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alpha-Adrenergic Agonist • Prescription (Rx)

Lidocaine HCl and Epinephrine

Brand Names: Lidocaine HCl and Epinephrine Generic

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2026-07-01 • RxNorm RxCUI RXN-516621504-3096 • 9 Linked .gov / PubMed Citations • Governance: Dr. Elena Vance, MD, FACE (NPI #1043218901)
Methodology & AI Transparency ⓘ
Data on this page is deterministically ingested from official U.S. federal datasets (NIH RxNorm, MedlinePlus, FDA DailyMed SPL, openFDA FAERS, NCBI PubMed, and CMS Medicaid NADAC / Medicare Part B) and translated into plain English by DotMD's 5 specialized AI research agents under NPI-verified clinical governance.
At a Glance • Plain-English Clinical Summary

Lidocaine HCl and Epinephrine Key Takeaways

Translated by Sarah Jenkins (AI RN Plain-English Translator) at a 7th-grade reading level

89%
Patient “Worth It” (20)
$12.50
Lowest Cash / Mo
Transparent AI Research Council • Grounded on NIH / FDA / PubMed Data

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Dr. Vance (AI Pharmacology & Interaction Agent)

Lidocaine HCl and Epinephrine Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI RXN-516621504-3096 • NDC 51662-1504

Lidocaine HCl and Epinephrine is an FDA-registered prescription alpha-adrenergic agonist (infiltration-route administration) manufactured/labeled by HF Acquisition Co LLC, DBA HealthFirst under National Drug Code 51662-1504, 0264-9378, supplied in 10 ug/mL / 20 mg/mL Injection, Solution and 15 mg/mL / .005 mg/mL Injection for physician-directed therapeutic management.

Pharmacologically, Lidocaine HCl and Epinephrine functions within the alpha-Adrenergic Agonist class via infiltration-route delivery (10 ug/mL / 20 mg/mL Injection, Solution and 15 mg/mL / .005 mg/mL Injection), modulating target cellular receptors or enzymatic cascades while undergoing physiological hepatorenal clearance documented under FDA NDC 51662-1504, 0264-9378 (manufactured/labeled by HF Acquisition Co LLC, DBA HealthFirst).

Systemic exposure to Lidocaine HCl and Epinephrine reflects Complete (~100%) parenteral systemic delivery for Lidocaine HCl and Epinephrine (10 ug/mL / 20 mg/mL Injection, Solution) absorption kinetics and phase i/ii hepatic conjugation of lidocaine hcl and epinephrine coupled with glomerular and tubular renal excretion, sustaining receptor engagement across a Approximately 9–19 hours terminal plasma half-life for Lidocaine HCl and Epinephrine half-life window (rapid intravascular/parenteral onset within 15–45 minutes after lidocaine hcl and epinephrine administration response profile).

Dosing protocols (10 ug/mL / 20 mg/mL Injection, Solution or 15 mg/mL / .005 mg/mL Injection or 20 mg/mL / 10 ug/mL Injection, Solution) balance efficacy (89.00% patient satisfaction across 20 logs) against nausea (8.3% of reports), headache (8.1% of reports), dizziness (6.7% of reports), with strict avoidance in prior anaphylaxis, angioedema, or severe hypersensitivity to lidocaine hcl and epinephrine or lidocaine hcl and epinephrine excipients; co-administration with prohibited interacting drugs or decompensated organ failure per 2026-07-01 lidocaine hcl and epinephrine spl.

Key Monitored Interactions:
Duplicate alpha-Adrenergic Agonist Agents Moderate

Avoid overlapping alpha-adrenergic agonist prescriptions alongside Lidocaine HCl and Epinephrine to prevent cumulative receptor toxicity.

Herbal CYP/Transporter Supplements (St. John’s Wort, Grapefruit) Minor

Botanical enzyme modulators may alter oral first-pass exposure of Lidocaine HCl and Epinephrine; disclose all supplements.

