LIDOCAINE HYDROCHLORIDE AND EPINEPHRINE BITARTRATE

82/100 · Critical

Manufactured by Fresenius Kabi USA, LLC

Lidocaine Hydrochloride and Epinephrine Bitartrate Adverse Events: High Seriousness and Diverse Reactions

104,668 FDA adverse event reports analyzed

Last updated: 2026-05-12

About LIDOCAINE HYDROCHLORIDE AND EPINEPHRINE BITARTRATE

LIDOCAINE HYDROCHLORIDE AND EPINEPHRINE BITARTRATE is a medication tracked in the FDA Adverse Event Reporting System (FAERS), manufactured by Fresenius Kabi USA, LLC. Based on analysis of 104,668 FDA adverse event reports, LIDOCAINE HYDROCHLORIDE AND EPINEPHRINE BITARTRATE has a safety score of 82 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 HYDROCHLORIDE AND EPINEPHRINE BITARTRATE include DRUG INEFFECTIVE, PAIN, NAUSEA, FATIGUE, HEADACHE. This page provides a comprehensive breakdown of reported side effects, safety signals, patient demographics, and AI-powered safety analysis for LIDOCAINE HYDROCHLORIDE AND EPINEPHRINE BITARTRATE.

AI Safety Analysis

Lidocaine Hydrochloride And Epinephrine Bitartrate has a safety concern score of 82 out of 100, placing it in the high concern category based on analysis of FDA adverse event data. The FDA has received approximately 104,668 adverse event reports for this medication, which is primarily manufactured by Fresenius Kabi Usa, Llc.

The most commonly reported adverse events include Drug Ineffective, Pain, Nausea. Of classified reports, 74.4% were designated as serious by the FDA, meaning they involved hospitalization, disability, or other significant medical outcomes. The majority of adverse events are non-serious, but the serious event rate is high at 74.4%.

Pain and nausea are the most common reactions, but serious events like death and anaphylactic shock also occur. The reaction diversity is significant, with over 100 distinct reactions reported. The drug is frequently used off-label, which may contribute to adverse events. There is a notable age distribution, with the highest number of reports from individuals aged 60-74.

Patients taking Lidocaine Hydrochloride And Epinephrine Bitartrate should monitor for the commonly reported side effects and contact their healthcare provider if they experience any unusual symptoms. Drug interactions and off-label use are common, leading to potential adverse events. Healthcare providers should be cautious and follow approved usage guidelines. This analysis is based on voluntary FDA adverse event reports and should not replace professional medical advice.

Safety Score: 82/100

Lidocaine Hydrochloride And Epinephrine Bitartrate received a safety concern score of 82/100 (high concern). This is based on a 74.4% serious event ratio across 50,510 classified reports. The score accounts for 104,668 total adverse event reports and 100 distinct reaction types. This high score reflects a significant proportion of serious adverse events in the reporting data.

