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Drug · FAERS side-effect profile with label screen

Lidicaine side effects: what 48,627 FDA adverse event reports show

Lidicaine · Lidocaine · 1,193 reaction terms · 217,289 drug–reaction co-reports · data 2026-09-14
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Drug class

Amide Local Anesthetic, Antiarrhythmic

FDA label (Established Pharmacologic Class) · compare the class

Brand names

Lidocaine

openFDA label

Who reports

48,627 reports · 73% serious · 4,963 with death outcome · 63% female

openFDA FAERS counts, all years, deduplication not applied

Used for

Lidocaine ointment USP, 5% is indicated for production of anesthesia of accessible mucous membranes of the oropharynx. It is also useful as an anesthetic lubricant for intubation and for the temporary relief of pain associated with minor burns, including sunburn, abrasions of the skin, and insect bites.

FDA label, Indications and Usage

What it is

DESCRIPTION Lidocaine ointment USP, 5% contains a local anesthetic agent and is administered topically. See INDICATIONS AND USAGE for specific uses. Lidocaine ointment USP, 5% contains lidocai.

FDA label, Description section

Boxed warning

None in the current label

How to read this page. FAERS is a spontaneous-reporting system: counts are not incidence rates and a signal is not proof of causation. Each reaction below is run through an automated screen — is the term in the FDA label (known), in the indications (the disease being treated), an administrative/coding term, or none of these (unlabeled)? That screen is mechanical text matching, not a causality assessment. The 30 hand-written Bradford Hill assessments are on the causality assessment page. Not medical advice.

Causality screen of the 40 strongest signals

Labeled (related wording) 2Likely indication confounding 1Reporting / coding artifact 8Not in label — unassessed 29
What the badges mean

Strongest disproportionality signals

Flagged terms (PRR ≥ 2, χ² ≥ 4, n ≥ 10), ranked by PRR; infinite PRRs (no comparator reports) excluded. The EBGM column is a second, shrinkage-based estimate (MGPS) with its 5th percentile EB05 and the BCPNN IC025; a pair flagged by PRR alone is marked PRR-only and should be read as fragile. The strata column recomputes the PRR on serious reports only (and, for the 300 most-reported drugs, adjusted for age band), and flags pairs whose reports are unusually skewed by sex or come mostly from consumers. Each row also shows the PRR against the other drugs of the same FDA class, which removes most confounding by the condition being treated, and a calibrated p-value: on validation, known non-causes average an ROR of about 2, so significance is judged against that empirical null (✓ = p < 0.05 after calibration). 1,153 further terms are in the interactive explorer. Reaction links open the term's cross-drug page.

