Trachisan (Lidocaine) 8mg Lozenges

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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)

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Overview

Trachisan (Lidocaine) 8mg Lozenges is lozenges with Tyrothricin, Chlorhexidine and Lidocaine 8mg declared as its active content. It is supplied in a pack size of 10s.

This is a non-prescription product and can be purchased without a prescription. Only product, safety and handling details are published on this page.

An online consultation with a DoctorOnCall doctor or pharmacist is available for this product, and a registered pharmacist reviews each order before dispatch to Malaysia or Singapore. Follow the directions on the label and on the leaflet inside the pack.

Directions for Use

Allow one lozenge to dissolve slowly in the mouth, without chewing or swallowing it whole, and avoid eating or drinking immediately afterwards so the medicine has time to act on the throat and mouth lining. Because lidocaine causes numbing, take care when eating or drinking hot food or beverages shortly after use, to avoid accidentally biting the numbed area of the mouth or tongue.

Dosage

For adults and children as labelled, one lozenge is typically dissolved in the mouth every 2 to 3 hours as needed for throat pain, up to a maximum stated on the packaging, usually not exceeding around 6 lozenges in 24 hours. Do not use continuously for more than a few days without consulting a doctor or pharmacist, particularly if symptoms are not improving.

Shelf Life

Trachisan (Lidocaine) 8mg Lozenges are generally stable for up to 2 to 3 years from the date of manufacture when unopened and stored correctly; always check the expiry date printed on the blister strip and outer packaging and do not use beyond this date.

Storage Instructions

Store Trachisan Lozenges below 25°C to 30°C in a cool, dry place away from direct sunlight and moisture. Keep the lozenges in their original blister packaging until use, and keep out of reach and sight 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 tyrothricin, chlorhexidine, lidocaine, or any other ingredient in the lozenges
  • Known allergy to local anaesthetics of the amide type (such as lidocaine)
  • Children below the age recommended on the packaging, due to choking risk and dosing considerations
  • Severe or worsening throat infection with high fever, difficulty breathing or swallowing, which needs prompt medical assessment rather than symptomatic lozenges alone
  • Open wounds or ulcers in the mouth that have not been assessed by a doctor or dentist

Drug / Food Interactions

  • Avoid eating or drinking immediately after use, as this can wash away the medicine before it takes full effect and increases the risk of biting numbed tissue
  • Concurrent use of other oral local anaesthetic products or throat sprays containing lidocaine may increase the total anaesthetic dose absorbed and should be avoided unless advised by a doctor
  • Chlorhexidine-containing lozenges may temporarily affect taste perception or stain teeth with frequent, prolonged use
  • Inform your doctor or pharmacist if you are using other throat or mouth medicines at the same time

Quick Tips

  • Let the lozenge dissolve slowly in the mouth rather than chewing or swallowing it whole
  • Avoid hot drinks or food shortly after use, as the numbing effect can mask accidental burns or bites
  • Do not exceed the maximum number of lozenges stated on the packaging within 24 hours
  • Use for short-term relief only; see a doctor if sore throat lasts more than a few days or is severe
  • Seek urgent medical care if you notice swelling of the mouth, throat or face, or difficulty breathing
  • Keep out of reach of young children due to choking risk

Ingredients / Active Ingredients

  • Tyrothricin (active ingredient, a topical antibacterial)
  • Chlorhexidine (active ingredient, a broad-spectrum antiseptic)
  • Lidocaine 8mg (active ingredient, a local anaesthetic)
  • Standard lozenge base excipients typical of throat lozenges (sweetening, flavouring and binding agents), as listed on the product packaging

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.

Relevant Information

Trachisan Lozenges provide temporary, symptomatic relief for a sore or painful throat but do not replace medical treatment for infections that may require antibiotics or further assessment, particularly in cases of streptococcal throat infection, tonsillitis with pus, or symptoms lasting beyond a few days. Anyone with recurrent or frequent throat infections, or difficulty swallowing that does not improve, should see a doctor rather than relying on repeated lozenge use for ongoing symptoms.

Frequently Asked Questions

Product Specifications

ClassificationNon-prescription
Ingredients / Active IngredientsLidocaine
Pack Size10s

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Important Medical Information

💊 Recommended Dosage:

For adults and children as labelled, one lozenge is typically dissolved in the mouth every 2 to 3 hours as needed for throat pain, up to a maximum stated on the packaging, usually not exceeding around 6 lozenges in 24 hours. Do not use continuously for more than a few days without consulting a doctor or pharmacist, particularly if symptoms are not improving.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity to tyrothricin, chlorhexidine, lidocaine, or any other ingredient in the lozenges
  • Known allergy to local anaesthetics of the amide type (such as lidocaine)
  • Children below the age recommended on the packaging, due to choking risk and dosing considerations
  • Severe or worsening throat infection with high fever, difficulty breathing or swallowing, which needs prompt medical assessment rather than symptomatic lozenges alone
  • Open wounds or ulcers in the mouth that have not been assessed by a doctor or dentist
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.