Americaine

Medical Editor: John P. Cunha, DO, FACOEP Last updated on RxList: 5/23/2023

Drug Summary

What Is Americaine?

Americaine (benzocaine) Anesthetic Lubricant is a local anesthetic (numbing medication) used to reduce pain or discomfort caused by minor skin irritations, sore throat, sunburn, teething pain, vaginal or rectal irritation, ingrown toenails, hemorrhoids, and many other sources of minor pain on a surface of the body. Americaine (benzocaine) is also used to numb the skin or surfaces inside the mouth, nose, throat, vagina, or rectum to lessen the pain of inserting a medical instrument such as a tube or speculum. The brand name Americaine is discontinued in the U.S. Generic versions may be available.

What Are Side Effects of Americaine?

Americaine may cause serious side effects including:

  • headache,
  • tiredness,
  • confusion,
  • fast heartbeats,
  • lightheadedness,
  • shortness of breath,
  • pale, blue or gray appearance of your skin, lips or fingernails,
  • hives,
  • difficulty breathing,
  • swelling of your face, lips, tongue or throat,
  • severe burning, stinging or sensitivity where the medicine is applied,
  • swelling,
  • warmth,
  • redness,
  • oozing,
  • blistering, and
  • signs of infection

Get medical help right away, if you have any of the symptoms listed above.

Common side effects of Americaine (benzocaine) include application site reactions such as:

  • stinging,
  • burning, or
  • itching,
  • skin tenderness or
  • redness, or
  • dry white flakes.

Stop using Americaine (benzocaine) topical and call your doctor if you have serious side effects including:

  • headache,
  • weakness,
  • dizziness,
  • breathing problems,
  • fast heart rate, and
  • gray or bluish colored skin (rare but serious side effects of benzocaine);
  • severe burning, stinging, or sensitivity where the medicine is applied;
  • swelling, warmth, or redness; or
  • oozing, blistering, or any signs of infection.

Seek medical care or call 911 at once if you have the following serious side effects:

  • Serious eye symptoms such as sudden vision loss, blurred vision, tunnel vision, eye pain or swelling, or seeing halos around lights;
  • Serious heart symptoms such as fast, irregular, or pounding heartbeats; fluttering in your chest; shortness of breath; and sudden dizziness, lightheartedness, or passing out;
  • Severe headache, confusion, slurred speech, arm or leg weakness, trouble walking, loss of coordination, feeling unsteady, very stiff muscles, high fever, profuse sweating, or tremors.

This document does not contain all possible side effects and others may occur. Check with your physician for additional information about side effects.

Dosage for Americaine?

Apply a dose of benzocaine evenly to exterior of tube or instrument prior to use. It is not likely that other drugs you take orally or inject will have an effect on topically applied benzocaine.

What Drugs, Substances, or Supplements Interact with Americaine?

But many drugs can interact with each other. Tell your doctor all prescription and over-the-counter medications and supplements you use.

Americaine During Pregnancy and Breastfeeding

During pregnancy, benzocaine should be used only if prescribed. It is unknown if this drug passes into breast milk or if it could harm a nursing baby. Consult your doctor before breastfeeding.

Additional Information

Our Americaine (benzocaine) Side Effects Drug Center provides a comprehensive view of available drug information on the potential side effects when taking this medication.

Description for Americaine

AMERICAINE Anesthetic Lubricant contains benzocaine 20% with benzethonium chloride 0.1% as a preservative in a water soluble base of polyethylene glycol 300 and 3350.

Benzocaine, a local anesthetic, is chemically ethyl -aminobenzoate, C9H11NO2, with a molecular weight of 165.19. and has the following structual formula:

Uses for Americaine

AMERICAINE (benzocaine) Anesthetic Lubricant is indicated for general use as a lubricant and topical anesthetic on intratracheal catheters and pharyngeal and nasal airways to obtund the pharyngeal and tracheal reflexes; on nasogastric and endoscopic tubes; urinary catheters; laryngoscopes; proctoscopes; sigmoidoscopes and vaginal specula.

Dosage for Americaine

Apply evenly to exterior of tube or instrument prior to use.

HOW SUPPLIED

AMERICAINE Anesthetic Lubricant (benzocaine) is available in:

NDC 53014-376-16 28 g tube

NDC 53014-376-62 2.5 g unit dose foil packs, 144 per carton

Store at 15°-25°C (59°-77°F).

Celltech Pharmaceuticals, Inc.

Rochester, NY 14623 USA

® Ciba-Geigy Corporation, © 2001, Celltech Pharmaceuticals, Inc., R531 Rev. 7/01

Side Effects for Americaine

Contact dermatitis and/or hypersensitivity to benzocaine can cause burning, stinging, pruritus, tenderness, erythema, rash, urticaria and edema. Rarely, benzocaine may induce methemoglobinemia causing respiratory distress and cyanosis. Intravenous methylene blue is the specific therapy for this condition.

Drug Interactions for Americaine

No information is available.

Warnings for Americaine

No information is available.

Precautions for Americaine

General: Medication should be discontinued if sensitivity or irritation occurs.

Carcinogenesis, Mutagenesis, Impairment of Fertility: Long-term studies in animals or humans to evaluate the carcinogenic and mutagenic potential or the effect on fertility have not been conducted.

Pregnancy: Pregnancy Category C. Animal reproduction studies have not been conducted with AMERICAINE (benzocaine) Anesthetic Lubricant. It is also not known whether AMERICAINE (benzocaine) Anesthetic Lubricant can cause fetal harm when administered to a pregnant woman or can affect reproduction capacity. AMERICAINE (benzocaine) Anesthetic Lubricant should be given to a pregnant woman only if clearly needed.

Nursing Mothers: It is not known whether this drug is excreted in human milk. Because many drugs are excreted in human milk, caution should be exercised when AMERICAINE (benzocaine) Anesthetic Lubricant is administered to a nursing woman.

Pediatric Use: Do not use in infants under 1 year of age.

Overdose Information for Americaine

No information is available.

Contraindications for Americaine

Known allergy or hypersensitivity to benzocaine.

Clinical Pharmacology for Americaine

Benzocaine reversibly stabilizes the neuronal membrane which decreases its permeability to sodium ions. Depolarization of the neuronal membrane is inhibited thereby blocking the initiation and conduction of nerve impulses.

Patient Information for Americaine

Please refer to the PRECAUTIONS section.

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Report Problems to the Food and Drug Administration

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit the FDA MedWatch website or call 1-800-FDA-1088.