Show:
ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Inspiratory capacity decreased84189.6
146.6–245.2ROR 189.9 · calibrated p 1e-9 ✓
127.6 EB05 106.3 · IC025 +5.9
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.0 (3.1–5.0)
Not in label — unassessedserious n=84 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Sleep disorder therapy55180.9
132.0–248.0ROR 181.1 · calibrated p 2e-9 ✓
121.9 EB05 97.1 · IC025 +5.4
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.4 (3.3–5.9)
Reporting / coding artifactserious n=55 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Appendicolith81116.9
91.4–149.5ROR 117.1 · calibrated p 5e-8 ✓
90.0 EB05 74.7 · IC025 +5.5
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.4 (3.4–5.6)
Not in label — unassessedserious n=81 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Analgesic therapy5594.1
70.3–126.0ROR 94.2 · calibrated p 3e-7 ✓
75.3 EB05 60.0 · IC025 +5.1
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.4 (3.3–5.9)
Reporting / coding artifactserious n=55 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Drug therapy5589.4
66.9–119.6ROR 89.5 · calibrated p 4e-7 ✓
72.2 EB05 57.6 · IC025 +5.0
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.4 (3.3–5.9)
Reporting / coding artifactserious n=55 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Maternal exposure during delivery15380.6
67.8–95.7ROR 80.8 · calibrated p 6e-7 ✓
67.3 EB05 58.8 · IC025 +5.5
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.1 (2.6–3.7)
Reporting / coding artifactserious n=142 · ♀ 100% (drug 63%) · 100% clinicianno trial arm names this drug
Toxic anterior segment syndrome16878.6
66.7–92.6ROR 78.9 · calibrated p 7e-7 ✓
66.0 EB05 58.0 · IC025 +5.5
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.3 (3.6–5.1)
Not in label — unassessedserious n=163no trial arm names this drug
Infusion site discharge21762.6
54.3–72.2ROR 62.9 · calibrated p 3e-6 ✓
54.4 EB05 48.6 · IC025 +5.4
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.6 (3.2–4.2)
Not in label — unassessedserious n=186 · ♀ 84% (drug 63%) · 88% consumerno trial arm names this drug
Methaemoglobinaemia24451.1
44.7–58.3ROR 51.3 · calibrated p 1e-5 ✓
45.6 EB05 41.0 · IC025 +5.2
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.3 (3.7–4.9)
Not in label — unassessedserious n=233 · ♀ 41% (drug 63%) · 100% clinicianno trial arm names this drug
Lagophthalmos4350.4
36.7–69.1ROR 50.5 · calibrated p 2e-5 ✓
44.3 EB05 34.3 · IC025 +4.4
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.9 (3.5–6.9)
Not in label — unassessedserious n=41 · 100% clinicianno trial arm names this drug
Infusion site mass9542.0
34.1–51.9ROR 42.1 · calibrated p 5e-5 ✓
38.1 EB05 32.1 · IC025 +4.7
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.6 (2.9–4.5)
Not in label — unassessedserious n=77 · ♀ 85% (drug 63%) · 72% consumerno trial arm names this drug
Infusion site bruising17638.8
33.3–45.3ROR 39.0 · calibrated p 7e-5 ✓
35.5 EB05 31.3 · IC025 +4.8
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.9 (3.3–4.5)
Not in label — unassessedserious n=138no trial arm names this drug
Infusion site pruritus25237.9
33.3–43.0ROR 38.0 · calibrated p 7e-5 ✓
34.8 EB05 31.3 · IC025 +4.8
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.8 (3.3–4.4)
Not in label — unassessedserious n=180 · ♀ 88% (drug 63%)no trial arm names this drug
Infusion site haemorrhage23834.1
29.9–38.9ROR 34.3 · calibrated p 1e-4 ✓
31.6 EB05 28.3 · IC025 +4.7
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.4 (3.0–3.9)
Not in label — unassessedserious n=189 · 75% consumerno trial arm names this drug
Cauda equina syndrome4929.1
21.8–38.9ROR 29.2 · calibrated p 4e-4 ✓
27.1 EB05 21.3 · IC025 +4.0
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.4 (2.5–4.7)
Not in label — unassessedserious n=49 · 100% clinicianno trial arm names this drug
Procedural hypotension5227.8
21.0–36.8ROR 27.8 · calibrated p 5e-4 ✓
25.9 EB05 20.5 · IC025 +3.9
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.7 (2.8–5.0)
Not in label — unassessedserious n=51 · ♀ 100% (drug 63%) · 100% clinicianno trial arm names this drug
Infusion site rash8227.6
22.0–34.4ROR 27.6 · calibrated p 5e-4 ✓
25.8 EB05 21.4 · IC025 +4.1
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.7 (2.9–4.7)
Not in label — unassessedserious n=58no trial arm names this drug
Infusion site swelling36727.3
24.6–30.3ROR 27.5 · calibrated p 4e-4 ✓
25.7 EB05 23.5 · IC025 +4.5
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.5 (3.1–3.9)
Not in label — unassessedserious n=251no trial arm names this drug
Chronic kidney disease-mineral and bone disorder6226.3
20.4–34.0ROR 26.3 · calibrated p 6e-4 ✓
24.7 EB05 19.9 · IC025 +4.0
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.5 (3.4–5.9)
