Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.
Patient leaflets and SmPCs, drug interaction checker, official dosages and NHS pharmacy opening hours — all in one place.
The electronic medicines compendium (emc) no longer publishes a Summary of Product Characteristics for this product, which usually means it is no longer marketed in the UK. The patient leaflet below is kept for reference, but the product may not be available.
If you were prescribed this medicine, other products containing Lidocaine, Tetracaine may still be available. Do not stop your treatment — ask your pharmacist or GP what to use instead.
for Pliaglis® is a cream containing local anaesthetics, lidocaine and tetracaine which are used to numb an area of skin before a painful procedure such as needle insertion or laser treatments.
e Pliaglis® Do not use Pliaglis®
The cream should be left to dry for 30 to 60 minutes depending on the procedure, as determined by your doctor. After waiting for the required application time the dried cream will have formed a soft peel on your skin. Pliaglis® can be removed by grasping a free-edge of the peel and pulling it away from the skin. The peel should be carefully disposed of immediately after removal (see Section 5 for more information on how to dispose the peel). Wipe with a compress (such as a tissue or cotton wool) any remaining peel residue from the area. Hands should be washed immediately after removing and disposal of the peel. If you use more Pliaglis® than you should The maximum application area should not exceed 400 cm2 (no more than two 30 g tubes should be used). If too much Pliaglis® is used you should tell your doctor or pharmacist immediately. If you think the amount of Pliaglis® is too little, tell your doctor immediately. If you have any further questions on the use of this medicine, ask your doctor or pharmacist.
Like all medicines, this medicine can cause side effects, although not everybody gets them. Most side effects happen where the cream has been placed on the skin. They are generally mild, only last for a short time and usually go away after the end of treatment. The two medicines that make up Pliaglis® (lidocaine and tetracaine) may cause allergic (anaphylactoid) reactions such as skin rash, swelling and breathing difficulties. If you experience any of these side effects, you must remove Pliaglis® immediately and contact a doctor. Most of these side effects occurred on the site of application. Very common: may affect more than 1 in 10 people
Marketing Authorisation Holder and Manufacturer Marketing Authorisation Holder in the UK and Ireland: CROMA-PHARMA GmbH Industriezeile 6 2100 Leobendorf Austria Product Licence Number: PL 29863/0003 (UK) & PA0846/003/001 (IRE) Manufacturer: Industrial Farmacéutica Cantabria, S.A. Barrio Solía, no 30 La Concha Villaescusa 39690 Santander Cantabria Spain This medicinal product is authorised in the Member States of the EEA under the following names: AT, BE, FR, DE, EL, IE, IT, LU, NL, PL, PT, ES, UK: PLIAGLIS DK, NO: PLIAPEL This leaflet was last revised in 01/2023.
The following information is intended for medical or healthcare professionals only. Pliaglis® is for single patient use. For facial procedures, Pliaglis® should be applied by healthcare professionals. For procedures on any other part of the body, Pliaglis® should be applied by healthcare professionals or by patients adequately instructed in appropriate application technique. Patients and healthcare professionals are recommended to avoid repeated direct contact with the cream or the skin covered with the cream, in order to prevent contact dermatitis. Pliaglis® should never be applied with fingers. Pliaglis® should only be applied using a flat-surfaced tool such as a spatula or a tongue depressor. Hands should be washed immediately after removing and disposal of the peel. For dermatological procedures such as pulse-dye laser therapy, laser-assisted hair removal, non-ablative laser facial resurfacing, dermal filler injections and vascular access, apply approximately 1.3 g of Pliaglis® per 10 cm2 onto intact skin at a thickness of 1 mm for 30 minutes. For dermatological procedures such as laser-assisted tattoo removal and laser leg vein ablation, apply approximately 1.3 g of Pliaglis® per 10 cm2 onto intact skin at a thickness of 1 mm for 60 minutes. Determine the size of the area to be treated. The table below can be used as an indication of the quantity of cream to be applied to obtain a 1 mm thickness depending on the area to be treated. Surface Area of Treatment Site (cm2)
Approximate weight of Pliaglis® Dispensed (g)
10
1.3
2 fingertip units
50
6.5
Half content of a 15g tube
100
13
Full content of a 15g tube
200
26
Full content of a 30g tube
400
52
Full content of two 30g tubes
The maximum application area should not exceed 400 cm2. 1) Spread Pliaglis® evenly and thinly (approximately 1 mm thickness) across the area to be treated using a flat-surfaced tool such as a metal spatula or tongue depressor. Take care to avoid contact with the patient's eyes and your eyes.
