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Lidocaine hydrochloride/Benzalkonium chloride

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Active ingredients
  • Lidocaine Hydrochloride 40 mg/10000 mg – 40 mg/1 g
  • Benzalkonium Chloride 0.0013 g/1 g – 1.3 mg/1 g
Reference brand
First Aid Burn
Drug classes
Amide Local Anesthetic, Antiarrhythmic
Dosage forms
  • Cream
  • Gel
  • Liquid
  • Ointment
  • Rinse
  • Spray
Route
Topical
Prescription status
OTC (over the counter)
Marketed in the U.S.
Since 2003
Label revision date
March 20, 2026
Active ingredients
  • Lidocaine Hydrochloride 40 mg/10000 mg – 40 mg/1 g
  • Benzalkonium Chloride 0.0013 g/1 g – 1.3 mg/1 g
Reference brand
First Aid Burn
Drug classes
Amide Local Anesthetic, Antiarrhythmic
Dosage forms
  • Cream
  • Gel
  • Liquid
  • Ointment
  • Rinse
  • Spray
Route
Topical
Prescription status
OTC (over the counter)
CSA schedule
Not a scheduled drug
Marketed in the U.S.
Since 2003
Label revision date
March 20, 2026

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Drug Overview

First Aid Burn Cream is a topical cream designed to provide temporary relief from pain and itching associated with minor burns, sunburn, insect bites, cuts, scrapes, and minor skin irritations. It helps protect against harmful bacteria, making it useful for first aid applications. This cream is intended for use on minor skin injuries to soothe discomfort and promote healing.

In addition to First Aid Burn Cream, there are various formulations such as gels and sprays that serve similar purposes, including preventing bacterial infections and alleviating pain from minor skin conditions. These products are typically used for first aid to ensure that minor injuries are treated effectively and safely.

Uses

You can use this product for the temporary relief of pain and itching associated with minor burns, cuts, scrapes, sunburn, insect bites, and minor skin irritations. It also helps protect against harmful bacteria, making it useful for first aid to prevent infection in these minor injuries. Whether you’re dealing with a sunburn or a small cut, this product is designed to provide soothing relief and support your skin's healing process.

Dosage and Administration

To treat burns or wounds, start by cleaning the affected area thoroughly. For adults and children aged 2 years and older, apply a small amount of the cream, gel, or spray to the area 1 to 4 times daily, depending on the specific product you are using. If desired, you can cover the area with a sterile bandage, but make sure to let it dry first.

For children under 2 years of age, it is important to consult a doctor before using any of these products. Always follow the specific instructions on the product label for the best results.

What to Avoid

You should avoid using these products in or near your eyes, as they can cause irritation or harm. Do not apply them over large areas of the body or in large quantities, especially on raw surfaces, blistered areas, deep puncture wounds, animal bites, or serious burns. It's important to keep these products out of reach of children, and if ingested, seek medical help or contact a Poison Control Center immediately. Additionally, do not use them for more than one week unless directed by a doctor, and stop use if your condition worsens or symptoms persist.

Side Effects

When using burn creams and antiseptics, it's important to be aware of certain precautions and potential issues. These products are for external use only and should not be applied in or near the eyes, over large areas of the body, or on deep puncture wounds, animal bites, or serious burns. Avoid using them in large quantities, especially on raw or blistered skin.

You should stop using the product and consult a doctor if your condition worsens, persists for more than 7 days, or clears up and then recurs within a few days. If you are pregnant or breastfeeding, it's advisable to seek guidance from a healthcare professional before use. Additionally, keep these products out of reach of children, and if swallowed, seek medical help or contact a Poison Control Center immediately.

Warnings and Precautions

For external use only. Avoid using these products in or near the eyes, over large areas of the body, or on deep puncture wounds, animal bites, or serious burns. Do not apply in large quantities, especially on raw surfaces or blistered areas. If you accidentally swallow any of these products, seek medical help or contact a Poison Control Center immediately.

