- Used to treat Premature Ejaculation
- Reduces sensitivity in the penis and delays ejaculation
- Helps Men to enjoy sexual intercourse for a longer period of time
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What is Emla Cream?
Emla Cream is a local anaesthetic that is topically applied. A numbing cream, it helps to numb an area of skin, reducing its sensitivity to any sensations. Emla Cream contains two active ingredients, lidocaine and prilocaine.
You can buy this cream from Medicine Direct. We sell either a 5g tube or a 30g tube.
What is Emla Cream used to treat?
Emla Cream works by temporarily disrupting the pathway of signals along your nerves.
It is also a numbing cream for tattoos, used to numb the skin before you have a tattoo.
Local anaesthetics like Emla numbing cream can be applied before minor skin operations, such as the removal of leg ulcers.
You can use Emla numbing Cream to treat premature ejaculation. It reduces the feeling in your penis and, as a result, reduces sensitivity and delays ejaculation. This means you can use it to enjoy sexual intercourse for a longer period of time.
It is often applied to adults and children alike, to numb the skin before blood tests. This makes it very popular for people to use when they have a fear of needles.
How does it work?
As Emla Cream numbs the penis slightly, so the speed in which a man ejaculates is reduced. The neurosignals from the penis to the brain are suppressed and due to the numbing of the penis, sensation is reduced also.
Premature ejaculation can be caused by hormone imbalance, psychosexual issues or over-sensitivity of the penis. If you have an over-sensitive penis, Emla cream can help treat premature ejaculation.
Who can use Emla Cream?
This cream may not be suitable for everyone to use. Speak to your doctor before applying the cream if you have any of the following conditions:
- You are anaemic
- You have glucose-6-phosphate dehydrogenase deficiency – a rare inherited illness which affects your blood
- You have methaemoglobinaemia – a problem with blood pigment levels
- You have a condition known as atopic dermatitis
Always read the patient information leaflet thoroughly before using Emla numbing cream. Speak to your doctor if you have any doubts or concerns, before you start to use this medicine.
Possible Side Effects
As with all local anaesthetics, Emla Cream does come with a risk of certain side effects, no matter what you may be using the cream for. However, not everyone will suffer from side effects.
Speak to your doctor if any of the following adverse effects bother you:
- A transient local skin reaction (such as paleness, redness, or swelling) in the area you have used the treatment
- A mild burning sensation on the area you have applied the treatment
This list is not exhaustive. Please, refer to the Side Effects tab on this page for a list of more serious and rarer undesired effects you may experience while you use Emla Cream.
Emla Cream Dosage
Our pharmacists and prescribers follow NICE prescribing guidelines when prescribing EMLA Cream.
Always follow your doctor's instructions when using Emla Cream. If you have any questions, speak to your doctor before you use the medication. A 5g tube of this cream equates to about 2g of Emla.
Emla Cream is for external use only; it should only be applied to the surface of the skin. Do not ingest the medicine.
Avoid contact with your eyes and nostrils. If you get any Emla Cream in your eyes, you should rinse your eyes thoroughly with clean water. Seek medical attention immediately if you experience any adverse reactions as a result.
How to use Emla Cream for erectile dysfunction
Apply the cream to the head of the penis, starting with a pea-sized amount (applying more if required), 15-20 minutes before intercourse.
Use this cream sparingly. If you think you may require more, please see your GP to discuss further.
Wash hands thoroughly after applying to prevent numbing your hands. Also, remove any excess cream before intercourse to avoid numbing your partner.
Emla Cream is oil-based, so you should be aware that it may weaken latex condoms, which can increase the risk of them splitting. To minimise this risk, you should wipe the excess cream from your penis, before you put on the condom.
If you are still concerned, it may be beneficial if an extra condom or an additional contraception is used at the same time.
Do not leave local anaesthetics like Emla numbing cream on for an extended period of time; this can make your penis completely numb.
Emla numbing cream should not be used on the following areas:
- Inside the anus
- Inside your nose, ears or mouth
- Anywhere on your body where you have a skin rash or eczema
- Anywhere you may have cuts, grazes or wounds, not including leg ulcers
- In or near your eyes
On the genitals of children
Emla Cream FAQ's
What is Emla Cream?
Who is suitable for Emla numbing cream?
Emla Cream is not suitable for everyone to use. You should not use this cream without speaking to a doctor first if you have any of the following conditions: You are anaemic, you have glucose-6-phosphate dehydrogenase deficiency – a rare inherited illness which affects your blood, you have methaemoglobinaemia – a problem with blood pigment levels, you have a condition known as atopic dermatitis, you are currently pregnant, are trying to get pregnant, or think you might be pregnant, you are currently breastfeeding.
Emla Cream may also interact with other medications and increase your risk of a reaction. Inform your doctor if you are using any other prescription or non-prescription medication, herbal remedies, vitamins, or supplementsAlways read the patient information leaflet for a full list of warnings and potential drug interactions associated with your medication. If you have any questions or concerns, we urge you to talk to a doctor before you start to use this treatment.
What are other uses for Emla Cream?
Emla Cream is used as a local anaesthetic for mild skin procedures, such as leg ulcer treatments. It is also often applied to the skin before blood tests, making it a popular choice for people who have a phobia of needles.Many people use Emla Cream to numb the skin before having a tattoo, as well as when having tattoos removed via laser treatment. You should always make sure that the tattoo artist, or the person who will perform the laser removal, is aware that you intend to use this cream before the procedure starts.
