What is the Difference Between Lidocaine and Lignocaine: A Comprehensive Guide

Lidocaine and Lignocaine are two drugs that are often confused with one another. Both of these drugs are local anaesthetics, which means that they can numb specific areas of the body. However, despite their similarities, there are some key differences between them that are worth exploring.

For starters, the biggest difference between Lidocaine and Lignocaine is that they are made by different pharmaceutical companies. Lidocaine is the name given to a drug that is produced by AstraZeneca, while Lignocaine is the name given to the same drug when it is manufactured by other companies. While the two drugs are chemically identical, there may be slight differences in how they are formulated or packaged.

It is also worth noting that Lidocaine and Lignocaine may be used for different purposes or in different contexts. For example, Lidocaine may be used to numb the skin before a medical procedure, while Lignocaine may be applied topically to treat certain types of skin conditions. In short, while these two drugs are similar, they are not interchangeable, and understanding the differences between them is important for anyone who may be using these drugs or working in a medical capacity.

Local Anesthetics

Local anesthesia is commonly used in medical procedures to lessen or block pain sensation in a particular area of the body. It works by inhibiting the nerve impulses or signals that are transmitted to the brain, thus interrupting the pain signals. Local anesthetics are available in different forms such as creams, sprays, gels, and injections. Lidocaine and Lignocaine are two commonly used local anesthetics for managing pain, but there are some notable differences between them.

  • Lidocaine

Lidocaine is a commonly used local anesthetic that blocks neuronal impulse transmission through the reversible inhibition of sodium channels. This local anesthetic is commonly used for pain management in a variety of medical procedures such as dental procedures, minor surgeries, and medical diagnostic procedures. It is available in different forms, such as topical ointments, creams, and gels, as well as injectable formulations. Lidocaine is a widely accepted and preferred local anesthetic because of its fast onset of action, efficacy, and few side effects.

  • Lignocaine

Lignocaine, also known as lidocaine, is a local anesthetic that is commonly used to manage pain in various medical procedures. It has a mechanism of action similar to Lidocaine, which works by inhibiting the nerve impulses and blocking the pain signals from the specific area of the body. The main difference between Lidocaine and Lignocaine is the name. Lidocaine is the name used in the US and UK, whereas Lignocaine is used in Australia and Europe. Apart from the name, there are no differences in their chemical composition, mechanism of action, and clinical effects.

Conclusion

Lidocaine and Lignocaine are two commonly used local anesthetics that are used to manage pain in various medical procedures. Although the two terms are different, they refer to the same chemical compound. Lidocaine is the name used in the US and UK, whereas Lignocaine is used in Australia and Europe. Both of the anesthetics have similar mechanism of action, efficacy, and side effects. Interestingly, many healthcare practitioners use the terms Lidocaine and Lignocaine interchangeably.

Lidocaine Lignocaine
Widely used in the US and UK Widely used in Europe and Australia
Fast onset of action Fast onset of action
Available in different forms: topical ointments, creams, and gels Available in different forms: topical ointments, creams, and gels
Low toxicity Low toxicity

Ultimately, both Lidocaine and Lignocaine are safe and effective local anesthetics used in various medical procedures. However, it is always best to consult with a healthcare professional to determine which medication is appropriate for specific medical conditions and to avoid any adverse events.

Chemical composition

Lidocaine and lignocaine are both local anesthetic drugs that have similar chemical structures. In fact, lidocaine is the common name used in the United States, while lignocaine is the preferred name used in other countries. The main difference, however, lies in the spelling of the drugs’ names.

  • Lidocaine is spelled with an “i” in the first syllable, while lignocaine is spelled with an “i” in the second syllable.
  • Despite this difference, both drugs have the same chemical formula, which is C14H22N2O. This means that these drugs have 14 carbon atoms, 22 hydrogen atoms, two nitrogen atoms, and one oxygen atom in their molecular structure.
  • Both drugs belong to the family of amide anesthetics and work by blocking the transmission of pain signals in the nerves, thereby providing relief from pain and discomfort.

