Brief Answer:
Symptoms of allergic reaction, side effects and instructions of use

Detailed Answer:
Hello and welcome.

Thank you for writing to us.

I have gone through your query with diligence and would like you to know that I am here to help. You of course know that it is used as an anaesthetic, so what you really need to know about it are its possible side effects and if you are allergic to it or not.

Symptoms of an allergic reaction are:
+Rashes
+Swelling anywhere (Especially on face, lips, tongue, around eyes, etc.)
+Difficulty breathing

Side effects include those symptoms seen in an individual on the patch who is not allergic to the patch itself:
+Change in heart rhythm (e.g. palpitations)
+Altered mental state (e.g. confusion)
+Headaches
+Tremors
+Blurred vision
+Seizures

The basic instructions of use include removal of the backside film before application to the skin; also try to avoid direct exposure of the region where the patch has been applied to sunlight. Keep the patch applied for as long as your doctor has prescribed, and use the second one only as instructed by your doctor (either immediately after removal of the previous one or with a short gap).

I think that is about all you need to know. If there is anything I have missed out or if you have any extra questions, then please do not hesitate to write back to me, I am always here to help.

Best wishes.

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Brief Answer:
No, not contraindications and not a narcotic ma'am

Detailed Answer:
Hello once again ma'am.

Lidocaine is an aesthetic and also an anti-arrhythmic drug. This should be suitable for his lumbar pain as well as be safe for his heart due to his previous cardiac history. It will also help in promoting good cardiac health and prevent any irregularities in cardiac rhythm. It is not a narcotic so I think it can be used safely.

Best wishes.

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Brief Answer:
I don't think that should interfere with the use of lidocaine ma'am

Detailed Answer:
Hello once again ma'am.

There are no listed contraindications pertaining to a tremor, and so I think there should be no issue. The propranolol should help to control his blood pressure and also prevent any cardiac arrhythmias. Along with the lidocaine, which also prevents arrhythmias, his condition should improve.

Observe how he responds to the patch (both visible changes as well as through readings like EKG, blood pressure, etc.). I feel he should be fine even with the use of the patch. And also remember, his doctor has prescribed the medication knowing his complete history and with his best interest in mind, so do not worry.

Best wishes ma'am. :)

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