LIDOCAINE 4%

72/100 · Elevated

Manufactured by Shenzhen Finona Information Technology Co., Ltd

Lidocaine 4% Adverse Events: Mostly Non-Serious, but Serious Reactions Notable

109,615 FDA adverse event reports analyzed

Last updated: 2026-05-12

About LIDOCAINE 4%

LIDOCAINE 4% is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Shenzhen Finona Information Technology Co., Ltd. Based on analysis of 109,615 FDA adverse event reports, LIDOCAINE 4% has a safety score of 72 out of 100. This score indicates a relatively favorable safety profile, with fewer or less severe adverse events compared to many other tracked medications. The most commonly reported adverse reactions for LIDOCAINE 4% include DRUG INEFFECTIVE, OFF LABEL USE, PRODUCT ADHESION ISSUE, PAIN, PRODUCT QUALITY ISSUE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for LIDOCAINE 4%.

AI Safety Analysis

Lidocaine 4% has a safety concern score of 72 out of 100, placing it in the elevated concern category based on analysis of FDA adverse event data. The FDA has received approximately 109,615 adverse event reports for this medication, which is primarily manufactured by Shenzhen Finona Information Technology Co., Ltd.

The most commonly reported adverse events include Drug Ineffective, Off Label Use, Product Adhesion Issue. Of classified reports, 67.0% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. The majority of reported reactions are non-serious, but serious adverse events, including death and pneumonia, are not uncommon.

Pain and fatigue are the most frequently reported symptoms, indicating potential issues with efficacy and patient comfort. There is a significant number of drug ineffective and product quality issues reported, suggesting potential problems with the drug's formulation or labeling. Serious reactions account for 67% of all reported outcomes, highlighting the need for careful monitoring and patient education. The high volume of reports related to drug ineffectiveness and product quality issues suggests a need for improved product standards and patient education.

Patients taking Lidocaine 4% should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Drug interactions and inappropriate use are common, with warnings against off-label use and proper administration techniques. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 72/100

Lidocaine 4% received a safety concern score of 72/100 (elevated concern). This is based on a 67.0% serious event ratio across 51,643 classified reports. The score accounts for 109,615 total adverse event reports and 100 distinct reaction types. This elevated score indicates a notable proportion of serious adverse events and warrants careful monitoring.

Top Adverse Reactions

DRUG INEFFECTIVE4,004 reports
OFF LABEL USE3,870 reports
PRODUCT ADHESION ISSUE3,421 reports
PAIN3,308 reports
PRODUCT QUALITY ISSUE3,165 reports
FATIGUE2,935 reports
NAUSEA2,928 reports
HEADACHE2,725 reports
DYSPNOEA2,081 reports
PNEUMONIA1,902 reports
SINUSITIS1,890 reports
DIARRHOEA1,882 reports
VOMITING1,781 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION1,757 reports
DIZZINESS1,660 reports
DEATH1,653 reports
FALL1,643 reports
PRODUCT DOSE OMISSION ISSUE1,627 reports
PYREXIA1,568 reports
HYPOTENSION1,558 reports
ANXIETY1,446 reports
URINARY TRACT INFECTION1,432 reports
RASH1,364 reports
COVID 191,339 reports
MALAISE1,316 reports
BACK PAIN1,313 reports
ARTHRALGIA1,308 reports
COUGH1,251 reports
ASTHENIA1,197 reports
RENAL FAILURE1,188 reports
PRODUCT USE IN UNAPPROVED INDICATION1,139 reports
PAIN IN EXTREMITY1,126 reports
TOXICITY TO VARIOUS AGENTS1,121 reports
WEIGHT DECREASED1,105 reports
NASOPHARYNGITIS1,034 reports
PRURITUS1,031 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION1,023 reports
HYPERTENSION965 reports
CARDIAC ARREST931 reports
CONSTIPATION905 reports
ACUTE KIDNEY INJURY892 reports
BRONCHITIS837 reports
CHRONIC KIDNEY DISEASE835 reports
CONDITION AGGRAVATED833 reports
DECREASED APPETITE802 reports
INFECTION793 reports
SOMNOLENCE789 reports
DEPRESSION786 reports
DRUG INTERACTION768 reports
CHEST PAIN767 reports
ABDOMINAL PAIN763 reports
INSOMNIA763 reports
ILLNESS756 reports
ANAEMIA737 reports
UPPER RESPIRATORY TRACT INFECTION726 reports
DRUG HYPERSENSITIVITY725 reports
ANAPHYLACTIC REACTION721 reports
BLOOD PRESSURE INCREASED694 reports
ERYTHEMA693 reports
PRODUCT USE ISSUE687 reports
SEPSIS684 reports
WEIGHT INCREASED679 reports
FEELING ABNORMAL671 reports
MUSCLE SPASMS662 reports
CONFUSIONAL STATE653 reports
INFLUENZA649 reports
PERIPHERAL SWELLING648 reports
INFUSION RELATED REACTION645 reports
LOSS OF CONSCIOUSNESS634 reports
TACHYCARDIA633 reports
GAIT DISTURBANCE629 reports
HYPOAESTHESIA622 reports
CHILLS620 reports
HYPERSENSITIVITY620 reports
SEIZURE618 reports
TREMOR616 reports
INJURY613 reports
WRONG TECHNIQUE IN PRODUCT USAGE PROCESS609 reports
NO ADVERSE EVENT603 reports
URTICARIA602 reports
OVERDOSE598 reports
EMOTIONAL DISTRESS593 reports
MIGRAINE583 reports
BRADYCARDIA577 reports
INJECTION SITE PAIN573 reports
DEHYDRATION572 reports
CONTUSION564 reports
STRESS556 reports
PARAESTHESIA548 reports
UNEVALUABLE EVENT533 reports
ABDOMINAL PAIN UPPER524 reports
INFUSION SITE PAIN522 reports
ATRIAL FIBRILLATION504 reports
LOCAL ANAESTHETIC SYSTEMIC TOXICITY502 reports
EAR INFECTION496 reports
INSURANCE ISSUE492 reports
FEBRILE NEUTROPENIA489 reports
RESPIRATORY TRACT INFECTION480 reports
ANAPHYLACTIC SHOCK473 reports
OEDEMA PERIPHERAL467 reports