In terms of their chemical composition, lidocaine and lignocaine have a moderate level of lipid solubility, which enables these drugs to rapidly diffuse into the nerve fibers and provide quick pain relief. These drugs also have a high protein-binding capacity, which dictates their distribution and metabolism in the body.

Medical uses

Lidocaine and lignocaine are both widely used in the medical field for various purposes. They are classified as local anesthetic drugs, which means that they block pain signals in a specific area of the body without causing loss of consciousness. The following are the common medical uses of lidocaine and lignocaine:

  • Dental procedures: Lidocaine and lignocaine are commonly used by dentists to numb the mouth and gums before performing procedures such as tooth extraction, cavity fillings, and root canals.
  • Surgery: Local anesthesia using lidocaine or lignocaine is often used during minor surgical procedures, such as skin biopsy, excision of small tumors, or laceration repair.
  • Pain management: Lidocaine and lignocaine can also be used as a pain management option for conditions such as chronic pain, arthritis, or post-operative pain.

In addition, some healthcare professionals use lidocaine and lignocaine for conditions such as shingles, neuropathic pain, and fibromyalgia. However, the effectiveness of lidocaine or lignocaine for these conditions is still under debate, and studies have yielded mixed results.

Adverse effects

Like any other medication, lidocaine and lignocaine aren’t exempted from negative effects. Though both are generally considered safe when used correctly, they can cause adverse effects that you should be aware of.

  • Allergic reaction – In rare instances, some individuals may experience an allergic reaction to either lidocaine or lignocaine. Symptoms may include rashes, hives, itching, or swelling of the face, tongue, or throat.
  • Cardiac side effects – Lidocaine can interfere with the normal electrical activity of the heart and cause changes in heart rate or rhythm, particularly when given in high doses. Lignocaine, on the other hand, may cause low blood pressure or fainting due to its vasodilating effect.
  • Neurological side effects – Both medications can cause nerve damage or toxicity in the anesthetized area. This can lead to numbness, tingling, burning sensations, or muscle weakness. In rare cases, it can cause seizures or convulsions.

It’s important to remember that adverse effects are rare and usually occur when the medication is improperly administered in high amounts. If you experience any of these symptoms after receiving lidocaine or lignocaine, seek medical attention immediately.

Pharmacokinetics

Pharmacokinetics refers to how the body processes a drug once it is consumed. Lidocaine and lignocaine have very similar pharmacokinetics, as they are both rapidly absorbed and metabolized in the liver.

  • After being injected or applied topically, lidocaine and lignocaine reach maximum blood levels within about 30 minutes.
  • Both drugs are metabolized in the liver and excreted in the urine.
  • The half-life of lidocaine is approximately 90 minutes, while the half-life of lignocaine is slightly shorter at around 60 minutes.

Interestingly, while lidocaine has a longer half-life, its effects tend to wear off faster than lignocaine’s. This is likely due to differences in how the drugs bind to nerve tissues and their relative potency.

Overall, the pharmacokinetics of lidocaine and lignocaine are quite similar, with only minor differences in absorption, metabolism, and elimination.

Pharmacokinetic Parameter Lidocaine Lignocaine
Route of Administration Injection, topical Injection, topical
Peak Blood Level 30 minutes 30 minutes
Metabolism Liver Liver
Excretion Urine Urine
Half-life 90 minutes 60 minutes

Overall, understanding the pharmacokinetics of lidocaine and lignocaine is important for ensuring their safe and effective use in medical and dental procedures, as well as for controlling pain and discomfort during various treatments.

Dosage and Administration

When it comes to the dosage and administration of lidocaine and lignocaine, both drugs have similar guidelines to follow. However, it’s important to note that the dosages may differ depending on the condition being treated and the patient’s overall health.

