Zingo

Zingo is used to numb the skin before certain painful medical procedures. It is a local anesthetic drug. It works by blocking the nerves to send pain signals to the brain.

It does not cause unconsciousness. It is available in the form of powder and only with doctor’s prescription.

Your doctor will inform you of what you need to know before using Zingo.

Before starting, your doctor should be informed about following conditions:

Allergy: Tell your doctor if you have any allergies to food, preservatives, dyes and animals or had an allergic reaction which occurred while using this drug before.

Children: There are no adequate studies done which prove Lidocaine harmful effects in children. Safety and efficacy have not been established. It should not be used in children less than 3-year-old.

Elderly: They are more sensitive to its effects. In elderly patients, it should be used with caution.

Pregnancy: It is a category B drug. Studies show no harmful effects on an unborn baby. Discuss Lidocaine benefits and potential risk factor with your doctor while using it in pregnancy.

Breast Feeding: Lidocaine intradermal system is found in breast milk. If you are or will be breast-feeding while you use lidocaine intradermal system, check with your doctor. Discuss any possible risks to your baby.

Drug Interactions: Lidocaine interacts with many drugs. It should not be used with several drugs. Your doctor should be informed of any other medicine which you are taking as he/she may change the drug or its dosage.

Some of these drugs are listed below:

• Antiarrhythmics (Amiodarone, Dofetilide, Mexiletine, Tocainide).
• Beta-Blocker (Propranolol).
• Cimetidine.
• Acetaminophen.
• Succinylcholine as the risk of its side effects may be increased by lidocaine intradermal system.

Other Medical Conditions: Several other conditions may reduce its effectiveness.

Make sure you inform your doctor of conditions such as:

• Bleeding problems.
• Blood clotting problems: May increases the risk of bleeding through the skin where the medicine is placed.
• Liver disease.
• Pseudocholinesterase deficiency (a genetic disease): Use with caution. The effects may be increased because of slower removal of the medicine from the body.

Proper usage of Zingo requires strict adherence to your doctor’s orders. Zingo is usually given at hospital or clinic. It should not be used if the pouch has been torn or damaged or if the device has been dropped.

It should only be used on a normal, unbroken skin. Do not use it around eyes, nose, mouth or rectum. You will hear a sound like a balloon popping when the medicine is released. This is normal.

In using Zingo, you must be careful and take some precautions as advised by your doctor. Zingo blocks pain. You should be careful not to injure the treated skin by rubbing, scratching, exposing it to extreme cold or heat.

Do not use it more than the recommended without consulting your doctor. Before getting any medical, surgical or dental care by your doctor, you should inform them that you are using lidocaine intradermal system.

As with many medications, there are several potential side effects associated with Zingo. All medicines have some side effects. Some people may experience none or minor side effects.

Consult with your doctor if they become problematic or frequent:

More common are:

• Flushing or redness of the skin
• Itching
• Small red or purple spots on the skin
• Unusually warm skin

Less common:

• Bruising
• Bleeding
• Burning
• Swelling
• Pain at the application site

This is not a complete list of side effects and others may occur. Call your doctor for medical advice about side effects. You may report side effects to FDA at 1 800 FDA 1088.