You should stop using the product and consult a doctor if your condition worsens, persists for more than 7 days, or clears up and then recurs within a few days. Keep these products out of reach of children. If you are pregnant or breastfeeding, consult a healthcare professional before use.

Overdose

If you accidentally swallow any burn cream, antiseptic spray, or gel, it's important to seek medical help immediately or contact a Poison Control Center at 1-800-222-1222. Signs of an overdose may not be specifically listed, but if you experience unusual symptoms after ingestion, it's crucial to get assistance right away. Always keep these products out of reach of children to prevent accidental ingestion.

Pregnancy Use

If you are pregnant or breastfeeding, it is important to consult a healthcare professional before using any burn creams, gels, or sprays. Many products, including various formulations of Alocane, First Aid Burn Cream, and others, recommend this precaution to ensure your safety and that of your baby.

Some products, like Hurricaine One and Antibacterial Lidocaine Wound Gel, have not established safety during pregnancy and may pose potential risks to the fetus. Therefore, it is advised to use these only if clearly needed and after discussing with your healthcare provider. Always prioritize your health and the health of your baby by seeking professional guidance before using any medication.

Lactation Use

If you are pregnant or breastfeeding, it is important to consult a healthcare professional before using any of the products mentioned. Some products, like Hurricaine One and Antibacterial Lidocaine Wound Gel, may potentially be excreted in breast milk, meaning they could pass into your breast milk. The safety of these products during lactation has not been well established, so caution is advised.

For other products, such as Pain Relieving Cleansing Spray, CVS Health Antiseptic Wound Wash, and various Alocane formulations, there are no specific warnings or recommendations regarding their use by nursing mothers. However, it is always best to err on the side of caution and seek professional advice.

Pediatric Use

For children under 2 years of age, it is important to consult a doctor before using any of the following products: First Aid Burn Cream, Alocane Max (gel and spray), Hurricaine One, Pain Relieving Cleansing Spray, Alocane Plus, Antibacterial Lidocaine Wound Gel, and Medi-First. These products are generally not recommended for this age group.

For children aged 2 years and older, you can safely use these products. Clean the affected area first, then apply a small amount of the product 3 to 4 times daily. If needed, you may cover the area with a sterile bandage, but ensure it dries first. Always keep these products out of reach of children and seek medical help if swallowed.

Geriatric Use

You may find that many first aid products, including burn creams and antiseptic gels, do not have specific information regarding their use in older adults. This means there are no established dosage adjustments, safety concerns, or special precautions outlined for elderly patients. While these products are generally considered safe, it’s always wise to consult with a healthcare professional before using any new medication, especially if you have underlying health conditions or are taking other medications.

When using topical treatments, ensure the area is clean and follow the instructions on the label. If you experience any unusual reactions or if the condition worsens, seek medical advice promptly.

Renal Impairment

When using certain burn creams and antiseptics, it's important to be aware of how kidney health can affect your treatment. For some products, such as those from the Alocane Max and Numbify Sanitize lines, patients with renal impairment may need to adjust their dosage based on their kidney function, specifically creatinine clearance levels. Regular monitoring of renal function is recommended to ensure your kidneys are handling the medication appropriately, especially if you have severe kidney issues.

While many products do not provide specific guidance for those with kidney problems, it's always best to consult with your healthcare provider if you have concerns about how your kidney health may impact your treatment. They can help determine the right dosage and monitoring plan for your needs.

Hepatic Impairment

You should be aware that most of the burn creams and antiseptics listed do not provide specific information regarding liver issues, such as hepatic impairment (which refers to the liver's reduced ability to process substances). This means there are no documented dosage adjustments, special monitoring, or precautions for patients with liver problems for these products.

However, for the Numbify Sanitize products (both gel and cream forms), it is noted that hepatic impairment may affect how the drug is processed in your body. If you have liver issues, dosage adjustments may be necessary, and it's important to monitor liver function tests regularly. Always consult with your healthcare provider before using any medication if you have liver concerns.