Key Safety Signals

  • High frequency of drug ineffectiveness and product quality issues
  • Significant number of serious adverse events, including death and pneumonia
  • Common reactions include pain, fatigue, and nausea, indicating potential side effects
  • A high percentage of reports are related to off-label use, suggesting potential misuse
  • Multiple reports of drug interactions and inappropriate use, indicating a need for better guidance

Patient Demographics

Adverse event reports by sex: Female: 30,272, Male: 16,847, Unknown: 113. The most frequently reported age groups are age 62 (780 reports), age 66 (743 reports), age 64 (733 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 51,643 classified reports for LIDOCAINE 4%:

  • Serious: 34,624 reports (67.0%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 17,019 reports (33.0%)
Serious 67.0%Non-Serious 33.0%

The FDA classifies an adverse event as “serious” if it results in death, hospitalization, disability, congenital anomaly, or requires intervention to prevent permanent damage.

Demographics Breakdown

Reports by Sex

Female30,272 (64.1%)
Male16,847 (35.7%)
Unknown113 (0.2%)

Reports by Age

Age 62780 reports
Age 66743 reports
Age 64733 reports
Age 67715 reports
Age 74700 reports
Age 59699 reports
Age 60692 reports
Age 69691 reports
Age 61676 reports
Age 58675 reports
Age 63673 reports
Age 65673 reports
Age 55663 reports
Age 70663 reports
Age 68651 reports
Age 71648 reports
Age 56643 reports
Age 57631 reports
Age 72602 reports
Age 52593 reports

Demographics reflect voluntary FDA adverse event reporting patterns and may not represent the full patient population.

Drug Interactions & Warnings

Drug interactions and inappropriate use are common, with warnings against off-label use and proper administration techniques.

What You Should Know

If you are taking Lidocaine 4%, here are important things to know. The most commonly reported side effects include drug ineffective, off label use, product adhesion issue, pain, product quality issue. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Always follow the prescribed dosage and administration instructions to avoid potential side effects. Report any adverse reactions to healthcare providers promptly to ensure proper monitoring and management. If you experience a serious adverse reaction, seek emergency medical attention immediately or call 911. You can report side effects to the FDA's MedWatch program at 1-800-FDA-1088.

Regulatory Context

Regulatory oversight is ongoing, with a focus on improving product quality and addressing misuse through better patient education and guidelines.

Frequently Asked Questions

How many adverse event reports has the FDA received for Lidocaine 4%?

The FDA has received approximately 109,615 adverse event reports associated with Lidocaine 4%. These reports come from healthcare professionals, consumers, and manufacturers through the FDA Adverse Event Reporting System (FAERS). Note that the number of reports does not directly indicate the frequency of side effects, as adverse events are voluntarily reported and may be underrepresented.

