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Is Lidocaine Safe For Cats? Our Vet Discusses Safety & Risks

Written by: Dr. Chyrle Bonk DVM (Veterinarian)

Last Updated on October 2, 2024 by Catster Editorial Team

a vial of Lidocaine

Is Lidocaine Safe For Cats? Our Vet Discusses Safety & Risks

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Dr. Chyrle Bonk Photo

WRITTEN BY

Dr. Chyrle Bonk

DVM

The information is current and up-to-date in accordance with the latest veterinarian research.

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Even though cats typically aren’t as vocal or outwardly expressive of their pain as canines, they do still experience pain, leading veterinarians to look for safe and effective pain management medications. One that you may be wondering about is lidocaine. Is it safe for cats? The answer is yes when it’s used at the proper dosage, but it may not be the best choice for your feline friend. Here’s what you need to know about lidocaine use in cats.

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What Is Lidocaine?

Lidocaine, or Xylocaine, has many potential uses in veterinary medicine. It is a local anesthetic, meaning it blocks pain responses to an area without affecting consciousness. Therefore, it is commonly used for minor surgeries, such as removing small growths, setting up nerve blocks or epidurals for pain management or surgery, or controlling local pain.

Lidocaine also affects the heart and can be used to treat arrhythmias or abnormal heart rhythms. In felines, it is typically used to desensitize the larynx before inserting an endotracheal tube when they are undergoing general anesthesia.

Even though lidocaine is great for many uses in animals, it needs to be used with caution in cats because they seem to be more sensitive to it, with a toxic dose being about half of what it is in dogs.

a woman using EMLA (Lidocaine + Prilocaine) A topical anesthetic cream used to numb the skin
Image Credit: luchschenF, Shutterstock

How Is Lidocaine Given?

You’ll likely not run across lidocaine except perhaps in human topical ointments or sprays. Remember, don’t use any human medications on your cat without a veterinary prescription. Instead, any interactions with lidocaine will likely be when it is used on your cat by your veterinarian in the clinic.

Lidocaine can be injected into the skin to desensitize a painful area or that needs to be worked on, such as suturing up a wound or taking a biopsy. It may also be injected around nerves to prevent pain, which can be used in diagnostics and surgeries. It may be used in epidurals to decrease the amount of general anesthesia needed for certain surgeries and may be sprayed down a cat’s throat before intubating them for surgery.

For animals with heart arrhythmias, lidocaine may be given intravenously to help right those rhythms, or it may be applied on the skin via an ointment, spray, or patch to help control pain.

While lidocaine has been proven to be extremely useful, it can also be toxic to cats at fairly low doses, so your vet will use it with caution or choose a different medication instead.

Potential Side Effects of Lidocaine in Cats

A cat’s body doesn’t handle lidocaine the same way that a dog’s does. Instead, they start to exhibit signs related to the central nervous system, even when used at low doses.

These include:
  • Lethargy
  • Depression
  • Incoordination
  • Muscle tremors
  • Nausea/vomiting
  • Seizures
Less-noticeable signs include:
  • Low blood pressure
  • Cardiac effects

Keep in mind that most reactions are fairly mild when lidocaine is given as a local anesthetic or topically, but they can be worse if it’s given intravenously, especially in high amounts, or epidurally. That said, as long as your vet prescribes lidocaine at the proper dose for your cat, you likely won’t see any of these signs at home.

Veteterinarian explaining to woman cat medical condition
Image Credit: Nestor Rizhniak, Shutterstock

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Frequently Asked Questions (FAQ)

Can I Use Lidocaine on My Cat?

Most applications of lidocaine will be done in a veterinary clinic rather than at home, but there may be times when your vet prescribes a lidocaine ointment, spray, or patch to help control your kitty’s pain. If this is the case, follow their directions specifically, and don’t use it otherwise unless directed by your veterinarian.

What Is Lidocaine Used For in Animals?

The most common use of lidocaine is as a local anesthetic for diagnostics or minor surgeries, including suturing wounds or biopsies. It may also be used to block specific nerves, such as for a tooth extraction. In felines, it may be used to desensitize the throat to ease intubation for general anesthesia, and it can be given intravenously to treat cardiac arrhythmias.

In cats, lidocaine must be used with caution, with vets needing to pay particular attention to doses when using it intravenously or epidurally.

How Can You Treat a Cat’s Pain at Home?

There may be times when your cat is in pain and you want to give them something at home to help them. However, you shouldn’t give your cat anything that hasn’t been prescribed to them for the specific condition that you are trying to treat. There are too many unsafe medications out there, and you may end up hurting your cat more.

Instead, consult your veterinarian to get a proper diagnosis and treatment for whatever it is that’s causing your cat pain. They may be able to recommend various types of pain management and get your cat to feel better safely.

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Conclusion

Lidocaine is considered safe to use in cats at the proper doses and for certain conditions. It is most commonly used as a local anesthetic for minor procedures or pain or as a nerve block for things like extracting teeth. You likely won’t see it given intravenously for heart arrhythmias, like you might in dogs, or given epidurally for specific procedures. Your vet may prescribe topical lidocaine to help manage your cat’s pain in the form of ointments or a patch. Just be sure to follow the instructions and keep your cat from eating the product.


Featured Image Credit: luchschenF, Shutterstock

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