Drug Interactions

You can use various burn creams and gels, such as First Aid Burn Cream, Alocane Max, and Hurricaine One, without worrying about drug interactions, as no interactions have been reported for these products. This means they are generally considered safe to use alongside other medications. However, it's always important to discuss any medications or treatments you are using with your healthcare provider. This ensures that you receive personalized advice and helps prevent any unforeseen issues, especially if you have underlying health conditions or are taking other medications.

Storage and Handling

To ensure the effectiveness of your burn creams, gels, and antiseptics, store them in a cool, dry area at room temperature, ideally between 15°C to 30°C (59°F to 86°F). Avoid exposing these products to excessive heat, as it can compromise their quality. Always check that the packaging is tamper-evident; do not use any opened or torn packets to maintain safety and efficacy.

When disposing of these products, follow local regulations for hazardous waste, if applicable, and ensure that they are sealed properly to prevent leakage. If you have any questions about disposal, consult your local waste management guidelines.

Uses and Indications

This drug is indicated for the temporary relief of pain and itching associated with minor burns, cuts, scrapes, sunburn, insect bites, and minor skin irritations. It also serves as first aid to help prevent bacterial contamination or skin infections.

Conditions Treated

  • Minor Burns: Temporary relief of pain and itching.

  • Cuts and Scrapes: Temporary relief of pain and itching, with protection against harmful bacteria.

  • Sunburn: Temporary relief of pain and itching.

  • Insect Bites: Temporary relief of pain and itching.

  • Minor Skin Irritations: Temporary relief of pain and itching.

Limitations of Use

  • For children under 2 years of age, consultation with a doctor is advised.

  • Pregnant or breastfeeding individuals should seek medical advice before use.

This drug is not indicated for any specific teratogenic or nonteratogenic effects, as none have been mentioned.

Dosage and Administration

Adults and children 2 years of age and older are advised to clean the affected area thoroughly before application. A small amount of the product should be applied to the affected area 1 to 4 times daily, depending on the specific formulation. The area may be covered with a sterile bandage after application, ensuring that it is allowed to dry first if bandaged.

For children under 2 years of age, it is recommended to consult a physician prior to use.

Specific formulations include creams, gels, and sprays, all of which should be used with caution, particularly over raw surfaces or blistered areas.

Contraindications

Use of the product is contraindicated in the following situations:

  • Do not use in or near the eyes.

  • Do not apply over large areas of the body or in large quantities.

  • Do not apply over raw surfaces or blistered areas.

  • Do not use on deep puncture wounds, animal bites, or serious burns.

  • Do not use for more than one week unless directed by a doctor.

  • Do not use if allergic to any of the ingredients.

  • Keep out of reach of children; if swallowed, seek medical help or contact a Poison Control Center immediately.

Warnings and Precautions

For External Use Only This product is intended for external use only.

Do Not Use

  • In or near the eyes.

  • Over large areas of the body or on deep puncture wounds, animal bites, or serious burns.

  • In large quantities, particularly over raw surfaces or blistered areas.

  • For more than one week unless directed by a doctor.

General Precautions

  • Ask a doctor before use if you have deep or puncture wounds, animal bites, or serious burns.

  • Keep out of reach of children. If swallowed, get medical help or contact a Poison Control Center immediately.

Stop Use and Call Your Doctor If

  • The condition worsens.

  • Symptoms persist for more than 7 days, or clear up and occur again within a few days.

Get Emergency Medical Help If swallowed, get medical help or contact a Poison Control Center right away.

Side Effects

For external use only. The following adverse reactions and warnings are associated with the use of various burn creams and antiseptics:

Serious Warnings

  • Do not use in or near the eyes.

  • Do not apply over large areas of the body, particularly over raw surfaces or blistered areas.

  • Do not use on deep puncture wounds, animal bites, or serious burns.

