Emla Cream (Lidocaine & Prilocaine)
Emla is a topical anaesthetic cream containing two local anaesthetic medicines, lidocaine (2.5%) and prilocaine (2.5%). Applied to intact skin under an occlusive dressing, it numbs the surface of the skin so that minor procedures can be performed with less discomfort.
It is commonly used before tattoos, body piercing, laser hair removal, blood tests, injections, and some cosmetic procedures. Because Emla is a Pharmacy (P) medicine in the UK, it can only be supplied after a pharmacist has confirmed it is suitable for the person who will use it.
What Our Pharmacist Reviews
The consultation form asks about:
The procedure you are using Emla for and where on the body it will be applied. The condition of the skin at the application site. Any previous reactions to local anaesthetics. Other medicines you take that could interact with prilocaine. Whether you have rare blood conditions such as methaemoglobinaemia or G6PD deficiency. Whether you are pregnant or breastfeeding.
When Emla Is Not the Right Choice
We will not be able to dispatch Emla if any of the following apply. Where this is the case, we will issue a full refund and signpost you to a more appropriate option.
- The intended user is under 18 years of age
- The application area is broken, infected, or inflamed skin
- The application area is a mucous membrane (mouth, nose, inside the eye)
- Known allergy to lidocaine, prilocaine, or other local anaesthetics
- Diagnosed methaemoglobinaemia or G6PD deficiency
- Concurrent use of medicines that significantly raise the risk of methaemoglobinaemia (e.g. some sulphonamides, antimalarials, nitrates)
Emla is typically applied at least one hour before the procedure, under cling film or a similar occlusive dressing, and removed shortly before the procedure begins. Do not exceed the maximum dose or application time printed on the pack. If you develop redness, swelling, or any unexpected reaction after applying Emla, remove the cream immediately, wash the area with cool water, and contact your GP or NHS 111.
Emla Cream Pharmacy Consultation
Reviewed personally by our GPhC-registered pharmacist