Not in label — unassessedserious n=62no trial arm names this drug
Foetal exposure during delivery3926.0
18.8–35.9ROR 26.0 · calibrated p 8e-4 ✓
24.3 EB05 18.5 · IC025 +3.7
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.3 (3.0–6.0)
Reporting / coding artifactserious n=38 · 100% clinicianno trial arm names this drug
Infusion site discomfort5825.9
19.9–33.7ROR 25.9 · calibrated p 7e-4 ✓
24.3 EB05 19.5 · IC025 +3.9
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.6 (2.7–4.8)
Not in label — unassessedserious n=48 · ♀ 100% (drug 63%) · 100% consumerno trial arm names this drug
Anaesthetic complication neurological5025.0
18.8–33.2ROR 25.0 · calibrated p 9e-4 ✓
23.4 EB05 18.5 · IC025 +3.8
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.8 (2.8–5.2)
Not in label — unassessedserious n=48 · 100% clinicianno trial arm names this drug
Infusion site nodule4924.8
18.6–33.0ROR 24.8 · calibrated p 9e-4 ✓
23.3 EB05 18.3 · IC025 +3.8
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.3 (2.4–4.4)
Not in label — unassessed♀ 100% (drug 63%) · 100% consumerno trial arm names this drug
Anaesthetic complication14324.3
20.6–28.8ROR 24.4 · calibrated p 8e-4 ✓
23.0 EB05 20.0 · IC025 +4.1
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.3 (2.7–3.9)
Reporting / coding artifactserious n=125 · 100% clinicianno trial arm names this drug
Infusion site warmth5821.8
16.7–28.4ROR 21.8 · calibrated p 0.002 ✓
20.7 EB05 16.6 · IC025 +3.7
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.3 (2.5–4.3)
Not in label — unassessedserious n=40 · ♀ 100% (drug 63%) · 100% consumerno trial arm names this drug
Kounis syndrome10821.6
17.8–26.2ROR 21.6 · calibrated p 0.002 ✓
20.5 EB05 17.5 · IC025 +3.9
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.1 (3.4–5.1)
Not in label — unassessedserious n=108 · 100% clinicianno trial arm names this drug
Infusion site irritation5720.7
15.9–27.0ROR 20.7 · calibrated p 0.002 ✓
19.6 EB05 15.7 · IC025 +3.6
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.0 (2.3–4.0)
Not in label — unassessedserious n=35 · ♀ 100% (drug 63%) · 100% consumerno trial arm names this drug
Infusion site discolouration3920.4
14.8–28.1ROR 20.4 · calibrated p 0.002 ✓
19.3 EB05 14.7 · IC025 +3.4
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.1 (2.9–5.8)
Not in label — unassessed♀ 100% (drug 63%) · 100% consumerno trial arm names this drug
Nephrogenic anaemia20920.1
17.5–23.1ROR 20.2 · calibrated p 0.002 ✓
19.2 EB05 17.1 · IC025 +4.0
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.4 (3.8–5.1)
Not in label — unassessedserious n=209no trial arm names this drug
Hyperparathyroidism secondary11019.5
16.1–23.7ROR 19.6 · calibrated p 0.002 ✓
18.7 EB05 15.9 · IC025 +3.8
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.4 (3.6–5.4)
Not in label — unassessedserious n=110no trial arm names this drug
Infusion site erythema35719.4
17.4–21.5ROR 19.5 · calibrated p 0.002 ✓
18.5 EB05 17.0 · IC025 +4.0
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.2 (2.9–3.6)
Not in label — unassessedserious n=239no trial arm names this drug
Device infusion issue10519.3
15.8–23.4ROR 19.3 · calibrated p 0.003 ✓
18.4 EB05 15.6 · IC025 +3.8
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.1 (2.5–3.8)
Reporting / coding artifactserious n=87 · 100% consumerno trial arm names this drug
Infusion site pain53818.9
17.4–20.6ROR 19.1 · calibrated p 0.002 ✓
18.1 EB05 16.9 · IC025 +4.0
3/3 methods agree
vs other Amide Local Anesthetics: PRR 2.6 (2.3–2.8)
Likely indication confounding
term in indications
serious n=355no trial arm names this drug
Incorrect drug administration rate17618.7
16.1–21.7ROR 18.8 · calibrated p 0.003 ✓
17.9 EB05 15.8 · IC025 +3.8
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.2 (3.6–5.0)
Reporting / coding artifactserious n=150no trial arm names this drug
Hyperphosphataemia8718.4
14.9–22.8ROR 18.4 · calibrated p 0.003 ✓
17.6 EB05 14.7 · IC025 +3.7
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.3 (3.4–5.5)
Not in label — unassessedserious n=87 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug
Infusion site extravasation24517.6
15.5–20.0ROR 17.7 · calibrated p 0.004 ✓
17.0 EB05 15.2 · IC025 +3.8
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.2 (3.6–4.8)
Not in label — unassessedserious n=153no trial arm names this drug
Administration site pain4316.9
12.5–23.0ROR 17.0 · calibrated p 0.005 ✓
16.2 EB05 12.4 · IC025 +3.3
3/3 methods agree
vs other Amide Local Anesthetics: PRR 5.6 (4.0–7.9)
Not in label — unassessed♀ 100% (drug 63%)no trial arm names this drug
Vasoplegia syndrome6016.6
12.8–21.5ROR 16.6 · calibrated p 0.005 ✓
15.9 EB05 12.8 · IC025 +3.4
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.2 (3.2–5.6)
Not in label — unassessedserious n=60 · ♀ 0% (drug 63%) · 100% clinicianno trial arm names this drug