  • Do not use in large quantities, especially over raw surfaces or blistered areas.

  • If pregnant or breastfeeding, consult a healthcare professional before use.

  • Keep out of reach of children. If swallowed, seek medical help or contact a Poison Control Center immediately.

Conditions for Discontinuation

Patients should stop using the product and consult a doctor if:

  • The condition worsens.

  • Symptoms persist for more than 7 days or clear up and recur within a few days.

Additional Notes

  • Some products may have specific warnings regarding flammability; keep away from fire or flame.

  • In case of accidental ingestion, seek professional assistance or contact a Poison Control Center immediately.

Summary of Adverse Reactions

  • No specific adverse reactions beyond the warnings listed have been documented in the provided data. However, the potential for adverse reactions exists if the product is misused or applied contrary to the instructions.

Patients are advised to follow all usage instructions carefully to minimize the risk of adverse effects.

Drug Interactions

All reviewed products, including various formulations of burn creams, gels, sprays, and antiseptic rinses, have not provided any information regarding drug interactions. This includes the following products:

  • First Aid Burn Cream (Cream)

  • Alocane Max (Gel and Spray)

  • Hurricaine One (Spray)

  • Pain Relieving Cleansing Spray (Spray)

  • Cvs Health Antiseptic Wound Wash (Rinse)

  • Crane Safety Burn (Cream)

  • Alocane Plus (Gel)

  • Meijer Maximum Strength (Liquid)

  • Antibacterial Lidocaine Wound Gel (Gel)

  • Medi-First (Cream)

For all these products, there is no documented evidence of drug interactions or interactions with laboratory tests. Therefore, healthcare professionals can consider these products as having no known interactions based on the available data.

Pediatric Use

Pediatric patients under 2 years of age should consult a doctor before using any of the products listed. For children under 2 years, specific products indicate that they should not be used without medical advice.

For pediatric patients aged 2 years and older, the following dosing recommendations apply:

  • First Aid Burn Cream (Cream): Clean the affected area and apply a small amount 3 to 4 times daily. May be covered with a sterile bandage.

  • Alocane Max (Gel and Spray): Clean the affected area and apply a small amount not more than 3 to 4 times daily. For the spray, it is advised to spray on the palm and then apply to the face. May be covered with a sterile bandage (let dry first).

  • Hurricaine One (Spray): Clean the affected area and spray a small amount 1 to 3 times daily. May be covered with a sterile bandage (let dry first).

  • Pain Relieving Cleansing Spray: Clean the affected area and spray a small amount up to 3 times daily. May be covered with a sterile bandage (let dry first).

  • Cvs Health Antiseptic Wound Wash (Rinse): Clean the affected area and apply a small amount 1 to 3 times daily. May be covered with a sterile bandage (let dry first).

  • Alocane Plus (Gel): Apply to affected areas not more than 3 to 4 times daily.

  • Antibacterial Lidocaine Wound Gel: Apply to affected area not more than 3 to 4 times daily.

All products should be kept out of reach of children, and if swallowed, medical help should be sought immediately.

Geriatric Use

No specific information regarding geriatric use, dosage adjustments, safety concerns, or special precautions for elderly patients is provided in the inserts for the following products: First Aid Burn Cream (Cream), Alocane Max (Gel and Spray), Hurricaine One (Spray), Pain Relieving Cleansing Spray, CVS Health Antiseptic Wound Wash (Rinse), Crane Safety Burn (Cream), Alocane Plus (Gel), Meijer Maximum Strength (Liquid), and Antibacterial Lidocaine Wound Gel (Gel).

Healthcare professionals should exercise caution when administering these products to geriatric patients, as the lack of specific data necessitates careful monitoring for any adverse effects or complications.

