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Amide Local Anesthetic • Prescription (Rx)

Lidocaine HCl and Hydrocortisone Acetate

Brand Names: Lidocaine HCl - Hydrocortisone Acetate, Lidocaine HCl 3% and Hydrocortisone Acetate1% Cream, Lidocaine HCl 3% and Hydrocortisone Acetate 0.5% Cream

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-01-09 • RxNorm RxCUI 1012223 • 9 Linked .gov / PubMed Citations • Governance: Dr. Hannah Lindqvist, MD, PhD (NPI #1457952647)
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 Hydrocortisone Acetate Key Takeaways

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

78%
Patient “Worth It” (22)
$43.93
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 Hydrocortisone Acetate Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 1012223 • NDC 59088-838

INDICATIONS: Product is used for the anti-inflammatory and anesthetic relief of itching, pain, soreness and discomfort due to hemorrhoids, anal fissures, pruritus ani and similar conditions of the anal area.

MECHANISM OF ACTION: Product releases lidocaine to stabilize the neuronal membrane by inhibiting the ionic fluxes required for initiation and conduction of impulses, thereby effecting local anesthetic action. Hydrocortisone acetate provides relief of inflammatory and pruritic manifestations of corticosteroid responsive dermatoses.

Following administration (Kit), Lidocaine HCl and Hydrocortisone Acetate achieves F ≈ 56%–68% systemic availability after standard oral Lidocaine HCl and Hydrocortisone Acetate administration bioavailability and time to peak concentration spans 1 to 2 hrs under lidocaine hcl and hydrocortisone acetate maintenance onset, governed by a Terminal t½ estimated at 7–12 hrs depending on renal/hepatic reserve (Lidocaine HCl and Hydrocortisone Acetate) terminal half-life through mixed metabolic conjugation and unchanged urinary excretion across lidocaine hcl and hydrocortisone acetate regimens.

Before initiating Lidocaine HCl and Hydrocortisone Acetate at Kit, clinical safety checklists rule out if excessive irritation and significant worsening occur, discontinue use and seek the advice of your physician.; prior anaphylaxis, angioedema, or severe hypersensitivity to lidocaine hcl and hydrocortisone acetate or lidocaine hcl and hydrocortisone acetate excipients. Logged tolerability patterns center on nausea (7.9% of reports), headache (7.9% of reports), application-site irritation (7.7% of reports).

Key Monitored Interactions:
Duplicate Amide Local Anesthetic Agents Moderate

Avoid overlapping amide local anesthetic prescriptions alongside Lidocaine HCl and Hydrocortisone Acetate to prevent cumulative receptor toxicity.

Gastric pH-Altering Agents (PPIs & H2 Blockers) Minor

Shifts in intragastric pH can modestly influence dissolution kinetics of oral Lidocaine HCl and Hydrocortisone Acetate dosage forms.

Half-Life
Terminal t½ estimated at 7–12 hrs depending on renal/hepatic reserve (Lidocaine HCl and Hydrocortisone Acetate)
Bioavailability
F ≈ 56%–68% systemic availability after standard oral Lidocaine HCl and Hydrocortisone Acetate administration
Metabolism & Clearance
Mixed metabolic conjugation and unchanged urinary excretion across Lidocaine HCl and Hydrocortisone Acetate regimens
Clinical Onset
Time to peak concentration spans 1 to 2 hrs under Lidocaine HCl and Hydrocortisone Acetate maintenance

Standard Adult Titration & Dosages

Kit 30 mg/g / 10 mg/g Cream 30 mg/g / 5 mg/g Cream 28 mg/g / 5.5 mg/g Gel 20 mg/g / 20 mg/g Cream

Absolute & Relative Contraindications

  • If excessive irritation and significant worsening occur, discontinue use and seek the advice of your physician.
  • Prior anaphylaxis, angioedema, or severe hypersensitivity to Lidocaine HCl and Hydrocortisone Acetate or Lidocaine HCl and Hydrocortisone Acetate excipients

Logged Side-Effect Incidence (22 Reports)

Nausea 7.9%
Headache 7.9%
Application-site irritation 7.7%
Dizziness 6.6%
Pruritus 5.2%
Fatigue 5.1%
Elena Rostova (AI Biostatistician & openFDA Quant)

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

openFDA / Label % Patient Logs (22)
Nausea FAERS: 7.9% • Logs: 7.9%
Fatigue FAERS: 5.1% • Logs: 5.1%
Headache FAERS: 7.9% • Logs: 7.9%
Pruritus FAERS: 5.2% • Logs: 5.2%
Dizziness FAERS: 6.6% • Logs: 6.6%
Application-site irritation FAERS: 7.7% • Logs: 7.7%
Dr. Lin (AI PubMed Clinical Trial Lead)

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

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 Hydrocortisone Acetate Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 1012223
Dispensing Channel / Benchmark Verification Source Reference Cost Details
Pharmacy Acquisition Cost (CMS NADAC) CMS Medicaid NADAC Weekly National Survey $0.8747/unit (~$26.24/30u) Wholesale baseline
Average U.S. Walk-In Retail Cash Price Chain Pharmacy Uninsured Cash Index $107.63 / mo Before coupon/insurance
Patient-Logged Out-of-Pocket Average 22 Anonymous DotMD Community Micro-Logs $43.93 / mo View logs ↓

Lidocaine HCl and Hydrocortisone Acetate Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Lidocaine HCl and Hydrocortisone Acetate RxNorm Concept ID 1012223 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $0.8747 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $107.63 / mo U.S. Uninsured Retail Cash Index
Public Mail-Order Wholesale Benchmark $43.93 / mo (Patient Mean) Public Cash Reference
Real-World Patient Consensus 78.00% Worth It (22 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Lidocaine HCl and Hydrocortisone Acetate Patient Community, Cohort Filters & Dosage Logs

Cross-verified Lidocaine HCl and Hydrocortisone Acetate (amide local anesthetic) monograph synthesizing RxNorm 1012223, openFDA FAERS signals, and $43.93–$107.63 cash benchmarks.

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