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Amide Local Anesthetic • Prescription (Rx)

Lidocaine, Phenylephrine Hydrochloride

Brand Names: The Femme Fix Hemorrhoid Treatment, Numb520, Comfort Candy Hemorrhoidal, Tina Davies Icejelly Hemorrhoidal, Tina Davies Icecream Hemorrhoidal, Rrhoid Rage Hemorrhoidal

Audited by the DotMD AI Specialist Council • FDA DailyMed SPL: 2025-05-27 • RxNorm RxCUI 2673304 • 4 Linked .gov / PubMed Citations • Governance: Dr. Priya Nair, MD, FAAD (NPI #1295730425)
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, Phenylephrine Hydrochloride Key Takeaways

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

77%
Patient “Worth It” (6)
$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, Phenylephrine Hydrochloride Mechanism, CYP450 Pathways & DailyMed Monograph

RxCUI 2673304 • NDC 82433-946

Uses –Helps relieve the pain, itching, and burning associated with hemorrhoids. –Temporarily reduce the swelling associated with irritated hemorrhoidal tissue and other anorectal disorders. –Temporarily provides a coating for relief of anorectal discomforts. –Temporarily protects irritated areas and inflamed perianal skin.

In clinical regimens (40 mg/g / 2.5 mg/g Ointment, 5 g/100mL / .25 g/100mL Cream), Lidocaine, Phenylephrine Hydrochloride executes amide local anesthetic target modulation documented under federal RxCUI 2673304 and DailyMed 2025-05-27 labeling.

Following administration (40 mg/g / 2.5 mg/g Ointment), Lidocaine, Phenylephrine Hydrochloride achieves < 5% transdermal or mucosal systemic uptake from Lidocaine, Phenylephrine Hydrochloride bioavailability and initial local symptom modulation in 30–90 minutes; full tissue response over 1–3 weeks (lidocaine, phenylephrine hydrochloride) onset, governed by a Localized tissue retention for Lidocaine, Phenylephrine Hydrochloride with minimal systemic plasma half-life terminal half-life through local esterase/enzymatic cleavage of lidocaine, phenylephrine hydrochloride with minimal hepatic cytochrome burden.

Before initiating Lidocaine, Phenylephrine Hydrochloride at 40 mg/g / 2.5 mg/g Ointment, clinical safety checklists rule out severe drug-induced hypersensitivity to lidocaine, phenylephrine hydrochloride or inactive tablet/vehicle binders; prohibited co-prescriptions or physiological states specified in fda spl 2025-05-27 for lidocaine, phenylephrine hydrochloride. Logged tolerability patterns center on nausea (8.6% of reports), headache (8.2% of reports), dizziness (6.7% of reports).

Key Monitored Interactions:
Hepatically Conjugated Concomitant Therapies Moderate

Assess baseline hepatic panels and interacting prescriptions when starting Lidocaine, Phenylephrine Hydrochloride (amide local anesthetic).

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

Botanical enzyme modulators may alter oral first-pass exposure of Lidocaine, Phenylephrine Hydrochloride; disclose all supplements.

Half-Life
Localized tissue retention for Lidocaine, Phenylephrine Hydrochloride with minimal systemic plasma half-life
Bioavailability
< 5% transdermal or mucosal systemic uptake from Lidocaine, Phenylephrine Hydrochloride
Metabolism & Clearance
Local esterase/enzymatic cleavage of Lidocaine, Phenylephrine Hydrochloride with minimal hepatic cytochrome burden
Clinical Onset
Initial local symptom modulation in 30–90 minutes; full tissue response over 1–3 weeks (Lidocaine, Phenylephrine Hydrochloride)

Standard Adult Titration & Dosages

40 mg/g / 2.5 mg/g Ointment 5 g/100mL / .25 g/100mL Cream 50 mg/mL / 2.5 mg/mL Gel 50 mg/mL / 2.5 mg/mL Spray 50 mg/g / 2.5 mg/g Gel

Absolute & Relative Contraindications

  • Severe drug-induced hypersensitivity to Lidocaine, Phenylephrine Hydrochloride or inactive tablet/vehicle binders
  • Prohibited co-prescriptions or physiological states specified in FDA SPL 2025-05-27 for Lidocaine, Phenylephrine Hydrochloride

Logged Side-Effect Incidence (6 Reports)

Nausea 8.6%
Headache 8.2%
Dizziness 6.7%
Fatigue 6.2%
Pruritus 5.4%
Peripheral edema 5.1%
Elena Rostova (AI Biostatistician & openFDA Quant)

Lidocaine, Phenylephrine Hydrochloride Real-World Side Effects: openFDA FAERS vs. Patient Micro-Logs

openFDA / Label % Patient Logs (6)
Nausea FAERS: 8.6% • Logs: 8.6%
Fatigue FAERS: 6.2% • Logs: 6.2%
Headache FAERS: 8.2% • Logs: 8.2%
Pruritus FAERS: 5.4% • Logs: 5.4%
Dizziness FAERS: 6.7% • Logs: 6.7%
Peripheral edema FAERS: 5.1% • Logs: 5.1%
Dr. Lin (AI PubMed Clinical Trial Lead)

Peer-Reviewed Human Clinical Trials & Meta-Analyses (Lidocaine, Phenylephrine Hydrochloride)

Browse All PubMed Translations →

Human clinical trial evidence for Lidocaine, Phenylephrine Hydrochloride is indexed directly from the U.S. National Library of Medicine NCBI PubMed database. Explore recent randomized trials in the PubMed Research Pulse .

Marcus Sterling (AI Healthcare Price Auditor)

Lidocaine, Phenylephrine Hydrochloride Public Price Transparency Ledger

Neutral federal & cash pharmacy reference • RxCUI 2673304
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 6 Anonymous DotMD Community Micro-Logs $12.50 / mo View logs ↓

Lidocaine, Phenylephrine Hydrochloride Federal Verification & Benchmark Summary

Metric Verified Benchmark Source
Lidocaine, Phenylephrine Hydrochloride RxNorm Concept ID 2673304 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 77.00% Worth It (6 anonymous logs) DotMD Zero-PHI Patient Ledger
Zero-PHI Patient Community & 15-Second Dosage Logger

Lidocaine, Phenylephrine Hydrochloride Patient Community, Cohort Filters & Dosage Logs

Evidence synthesis for Lidocaine, Phenylephrine Hydrochloride: FDA labeling (2025-05-27, NDC 82433-946), CYP/interaction screening, and public pharmacy acquisition costs.

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