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Two medicines, side by side

Benzocaine vs lidocaine

Benzocaine and lidocaine are both labeled for pain.

Check it at the source: the benzocaine FDA label on DailyMed (effective January 17, 2025); the lidocaine FDA label on DailyMed (effective May 13, 2024).

Highlights of the benzocaine record

Benzocaine · label of January 17, 2025

Used for

From the label: indications

For oral mucosal use only, as directed by dentist. For the temporary relief of pain due to minor dental procedures.

On the market

Earliest approval on file
n/a
Generic labelers
none listed
Pharmacy cost
Not in the survey

Supply and safety

Shortage
No current entry
Recalls
0

Highlights of the lidocaine record

Lidocaine (Xylocaine) · label of May 13, 2024

Used for

From the label: indications

Xylocaine (lidocaine HCl) Injections are indicated for production of local or regional anesthesia by infiltration techniques such as percutaneous injection and intravenous regional anesthesia by peripheral nerve block techniques such as brachial plexus and intercostal and by central neural techniques such as lumbar and caudal epidural blocks, when the accepted procedures for these techniques as described in standard textbooks are observed. […]

On the market

Earliest approval on file
November 19, 1948
Generic labelers
81 labelers
Pharmacy cost
$0.154 per gram

Supply and safety

Shortage
In shortage
Recalls
39

Source: FDA drug labels via openFDA (Benzocaine label of January 17, 2025, Lidocaine label of May 13, 2024); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do benzocaine and lidocaine differ on the record?

Generics: benzocaine none approved; lidocaine since 1971 (Drugs@FDA).

BenzocaineLidocaine
Labeled forPainPain
Pharmacologic classn/aAmide Local Anesthetic, Antiarrhythmic
How it works (label)n/aMechanism of Action Lidocaine HCl stabilizes the neuronal membrane by inhibiting the ionic fluxes required for the initiation and conduction of impulses thereby effecting local anesthetic action.
Half-life (label)n/aThe elimination half-life of lidocaine HCl following an intravenous bolus injection is typically 1.5 to 2 hours.
Earliest approval on file (Drugs@FDA)n/aNovember 19, 1948
First generic approvednoneJune 30, 1971
Generic labelers (NDC)none listed81 labelers
Pharmacy cost (NADAC, each one's most listed form; strengths differ)n/a$0.154 per gram (Lidocaine 5% ointment)
12-month price changen/a-8%
Boxed warningNoNo
Shortage nowNo current entryIn shortage
Recalls recorded039
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)1,03671,853
DEA schedulenonenone

Source: Drugs@FDA, FDA NDC Directory, CMS NADAC of October 7, 2026, FDA shortages and recalls, FAERS via openFDA (FDA files October 8, 2026)

What next?

Alternatives to benzocaine
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