When This Medicine Should Not Be Used:
This medicine is not right for everyone. Do not use it if you had an allergic reaction to lidocaine or similar medicines.

How to Use This Medicine:
Patch

• Your doctor will tell you how many patches to use, where to apply them, and how often to apply them. Do not use more patches or apply them more often than your doctor tells you to.
• This medicine should be used only on the skin. Do not get it in your eyes, nose, or mouth. If it does get on these areas, rinse it off with water or saline right away.
• Keep the patch in its envelope until you are ready to put it on. You may cut the patch into a smaller size with scissors before you take off the patch liner.
• Wash your hands with soap and water before and after applying a patch.
• Apply the patch to clean, dry skin. Do not put the patch over burns, cuts, or irritated skin.
• The patch will not stick if it gets wet. Do not wear it when you take a bath or shower, or when you go swimming.
• Do not wear the patch for longer than 12 hours in any 24-hour period.
• Store the patches at room temperature in a closed container, away from heat, moisture, and direct light.
• Fold the used patch in half with the sticky sides together. Throw any used patch away so that children or pets cannot get to it. You will also need to throw away old patches after the expiration date has passed.

Drugs and Foods to Avoid:
Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

• Some foods and medicines can affect how lidocaine works. Tell your doctor if you are using the following:
  
  • Medicine for heart rhythm problems, such as mexiletine
  • Other topical medicine

Warnings While Using This Medicine:

• Tell your doctor if you are pregnant or breastfeeding, or if you have liver disease. Tell your doctor if you are allergic to any other medicine.
• Do not use a heating pad, electric blanket, or other heat source over the patch. .
• Keep all medicine out of the reach of children. Never share your medicine with anyone.

Possible Side Effects While Using This Medicine:
Call your doctor right away if you notice any of these side effects:

• Allergic reaction: Itching or hives, swelling in your face or hands, swelling or tingling in your mouth or throat, chest tightness, trouble breathing
• Redness, itching, burning, swelling, or blisters where the patch is applied

If you notice other side effects that you think are caused by this medicine, tell your doctor.
Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088