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Lidoderm vs. Desipramine

Head-to-head comparisons of medication uses, side effects, warnings, and more.

Key takeaways

Lidoderm (lidocaine 5% patch) and Norpramin (desipramine) are both prescription medications that treat nerve pain, but they belong to different classes and treat different conditions. Lidoderm is used to relieve nerve pain from shingles, known as postherpetic neuralgia, by numbing the skin. Norpramin, on the other hand, is a tricyclic antidepressant (TCA) used to treat depression by increasing serotonin and norepinephrine levels in the brain. It's also used off-label for certain types of nerve pain. Lidoderm is applied topically as a patch and can be worn for up to 12 hours, while Norpramin is taken orally, usually once a day. Common side effects of Lidoderm include skin irritation and redness, while Norpramin can cause sleepiness, confusion, and weight gain. Additionally, Norpramin has more serious risks, such as suicidal thoughts and heart problems, and it interacts with a wider range of medications compared to Lidoderm.

Lidocaine 5% patch

(Lidoderm)

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Desipramine

(Norpramin)

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Summary for Lidoderm

Prescription only

Lidocaine 5% patch (Lidoderm) is a prescription medication used to relieve nerve pain caused by a shingles infection, also called postherpetic neuralgia (PHN). It's a local anesthetic that works by numbing your nerves to help reduce pain. You apply the patch directly to the painful area of your skin once a day, and it can be worn for up to 12 hours in a 24-hour period. Common side effects include temporary skin irritation, redness, and a mild burning sensation where the patch is applied.

Indications for Lidoderm

Pros and Cons for Lidoderm

Pros

  • Works directly on the skin
  • Generally well-tolerated with few side effects
  • Can cut patches to fit the area of pain

Cons

  • Commonly causes skin irritation
  • Must avoid contact with water wearing the patch
  • Might interact with many medications

Common Side Effects for Lidoderm

  • Blisters
  • Bruising
  • Burning sensation
  • Changes in skin color
  • Rash or redness
  • Swelling
  • Peeling or flaking skin
  • Itching
  • Small bumps or spots
  • Tiny red or purple dots under the skin
  • Tingling or numbness in the area

Warnings for Lidoderm

  • Blood problem (methemoglobinemia)
  • Absorbing too much medication
  • Accidental poisoning in children or pets

Summary for Desipramine

Prescription only

Desipramine (Norpramin) is an tricyclic antidepressant (TCA). It's FDA-approved to treat depression in adults, but it's not a first-choice medication for this condition. Desipramine (Norpramin) is taken by mouth, typically once per day. Side effects of this medication include sleepiness, confusion, and weight gain. It's best to avoid drinking alcohol while taking desipramine (Norpramin) because doing so can worsen side effects.

Indications for Desipramine

Pros and Cons for Desipramine

Pros

  • Available as a lower-cost generic
  • Comes in many different strengths, which makes dose adjustments easier
  • Can be taken just once a day

Cons

Common Side Effects for Desipramine

  • Dry mouth
  • Blurry vision
  • Nausea
  • Vomiting
  • Constipation
  • Sleepiness
  • Dizziness
  • Confusion
  • Anxiety
  • Restlessness

Warnings for Desipramine

  • Worsening depression, suicidal thoughts, and unusual behavior
  • Not for use alone in bipolar disorder
  • Serotonin syndrome
  • Risk of heart problems, heart attack, or stroke
  • Glaucoma
  • Higher risk of falls
  • Seizures

Prices with our coupons for Lidoderm vs. Desipramine

Price Card Drug Icon
Lidocaine30 patches / 5%
$60.19$128.58
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Desipramine90 tablets / 25mg
$29.82-
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