Adverse Drug Reaction Classification System

Pharmaceutical Information
Drug Name Lidocaine hydrochloride
Drug ID BADD_D01288
Description Ever since its discovery and availability for sale and use in the late 1940s, lidocaine has become an exceptionally commonly used medication [T583]. In particular, lidocaine's principal mode of action in acting as a local anesthetic that numbs the sensations of tissues means the agent is indicated for facilitating local anesthesia for a large variety of surgical procedures [F4349, L5930, L5948]. It ultimately elicits its numbing activity by blocking sodium channels so that the neurons of local tissues that have the medication applied on are transiently incapable of signaling the brain regarding sensations [F4349, L5930, L5948]. In doing so, however, it can block or decrease muscle contractile, resulting in effects like vasodilation, hypotension, and irregular heart rate, among others [F4349, L5930, L5948]. As a result, lidocaine is also considered a class Ib anti-arrhythmic agent [L5930, L5948, F4468]. Nevertheless, lidocaine's local anesthetic action sees its use in many medical situations or circumstances that may benefit from its action, including the treatment of premature ejaculation [A177625]. Regardless, lidocaine is currently available as a relatively non-expensive generic medication that is written for in millions of prescriptions internationally on a yearly basis. It is even included in the World Health Organization's List of Essential Medicines [L6055].
Indications and Usage For production of local or regional anesthesia by infiltration techniques such as percutaneous injection and intravenous regional anesthesia by peripheral nerve block techniques such as brachial plexus and intercostal and by central neural techniques such as lumbar and caudal epidural blocks.
Marketing Status Prescription; Discontinued
ATC Code C01BB01; C05AD01; D04AB01; N01BB02; R02AD02; S01HA07; S02DA01
DrugBank ID DB00281
KEGG ID D02086
MeSH ID D008012
PubChem ID 6314
TTD Drug ID D0X4RN
NDC Product Code 59898-201; 63323-493; 17856-0775; 73440-2027; 41167-0590; 36800-470; 68229-403; 49873-618; 72572-370; 76420-970; 0409-4776; 76329-3013; 81155-104; 59898-500; 71320-200; 55150-163; 51662-1552; 65219-810; 55150-164; 76420-084; 71205-973; 71872-7233; 70529-441; 55579-939; 52584-903; 17478-811; 54723-300; 72361-332; 61010-5100; 54723-175; 70529-001; 55150-162; 73293-0001; 72188-188; 71131-797; 53675-173; 71872-7125; 63323-491; 70518-2011; 63629-2095; 70859-044; 70529-124; 72572-372; 70518-2649; 11523-0430; 70082-500; 70372-722; 0143-9578; 63323-492; 69367-202; 79481-0019; 76420-158; 0409-2066; 50383-775; 63323-484; 80324-078; 63629-2096; 81646-143; 73313-075; 76420-351; 58443-0529; 0924-5010; 71872-7256; 61919-520; 0363-0978; 81034-103; 0121-0903; 35781-0301; 55154-8337; 76420-715; 66902-057; 24330-240; 70518-1894; 68071-2539; 76420-080; 13925-159; 55150-251; 68788-9799; 71131-774; 50090-3366; 36800-953; 71131-052; 41167-0505; 54723-998; 81923-199; 71872-7064; 0264-9376; 69614-370; 72429-0002; 52584-095; 63323-485; 58443-0327; 55150-253; 50382-020; 0409-4713; 81923-198; 0409-9137; 71872-7156; 80438-081; 71872-7160; 68229-201; 0363-7790; 0054-3505; 51662-1551; 81923-197; 55150-160; 52584-485; 71872-7158; 0409-4283; 65219-814; 0404-9892; 0404-9973; 50090-0255; 17478-792; 52584-035; 50090-0258; 0363-2020; 50090-5667; 51927-0222; 61477-101; 63323-496; 55150-252; 63323-495; 0409-4282; 47682-477; 0409-4903; 55150-158; 59898-180; 22568-1082; 52119-002; 0143-9575; 55150-254; 67234-037; 16714-097; 63323-486; 0404-9900; 0527-6002; 0143-9595; 52119-009; 68229-402; 76420-157; 82067-001; 76420-961; 52932-0701; 20276-110; 63323-487; 68229-600; 52584-278; 64479-203; 31722-118; 63323-208; 41250-351; 55154-9574; 47682-225; 61281-2000; 52584-137; 52584-034; 55150-159; 49452-4050; 73698-106; 55621-010; 70896-2023; 73382-185; 0404-9897; 65219-812; 62217-200; 70529-254; 0409-4278; 51927-0212; 0409-1323; 71872-7184; 25021-673; 0404-9889; 73698-281; 61010-5000; 41167-1711; 