You should not use this medicine if you have had an allergic reaction to lidocaine hydrochloride (HCl or other types of local anesthetic (numbing medicine). You should not use this medicine if you have an allergic reaction to epinephrine injection.
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.
Tell your doctor if you are using a MAO inhibitor (MAOI) medicine, such as Eldepryl®, Marplan®, Nardil®, or Parnate®. You should also tell your doctor if you use medicine for depression, such as amitriptyline (Elavil®), doxepin (Sinequan®), or nortriptyline (Pamelor®).
Make sure your doctor knows if you are using a phenothiazine medicine, such as prochlorperazine, Compazine®, Mellaril®, Phenergan®, Thorazine®, or Trilafon®. These medicines can be used to treat severe vomiting, psychiatric (mental) problems, or other conditions.
Tell you doctor about any other medicine or dietary supplement you have used recently.
Make sure your doctor knows if you are pregnant or breast feeding.
Tell your doctor if have heart disease or any nervous system disease, such as multiple sclerosis ("MS"). You should also tell your doctor if you have liver disease, spinal cord problems, severe high blood pressure, or blood poisoning.
Numbness may last for several hours after using this medicine, such as below your waist.
Some of this medicine may get into your spinal cord because the medicine is put into your back. Your care giver should discuss this with you before you receive the medicine.