Top Adverse Reactions

DRUG INEFFECTIVE3,670 reports
PAIN3,236 reports
NAUSEA3,052 reports
FATIGUE2,982 reports
HEADACHE2,759 reports
OFF LABEL USE2,618 reports
DYSPNOEA2,214 reports
PNEUMONIA1,990 reports
DIARRHOEA1,963 reports
SINUSITIS1,909 reports
VOMITING1,869 reports
DIZZINESS1,735 reports
PYREXIA1,703 reports
HYPOTENSION1,698 reports
DEATH1,687 reports
FALL1,648 reports
PRODUCT DOSE OMISSION ISSUE1,577 reports
ANXIETY1,490 reports
URINARY TRACT INFECTION1,457 reports
RASH1,443 reports
MALAISE1,408 reports
ARTHRALGIA1,375 reports
BACK PAIN1,362 reports
COVID 191,355 reports
COUGH1,307 reports
ASTHENIA1,255 reports
RENAL FAILURE1,240 reports
PAIN IN EXTREMITY1,162 reports
TOXICITY TO VARIOUS AGENTS1,158 reports
WEIGHT DECREASED1,129 reports
PRURITUS1,090 reports
PRODUCT USE IN UNAPPROVED INDICATION1,068 reports
NASOPHARYNGITIS1,044 reports
HYPERTENSION1,038 reports
INAPPROPRIATE SCHEDULE OF PRODUCT ADMINISTRATION1,012 reports
CARDIAC ARREST1,008 reports
ACUTE KIDNEY INJURY930 reports
CONSTIPATION920 reports
CONDITION AGGRAVATED882 reports
CHRONIC KIDNEY DISEASE870 reports
BRONCHITIS855 reports
DECREASED APPETITE849 reports
ERYTHEMA825 reports
ANAEMIA824 reports
SOMNOLENCE824 reports
CHEST PAIN823 reports
INFECTION814 reports
ANAPHYLACTIC REACTION810 reports
ABDOMINAL PAIN809 reports
DEPRESSION803 reports
DRUG HYPERSENSITIVITY799 reports
DRUG INTERACTION787 reports
INSOMNIA761 reports
ILLNESS759 reports
UPPER RESPIRATORY TRACT INFECTION742 reports
SEPSIS730 reports
BLOOD PRESSURE INCREASED727 reports
TACHYCARDIA726 reports
LOSS OF CONSCIOUSNESS723 reports
ANAPHYLACTIC SHOCK684 reports
CONFUSIONAL STATE683 reports
WEIGHT INCREASED679 reports
FEELING ABNORMAL675 reports
INFLUENZA668 reports
MUSCLE SPASMS668 reports
HYPERSENSITIVITY667 reports
PRODUCT USE ISSUE665 reports
PERIPHERAL SWELLING664 reports
HYPOAESTHESIA663 reports
URTICARIA655 reports
INFUSION RELATED REACTION652 reports
TREMOR651 reports
CHILLS645 reports
INJURY643 reports
GAIT DISTURBANCE642 reports
SEIZURE639 reports
OVERDOSE633 reports
BRADYCARDIA627 reports
EMOTIONAL DISTRESS619 reports
DEHYDRATION614 reports
INJECTION SITE PAIN593 reports
CONTUSION588 reports
MIGRAINE582 reports
STRESS578 reports
FEBRILE NEUTROPENIA577 reports
PARAESTHESIA575 reports
UNEVALUABLE EVENT544 reports
PRODUCT ADHESION ISSUE542 reports
ATRIAL FIBRILLATION540 reports
ABDOMINAL PAIN UPPER527 reports
INFUSION SITE PAIN520 reports
LOCAL ANAESTHETIC SYSTEMIC TOXICITY517 reports
OEDEMA PERIPHERAL510 reports
DRUG INEFFECTIVE FOR UNAPPROVED INDICATION501 reports
EAR INFECTION498 reports
SWELLING497 reports
MYALGIA487 reports
MUSCULAR WEAKNESS485 reports
ASTHMA484 reports
PRODUCT QUALITY ISSUE484 reports

Key Safety Signals

  • High rate of serious events (74.4%)
  • Multiple serious reactions including death, anaphylactic shock, and cardiac arrest
  • Diverse reactions including local and systemic toxicity, respiratory issues, and neurological effects
  • Frequent off-label use reported
  • Significant number of reports related to product quality and use issues

Patient Demographics

Adverse event reports by sex: Female: 28,710, Male: 17,203, Unknown: 121. The most frequently reported age groups are age 62 (777 reports), age 66 (777 reports), age 67 (731 reports). These demographics reflect reporting patterns and may not represent the full patient population.

Report Outcomes

Out of 50,510 classified reports for LIDOCAINE HYDROCHLORIDE AND EPINEPHRINE BITARTRATE:

  • Serious: 37,601 reports (74.4%) — includes hospitalization, disability, life-threatening events, or death
  • Non-Serious: 12,909 reports (25.6%)
Serious 74.4%Non-Serious 25.6%

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

Female28,710 (62.4%)
Male17,203 (37.4%)
Unknown121 (0.3%)

Reports by Age

Age 62777 reports
Age 66777 reports
Age 67731 reports
Age 64710 reports
Age 74708 reports
Age 60697 reports
Age 69696 reports
Age 59683 reports
Age 70680 reports
Age 71675 reports
Age 65665 reports
Age 61661 reports
Age 68660 reports
Age 55659 reports
Age 63656 reports
Age 56651 reports
Age 58650 reports
Age 72624 reports
Age 57613 reports
Age 54605 reports

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

Drug Interactions & Warnings

Drug interactions and off-label use are common, leading to potential adverse events. Healthcare providers should be cautious and follow approved usage guidelines.

What You Should Know

If you are taking Lidocaine Hydrochloride And Epinephrine Bitartrate, here are important things to know. The most commonly reported side effects include drug ineffective, pain, nausea, fatigue, headache. While many of these may be mild and temporary, you should contact your healthcare provider if any symptoms are severe or persistent. Follow the approved usage guidelines strictly to minimize the risk of adverse events. Report any serious or unusual reactions to the healthcare provider or the FDA. 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

The FDA continues to monitor this drug due to the high number of serious adverse events. Patients should report any unusual symptoms to their healthcare provider immediately.