Pregnancy

The safety of various products during pregnancy has not been fully established, and caution is advised when considering their use in pregnant patients. Healthcare professionals should be consulted prior to use, especially for the following products:

  • Hurricaine One (Spray): The safety of this product during pregnancy has not been established. It is contraindicated for use in pregnant patients or those planning to become pregnant without prior consultation with a physician. Potential risks to the fetus are not well characterized, and dosage modifications should be discussed with a healthcare provider. Use during pregnancy should only occur if clearly needed, weighing the potential benefits against the risks to the fetus.

  • Antibacterial Lidocaine Wound Gel (Gel): The safety of this product during pregnancy has not been established. Pregnant patients should consult a doctor before use, as potential risks to the fetus are not clearly defined. No specific dosage modifications are provided; therefore, guidance from a healthcare professional is recommended.

  • Medi-First (Cream): The safety of this product during pregnancy has not been established, and its use is contraindicated due to potential risks to the fetus. Pregnant patients should consult a healthcare provider before use.

For other products such as Alocane Max (Gel, Spray, Liquid), Alocane Plus (Gel), and various First Aid Burn Creams, it is recommended that pregnant or breastfeeding patients ask a healthcare professional before use. No specific safety concerns or dosage modifications are provided in the inserts for these products, but professional guidance is essential to ensure the safety of both the patient and the fetus.

Lactation

Nursing mothers are advised to consult a healthcare professional before using various products, including First Aid Burn Cream, Alocane Max (in gel and spray forms), and Hurricaine One. There is a potential for excretion of Hurricaine One in breast milk, and its safety during lactation has not been established. Similarly, Antibacterial Lidocaine Wound Gel may also be excreted in breast milk, and the effects on breastfed infants are not well studied, warranting caution.

For other products such as Pain Relieving Cleansing Spray, CVS Health Antiseptic Wound Wash, Meijer Maximum Strength, and Medi-First Cream, there are no specific warnings or recommendations regarding their use by nursing mothers. However, no information is provided about the potential for excretion in breast milk or associated risks to infants for these products.

Overall, while some products lack specific lactation-related warnings, it is prudent for lactating mothers to seek professional guidance before use to ensure the safety of both the mother and the breastfed infant.

Renal Impairment

Patients with renal impairment may require careful consideration when using certain medications. Specifically, dosage adjustments may be necessary based on the severity of renal function decline, particularly for those with reduced creatinine clearance. Regular monitoring of renal function is recommended to ensure patient safety and efficacy of treatment.

For instance, it has been noted that patients with renal impairment should have their renal function monitored regularly, and dosage adjustments should be made according to creatinine clearance levels. Special precautions are advised for patients with severe renal impairment, as they may require a reduced dose of the medication.

In summary, while some products do not provide specific guidance regarding renal impairment, it is crucial for healthcare providers to assess renal function and adjust dosages accordingly to optimize treatment outcomes for patients with kidney problems.

Hepatic Impairment

Patients with hepatic impairment may experience altered metabolism of certain drugs. For the products reviewed, specific information regarding dosage adjustments, special monitoring, or precautions for patients with liver problems is generally lacking across the majority of formulations.

However, for the Numbify Sanitize products (both Gel and Cream forms), it is noted that hepatic impairment may affect drug metabolism, and dosage adjustments may be necessary. Additionally, it is recommended to monitor liver function tests regularly in these patients, and special precautions should be taken when administering the drug.

For all other products, no specific recommendations or requirements related to hepatic impairment have been provided in the respective drug inserts. Therefore, healthcare providers should exercise caution and consider individual patient factors when prescribing these products to patients with liver issues.

Overdosage

In the event of accidental ingestion of any of the products listed, immediate medical assistance should be sought. It is recommended to contact a Poison Control Center at 1-800-222-1222 for guidance.

Symptoms of overdose may vary depending on the specific product ingested, but generally, individuals may experience adverse effects that necessitate professional evaluation.

For all products, it is crucial to keep them out of reach of children to prevent accidental ingestion. If ingestion occurs, the following actions are advised:

  • Seek medical help promptly.

  • Contact a Poison Control Center for specific instructions and support.

