Axcel Lignocaine-P Cream

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Manufacturer Axcel
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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

Axcel Lignocaine-P Cream is a prescription-only medicine (POM) presented as a cream, with Lidocaine 2.5% and Prilocaine 2.5% as its active ingredient content.

This page is limited to product, safety and handling information, in line with Malaysian rules on prescription medicine information for the public. Your prescriber or pharmacist is the right source for anything beyond that, together with the leaflet inside the pack.

Through DoctorOnCall, this product is supplied after an online consultation with a licensed doctor and a valid prescription, and it is checked by a registered pharmacist before dispensing. Take it exactly as prescribed, and speak to your doctor before stopping, changing the dose, or starting any other medicine alongside it.

Directions for Use

Apply a thick layer of cream to clean, intact skin, cover with the occlusive dressing provided or as advised by your doctor, and leave in place for the directed time before wiping off just before the procedure. Do not apply to broken skin, wounds, or mucous membranes unless specifically directed by your doctor.

Storage Instructions

Store below 30°C in a dry place, away from direct sunlight and out of reach of children.

Side Effects

  • Mild burning or stinging at the application site
  • Redness or swelling of the skin
  • Dizziness or lightheadedness
  • Numbness in surrounding areas
  • Allergic reactions such as rash or itching (rare)

Contraindications

  • Known hypersensitivity to lidocaine, prilocaine, or other amide-type local anaesthetics
  • Infants under 12 months old, or those with a condition affecting oxygen levels in the blood (methaemoglobinaemia)
  • Application to broken skin, open wounds, or the eyes

Drug / Food Interactions

  • Other medicines that can increase methaemoglobin levels (such as certain sulfonamides or nitrates) may add to this risk when combined with prilocaine.
  • Class III antiarrhythmic medicines (such as amiodarone) should be used cautiously with lidocaine-containing products – inform your doctor.
  • Inform your doctor of all medicines you are taking, including other topical products applied to the same area.

Quick Tips

  • Apply the cream well before your appointment time so it has enough time to take effect.
  • Avoid applying to large areas of skin or for longer than directed, to reduce the amount absorbed into the body.
  • Wash your hands after application to avoid accidentally numbing your eyes or other sensitive areas.
  • Tell your doctor if the treated skin develops unusual paleness, blueness, or persistent irritation.

Ingredients / Active Ingredients

Lignocaine (also known as lidocaine)
  • Lidocaine 2.5%
  • Prilocaine 2.5%

Safety Advice

Pregnancy

Safe If Prescribed

This medicine should only be used during pregnancy if prescribed by a doctor after careful evaluation.

Breastfeeding

Generally Safe

This medicine is generally safe during breastfeeding with minimal risk to the infant.

Kidney

Use With Care

Use cautiously. Dose adjustment or monitoring may be required.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Use With Care

Use caution while driving until you know how this medicine affects you.

Frequently Asked Questions

Product Specifications

ManufacturerAxcel
ClassificationPrescription medicine
Ingredients / Active IngredientsLidocaine
Weight5g
DosageThe amount of cream and the application time (usually 1 to 2 hours under an occlusive dressing before a procedure) depends on the site and the procedure planned, and should be determined by the treating doctor.
Shelf LifeRefer to the expiry date printed on the packaging.

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Important Medical Information

💊 Recommended Dosage:

The amount of cream and the application time (usually 1 to 2 hours under an occlusive dressing before a procedure) depends on the site and the procedure planned, and should be determined by the treating doctor.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity to lidocaine, prilocaine, or other amide-type local anaesthetics
  • Infants under 12 months old, or those with a condition affecting oxygen levels in the blood (methaemoglobinaemia)
  • Application to broken skin, open wounds, or the eyes
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Mild burning or stinging at the application site
  • Redness or swelling of the skin
  • Dizziness or lightheadedness
  • Numbness in surrounding areas
  • Allergic reactions such as rash or itching (rare)
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.