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Lidocaine (Injectable)

Prescription
Local anesthetic / Class IB antiarrhythmic
Last reviewed 21 Apr 2026 · PetCare.AI Editorial Team
Species
Dog, Cat
Brands
4 available
Formulations
2

Mechanism of action

Blocks voltage-gated sodium channels, preventing depolarization and nerve impulse conduction (local anesthesia); in cardiac tissue, shortens action potential duration and suppresses ventricular arrhythmias

At a glance

Class
Local anesthetic / Class IB antiarrhythmic
Schedule
Prescription
Storage
Below 25°C, protect from light

Dosing

🐕

Dog

Local/regional anesthesia, ventricular arrhythmias (IV CRI)
Dose
1–4 mg/kg
Route
SC, epidural, IV (bolus for arrhythmia)
Frequency
Single dose local; IV bolus then CRI 25–80 mcg/kg/min for arrhythmias
Max dose
6 mg/kg total dose/dose; 0 mg/kg total dose/day
Duration: 1–2 hours local effect; CRI as needed
🐈

Cat

Local/regional anesthesia — USE WITH EXTREME CAUTION
Dose
0.5–2 mg/kg
Route
SC, epidural
Frequency
Single dose; do not exceed maximum
Max dose
4 mg/kg total dose/dose; 0 mg/kg total dose/day
Duration: 1–2 hours local effect
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Formulations

💉

Injectable solution — 1

Strength
2% (20mg/mL)
Available in India
💉

Injectable solution with epinephrine — 1

Strength
2% + 1:100,000 epinephrine
Available in India

Storage

Below 25°C, protect from light

Safety

Absolute contraindications — do not use

  • Severe SA, AV, or intraventricular heart block
  • Known hypersensitivity to amide local anesthetics

Use with caution

  • Hepatic impairment
    Reduced lidocaine metabolism increases toxicity risk

Adverse effects

Common
Drowsiness
Muscle twitching at higher doses
Serious
Seizures
Cardiotoxicity (bradycardia, asystole)
Respiratory depression
Methemoglobinemia (cats)

Monitoring parameters

ECG (IV use)Heart rateSigns of CNS toxicity (tremors, seizures)Respiratory rate
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

Interactions

No documented interactions.

Brands

International

Xylocaine
AstraZeneca
Lidocaine Injection
Various

India

Xylocaine
Zydus Cadila
Lox
Neon Laboratories

FAQs

Frequently asked questions

What is Lidocaine (Injectable)?
Lidocaine (Injectable) is a local anesthetic / class ib antiarrhythmic used in pets. Blocks voltage-gated sodium channels, preventing depolarization and nerve impulse conduction (local anesthesia); in cardiac tissue, shortens action potential duration and suppresses ventricular arrhythmias
What is Lidocaine (Injectable) used for in pets?
Lidocaine (Injectable) is used in veterinary medicine for: Local/regional anesthesia, ventricular arrhythmias (IV CRI); Local/regional anesthesia — USE WITH EXTREME CAUTION.
What is the Lidocaine (Injectable) dose for dogs?
For dogs, Lidocaine (Injectable) is typically dosed as follows — Local/regional anesthesia, ventricular arrhythmias (IV CRI): 1–4 mg/kg SC/epidural/IV (bolus for arrhythmia) Single dose local; IV bolus then CRI 25–80 mcg/kg/min for arrhythmias. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What is the Lidocaine (Injectable) dose for cats?
For cats, Lidocaine (Injectable) is typically dosed as follows — Local/regional anesthesia — USE WITH EXTREME CAUTION: 0.5–2 mg/kg SC/epidural Single dose; do not exceed maximum. Always consult your veterinarian for a dose tailored to your pet's weight, age, and condition.
What are the side effects of Lidocaine (Injectable)?
Common: Drowsiness, Muscle twitching at higher doses. Serious (call your vet immediately): Seizures, Cardiotoxicity (bradycardia, asystole), Respiratory depression, Methemoglobinemia (cats).
Does Lidocaine (Injectable) need a prescription?
Yes. Lidocaine (Injectable) is a prescription medication and should only be administered under veterinary supervision.
When should Lidocaine (Injectable) not be used?
Do not use Lidocaine (Injectable) if: Severe SA, AV, or intraventricular heart block; Known hypersensitivity to amide local anesthetics.
Educational reference only
This information is provided for educational purposes and is not a substitute for professional veterinary advice, diagnosis, or treatment. Always consult a qualified veterinarian before administering any medication to your pet. Find a vet near you →

References

References

The PetCare.AI drug reference is built from 13 authoritative sources cited across 580 drug monographs.

Textbooks & handbooks — 5

  • Plumb's Veterinary Drug Handbook
  • Withrow & MacEwen's Small Animal Clinical Oncology
  • Merck Veterinary Manual
  • NRC Nutrient Requirements of Dogs and Cats
  • Veterinary Pharmacology and Therapeutics (Riviere & Papich)

Clinical guidelines & consensus — 4

  • ASPCA Animal Poison Control Center Guidelines
  • AAHA Diabetes Management Guidelines
  • ASPCA Poison Control Guidelines
  • RECOVER CPR Guidelines

Journals & peer-reviewed studies — 2

  • EPIC Study (J Vet Intern Med 2016)
  • JVIM FAT CAT Study

Regulatory & approvals — 1

  • CDSCO Veterinary Drug Approval Registry (1969–2026)

Databases — 1

  • Washington State University VCPL MDR1 Database
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