The emergence of a baby’s first teeth, known as teething, is a common developmental stage that often brings discomfort and fussiness. Parents frequently seek various remedies to alleviate their infant’s pain, including topical teething gels. This article discusses lidocaine teething gel, its mechanism, and important safety considerations for its use in infants.
Understanding Lidocaine Teething Gel
Lidocaine is a type of local anesthetic, a medication designed to temporarily numb specific areas of the body. It functions by blocking nerve signals that transmit pain sensations to the brain. When applied as a teething gel, lidocaine aims to numb the infant’s gums, providing temporary relief from the discomfort associated with erupting teeth. The gel is typically applied directly to the sore gums. Lidocaine has a relatively rapid onset of action.
Safety Concerns and Official Warnings
Despite its pain-relieving properties, lidocaine teething gel carries significant safety concerns for infants. The primary risk stems from accidental overdose, which can occur if too much gel is applied or if the infant swallows a substantial amount. Infants have a smaller body mass and a less developed metabolism, making them more susceptible to lidocaine’s systemic effects. The drug can be absorbed rapidly into the bloodstream through the mucous membranes of the mouth.
The U.S. Food and Drug Administration (FDA) has issued warnings against using prescription oral viscous lidocaine 2 percent solution for teething pain in infants. The FDA has received reports of serious adverse reactions, including seizures, brain injury, heart problems, and deaths, in infants who were given lidocaine for mouth pain or who accidentally ingested it. These warnings are highlighted by a “Boxed Warning” on the drug label, which is the FDA’s most serious type of warning. Health authorities advise against its use for teething because it is not approved for this purpose, and the risks outweigh any potential benefits for young children.
Safe Approaches to Teething Relief
Parents have several safe and effective non-pharmacological methods to help soothe their baby’s teething discomfort. Gently massaging the baby’s gums with a clean finger can provide direct relief. Offering a chilled, but not frozen, teething ring or a cold, wet washcloth for the baby to chew on can help numb the gums and reduce inflammation. Freezing these items completely can make them too hard and potentially cause harm to delicate gums.
For babies who have started solid foods, chilled purees or yogurt can offer soothing relief. Distraction through engaging activities or toys can also help shift the baby’s focus away from the pain. If non-pharmacological methods are insufficient, parents can discuss over-the-counter pain relievers like infant acetaminophen or ibuprofen with their pediatrician. It is important to follow dosage instructions carefully and consult a healthcare provider, especially for babies younger than six months or if there are concerns about the baby’s symptoms.