Description
NDC: 00409-4277-01
Lidocaine HCl 2% (Preservative-Free) Injection, 20 mL Single-Dose Vial — Hospira
| Active ingredients | Lidocaine hydrochloride 20 mg/mL (2%), 400 mg per 20 mL, preservative-free |
| Dosage form | Sterile injectable solution, preservative-free |
| Route | Local infiltration, peripheral nerve block, epidural, and caudal injection |
| Size | 20 mL single-dose vial |
| Manufacturer | Hospira |
| NDC | 00409-4277-01 |
Indications and Usage
Production of local or regional anesthesia and analgesia for surgical, dental, diagnostic, therapeutic, and obstetrical procedures.
Dosage and Administration
Dose depends on the procedure, tissue vascularity, and patient factors; the maximum single dose is generally 4.5 mg/kg, not usually exceeding 300 mg. For epidural use, give incrementally in 3-5 mL doses, aspirating before each injection to avoid intravascular or intrathecal placement; reduce doses for pediatric and debilitated patients.
Warnings and Precautions
- Dose-related systemic toxicity requiring cardiovascular and respiratory monitoring
- Risk of methemoglobinemia
- Severe toxicity from unintended intravascular or intrathecal injection; aspirate before injecting
- Chondrolysis reported with intra-articular infusion (an unapproved use)
Contraindications
Known hypersensitivity to lidocaine, other amide-type local anesthetics, or any component of the formulation.
Adverse Reactions
CNS effects such as lightheadedness, nervousness, dizziness, drowsiness, and tinnitus, and cardiovascular effects including bradycardia, hypotension, and cardiovascular collapse; allergic reactions and methemoglobinemia may also occur.
Storage and Handling
Store at controlled room temperature; discard any unused portion of the preservative-free solution.
How Supplied
Supplied as a single-dose vial containing 20 mL of 2% solution.
Professional use only. Clinical information summarized from FDA-approved prescribing information (Structured Product Labeling); refer to the full prescribing information via DailyMed for complete details.