Frequently Asked Questions

How many adverse event reports has the FDA received for Lidocaine Hydrochloride And Epinephrine Bitartrate?

The FDA has received approximately 104,668 adverse event reports associated with Lidocaine Hydrochloride And Epinephrine Bitartrate. 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 Hydrochloride And Epinephrine Bitartrate?

The most frequently reported adverse events for Lidocaine Hydrochloride And Epinephrine Bitartrate include Drug Ineffective, Pain, Nausea, Fatigue, Headache. By volume, the top reported reactions are: Drug Ineffective (3,670 reports), Pain (3,236 reports), Nausea (3,052 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 Hydrochloride And Epinephrine Bitartrate.

What percentage of Lidocaine Hydrochloride And Epinephrine Bitartrate adverse event reports are serious?

Out of 50,510 classified reports, 37,601 (74.4%) were classified as serious and 12,909 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 Hydrochloride And Epinephrine Bitartrate (by sex)?

Adverse event reports for Lidocaine Hydrochloride And Epinephrine Bitartrate break down by patient sex as follows: Female: 28,710, Male: 17,203, Unknown: 121. 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 Hydrochloride And Epinephrine Bitartrate?

The most frequently reported age groups for Lidocaine Hydrochloride And Epinephrine Bitartrate adverse events are: age 62: 777 reports, age 66: 777 reports, age 67: 731 reports, age 64: 710 reports, age 74: 708 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 Hydrochloride And Epinephrine Bitartrate?

The primary manufacturer associated with Lidocaine Hydrochloride And Epinephrine Bitartrate adverse event reports is Fresenius Kabi Usa, Llc. 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 Hydrochloride And Epinephrine Bitartrate?

Beyond the most common reactions, other reported adverse events for Lidocaine Hydrochloride And Epinephrine Bitartrate include: Off Label Use, Dyspnoea, Pneumonia, Diarrhoea, Sinusitis. 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 Hydrochloride And Epinephrine Bitartrate?

You can report adverse events from Lidocaine Hydrochloride And Epinephrine Bitartrate 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 Hydrochloride And Epinephrine Bitartrate's safety score and what does it mean?

Lidocaine Hydrochloride And Epinephrine Bitartrate has a safety concern score of 82 out of 100 (high 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 adverse events are non-serious, but the serious event rate is high at 74.4%.

What are the key safety signals for Lidocaine Hydrochloride And Epinephrine Bitartrate?

Key safety signals identified in Lidocaine Hydrochloride And Epinephrine Bitartrate's adverse event data include: High rate of serious events (74.4%). Multiple serious reactions including death, anaphylactic shock, and cardiac arrest. Diverse reactions including local and systemic toxicity, respiratory issues, and neurological effects. Frequent off-label use reported. Significant number of reports related to product quality and use issues. These signals are derived from patterns in FDA reports and should be discussed with a healthcare provider for personalized assessment.

Does Lidocaine Hydrochloride And Epinephrine Bitartrate interact with other drugs?

Drug interactions and off-label use are common, leading to potential adverse events. Healthcare providers should be cautious and follow approved usage guidelines. Always inform your healthcare provider about all medications, supplements, and over-the-counter drugs you are taking before starting Lidocaine Hydrochloride And Epinephrine Bitartrate.

What should patients know before taking Lidocaine Hydrochloride And Epinephrine Bitartrate?

Follow the approved usage guidelines strictly to minimize the risk of adverse events. Report any serious or unusual reactions to the healthcare provider or the FDA.

Are Lidocaine Hydrochloride And Epinephrine Bitartrate side effects well-documented?

Lidocaine Hydrochloride And Epinephrine Bitartrate has 104,668 adverse event reports on file with the FDA. Pain and nausea are the most common reactions, but serious events like death and anaphylactic shock also occur. The volume of reports for Lidocaine Hydrochloride And Epinephrine Bitartrate reflects both the drug's usage level and the vigilance of the reporting community.

What is the FDA's position on Lidocaine Hydrochloride And Epinephrine Bitartrate?

The FDA continues to monitor this drug due to the high number of serious adverse events. Patients should report any unusual symptoms to their healthcare provider immediately. For the most current regulatory information, check the FDA's drug labeling database or consult your pharmacist.

Related Drugs

Drugs related to LIDOCAINE HYDROCHLORIDE AND EPINEPHRINE BITARTRATE based on therapeutic use, drug class, or shared indications:

Epinephrine BitartrateLidocaine HydrochlorideFresenius Kabi USA, LLC
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.