⚡ Quick Answer — What is Lidogab Gel?
Lidogab Gel is een topical combination of lidocaine and gabapentin gebruikt voor localised neuropathic pain — postherpetic neuralgia (“shingles pain”), peripheral diabetic neuropathy, complex regional pain syndrome, and trigeminal or post-surgical nerve pain. Apply a thin layer 2 to 3 times daily to the affected area. The lidocaine provides fast nerve-signal blockade while gabapentin modulates hyperexcitable nerve endings in the skin.
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US shipping restriction — please read before ordering. We ship Lidogab Gel worldwide, including to the United States. However, because gabapentin is classified as a controlled substance in some US states, we cannot ship this product to delivery addresses in Kentucky, Michigan, Tennessee, Virginia, or West Virginia. If you place an order with a delivery address in one of these restricted states, we will refund that portion of the order or offer an alternative non-restricted product. Contact customer support before ordering if you are unsure.
Lidogab Gel is a compounded topical preparation that combines two complementary neuropathic-pain agents: lidocaine, a fast-acting local anaesthetic, and gabapentin, a gabapentinoid that modulates voltage-gated calcium channels in sensitised peripheral nerves. Together, they give both immediate numbing-type relief and a longer sustained reduction in the hyperexcitable firing that drives neuropathic pain.
Topical delivery keeps systemic exposure low — which is clinically important for gabapentin, where oral dosing often causes drowsiness, dizziness, and weight gain at effective anti-neuropathic doses. In topical form, these systemic effects are largely avoided.
What Is Lidogab Gel Used For?
- Postherpetic neuralgia — persistent burning/stabbing pain after shingles
- Diabetic peripheral neuropathy — especially “burning feet”
- Complex regional pain syndrome (CRPS)
- Post-surgical or post-traumatic nerve pain
- Localised trigeminal neuralgia (superficial distribution)
- Intercostal neuralgia
- Chemotherapy-induced peripheral neuropathy (adjunct)
- Localised meralgia paraesthetica (thigh nerve compression)
How Does Lidogab Gel Work?
- Lidocaine blocks voltage-gated sodium channels on small sensory nerve fibres, preventing the propagation of pain signals from the application site. Onset is rapid (10–20 minutes); depth of action is superficial but effective for cutaneous neuropathic pain.
- Gabapentin modulates hyperexcitable alpha-2-delta subunits of voltage-gated calcium channels on sensitised nerve endings. Topical delivery supplies drug directly to the affected cutaneous and subcutaneous nerves with much lower systemic absorption than oral dosing.
How to Apply Lidogab Gel
- Clean the affected area and let it dry.
- Apply a thin layer to the painful area — enough to cover the skin in a very light film.
- Rub in gently for 30–60 seconds.
- Wash your hands after application (critical — you do not want lidocaine on your fingertips when touching eyes or mucous membranes).
- Apply 2 to 3 times daily as needed.
- Do not apply to broken or infected skin.
- Do not use an occlusive dressing unless specifically recommended by a doctor.
Who Should Not Use Lidogab Gel?
- Known hypersensitivity to lidocaine or any amide-type local anaesthetic
- Known hypersensitivity to gabapentin
- Severely broken, ulcerated, or infected skin at the application site
- Severe hepatic impairment (caution with lidocaine metabolism)
- Severe renal impairment (theoretical systemic gabapentin risk)
- Use of another Class-I antiarrhythmic (tocainide, mexiletine)
- Children under 12 years without specialist advice
- Pregnancy and breastfeeding — only on specialist advice
Bijwerkingen
- Vaak voorkomend: mild local burning or tingling at the application site, temporary skin paleness, dryness
- Minder vaak voorkomend: contact dermatitis, rash, numbness extending beyond the application area
- Rare but important: systemic lidocaine effects (tinnitus, metallic taste, dizziness) — occur mainly with large-area application or broken skin; systemic gabapentin effects (drowsiness, mild ataxia) — very rare at recommended doses
Stop the gel and seek medical advice if you develop a severe local reaction, widespread rash, numbness of the mouth or tongue, dizziness, or ringing in the ears.
Bestellen & Levering
MedsBase offers worldwide shipping on every order. Orders are dispatched in discreet packaging and arrive in branded manufacturer packs. If your preferred pack size is out of stock, contact customer support for an ETA.
Medisch disclaimer. The information on this page is provided for general education only. It is not a substitute for advice from your own doctor or pharmacist. Talk to a qualified healthcare professional before starting, stopping, or changing therapy, especially if you have a history of ulcer disease, heart disease, kidney disease, asthma, liver disease, or are pregnant.
Veelgestelde vragen
What is Lidogab Gel used for?
Lidogab Gel (lidocaine + gabapentin topical) is used for localised neuropathic pain — postherpetic neuralgia, diabetic peripheral neuropathy, CRPS, post-surgical nerve pain, and similar conditions where pain is driven by sensitised peripheral nerves.
Can you ship Lidogab Gel to the United States?
Yes — to most US states. Because gabapentin is classified as a controlled substance in Kentucky, Michigan, Tennessee, Virginia, and West Virginia, we are unable to ship to delivery addresses in those five states. Orders placed to restricted states are refunded or replaced.
How is Lidogab Gel different from oral gabapentin?
Same active (gabapentin) plus lidocaine for local anaesthetic effect. Topical application keeps systemic gabapentin exposure very low — so the drowsiness, dizziness, and weight gain that commonly limit oral gabapentin are largely avoided.
How long does Lidogab Gel take to work?
The lidocaine component gives a noticeable numbing effect within 10–20 minutes of the first application. The gabapentin effect on neuropathic pain builds over 3–7 days of regular use.
Can I use Lidogab Gel with oral gabapentin or pregabalin?
Only on medical advice. Topical contribution to systemic gabapentin is low, but additive effects are possible in patients taking oral neuropathic-pain medication.
Does Lidogab Gel make the skin numb?
Yes — a mild local numbness or tingling is expected and is part of the mechanism. Deep or severe numbness, or numbness extending far beyond the application area, is not expected and should be reported.
Can I apply Lidogab Gel to my face?
Avoid eyes, mouth, and nasal lining. Application to trigeminal distribution (temples, cheeks) should be discussed with your doctor.
Is Lidogab Gel safe in pregnancy?
Use only on specialist advice during pregnancy or breastfeeding. Topical exposure is low, but risk-benefit should be reviewed individually.
How long can I use Lidogab Gel?
Many patients with chronic neuropathic pain use it long-term. Regular review with your pain specialist is recommended every 3–6 months.
Can I use Lidogab Gel on broken skin?
No. Apply only to intact skin. Systemic absorption through broken skin is unpredictable.
Will Lidogab Gel cause drowsiness?
At normal topical doses, drowsiness is rare. Very large-area application or occluded dressings could raise gabapentin levels enough to cause mild drowsiness — stay within recommended dosing.
For straightforward topical anaesthesia without the gabapentin component (and without the KY/MI/TN/VA/WV state restrictions), Lox 2% Jelly (lidocaïne 2%) is the simpler lidocaine-only option for procedural numbing or as a delayed-ejaculation aid.
Patients using Lidogab Gel (lidocaine + gabapentin) for postherpetic neuralgia or peripheral neuropathy occasionally need a fast-acting topical anaesthetic for unrelated minor procedures — Lox 10 % Spray (lidocaïne 10 % plaatselijk) covers that surface-numbing use case in a metered-dose pump bottle.
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