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Comparing

Topical Anesthetics

From CAHPS surveys and reimbursement concerns to online reviews and word-of-mouth referrals, ensuring your patients have the best experience possible has never been so important for your bottom line.

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By including topical anesthetics to temporarily control the pain of needle procedures, injections, IV starts and other minor surgical procedures, you can ease patient anxiety with little effort and, consequently, improve patient satisfaction.

But there are several topical anesthetic options available, and concerns regarding immediacy, approved indications, ease-of-use, availability and pricing must be taken into consideration.

Available in:

  • 3.9 fl. oz. Medium Stream Spray 0386-0008-03
  • 3.9 fl. oz. Mist Spray 0386-0008-02
  • 1.0 fl. oz. Medium Stream Spray 0386-0008-04
  • 1.0 fl. oz. Mist Spray 0386-0008-01

Discover which topical anesthetic option is best for your organization:

Product
Description
FDA-Approved Indications
Method of Application
Pain Ease Logo

Topical anesthetic skin refrigerant

Nondrug, nonflammable formula

1,1,1,3,3 - Pentafluoropropane & 1,1,1,2 - Tetrafluoroethane

Temporarily controls the pain associated with needle procedures, injections, IV starts, venipuncture, and minor surgical procedures

Can be applied to intact skin, intact oral mucous membranes, and minor open wounds

Spray 4-10 seconds and immediately perform procedure

LIDOCAINE-PRILOCAINE (EMLA)

Topical anesthetic cream





Lidocaine 2.5%, Prilocaine 2.5%

Normal intact skin for local analgesia. Genital mucous membranes for superficial, minor surgery & as pretreatment for infiltration anesthesia

Apply cream under an occlusive dressing

L.M.X. 4®

Topical anesthetic cream





Lidocaine 4%

Minor cuts, minor burns, minor skin irritations, abrasions, sunburn, insect bites

Apply cream

Occlusive dressing recommended for pediatric use

J-Tip® Needle-Free Injection System

Pre-sterilized, single use, disposable device which disperses medication in spray-like pattern into the subcutaneous tissue


Xylocaine
(Lidocaine)

Intended use for the subcutaneous administration of Xylocaine

Device must be filled with lidocaine

Once filled, position at a 90-degree angle to the skin and press firmly, approximately 1/8 inch into the skin 

Lidocaine Injection

Sterile solution of lidocaine hydrochloride in water




1% or 2% Lidocaine HCl (10mg/ mL or 20mg/mL)

Production of local or regional anesthesia by infiltration techniques

Requires syringe

Dosage variance and different concentrations

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Onset of Action

Gebauer’s Pain Ease®

IMMEDIATE

J-Tip® Needle-Free Injection System
1 - 3 minutes
Lidocaine Injection
2 - 5 minutes
LIDOCAINE- PRILOCAINE (EMLA)
At least 60 minutes for dermal analgesia, 5-15 minutes for genital mucosa
L.M.X. 4®
Not Stated
$

Price Per Dose

Gebauer’s Pain Ease®
pain-bar
$0.50-$1.20
Lidocaine Injection
injection-bar
$1.73-$6.39
J-Tip® Needle-Free
Not Stated (additional cost incurred for lidocaine)
L.M.X. 4®
lmx-bar
$1.74-$8.68
LIDOCAINE- PRILOCAINE (EMLA)
emla-bar
$1.65-$8.25
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Available to Licensed Healthcare Practitioners without a Physician’s Order

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Gebauer’s Pain Ease®
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LIDOCAINE-PRILOCAINE (EMLA)
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L.M.X. 4®
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J-Tip® Needle-Free Injection System*with lidocaine
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Lidocaine Injection

Important Risk and Safety information for Gebauer’s Pain Ease:

Consult your pediatrician when using on children 4 years old and younger. Do not use on large areas of damaged skin, puncture wounds, animal bites or serious wounds. Do not spray in eyes. Over spraying may cause frostbite. Freezing may alter skin pigmentation. Use caution when using product on persons with poor circulation. Apply only to intact oral mucous membranes. Do not use on genital mucous membranes. The thawing process may be painful and freezing may lower resistance to infection and delay healing. If skin irritation develops, discontinue use.

CAUTION: Federal law restricts this device to sale by or on the order of a licensed healthcare practitioner.

Sources: 
Sources: L.M.X. 4® Package Insert; J-Tip® Needle-Free Injection System Package Insert; Drugs.com – Lidocaine Injection; dailymed.nlm.nih.gov – LIDOCAINE-PRILOCAINE; L.M.X. 4® is a registered trademark of Ferndale IP, Inc.; J-Tip® Needle-Free Injection System is a registered trademark of National Medical Products, Inc. *All pricing information via Merative Micromedex®/RED BOOK® Online (electronic resource), Merative, Ann Arbor, Michigan, USA. Available at: https://www.micromedexsolutions.com/, (cited 3/16/2023). The range provided accommodates price per dose. Price may also vary by distributor and quantity (volume) of product ordered. Based on 5 second spray of Gebauer’s Pain Ease Medium Stream spray from 116mL sized can (1.6-2.8 mL). Based on 1-5 g dose of LIDOCAINE-PRILOCAINE. Based on 1-5 g dose of L.M.X. 4. Based on doses of 0.5-3 mL, 1-2% injectable lidocaine. The manufacturer of J-Tip Needle Free injection system does not report pricing to Redbook.