Trial evidence (ClinicalTrials.gov)

No completed trial with posted adverse-event results was found on ClinicalTrials.gov for Lidicaine (searched LIDICAINE).

Most frequently reported reactions

By raw co-report count, regardless of disproportionality. Common terms here are often the illness itself or generic outcomes.

ReactionReportsPRR 95% CI · ROR · χ²/pEBGM EB05 · IC025Label screenSerious-only & strataTrial cross-check
Drug ineffective (drug did not work)3,5931.2
1.1–1.2ROR 1.2 · calibrated p 0.434
1.2 EB05 1.1 · IC025 +0.2
vs other Amide Local Anesthetics: PRR 3.3 (3.2–3.4)
Reporting / coding artifactserious PRR 1.7no trial arm names this drug
Pain3,1682.2
2.2–2.3ROR 2.3 · calibrated p 0.898
2.2 EB05 2.2 · IC025 +1.1
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.6 (3.5–3.7)
Likely indication confounding
term in indications
serious PRR 2.2no trial arm names this drug
Fatigue (tiredness)3,0381.7
1.6–1.7ROR 1.7 · calibrated p 0.790
1.7 EB05 1.6 · IC025 +0.7
vs other Amide Local Anesthetics: PRR 3.9 (3.7–4.0)
Not in label — unassessedserious PRR 1.8no trial arm names this drug
Nausea3,0291.7
1.6–1.7ROR 1.7 · calibrated p 0.770
1.7 EB05 1.6 · IC025 +0.7
vs other Amide Local Anesthetics: PRR 3.7 (3.6–3.9)
Not in label — unassessedserious PRR 1.9no trial arm names this drug
Headache2,8021.9
1.9–2.0ROR 2.0 · calibrated p 0.939
1.9 EB05 1.9 · IC025 +0.9
vs other Amide Local Anesthetics: PRR 3.8 (3.7–4.0)
Not in label — unassessedserious PRR 2.1no trial arm names this drug
Off label use (used outside approved label)2,6051.3
1.2–1.3ROR 1.3 · calibrated p 0.516
1.3 EB05 1.3 · IC025 +0.3
vs other Amide Local Anesthetics: PRR 2.6 (2.5–2.7)
Reporting / coding artifactserious PRR 1.4no trial arm names this drug
Dyspnoea (shortness of breath)2,1651.7
1.6–1.7ROR 1.7 · calibrated p 0.759
1.6 EB05 1.6 · IC025 +0.7
vs other Amide Local Anesthetics: PRR 3.7 (3.6–3.9)
Not in label — unassessedserious PRR 1.6no trial arm names this drug
Pneumonia (lung infection)2,0022.7
2.6–2.8ROR 2.8 · calibrated p 0.712
2.7 EB05 2.6 · IC025 +1.3
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.0 (3.8–4.2)
Not in label — unassessedserious PRR 2.2no trial arm names this drug
Diarrhoea (diarrhea)1,9661.3
1.3–1.4ROR 1.3 · calibrated p 0.530
1.3 EB05 1.3 · IC025 +0.3
vs other Amide Local Anesthetics: PRR 3.7 (3.6–3.9)
Not in label — unassessedserious PRR 1.3no trial arm names this drug
Sinusitis1,9398.3
7.9–8.6ROR 8.6 · calibrated p 0.054
8.1 EB05 7.8 · IC025 +2.9
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.1 (3.9–4.3)
Not in label — unassessedserious PRR 8.5no trial arm names this drug
Vomiting1,8391.7
1.6–1.8ROR 1.7 · calibrated p 0.782
1.7 EB05 1.6 · IC025 +0.7
vs other Amide Local Anesthetics: PRR 3.8 (3.6–3.9)
Labeled adverse reaction
exact term
serious PRR 1.6no trial arm names this drug
Product dose omission issue1,7182.6
2.5–2.7ROR 2.7 · calibrated p 0.744
2.6 EB05 2.5 · IC025 +1.3
3/3 methods agree
vs other Amide Local Anesthetics: PRR 4.0 (3.8–4.2)
Reporting / coding artifactserious PRR 6.1no trial arm names this drug
Fall1,7132.2
2.1–2.3ROR 2.3 · calibrated p 0.916
2.2 EB05 2.1 · IC025 +1.1
3/3 methods agree
vs other Amide Local Anesthetics: PRR 3.9 (3.7–4.1)
Not in label — unassessedserious PRR 1.8no trial arm names this drug
Dizziness1,6971.5
1.4–1.5ROR 1.5 · calibrated p 0.634
1.5 EB05 1.4 · IC025 +0.5
vs other Amide Local Anesthetics: PRR 3.7 (3.5–3.9)
Labeled adverse reaction
exact term
serious PRR 1.6no trial arm names this drug
Death1,6790.8
0.8–0.9ROR 0.8 · calibrated p 0.204
0.8 EB05 0.8 · IC025 -0.3
PRR-only: not supported by EBGM or IC
vs other Amide Local Anesthetics: PRR 4.1 (3.9–4.3)
Outcome field, not a reactionserious PRR 0.7no trial arm names this drug

