Lidocaine tetracaine numbing cream

Why practices use LT creams

Lidocaine is an amide anesthetic that does the bulk of the numbing. Tetracaine is a potent ester that adds depth and stretches duration. Together, at compounded strength, they give a deeper and longer block than any over-the-counter 4 to 5% lidocaine cream.

The reason many practices choose an LT formula over BLT is benzocaine. Some patients react to it, and some laser protocols prefer to avoid it. Dropping benzocaine costs a little surface speed, so expect closer to 20 minutes than 15.

23/7 Or 30/7?

Both use 7% tetracaine. The difference is lidocaine load. A 30/7 like MediCaine Elite carries roughly 30% more lidocaine than 23/7, which practices use for thicker skin, laser hair removal on dense areas, and patients who still feel a 23/7. Keep surface area conservative and remove the cream fully before treatment.

When BLT is the better pick

For injectables, microneedling and most facial work, BLT 20/10/10 gets to working depth faster. For lips, threads and long sessions, Ultra adds prilocaine. The tier comparison maps each procedure to a formula.

Safety

Absorption rises with large areas, occlusion, heat and broken skin. The FDA has warned about serious reactions when compounded topical anesthetics were used over large areas under wrap. Use the smallest effective area and dwell time, screen for anesthetic allergy, and follow your supervising provider's protocol.

Pricing

Elite runs $80 for 30 g to $220 for 200 g, and $290 for a 454 g jar, shipping included. Auto-reorder saves 15%. See pricing or wholesale.