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Two medicines, side by side

Lidocaine vs methyl salicylate

Lidocaine and methyl salicylate are both labeled for pain.

Check it at the source: the lidocaine FDA label on DailyMed (effective May 13, 2024); the methyl salicylate FDA label on DailyMed (effective July 10, 2026).

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

Highlights of the methyl salicylate record

Methyl salicylate · label of July 10, 2026

Used for

From the label: indications

Uses for the temporary relief of minor aches and pains of muscles and joints associated with arthritis, strains, bruises and sprains provides penetrating pain relief provides warming pain relief

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

Source: FDA drug labels via openFDA (Lidocaine label of May 13, 2024, Methyl salicylate label of July 10, 2026); NDC Directory, Drugs@FDA, NADAC, FDA shortages and recalls (October 8, 2026)

How do lidocaine and methyl salicylate differ on the record?

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

LidocaineMethyl salicylate
Labeled forPainPain
Pharmacologic classAmide Local Anesthetic, Antiarrhythmicn/a
How it works (label)Mechanism 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.n/a
Half-life (label)The elimination half-life of lidocaine HCl following an intravenous bolus injection is typically 1.5 to 2 hours.n/a
Earliest approval on file (Drugs@FDA)November 19, 1948n/a
First generic approvedJune 30, 1971none
Generic labelers (NDC)81 labelersnone listed
Pharmacy cost (NADAC, each one's most listed form; strengths differ)$0.154 per gram (Lidocaine 5% ointment)n/a
12-month price change-8%n/a
Boxed warningNoNo
Shortage nowIn shortageNo current entry
Recalls recorded390
FAERS reports (a report is not proof of cause; counts follow how widely a medicine is used)71,853228
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?

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