Can Emla Cream be used for tattoos?
Yes, Emla numbing cream can be used for tattoos. As a local anaesthetic, it can help to provide effective pain relief while you are having a tattoo done. When using a numbing cream, tattoo artists should be informed before you apply the cream.It may also be used to numb the skin before you have a tattoo removed with lasers. Again, you should make sure the person who is going to perform the procedure is aware that you intend to apply this numb cream before the procedure begins.
What are lidocaine and prilocaine?
Lidocaine and prilocaine are the active ingredients contained in Emla Cream. They are topical creams that are safe to use on the genital areas, numbing the area by temporarily disrupting the pathway of signals along your nerves.This helps men to last for a longer period of time during sexual intercourse, when it is applied to the penis. It is also useful in numbing areas where you are due to have a skin procedure, such as treatment for leg ulcers, blood tests or tattoos. This reduces the pain associated with these procedures, making it a very popular option for people who are afraid of needles.
How do I apply Emla Cream to my child?
You may apply Emla Cream to children who are due to have small procedures, such as blood tests or a small operation on their skin. The application time should be no more than 1 hour beforehand.Newborn infants and infants 0-2 months: Up to 1g of cream on a skin area not larger than 10cm. Do not apply more than once in a 24 hour period. Infants aged 3-11 months: Up to 2g of cream on an area no larger than 20cm. Children aged 1-5 years old: Up to 10g of cream on a skin area up to 100cm. Children aged 6-11 years old: Up to 20g of cream on a skin area up to 200cm
Can I buy Emla over the counter?
How much does Emla Cream cost?
Emla Cream Side Effects
The more common side effects associated with Elma Cream can be found on the main product page.
The below side effects are uncommon and may affect up to 1 in every 100 people:
- Irritation of the treated skin when used for leg ulcers
- Numbness in the treated area when used to treat genital mucosa
- A mild burning, warm, or itching sensation of the treatment area of the skin when initially applied
Rarer side effects may include:
- Allergic reactions (see below for more details) - seek immediate medical attention if you experience this
- Methaemoglobinaemia during treatment of your skin
- Irritation of your eyes if Emla Cream comes into contact with them during treatment
- Small dot-shaped bleeding during treatment of your skin
Speak to a doctor if any of these side effects bother you.
Serious Side Effects
In rare instances, you may experience a serious allergic reaction to Emla Cream. You should either go to A&E or call 999 straight away if you experience any of the following symptoms. You may require immediate treatment in hospital:
- You have a skin rash that is red, itchy, swollen, blistered, or peeling skin
- You have swelling in your throat, lips, tongue, mouth, or face
- You are wheezing
- You have tightness in your chest or throat
- You are having difficulty breathing or talking
These lists may not be exhaustive. Always read the patient information leaflet, which will come with your medicine, before you start to use this treatment. Speak to your doctor or pharmacist if you have any questions or concerns.
Emla Cream Warnings and drug interactions
Emla Cream may interact with other drugs you are already taking, which can inhibit the effectiveness of Emla Cream or increase your chances of experiencing side effects.
You should always make sure your doctor is aware of any other medicines you are already using, before you start using a new one. These include both prescription and non-prescription medicines, herbal remedies, vitamins, or supplements.
In particular, inform your doctor if you are currently taking any of the following medications:
- Any medicines that are used to treat infections, such as ‘sulphonamides’ and nitrofurantoin
- Any other local anaesthetic medicines
- Cimetidine or beta-blockers – these may increase the blood levels of lidocaine.
- Any medicines used to treat epilepsy, such as phenytoin and phenobarbital
- Any medicines used to treat an uneven heartbeat, such as amiodarone
This list may not be exhaustive; always read the patient information leaflet for a comprehensive list of other medicines which may interact with the Prilocaine and medicines that may interact with Lidocaine, the active ingredients in Emla Cream.
If you have any questions or concerns at all about this medication, we strongly advise you to speak to your doctor about them before you start to use this treatment.
Never order any medicine online unless it is from a pharmacy registered with the General Pharmaceutical Council (GPC), like Medicine Direct. We can guarantee you nothing but genuine versions of the medicines you purchase when you shop with us.
Your medicine will be with you in no time at all, and if you order before 2pm, you will benefit from next day delivery.
Pregnancy and breastfeeding
Emla numbing cream may not be suitable for women to use while they are pregnant. If you are currently pregnant, think you may be pregnant, or are trying to get pregnant, you should make sure your doctor is aware.
Read more about using EMLA Cream during pregnacy and breastfeeding.
Emla Cream should also not be used by women who are breastfeeding if you have not informed your doctor first.
Emla Cream Ingredients
Emla Cream contains two active ingredients, lidocaine and prilocaine.
Inactive ingredients also contained in this medication are: macrogolglycerol hydroxystearate, Carbomer 974P, sodium hydroxide and purified water.
Speak to your doctor before you use this cream if you have an allergy to any of these ingredients.
Written by: Hussain Abdeh MPharm: 2211840
Published on: 12/10/2020
Updated on: 26/05/2021
This content has been written by our Superintendent Pharmacist Hussain Abdeh and has been medically reviewed by our Pharmacist Sonia Khan
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