76420-079; 62991-1095; 70372-723; 60432-465; 53225-3800; 0404-9894; 70859-043; 71872-7095; 0404-9898; 55154-9626; 63742-030; 11673-989; 41250-518; 51552-0106; 0409-4277; 70529-002; 76420-971; 0409-4904; 0054-3500; 41167-0586; 72429-0001; 53225-3700; 76329-3015; 71131-050; 50090-5599; 71872-7126; 41167-0582; 58443-0123; 86089-200; 60432-464; 67777-129; 63739-997; 55150-255; 59088-594; 81552-002; 31722-116; 72859-890; 0409-4275; 70529-442; 0395-8040; 63323-201; 50066-411; 76329-6300; 71130-773; 0143-9579; 52565-009; 70000-0537; 71872-7137; 53002-3430; 71872-7190; 79572-021; 0338-0411; 12651-113; 50090-4538; 0527-6004; 50066-056; 50090-0555; 70954-518; 36800-529; 76420-190; 61919-247; 53225-3600; 76329-3011; 0404-9885; 73440-2161; 68788-7999; 71131-051; 65121-100; 0409-4279; 55150-165; 71872-7144; 0143-9594; 73408-225; 0338-0409; 70518-2651; 17856-6002; 69233-843; 68229-401; 59898-510; 53675-164; 50090-3238; 59088-371; 71872-7254; 70645-262; 55154-5789; 50090-4557; 58443-0263; 55150-161; 62217-095; 0498-0221; 71101-930; 47682-308; 71872-7161; 31722-117; 66267-962; 59898-170; 76420-078; 58443-0261; 55150-256; 59088-429; 0143-9577; 53002-3431; 76329-3390; 0143-9576; 70000-0534; 68754-202; 70529-941; 0409-4276; 76329-3012; 17478-711; 63742-031; 66064-1013; 59898-160; 50090-4554; 41167-0581; 59898-140; 10202-950; 0924-5750; 58443-0125; 63323-202; 38779-0082; 0363-0290; 69233-122; 0363-0954; 52584-030; 76420-960; 52584-323; 0404-9899
Synonyms Lidocaine | 2-(Diethylamino)-N-(2,6-Dimethylphenyl)Acetamide | 2-2EtN-2MePhAcN | Lignocaine | Lidocaine Carbonate (2:1) | Lidocaine Carbonate | Lidocaine Hydrocarbonate | Lidocaine Hydrochloride | Lidocaine Monohydrochloride | Lidocaine Monoacetate | Xyloneural | Lidocaine Sulfate (1:1) | Octocaine | Xylesthesin | Xylocaine | Xylocitin | Dalcaine | Lidocaine Monohydrochloride, Monohydrate
Chemical Information
Molecular Formula C14H23ClN2O
CAS Registry Number 73-78-9
SMILES CCN(CC)CC(=O)NC1=C(C=CC=C1C)C.Cl
Chemical Structure
ADR Related Proteins Induced by Drug
ADR Term Protein Name UniProt AC TTD Target ID PMID
Drug toleranceAlpha-1-acid glycoprotein 1P02763Not AvailableNot Available
Gastrointestinal disordersEndoplasmic reticulum chaperone BiPP11021T77594Not Available
HepatitisAlkaline phosphatase, placental typeP05187Not AvailableNot Available
HepatitisAlanine aminotransferase 2Q28DB5Not AvailableNot Available
HepatitisGlutathione hydrolase 1 proenzymeP19440Not AvailableNot Available
PyrexiaGlutathione hydrolase 1 proenzymeP19440Not AvailableNot Available
PyrexiaAlkaline phosphatase, placental typeP05187Not AvailableNot Available
PyrexiaAlanine aminotransferase 2Q28DB5Not AvailableNot Available
ADRs Induced by Drug
ADR Term ADReCS ID ADR Frequency (FAERS) ADR Severity Grade (FAERS) ADR Severity Grade (CTCAE)
Anaphylactoid reaction24.06.03.007; 10.01.07.003--Not Available
Anxiety19.06.02.002--
Back pain15.03.04.005--
Bradycardia02.03.02.002--Not Available
Cardiac arrest02.03.04.001--
Chills15.05.03.016; 08.01.09.001--
Circulatory collapse24.06.02.001--Not Available
Confusional state19.13.01.001; 17.02.03.005--
Diplopia17.17.01.005; 06.02.06.002--Not Available
Dizziness24.06.02.007; 17.02.05.003; 02.01.02.004--
Euphoric mood19.04.02.006--
Feeling cold08.01.09.008--Not Available
Feeling hot08.01.09.009--Not Available
Headache17.14.01.001--
Hypoaesthesia17.02.06.023--Not Available
Hypotension24.06.03.002--
Loss of consciousness17.02.04.004--Not Available
Methaemoglobinaemia01.05.01.002--
Muscle twitching15.05.03.005--Not Available
Nausea07.01.07.001--
Nervousness19.06.02.003--Not Available
Neuropathy peripheral17.09.03.003--Not Available
Oedema14.05.06.010; 08.01.07.006--Not Available
Respiratory arrest22.02.01.009--Not Available
Respiratory depression22.02.01.010; 17.02.05.047--Not Available
Respiratory failure22.02.06.002; 14.01.04.003--
Seizure17.12.03.001--
Skin irritation23.03.04.009--Not Available
Skin lesion23.03.03.010--Not Available
Somnolence19.02.05.003; 17.02.04.006--
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