For topical use, creams and gels containing lidocaine or lignocaine should be applied sparingly to the affected area with clean hands. It’s recommended to use the smallest amount necessary to provide relief. This is particularly important for patients who may be at risk of lidocaine toxicity.

  • For lidocaine and lignocaine patches, the application site should be clean and dry. The patch should be placed directly on the skin and left in place for no more than 12 hours.
  • For oral ingestion, lidocaine and lignocaine can be taken as tablets, capsules, or liquids. The dosage will depend on the patient’s weight, medical history, and the condition being treated.
  • For intravenous use, lidocaine and lignocaine are typically administered in a hospital or clinical setting by a trained medical professional. The dosage will be carefully monitored to avoid the risk of toxicity.

It’s important to follow the dosage guidelines provided by the prescribing physician or pharmacist to ensure that the medication is used safely and effectively.

Here is a quick summary of the dosage and administration guidelines for lidocaine and lignocaine:

Route of Administration Lidocaine Lignocaine
Topical Apply sparingly to affected area Apply sparingly to affected area
Patch 1-3 patches, left in place for no more than 12 hours 1-3 patches, left in place for no more than 12 hours
Oral Varies depending on weight, medical history, and condition being treated Varies depending on weight, medical history, and condition being treated
Intravenous Administered by trained medical professional in clinical setting Administered by trained medical professional in clinical setting

Always speak with a healthcare provider before taking any medication or changing your current treatment plan.

Availability and Cost

Lidocaine and lignocaine are both available in various forms and at different costs depending on the country and brand. Lidocaine is the more commonly used name in the USA, while lignocaine is used in the UK and other parts of the world. They are both used in the medical field for anesthesia, pain relief, and other treatments.

  • Lidocaine is available in various forms and at different prices, including injectables, creams, ointments, and patches. It can be purchased over-the-counter or with a prescription.
  • Lignocaine is also available in various forms and at different prices, including injectables, creams, ointments, and dental cartridges. It is generally available by prescription in the UK.
  • The cost of lidocaine and lignocaine depends on the brand, dosage, and form of the medication, as well as the location of purchase and health insurance coverage.

Here is a comparison table:

Form Lidocaine Lignocaine
Injectable ~$20-$60 (1 vial) ~£5-£25 (1 vial)
Cream/Ointment ~$5-$25 (30g) ~£2-£10 (30g)
Patch ~$10-$40 (patch) N/A

It is important to note that the prices and availability may vary depending on your location and health insurance coverage. It is always recommended to consult with a healthcare professional before purchasing or using any medication.

FAQs: What is the Difference Between Lidocaine and Lignocaine?

Q: Are lidocaine and lignocaine totally different drugs?

A: No, lidocaine and lignocaine are the same drug. The only difference in the spelling of the name comes from the variation in British and American English.

Q: What is lidocaine/lignocaine used for?

A: Lidocaine/lignocaine is a local anesthetic drug used to numb a specific area of the body during medical procedures such as dental work and minor surgery.

Q: Is there any difference in the effectiveness of lidocaine and lignocaine?

A: No, there is no difference in the effectiveness of the drug, whether it is spelled lidocaine or lignocaine. The effect of the drug on the body is identical.

Q: Do lidocaine and lignocaine have different side effects?

A: No, there are no different side effects associated with lidocaine or lignocaine. The side effects are the same regardless of how the name is spelled.

Q: Can I use lidocaine/lignocaine for chronic pain or other conditions?

A: Lidocaine/lignocaine is not recommended for chronic pain or long-term use without the guidance of a medical professional. It is intended for short-term use during medical procedures only.

Closing Thoughts

Now that you know the difference between lidocaine and lignocaine, you can be sure that you are using the correct spelling when discussing this common local anesthetic drug. If you have any questions or concerns about the use of lidocaine/lignocaine, be sure to consult with your healthcare provider. Thanks for reading, and stop by again for more informative articles.