15.2. Local anaesthesia

Restrictions: Restricted to specialist use for epidural analgesia to relieve pain during labour and to control post operative pain.

Restrictions: Restricted to use in spinal anaesthesia in ambulatory surgery settings such as day surgery units.
Restrictions:
Restricted to patients who are intolerant of first line therapies for post-herpetic neuralgia or where these therapies have been ineffective. Use for other indications remain non-Formulary.
Prescribing Notes:
In the acute sector, the use of lidocaine plasters for any indication (licensed or otherwise) must be supported by completion of the Lidocaine Plaster Alert Monitoring Form (except where being used in palliative care).
If lidocaine plasters are initiated for analgesia (in accordance with formulary restrictions), the patient should be reviewed at 4 weeks and treatment only continued if the patient demonstrates a response. If no response, treatment should be discontinued.

Restrictions: Restricted to specialist initiation.
Prescribing Notes:
Exludes spray formulations.