2) Depending on the procedure, the cream should be left to dry either 30 or 60 min. 3) After waiting for the required application time the cream will have formed a pliable peel on the skin. Remove Pliaglis® by grasping a free-edge of the peel with your fingers and pulling it away from the skin
Pliaglis® Keep this medicine out of the sight and reach of children. Do not use this medicine after the expiry date which is stated on the tube and carton after "EXP". The expiry date refers to the last day of that month Pliaglis® should be stored in a refirigerator (2 °C – 8 °C), including after opening. Do not freeze. Once opened, it should be used within 3 months. It is recommended that the date of opening is noted on the packaging. Do not use Pliaglis® if you notice the packaging is damaged in any way. Dispose of waste peel with care, since the waste peel contains concentrated quantities of the ingredients. To help protect the environment, do not flush waste peel down the toilet. Waste peel should be put in a closed container, such as a plastic bag. Do not throw away any medicines via wastewater. Ask your pharmacist how to throw away medicines you no longer use. These measures will help protect the environment.
Always use this medicine exactly as your doctor has told you. Check with your doctor or pharmacist if you are not sure. The recommended dose is approximately 1.3 g of cream per 10 cm2. Pliaglis® is for single patient use. Pliaglis® should only be applied to dry, intact skin. Do NOT apply Pliaglis® on your face yourself. Application of Pliaglis® on your face should only be done by your physician. Pliaglis® has to be spread evenly and thinly (approximately 1 mm thickness) across the area to be treated (as determined by your doctor) using a flat-surfaced tool such as a metal spatula or tongue depressor. Pliaglis® should never be applied with fingers. Do not cover the treated area with an occlusive dressing. Do not touch the cream with your fingers. Take care to avoid contact with the eyes. If Pliaglis® comes into contact with your eye, immediately rinse your eye with water or salt solution and protect it until feeling returns.
What Pliaglis® contains
4) Wipe any remaining peel residue from the area and prepare the patient for the procedure. The duration of skin anaesthesia can last from 2 to 13 hours after removal of the peel. 5) Immediately after removal, the peel should disposed of in accordance with local requirements 6) Wash your hands immediately after removing and disposing of the peel.
PLIA001DEGBIEa
EN
330 x 440 mm | Process Black
Pliaglis® enthält Methyl-4-hydroxybenzoat (E218) und Propyl-4-hydroxybenzoat (E216) Gebrauchsinformation: Information für den Anwender Diese können Überempfindlichkeitsreaktionen, auch Spätreaktionen, hervorrufen. ®
Pliaglis 70 mg/g + 70 mg/g Creme Lidocain und Tetracain
Lesen Sie die gesamte Packungsbeilage sorgfältig durch, bevor Sie mit der Anwendung dieses Arzneimittels beginnen, denn sie enthält wichtige Informationen.
Was in dieser Packungsbeilage steht 1. Was ist Pliaglis® und wofür wird es angewendet? 2. Was sollten Sie vor der Anwendung von Pliaglis® beachten? 3. Wie ist Pliaglis® anzuwenden? 4. Welche Nebenwirkungen sind möglich? 5. Wie ist Pliaglis® aufzubewahren? 6. Inhalt der Packung und weitere Informationen
1. Was ist Pliaglis® und wofür wird es angewendet?
Pliaglis® ist eine Creme, welche die Lokalanästhetika Lidocain und Tetracain enthält. Diese Wirkstoffe werden zur Betäubung von Hautbereichen vor einem schmerzhaften Eingriff angewendet, z. B. vor dem Einführen einer Nadel oder vor Laserbehandlungen.
