UNCONTROLLED WHEN PRINTED
Introduction

Topical pump spray containing:

  • Lignocaine hydrochloride 50mg/ml
  • Phenylephrine 5mg/ml

A topical local anaesthetic and haemorrhage control agent for the relief of surface pain, nasal and oral bleeding.

Pharmacology Review

Indications
  • Local pain: abrasions, small cuts and wounds
  • Relief of mild and moderate epistaxis
  • Post tonsillectomy haemorrhage
  • Intra-oral haemorrhage
Contraindications
  • Hypersensitivity to phenylephrine, lignocaine or other anaesthetics
  • Children <2yrs
  • Pregnancy
Precautions / Notes
  • Used with caution in patients with cardiovascular, hepatic and/or renal disease.
  • For oral use, nozzle inserted within the anterior 1/3 of mouth to avoid gag stimulation.
  • Each spray delivers 100 microlitres of fluid. The dose of lignocaine in each squirt is 5 mg and the dose of phenylephrine in each squirt is 0.5mg
Management

Adult:

  • Intranasal: Max 10 squirts (5 squirts per nostril)
  • Topically: Max 5 squirts
  • Oral use: 1 spray then pause, repeat if required to max. 5 sprays.

Paediatric:

  • Intranasal:
    • 2-4 years: 1 squirt per nostril
    • 4-8 years: 2 squirts per nostril
    • 8-12 years: 3 squirts per nostril
  • Topically: Max 5 squirts
  • Oral use: 1 spray then pause, repeat if required to max. 5 sprays.

Maximum dosages should not be administered more than once in 24 hours.

Special Considerations
  • Oral administration may cause a transient bitter taste.
  • Pause between subsequent doses.

References
References
Presentation
Spray bottle with nozzle
Cophenylcaine
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