Dosing and uses of Nupercainal (dibucaine topical ointment)
Adult dosage forms and strengths
ointment
- 10%
Topical Pain
Apply topically to affected area up to 3-4 times/day; do not exceed 30 g/day
Dosing Considerations
Prolonged use not recommended
Administration
Wash hands before and after administration
May cover with light dressing if necessary
Do not apply to open wounds, burns, broken or inflamed skin; do not apply in nose, mouth or eyes
Other Indications & Uses
Hemorrhoids, sunburn, cuts, abrasions, insect bites, skin irritation
Pediatric dosage forms and strengths
ointment
- 10%
Topical Pain
<2 years (or <15 kg): Safety and efficacy not established
>2 years (and >15 kg): Apply topically to affected area up to 3-4 times/day; do not exceed 7.5 g/day
Dosing Considerations
Prolonged use not recommended
Administration
Wash hands before and after administration
May cover with light dressing if necessary
Do not apply to open wounds, burns, broken or inflamed skin; do not apply in nose, mouth or eyes
Patient should be monitored closely after administration to ensure that medication does not get in eyes or mouth
Other Indications & Uses
Hemorrhoids, sunburn, cuts, abrasions, insect bites, skin irritation
Nupercainal (dibucaine topical ointment) adverse (side) effects
Frequency not defined
Contact dermatitis
Photosensitivity
Flushing
Eye/skin irritation
N/V
Diarrhea
Chest pain
Palpitations
Warnings
Contraindications
Hypersensitivity
Cautions
External use only
Avoid eyes, nose or mouth
Photosensitizing agent; avoid direct sunlight
Consult physician if condition worsens or does not improved
Pregnancy and lactation
Pregnancy category: C
Lactation: Unknown
Pregnant or breastfeeding patients should seek advice of health professional before using OTC drugs
Pregnancy categories
A: Generally acceptable. Controlled studies in pregnant women show no evidence of fetal risk.
B: May be acceptable. Either animal studies show no risk but human studies not available or animal studies showed minor risks and human studies done and showed no risk.
C: Use with caution if benefits outweigh risks. Animal studies show risk and human studies not available or neither animal nor human studies done.
D: Use in LIFE-THREATENING emergencies when no safer drug available. Positive evidence of human fetal risk.
X: Do not use in pregnancy. Risks involved outweigh potential benefits. Safer alternatives exist.
NA: Information not available.
Pharmacology of Nupercainal (dibucaine topical ointment)
Mechanism of action
Amide-type local anesthetics stabilize neuronal membranes and prevent generation/conduction of nerve impulses by reducing sodium permeability and increasing action potential threshold
Absorption
Poorly absorbed through intact skin
