Emla 5% Cream

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Brand Aspen
Manufacturer Aspen
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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

Emla 5% Cream is a prescription-only medicine (POM) that contains Lidocaine 2.5% and Prilocaine 2.5%. It is supplied as a cream and is dispensed in Malaysia only against a valid prescription issued by a registered doctor.

Under Malaysian rules for prescription medicines, this page carries product, safety and handling information only. Your doctor or pharmacist will explain whether this medicine is suitable for you, the dose you should take, and how long you should take it.

On DoctorOnCall, Emla 5% Cream is reviewed by a licensed doctor through an online consultation and dispensed by a registered pharmacist before delivery. Always follow the instructions on your prescription label and the package insert supplied with the product, and do not share this medicine with anyone else.

Directions for Use

Apply Emla 5% Cream as a thick layer to the intended area, cover with the occlusive dressing provided (or as instructed), and leave in place for the recommended time before your procedure. Wipe off the cream just before the procedure begins. Do not apply to broken skin, open wounds, or the eyes, and wash your hands after handling the cream unless it is your hands being treated.

Dosage

The amount and application time of Emla 5% Cream depends on the procedure and site being treated; your doctor or the product leaflet will specify the correct dose, typically a thick layer applied under an occlusive dressing for about 60 minutes on normal skin or a shorter time on genital mucosa, and never used over a larger area or for longer than advised.

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
  • Congenital or idiopathic methaemoglobinaemia
  • Use on broken skin, open wounds, or near the eyes
  • Infants under 12 months old should not receive concurrent methaemoglobinaemia-inducing agents

Drug / Food Interactions

  • Class III antiarrhythmic medicines (e.g. amiodarone) may add to cardiac effects if significant absorption occurs
  • Other medicines known to cause methaemoglobinaemia (e.g. sulfonamides, certain antimalarials) increase that risk when used together
  • Concurrent use of other local anaesthetics increases the total anaesthetic dose absorbed

Quick Tips

  • Apply a thick, even layer and use an occlusive dressing to help the cream absorb properly
  • Time the application so numbing is complete just before your procedure, as advised by your doctor
  • Avoid rubbing the treated area until the procedure is done
  • Do not use on larger areas or for longer than instructed, especially in children

Ingredients / Active Ingredients

  • 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

BrandAspen
ManufacturerAspen
ClassificationPrescription medicine
Ingredients / Active IngredientsLidocaine
Pack Size1s, 5s
Shelf LifeUse this product before the expiry date stated on the packaging. Do not use the medicine if the expiry date has passed.

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Important Medical Information

💊 Recommended Dosage:

The amount and application time of Emla 5% Cream depends on the procedure and site being treated; your doctor or the product leaflet will specify the correct dose, typically a thick layer applied under an occlusive dressing for about 60 minutes on normal skin or a shorter time on genital mucosa, and never used over a larger area or for longer than advised.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity to lidocaine, prilocaine, or other amide-type local anaesthetics
  • Congenital or idiopathic methaemoglobinaemia
  • Use on broken skin, open wounds, or near the eyes
  • Infants under 12 months old should not receive concurrent methaemoglobinaemia-inducing agents
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.