
  3. Sterile syringe & needle (if not pre-filled)
  4. Sharps container for safe needle disposal

Drawing Up the Dose (if needed)

  1. Clean the vial top with an alcohol swab
  2. Attach needle to syringe
  3. Pull in air equal to the dose
  4. Insert needle into vial, push air in
  5. Draw out the correct dose
  6. Tap out air bubbles

Pick the Injection Site

  1. Subcutaneous (under the skin): Loose skin between shoulder blades or side
  2. Intramuscular (into muscle): As directed by your vet

Prep the Area

  1. Pinch a fold of skin to form a “tent” (for subcutaneous). Wipe with alcohol if recommended.

Inject the Medication

  1. Hold the syringe like a pencil
  2. Insert the needle into the base of the skin tent at a 45° angle
  3. Push the plunger slowly to inject

After the Injection

  1. Remove the needle smoothly
  2. Place it immediately in the sharps container (don’t recap)
  3. Pat the area and give your pet praise or a treat

Safety Tips

  1. Never reuse needles
  2. Always dispose of used needles properly
  3. Ask your vet for help if unsure

The uses and pharmacology described below reflect the FDA-approved labeling for this active ingredient; your veterinarian determines whether and how they apply to your animal's treatment plan.

Veterinarians most commonly consider lidocaine when the clinical objective is to manage localized tissue stress during minor procedures or to provide adjunctive support during complex surgeries. It is frequently a point of discussion for pain management protocols, where it may be utilized as a topical gel, a local infiltration or a systemic infusion. In emergency medicine, veterinarians may discuss lidocaine for patients presenting with specific life-threatening cardiac rhythms, such as ventricular premature contractions or ventricular tachycardia. By modulating the electrical signals within specialized tissues, your veterinarian can manage the physiological stability of the patient's nervous or cardiovascular system.

At a pharmacological level, lidocaine acts as a sodium channel blocker. It binds to and inhibits voltage-gated sodium channels on the neuronal cell membrane, which may be considered in cases where the concern involves the rapid influx of sodium ions required for depolarization. This blockade halts the initiation and conduction of nerve impulses, managing the transmission of sensory signals from the site of application. When utilized for cardiovascular health, lidocaine suppresses automaticity and shortens the action potential duration in ventricular tissues, helping to manage irregular heart rhythms. Your veterinarian will determine the appropriate application of lidocaine based on the species, weight and the specific procedural or emergency context.

Prescription only. Use only under the direction of a licensed veterinarian. This information is not a substitute for veterinary diagnosis, prescribing or monitoring. Compounded drugs are not approved by the FDA for safety or effectiveness.

Commonly observed effects of lidocaine administration depend heavily on the route of delivery; topical use may result in localized redness, while systemic administration is associated with behavioral shifts or gastrointestinal changes such as vomiting. Owners should watch for signs of central nervous system sensitivity, including tremors, sedation or restlessness. In feline patients, veterinarians exercise heightened caution because cats are metabolically more sensitive to the physiological effects of lidocaine than other species. If you observe significant stumbling, persistent lethargy or any signs of an acute allergic reaction following the use of lidocaine medications, contact your veterinarian promptly.

This medication is typically used with extra caution or avoided in patients with known liver impairment, congestive heart failure or certain types of advanced heart block. It is also carefully evaluated in pregnant or lactating animals, as the safety profile for developing offspring is a point of ongoing professional observation. Before starting any protocol involving lidocaine, ensure your veterinarian has a complete history of all other prescriptions and supplements your pet is receiving, as it may interact with other antiarrhythmic agents or certain sedatives. Your veterinarian is the right person to assess your pet's individual health status and provide guidance on the necessary monitoring to ensure the management approach remains suitable.

Do I need a prescription to get lidocaine for my pet?

Yes. Systemic and high-concentration lidocaine formulations are prescription medications and can only be dispensed by a licensed pharmacy upon receipt of a valid authorization from a licensed veterinarian. Mixlab verifies all authorizations before any medication is prepared or shipped.

Can lidocaine be compounded for my pet?

Yes. While lidocaine is available in various commercial injectable and topical formats, Mixlab can compound this medication into specialized strengths or alternative formats—such as flavored oral liquids, viscous gels or customized sprays—if your veterinarian determines a customized preparation better suits your pet’s needs. The decision between a commercial and compounded product rests with the prescribing veterinarian.

Why is my veterinarian using a lidocaine infusion during my pet's surgery?

Veterinarians commonly discuss systemic lidocaine infusions as part of a multi-modal approach to manage comfort during and after surgery. By including lidocaine, your veterinarian may be able to manage the total requirement for other anesthetic medications while providing additional support for the patient's physiological stability.

Are cats more sensitive to lidocaine than dogs?

Clinical observations suggest that feline patients have a lower metabolic threshold for lidocaine, meaning they may show signs of sensitivity at lower doses than dogs. Your veterinarian accounts for these species-specific differences when designing a management plan to ensure the medication is used safely.

Mixlab is a licensed veterinary pharmacy dispensing both compounded and commercial medications, operating under the oversight of licensed pharmacists and in compliance with applicable state and federal pharmacy regulations. Compounded medications are prepared in compliance with USP standards and under PCAB-accredited practices. All medications dispensed by Mixlab require a valid prescription from a licensed veterinarian.
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