Unlabeled candidate signals

These flagged terms were not found in the FDA label text and do not match an artifact pattern. They are the pairs that would merit a structured assessment (temporality, dose-response, biological plausibility, consistency across databases, trial or cohort evidence). The screen has not done that; string-matching misses label wording, and a strong PRR can still be stimulated reporting, co-medication, or the disease itself.

Want to assess one of these properly? The runbook describes the Bradford Hill / trial-evidence workflow used on the assessment page, and handoff_top1000_signals.csv lists the strongest unassessed pairs across all drugs.

Common questions

What are the most reported side effects of Lidicaine?

In FDA FAERS, the most frequently co-reported reaction terms for Lidicaine are pain, fatigue, nausea, headache, dyspnoea, pneumonia. These are report counts, not rates: FAERS has no denominator, reporting is voluntary and uneven, and a term can be reported because of the illness being treated rather than the drug.

Does Lidicaine have an FDA boxed warning?

No. The FDA label retrieved for Lidicaine has no boxed warning; see the label's Warnings and Precautions for the recognised risks.

Do FAERS signals prove that Lidicaine causes these side effects?

No. A disproportionality signal (PRR, ROR) means a reaction is reported more often with this drug than with others in the database. That can reflect a real effect, but also the disease being treated, stimulated reporting after news or litigation, co-medications, or how reports are coded. Causality needs temporality, dose-response, biological plausibility, consistency across data sources and, ideally, trial or cohort evidence. This page screens each term against the FDA label and ClinicalTrials.gov results; it does not establish causation.

Sources & methods

Page generated 2026-10-14. Label and PubChem text are retrieved automatically and may lag the current label; always check the current prescribing information. OpenPV is a beta research tool of the Open Source Medicine Foundation.