Epinum Cream 30g (Lidocaine 2.5% + Prilocaine 2.5%)
Epinum Cream is an EMLA-type topical anaesthetic containing Lidocaine USP 2.5% w/w and Prilocaine USP 2.5% w/w. The eutectic mixture provides effective dermal anaesthesia by inhibiting pain receptors and nerve endings. Used prior to minor dermatological and medical procedures. Apply 60 minutes before procedure under occlusive dressing. Requires professional supervision. Manufactured by Atco Laboratories Limited. Prescription required. Not for use on broken or damaged skin.
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Description
Epinum Cream 30g (Lidocaine 2.5% + Prilocaine 2.5%) — Prescription Topical Anaesthetic
Epinum Cream is an EMLA-type topical anaesthetic containing Lidocaine USP 2.5% w/w and Prilocaine USP 2.5% w/w. This eutectic mixture provides effective dermal anaesthesia by inhibiting pain receptors and nerve endings in the skin. Manufactured by Atco Laboratories Limited. Prescription required. Requires professional supervision. Not for use on broken skin.
Active Ingredients
- Lidocaine USP 25 mg (2.5% w/w) per gram
- Prilocaine USP 25 mg (2.5% w/w) per gram
Indications
Epinum Cream is used for dermal anaesthesia before minor procedures:
- Needle procedures — venepuncture, IV cannulation, vaccinations
- Laser treatment — explore our cream and ointment range for dermatology
- Curettage of molluscum contagiosum in paediatric patients
- Leg ulcer cleansing and debridement
- Genital mucosa procedures (faster onset: 15–20 minutes)
Application Timing — Important
- Intact skin: Apply 60 minutes before procedure under occlusive dressing
- Genital mucosa: Apply 15–20 minutes before procedure
- Leg ulcers: Apply 30 minutes before cleansing
- Remove cream and dressing just before the procedure
Warnings & Contraindications
- Do NOT apply to broken, damaged, or inflamed skin
- Avoid contact with eyes — rinse immediately if contact occurs
- Hypersensitivity to Lidocaine, Prilocaine, or amide-type anaesthetics
- Do not use in infants under 37 weeks gestational age (risk of methaemoglobinaemia)
- Caution in G6PD deficiency and atopic dermatitis
- Caution in patients on Class I antiarrhythmics
Storage
Store below 25 °C. Keep out of reach of children. Do not use after expiry date.
Related Products
Browse our full range of Atco Pharma products and prescription creams and ointments at Derma.pk. Also see essential health products.
Rx — Prescription only. Professional supervision required. Do not use on broken skin. Apply 60 minutes before procedure.
Usage & Benefits
• Effective topical anaesthesia without injection for minor procedures • Eutectic mixture of Lidocaine 2.5% + Prilocaine 2.5% for maximum efficacy • Suitable for needle procedures, venepuncture, and IV cannulation • Used before laser treatment and curettage of molluscum contagiosum • Faster onset on genital mucosa (15–20 minutes) • Effective for leg ulcer debridement (after 30 minutes) • Suitable for paediatric, adult, and elderly patients • No dose adjustment required in hepatic or renal impairment • Available in 30g tube for clinical use
How To Use
Apply as prescribed by your doctor or dermatologist under professional supervision. General guidance (follow your doctor's instructions): • Apply a thick layer of cream to the intact skin area 60 minutes before the procedure • Cover with an occlusive dressing (e.g., Tegaderm or plastic wrap) • Remove cream and dressing just before the procedure • For genital mucosa: apply 15–20 minutes before procedure • For leg ulcer cleansing: apply 30 minutes before procedure • Do NOT apply to broken, damaged, or inflamed skin • Avoid contact with eyes — rinse immediately if contact occurs • Do not use in infants under 37 weeks gestational age • Professional supervision is required during and after application
FAQs
Q: Is a prescription required for Epinum Cream? A: Yes. Epinum Cream (Lidocaine 2.5% + Prilocaine 2.5%) is a prescription-only topical anaesthetic. A valid prescription and professional supervision are required. Q: How long before a procedure should Epinum Cream be applied? A: Apply Epinum Cream at least 60 minutes before the procedure under an occlusive dressing for intact skin. For genital mucosa, 15–20 minutes is sufficient. For leg ulcer cleansing, apply 30 minutes prior. Q: Can Epinum Cream be used on broken or damaged skin? A: No. Epinum Cream must not be applied to broken, damaged, or inflamed skin. It is for use on intact skin only. Q: Is Epinum Cream safe for children? A: It is effective and used in paediatric patients for various procedures. However, it must not be used in infants under 37 weeks gestational age due to the risk of methemoglobinemia. Q: Can Epinum Cream be used in elderly patients? A: Yes. Epinum is safe and efficacious in the elderly population without dose adjustment. Q: Are there any drug interactions? A: Caution is required in patients on Class I antiarrhythmic drugs (e.g., tocainide, mexiletine) as cardiac effects may accumulate. Inform your doctor of all medications. Q: Can patients with G6PD deficiency use Epinum Cream? A: Caution is required. Patients with glucose-6-phosphate dehydrogenase (G6PD) deficiency are at higher risk of methaemoglobinaemia. Consult your doctor before use.
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