2. Was sollten Sie vor der Anwendung von Pliaglis® beachten? Pliaglis® darf nicht angewendet werden,
5. Wie ist Pliaglis® aufzubewahren?
Die folgenden Informationen sind nur für Ärzte
Bewahren Sie dieses Arzneimittel für Kinder unzugänglich bzw. für medizinisches Fachpersonal bestimmt: auf. Pliaglis® ist für die Anwendung bei einem einzigen Sie dürfen dieses Arzneimittel nach dem auf dem Umkarton Patienten vorgesehen. und der Tube nach "Verwendbar bis" angegebenen Für Eingriffe am Gesicht sollte Pliaglis® von medizinischem 3. Wie ist Pliaglis® anzuwenden? Verfalldatum nicht mehr verwenden. Das Verfalldatum Fachpersonal aufgetragen werden. Für Eingriffe an anderen bezieht sich auf den letzten Tag des angegebenen Monats. Körperbereichen sollte Pliaglis® von medizinischem Wenden Sie dieses Arzneimittel immer genau nach Absprache mit Ihrem Arzt an. Fragen Sie bei Ihrem Arzt Pliaglis® sollte, auch nach dem Öffnen, im Kühlschrank Fachpersonal oder Patienten aufgetragen werden, oder Apotheker nach, wenn Sie sich nicht sicher sind. (2 °C – 8 °C) gelagert werden. die bezüglich der Applikationstechnik sachgerecht Die empfohlene Dosis beträgt ca. 1,3 g Creme pro 10 cm2. Nicht einfrieren. unterwiesen wurden. Nach dem Öffnen innerhalb von 3 Monaten verwendbar. Patienten und medizinischem Fachpersonal wird Pliaglis® ist für die Anwendung bei nur einem einzigen empfohlen, wiederholten direkten Kontakt mit der Creme Es wird empfohlen, das Datum des Öffnens auf der Patienten vorgesehen. oder der mit der Creme bedeckten Haut zu vermeiden, um Pliaglis® sollte nur auf trockener, intakter Haut angewendet Verpackung zu vermerken. eine Kontaktdermatitis zu vermeiden. Sie dürfen Pliaglis® nicht verwenden, wenn die Packung werden. Pliaglis® sollte nie mit den Fingern aufgetragen werden. Wenden Sie Pliaglis® NICHT selbst an Ihrem Gesicht an. Die in irgendeiner Weise beschädigt ist. Entsorgen Sie die Filmreste mit Vorsicht, da sie Pliaglis® sollte nur mit einem flachen Gegenstand, wie Anwendung von Pliaglis® an Ihrem Gesicht sollte nur von konzentrierte Mengen der Inhaltsstoffe enthalten. zum Beispiel einem Spatel oder einem Zungenspatel Ihrem Arzt durchgeführt werden. Entsorgen Sie die Filmreste zum Schutz der Umwelt aufgetragen werden. Pliaglis® muss gleichmäßig und dünn (ca. 1 mm Dicke) auf Die Hände sollten sofort nach dem Entfernen und die zu behandelnde Fläche (wie von Ihrem Arzt verordnet) nicht über die Toilette. Die Filmreste sollten in einen mit einem flachen Gegenstand, wie z.B. einem Metallspatel geschlossenen Behälter gegeben werden, wie z.B. in einen Entsorgen des Films gewaschen werden. Plastikbeutel. Für dermatologische Eingriffe wie zum Beispiel gepulste oder einem Zungenspatel, aufgetragen werden. Entsorgen Sie Arzneimittel nicht im Abwasser. Fragen Sie Farbstoff-Lasertherapie, laserunterstützte Haarentfernung, Pliaglis® sollte nie mit den Fingern aufgetragen werden. nicht-ablatives Laser-Facial-Resurfacing, Dermal-FillerDecken Sie den behandelten Bereich nicht mit einem dicht Ihren Apotheker, wie das Arzneimittel zu entsorgen ist, wenn Sie es nicht mehr verwenden. Sie tragen damit zum Injektionen und Gefäßzugang sind ca. 1,3 g Pliaglis® pro abschließenden (okklusiven) Verband ab. Schutz der Umwelt bei. 10 cm2 auf intakte Haut mit einer Dicke von 1 mm über Berühren Sie die Creme nicht mit Ihren Fingern. 30 Minuten aufzutragen. Vermeiden Sie Kontakt mit den Augen. Falls Pliaglis® mit 6. Inhalt der Packung und weitere Informationen Für dermatologische Eingriffe wie zum Beispiel Ihren Augen in Kontakt kommt, spülen Sie das betroffene laserunterstützte Entfernung von Tätowierungen und Auge sofort mit Wasser oder Kochsalzlösung und Was Pliaglis® enthält Laserentfernung von Unterschenkelvenen sind ca. 1,3 g schützen Sie das Auge, bis das Gefühl wieder vollständig
PLIA001DEGBIEa
DE
Pliaglis 70mg/g + 70mg/g cream comes as cream containing 70mg / 70mg. Always follow the dose your doctor or pharmacist has given you, and read the leaflet that comes with the medicine.
