Lidocaine patches should only be used for short-term nerve pain following shingles.
For most other types of pain, such as back or joint pain, there is limited or no evidence of benefit of lidocaine patches. This is the latest advice from doctors and pharmacists following a recent review.
Dr Kieran Dinwoodie, a GP in NHS Lanarkshire, said: “Lidocaine patches, commonly known by brand names such as Ralvo or Versatis, should only be used for shingles-related nerve pain, where nerves close to the surface of the skin are damaged.
“The patches numb the surface of the skin and are not absorbed deeply enough to relieve chronic or deep pain. They are not suitable for long-term use and are not part of recommended pain management guidelines for most conditions.
“People should not use lidocaine patches unless a health professional has advised that they should keep using them.”
Doctors and pharmacists from across NHS Lanarkshire are working together to reduce inappropriate prescribing and to ensure treatments are based on the best available evidence.
Andrew Maguire, Advanced Clinical Services Pharmacist at NHS Lanarkshire, said: “We encourage shared decision-making and want people to know that stopping lidocaine patches is safe for most people.
“There are better options available that are evidence-based and tailored to each person’s needs. People can contact their GP practice or local pharmacy for advice if they experience any issues after they stop using lidocaine patches.”
To find out more about chronic pain management go to https://www.nhsinform.scot/illnesses-and-conditions/brain-nerves-and-spinal-cord/chronic-pain/