No specific overdosage information is provided for several products; however, the general recommendation remains to seek professional assistance in case of accidental ingestion.

Nonclinical Toxicology

Teratogenic Effects

No information is available regarding teratogenic effects for any of the products reviewed.

Non-Teratogenic Effects

No information is available regarding non-teratogenic effects for any of the products reviewed.

Nonclinical Toxicology Section

No information is provided in the nonclinical toxicology section for any of the products reviewed.

Animal Pharmacology and Toxicology

No information is available regarding animal pharmacology and toxicology for any of the products reviewed.

Storage and Handling

The products are supplied in various forms, including creams, gels, sprays, and liquids, with specific packaging configurations designed to ensure safety and integrity. All products are provided in tamper evident sealed packets, and it is crucial to avoid using any opened or torn packets.

Storage Conditions:

  • First Aid Burn Cream: Store in a cool, dry area at 15º-25ºC (59º-77ºF).

  • First Aid Antiseptic: Avoid excessive heat.

  • Alocane Max (Gel, Spray, Liquid): Store at room temperature between 15°-30°C (59°-86°F).

  • Health and Beyond Burn Cream: Store at room temperature.

  • Firstar Burn Cream: Store at room temperature.

  • Safly Burn Cream: Store at room temperature.

  • Burn Creams (various brands): Store at 68-77°F (20-25°C) or in a cool, dry area at 15°-25° C (59°-79° F).

  • Antibacterial Lidocaine Wound Gel: Store at room temperature.

  • Meijer Maximum Strength Liquid: Store at room temperature and avoid excessive heat.

  • First Shield Cream: Store at room temperature (do not freeze).

It is essential to adhere to these storage conditions to maintain product efficacy and safety.

Product Labels

The table below lists all over-the-counter labels containing lidocaine hydrochloride and benzalkonium chloride. Use it to compare dosage forms, strengths, and uses across products.

FDA-Approved First aid burn cream Labels (Originator & Generics) showing branded and generic formulations with forms, routes, strengths, and FDA approval years.
More Details

Repacked & Relabeled Product Labels

The table below lists products marketed under repackaged or relabeled National Drug Codes (NDCs).

Only the carton or labeler has changed; the underlying SPL and prescribing information match the primary labels above, so no separate detail pages are provided.

Below are the non-prescription pack sizes of First Aid Burn Cream. Columns show Packaging, Formulation Type, and Active Ingredient Strength.

FDA-Approved First aid burn cream Repack / Relabels showing repack and relabel formulations with forms, routes, strengths, and FDA years.
Label
Forms
Routes
Concentration range
FDA year
Data Generation & Sources

This page was automatically generated and is maintained by the AllDrugs AI Data-Science Team. It consolidates data from 57 FDA Structured Product Labels (DailyMed) for First Aid Burn Cream (marketed as First Aid Antiseptic, Alocane Max, Health and Beyond Burn), with data retrieved by a validated AI data-extraction workflow. This includes 57 distinct product formulations. All FDA-listed dosage forms and strengths are aggregated in the sections above. Regulatory status appears in the Summary Information panel and was verified in the FDA National Drug Code directory. Detailed product-specific information is available via the individual label pages linked above. No human clinician has reviewed this version.

Learn more in our Editorial Policy

Last AI update:

Primary FDA sources:

Orange Book data shown on this page are limited to Regulatory Status (Rx), Established Pharmacologic Class (EPC), and Mechanism of Action (MoA).

Regulatory data notice: Information on this page is reproduced verbatim from FDA public databases (NSDE, Orange Book, Purple Book, DailyMed SPL). NDA/ANDA drugs are FDA-approved, BLA biologics are FDA-licensed. Inclusion alone does not guarantee current market availability or imply FDA endorsement.

Medical disclaimer: This AI-generated content is provided for educational purposes only and does not constitute medical advice. Always consult a licensed healthcare professional for diagnosis or treatment decisions.