The active substance in Pliaglis 70mg/g + 70mg/g cream is lidocaine, tetracaine.
This leaflet reproduces the patient information leaflet approved for Pliaglis 70mg/g + 70mg/g cream, as published on the electronic medicines compendium (emc). The version printed inside your medicine’s packaging is the one that applies to you.
Whether a medicine is available over the counter or on prescription only depends on its licence. Check the leaflet, or ask your pharmacist — they can tell you straight away.
The text above reproduces the patient information leaflet approved for this medicine, restructured for easier reading.
Pliaglis is indicated in adults to produce local dermal anaesthesia on intact skin prior to dermatological procedures.
Posology
For use in adults and elderly:
For dermatological procedures such as pulsed-dye laser therapy, laser-assisted hair removal, non-ablative laser facial resurfacing, dermal filler injections and vascular access, Pliaglis should be applied onto intact skin at a thickness of approximately 1mm for 30 minutes (approximately 1.3 g of cream per 10 cm2). After the required time, the peel must then be removed from the skin prior to the procedure.
For dermatological procedures such as laser-assisted tattoo removal, and laser leg vein ablation, Pliaglis should be applied onto intact skin at a thickness of approximately 1mm for 60 minutes (approximately 1.3 g of cream per 10 cm2). After the required time, the peel must then be removed from the skin prior to the procedure.
Surface Area of Treatment Site (cm2)
Approximate weight of Pliaglis Dispensed (g)
10
1.3
2 fingertip units
50
6.5
Half content of a 15g tube
100
13
Full content of a 15g tube
200
26
Full content of a 30g tube
400
52
Full content of two 30g tubes
The maximum application area should not exceed 400 cm2.
Hepatic, renal and cardiac impairment
Pliaglis should be used with caution in patients with hepatic, renal and cardiac impairment (see section 4.4).
Paediatric population
The safety and efficacy of Pliaglis in children and adolescents aged up to 18 years have not been established. Therefore, the use of Pliaglis is not recommended in children and adolescents.
Method of administration
Pliaglis is for single patient use.
Cutaneous use only.
Precautions to be taken before handling or administering the medicinal product
For facial procedures, Pliaglis should be applied by healthcare professionals. For procedures on any other part of the body, Pliaglis should be applied by healthcare professionals or by patients adequately instructed in appropriate application technique.
Patients and healthcare professionals are recommended to avoid direct contact with the cream or the skin covered with the cream in order to prevent contact dermatitis.
Pliaglis should never be applied with fingers.
Pliaglis should only be applied with a flat surfaced tool such as a spatula or tongue depressor.
Hands should be washed immediately after removing and disposal of the peel.
For further instructions on handling and disposal of the medicinal product, see section 6.6.
