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Benzocaine

Local Anesthetic

Local Anesthetic
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
2 major
SEVERE in our sources
PREGNANCY
g Bulk forming laxatives are not absorbed, and are
FDA category + note
Top interactions
  • Nitrous AcidSevereDatabaseDDInter
  • PrilocaineSevereDatabaseDDInter

Mechanism

Local anesthetics act at the cell membrane to prevent the generation and the conduction of nerve impulses. They block conduction by decreasing or preventing the large transient increase in the permeability of excitable membranes to Na+ that normally is produced by a slight depolarization of the membrane. This action is due to their direct interaction with voltage-gated Na+ channels, increasing the threshold for electrical excitability and declining the rate of rise of the action potential.

Indications

Local anesthesiaManagement of haemorrhoidsTopical preparations for wounds and ulcerated surfaces (sustained anesthetic action)StomatitisSore throatWoundsUlcerated surfacesAnorectal lesions (suppository)

Dosing

Adult
chronic anal fissure in adults but is generally reserved for those who do not respond to drug treatment. h 9.2 Haemorrhoids Haemorrhoids 01-Dec-2016 Topical preparations containing local anaesthetics (lidocaine, benzocaine, cinchocaine and pramocaine) should only be used for a few days as they may cause sensitisation of the anal skin.…

Pharmacokinetics

Duration
Long-lasting
Bioavailability
Absorbed too slowly to cause classical local anesthetic toxicity due to low aqueous solubility.
Metabolism
Hydrolyzed by plasma esterases

Contraindications

  • Can antagonize sulfonamides locally.

Side effects

Common
DermatitisItchingRashSensitisation of the anal skin
Serious
  • Methemoglobinemia

Pregnancy & lactation

Pregnancy

g Bulk forming laxatives are not absorbed, and are

Drug interactions

Nitrous Acid
Severe
Database

Clinical effect not specified

Source: DDInter

Prilocaine
Severe
Database

Clinical effect not specified

Source: DDInter

10 additional low-confidence interactions hidden — those rows lack a documented mechanism or management plan in our sources.

Related guidelines

Other Local Anesthetic drugs

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Sources: KD Tripathi 7e, Goodman & Gilman 14e, BNF·Verified: 2026-05-13 · House clinical team