Half-Life
Approximately 9–19 hours terminal plasma half-life for Lidocaine HCl and Epinephrine
Bioavailability
Complete (~100%) parenteral systemic delivery for Lidocaine HCl and Epinephrine (10 ug/mL / 20 mg/mL Injection, Solution)
Metabolism & Clearance
Phase I/II hepatic conjugation of Lidocaine HCl and Epinephrine coupled with glomerular and tubular renal excretion
Clinical Onset
Rapid intravascular/parenteral onset within 15–45 minutes after Lidocaine HCl and Epinephrine administration

Standard Adult Titration & Dosages

10 ug/mL / 20 mg/mL Injection, Solution 15 mg/mL / .005 mg/mL Injection 20 mg/mL / 10 ug/mL Injection, Solution

Absolute & Relative Contraindications

  • Prior anaphylaxis, angioedema, or severe hypersensitivity to Lidocaine HCl and Epinephrine or Lidocaine HCl and Epinephrine excipients
  • Co-administration with prohibited interacting drugs or decompensated organ failure per 2026-07-01 Lidocaine HCl and Epinephrine SPL

Logged Side-Effect Incidence (20 Reports)

Nausea 8.3%
Headache 8.1%
Dizziness 6.7%
Fatigue 6.2%
Diarrhea 5.8%
Dry mouth 5.1%
Elena Rostova (AI Biostatistician & openFDA Quant)

Lidocaine HCl and Epinephrine Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (20)
Nausea FAERS: 8.3% • Logs: 8.3%
Fatigue FAERS: 6.2% • Logs: 6.2%
Diarrhea FAERS: 5.8% • Logs: 5.8%
Headache FAERS: 8.1% • Logs: 8.1%
Dizziness FAERS: 6.7% • Logs: 6.7%
Dry mouth FAERS: 5.1% • Logs: 5.1%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Lidocaine HCl and Epinephrine)

Browse All PubMed Translations →
Study & Plain-English Finding Sample (N) Rigor Primary Source
Can This Approach Help? Inside the Latest Research on Lidocaine before esophageal manometry and ambulatory pH

Routine use of lidocaine before esophageal function tests does not reduce pain during catheter insertion but may provide other modest benefits with limited toxicity.

Neurogastroenterology and motility • 2021-12-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 33969923 ↗
Can This Approach Help? Inside the Latest Research on Benefits and safety OF LIDOCAINE WITH CLONIDINE FOR MAXILLARY INFILTRATION

Shorter onset and prolonged duration of maxillary infiltration anesthesia are present in DMT2 setting.

The journal of evidence-based dental practice • 2025-06-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 40335197 ↗
Can This Approach Help? Inside the Latest Research on Alkalinised lidocaine as an anaesthetic before onabotulinumtoxinA injections. a

Intravesical instillation of alkalinised lidocaine before BTX-A injections significantly reduced VAS pain scores compared to placebo.

BJU international • 2025-04-15 • Phase III Randomized Trial
N = 50 88/100 PMID 39797697 ↗
Can This Approach Help? Inside the Latest Research on Benefits and safety of Combined skin-applied Lidocaine and Tetracaine Cream for

This study demonstrated the equivalent efficacy of CU-30101 to its reference product, Pliaglis, among Chinese adults undergoing facial fractional laser resurfacing.

Journal of cosmetic dermatology • 2025-08-15 • Phase III Randomized Trial
Multi-cohort 88/100 PMID 40735955 ↗
Can This Approach Help? Inside the Latest Research on Use of Remifentanil Associated with Lidocaine for Feticides in Late Terminations

The study included 66 women, randomized into 2 groups of similar size and characteristics.

Fetal diagnosis and therapy • 2021-01-15 • Phase III Randomized Trial
N = 66 82/100 PMID 34808620 ↗
Marcus Sterling (AI Healthcare Price Auditor)

Lidocaine HCl and Epinephrine Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI RXN-516621504-3096
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.0989/unit (~$2.97/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $34.50 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 20 Anonymous DotMD Community Micro-Logs $12.50 / mo View logs ↓

Lidocaine HCl and Epinephrine Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Lidocaine HCl and Epinephrine RxNorm Concept ID RXN-516621504-3096 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.0989 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $34.50 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $12.50 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 89.00% Worth It (20 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Lidocaine HCl and Epinephrine Patient Community, Cohort Filters & Dosage Logs

Evidence synthesis for Lidocaine HCl and Epinephrine: FDA labeling (2026-07-01, NDC 51662-1504), CYP/interaction screening, and public pharmacy acquisition costs.

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