Hypersensitivity to lidocaine, tetracaine, other anaesthetics of the amide or ester type, to para-aminobenzoic acid (a known by-product of tetracaine metabolism), methyl parahydroxybenzoate (E218), propyl parahydroxybenzoate (E216) or to any of the other excipients listed in section 6.1.
Pliaglis should not be used on mucous membranes or on broken or irritated skin.
Contact with eyes should be avoided. Severe corneal lesions were observed in animal testing of similar products. Pliaglis should be used with caution in the proximity of the eyes. If Pliaglis comes into contact with the eye, the eye should be rinsed immediately with water or sodium chloride solution and should be protected until sensation returns.
Any remaining peel residue should be carefully wiped with a compress after removing Pliaglis peel.
The treated area should not be occluded before removing Pliaglis from the skin.
Pliaglis should not be applied for a longer time than recommended in section 4.2.
Rare allergic or anaphylactoid reactions associated with lidocaine, tetracaine or other ingredients in Pliaglis can occur. Tetracaine may be associated with a higher incidence of such reactions than lidocaine. See section 4.8.
Several local anaesthetics, including tetracaine, have been associated with methemoglobinemia. The risk of methemoglobinemia is greatest for patients with congenital or idiopathic methemoglobinemia.
There were no reports of methemoglobinemia in the trials of Pliaglis. However caution should be exercised to ensure that the doses, areas of application, and duration of application are consistent with those recommended for the intended population.
Lidocaine has been shown to inhibit viral and bacterial growth. The effect of lidocaine and tetracaine cream on intradermal injections of live vaccines has not been determined. Therefore, it is not recommended to use it before injection of live vaccines.
Pliaglis should be used with caution in patients with hepatic, renal or cardiac impairment, and in subjects with increased sensitivity to systemic circulatory effects of lidocaine and tetracaine, such as the acutely ill or debilitated.
Patients must take extra care to avoid inadvertent trauma to the skin (through scratching, rubbing or exposure to extreme temperatures) whilst under the local anaesthetic effects of Pliaglis.
Pliaglis contains methyl parahydroxybenzoate (E218) and propyl parahydroxybenzoate (E216), which may cause allergic reactions (possibly delayed).
No interaction studies have been performed.
The risk of additional systemic toxicity should be considered when Pliaglis is applied to patients receiving Class I antiarrhythmic medicinal products (such as quinidine, disopyramide, tocainide and mexiletine) and class III antiarrhythmic medicinal products (e.g. amiodarone) or other products containing local anaesthetic agents. Interactions following appropriate use of Pliaglis are unlikely since only low concentrations of lidocaine and tetracaine are found in the plasma after topical administration of Pliaglis recommended doses (see section 5.2).
Patients taking drugs associated with drug-induced methemoglobinemia such as fonamides, naphthalene, nitrates and nitrites, nitrofurantoin, nitroglycerin, nitroprusside, pamaquine, and quinine are at greater risk for developing methemoglobinemia.
Should Pliaglis be used concomitantly with other products containing lidocaine and/or tetracaine, cumulative doses from all formulations must be considered.
Pregnancy
There are no or limited amount of data from the use of Pliaglis during pregnancy. Animal studies do not indicate direct or indirect harmful effects of tetracaine with respect to reproductive toxicity. Animal studies are insufficient for lidocaine with respect to reproductive toxicity (see section 5.3). Caution should be exercised when used in pregnant women.
Breastfeeding
Lidocaine and tetracaine are excreted in human milk, but at the recommended doses of Pliaglis, only low effects on breastfed newborns/infants are anticipated.
Therefore, Pliaglis can be used during breast-feeding as long as Pliaglis is not applied to the breast.
Fertility
There are no fertility data for the use of lidocaine and tetracaine in humans.
Lidocaine and tetracaine were not shown to alter fertility in animal studies.
No studies on the effects of Pliaglis on the ability to drive and use machines have been performed.
Pliaglis has no or negligible influence on the ability to drive and use machines.
