A 39-year-old member asked:
what do you use before stitches if allergic to lidocaine?
3 doctor answers

Dr. Gary Steven answered
30 years experience Pediatric Allergy and Asthma
Several options: There are several different local anesthetics available. If you are truly allergic to lidocaine, your allergist can test you to the various available anesthetics to try to find one to which you will not react.
Answered on Mar 26, 2013

Dr. Andrew Murphy answered
29 years experience Allergy and Immunology
See Allergy: Local anesthetic allergy is very rare, some argue that it does not even exist. If there is a concern about a reaction to a local anesthetic agent see and allergist. They will review your history, perform a physical and if needed they can skin test to the local anesthetic if needed. Based upon those results decision can be made about if one is allergic and how to proceed.
Answered on Aug 12, 2012

Dr. James Eitner answered
34 years experience Family Medicine
Other Options: From personal experience, in cases where all anesthetics caused an allergic reaction, I have been able to use saline or cold to provide temporary local coverage. For larger areas or longer procedures, sometimes an anti-axiety medication can be used. There has also been some good evidence in the use of acupuncture and hypnosis.
Answered on Nov 26, 2013
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