What are the most commonly reported side effects of Lidocaine 4%?

The most frequently reported adverse events for Lidocaine 4% include Drug Ineffective, Off Label Use, Product Adhesion Issue, Pain, Product Quality Issue. By volume, the top reported reactions are: Drug Ineffective (4,004 reports), Off Label Use (3,870 reports), Product Adhesion Issue (3,421 reports). These figures reflect FDA adverse event reports and may not represent the true incidence rate of these side effects in all patients taking Lidocaine 4%.

What percentage of Lidocaine 4% adverse event reports are serious?

Out of 51,643 classified reports, 34,624 (67.0%) were classified as serious and 17,019 as non-serious. The FDA classifies an event as "serious" if it results in death, hospitalization, disability, or other medically significant outcomes. A higher serious-event ratio warrants closer attention but does not necessarily mean the drug is unsafe.

Who reports adverse events for Lidocaine 4% (by sex)?

Adverse event reports for Lidocaine 4% break down by patient sex as follows: Female: 30,272, Male: 16,847, Unknown: 113. This distribution reflects reporting patterns rather than actual risk differences between groups. Reporting rates can be influenced by prescribing patterns, disease demographics, and reporting behavior.

What age groups report the most side effects for Lidocaine 4%?

The most frequently reported age groups for Lidocaine 4% adverse events are: age 62: 780 reports, age 66: 743 reports, age 64: 733 reports, age 67: 715 reports, age 74: 700 reports. Age-related reporting patterns can reflect both the demographics of the patient population and potential age-related susceptibility to certain side effects.

Who manufactures Lidocaine 4%?

The primary manufacturer associated with Lidocaine 4% adverse event reports is Shenzhen Finona Information Technology Co., Ltd. Multiple manufacturers may produce generic versions of this drug. The manufacturer listed reflects the most frequently reported brand in FDA adverse event data.

What other side effects have been reported for Lidocaine 4%?

Beyond the most common reactions, other reported adverse events for Lidocaine 4% include: Fatigue, Nausea, Headache, Dyspnoea, Pneumonia. Less common side effects can still be clinically significant. Patients should report any unusual symptoms to their healthcare provider.

How do I report a side effect from Lidocaine 4%?

You can report adverse events from Lidocaine 4% to the FDA through their MedWatch program at www.fda.gov/medwatch, by calling 1-800-FDA-1088, or by completing Form FDA 3500. Healthcare professionals, consumers, and manufacturers can all submit reports. Reporting helps the FDA monitor drug safety after approval.

What is Lidocaine 4%'s safety score and what does it mean?

Lidocaine 4% has a safety concern score of 72 out of 100 (elevated concern). This score is calculated from the ratio of serious to non-serious adverse events, the diversity of reported reactions, and the overall volume of reports relative to usage. The majority of reported reactions are non-serious, but serious adverse events, including death and pneumonia, are not uncommon.

What are the key safety signals for Lidocaine 4%?

Key safety signals identified in Lidocaine 4%'s adverse event data include: High frequency of drug ineffectiveness and product quality issues. Significant number of serious adverse events, including death and pneumonia. Common reactions include pain, fatigue, and nausea, indicating potential side effects. A high percentage of reports are related to off-label use, suggesting potential misuse. Multiple reports of drug interactions and inappropriate use, indicating a need for better guidance. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Lidocaine 4% interact with other drugs?

Drug interactions and inappropriate use are common, with warnings against off-label use and proper administration techniques. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Lidocaine 4%.

What should patients know before taking Lidocaine 4%?

Always follow the prescribed dosage and administration instructions to avoid potential side effects. Report any adverse reactions to healthcare providers promptly to ensure proper monitoring and management.

Are Lidocaine 4% side effects well-documented?

Lidocaine 4% has 109,615 adverse event reports on file with the FDA. Pain and fatigue are the most frequently reported symptoms, indicating potential issues with efficacy and patient comfort. The volume of reports for Lidocaine 4% reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Lidocaine 4%?

Regulatory oversight is ongoing, with a focus on improving product quality and addressing misuse through better patient education and guidelines. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

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Important Disclaimer: This content is generated by AI analysis of FDA adverse event reports and is provided for informational purposes only. It is not medical advice. Adverse event reports submitted to the FDA do not prove that a medication caused the reported side effect. Always consult your healthcare provider before starting, stopping, or changing any medication. If you experience a serious side effect, contact your doctor or call 911 immediately.