Localized skin reactions at the application site were very common adverse events in clinical studies with Pliaglis but were generally mild and transient in nature. Undesirable effects listed below include both treatment related adverse events and erythema, skin oedema and skin discoloration assessed on skin reaction evaluation scales. The application site adverse reactions that occurred in more than 10% of patients were erythema and skin discoloration. Skin oedema was a common adverse reaction. All other adverse reactions occurred in less than 1% of patients.
The adverse reactions, presented in the table below, are classified by System Organ Class and frequency, using the following convention: very common (> 1/10), common (> 1/100 to < 1/10), uncommon (> 1/1,000 to < 1/100), rare (> 1/10,000 to < 1/1,000), very rare (<1/10,000), not known (cannot be estimated from the available data). Most of the adverse reactions mentioned in the table below occurred at the application site of the cream.
System Organ Class
Adverse Reactions, including local tolerance signs
Very common
(≥1/10)
Common
(≥1/100 to <1/10)
Uncommon
(≥1/1,000 to <1/100)
Rare
(≥1/10,000 to <1/1,000)
Not known
(cannot be estimated from the available data)
Nervous System Disorders
Paresthesia
Eye Disorders
Eyelid oedema
Skin and Subcutaneous Tissue Disorders
Erythema
Skin discolouration
Skin oedema
Pruritus
Pain of skin
Pallor
Skin burning sensation
Swelling face
Skin exfoliation
Skin irritation
Urticaria
General Disorders and Administration Site Conditions
Pain
Rare allergic or anaphylactoid reactions associated with lidocaine and tetracaine or other ingredients in Pliaglis can occur. See section 4.4.
Systemic adverse reactions following appropriate use of Pliaglis are unlikely due to the small doses of lidocaine and tetracaine that are absorbed (see section 5.2).
Reporting of suspected adverse reactions
Reporting suspected adverse reactions after authorisation of the medicinal product is important. It allows continued monitoring of the benefit/risk balance of the medicinal product. Healthcare professionals are asked to report any suspected adverse reactions via the Yellow Card Scheme. Website: www.mhra.gov.uk/yellowcard or search for MHRA Yellow Card in the Google Play or Apple App Store.
Overdose with Pliaglis is unlikely but signs of systemic toxicity will be similar in nature to those observed after administration of other local anaesthetics, i.e., excitatory CNS symptoms and, in severe cases, CNS depression and myocardial depression.
If overdose occurs, patients must be placed under close observation. Severe neurological symptoms (seizures, CNS depression) may start at plasma concentration of lidocaine as low as 1000 ng/mL. Toxic levels of lidocaine (>5000ng/mL) cause CNS toxicity, including risk of seizure. Signs of overdose require symptomatic treatment such as assisted ventilation and spasmolytic agents. Dialysis is of negligible value in the treatment of acute overdosage of lidocaine or tetracaine. Due to slow systemic absorption, a patient with symptoms of toxicity should be observed for several hours following any treatment of these symptoms.
Medicines sold in Romania with the same active substance: Cunoscut în România ca
⚠ Not the same combination. This medicine contains Lidocaine, Tetracaine. The products below do not contain exactly the same set of active substances — they are not direct substitutes.
Some of these do not contain exactly the same active substances — check each one. The strength, the form and whether you need a prescription can differ. Always ask a pharmacist before you switch. Romanian medicines in the UK →
Medicines sold in Poland with the same active substance: W Polsce znany jako
⚠ Same active substance, but a different pharmaceutical form (for example a gel instead of a tablet). Not interchangeable — ask a pharmacist.
Same active substance. The strength, the form and whether you need a prescription can differ. Always ask a pharmacist before you switch. Polish medicines in the UK →
Ask anything about Pliaglis 70mg/g + 70mg/g cream. The assistant answers only from this leaflet — if the leaflet does not cover it, it will say so. It does not give medical advice.
Answers come from the patient leaflet published on the electronic medicines compendium (emc). They are not medical advice. Ask a pharmacist or your GP if you are unsure. For urgent help call NHS 111, or 999 in an emergency.
We use essential cookies to make the site work. We would also like to set optional cookies to understand how the site is used, so we can improve it. We will not set optional cookies unless you accept. See our cookie policy and privacy policy.