ExoticRx · exoticrx.com/drugs/topical-anesthetic-spray-lidocaine-prilocaine
EMLA Cream, LMX
Eutectic mixture of lidocaine and prilocaine that penetrates intact skin, blocking sodium channels in dermal nociceptors for localized anesthesia.
Methemoglobinemia risk in cats from prilocaine metabolite. Limit application area and duration. Do not apply to open wounds. Onset 30-60 minutes on intact skin.
Each ExoticRx dose rule is graded by the strength of its primary evidence — see the editorial process.
Free-tier preview — dog and cat dosing. Pro and Student unlock all 2 species including reptiles, birds, pocket pets, livestock, and equine.
| Species | Route | Dose | Frequency | Evidence | Source |
|---|---|---|---|---|---|
| Dog (Domestic) | Topical | 0 apply thin layer | Single application 30-60 min before procedure | Moderate | AAHA Pain Management Guidelines; Plumb's 9th Ed |
| Cat (Domestic) | Topical | 0 apply thin layer | Single application 20-30 min before procedure | Weak | Plumb's Veterinary Drug Handbook, 9th Ed; AAFP Pain Guidelines |
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View PlansSource citations and evidence levels available on the live page. Reference only — verify against current literature before clinical use.