Anaesthesia, Topical

Please click on the link below to access the most up-to-date version of this guideline. The content on this page is currently being updated to align with the latest publication. Always check the version number at the bottom of the screen to confirm which version you are using.

Click here to access the Adult Hospital Level Chapter 12: Anaesthesiology and Intensive Care with supporting NEMLC Report_2025-9-Version-1.0_26-February-2026

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• Lidocaine jelly, topical, 2 g/100mL.
  • For urethral catheterisation: female 5–7 mL, male 10–15 mL.

LoE:III³⁸

• Lidocaine topical spray,  4%.
  • Maximum dose 160 mg.
  • To assist with awake intubation or reduce haemodynamic response to intubation.

LoE:III³⁹

For venepuncture analgesia in adults or oncology patients requiring repeated invasive procedures (e.g. lumbar punctures, venepuncture):

• Lidocaine/prilocaine, topical cream, 2.5/2.5%.
  • Apply at least 1 hour before and cover with occlusive dressing.

LoE:III⁴⁰

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Standard Treatment Guidelines and Essential Medicines List for South Africa, Hospital Level, Adults 2024 Edition