Drugs › Amide local anesthetic
Generic name
Lidocaine patch: adverse event reports filed with FDA
4,474 reports list it as a suspect or interacting product, 2013–2026. Class: Amide local anesthetic.
- 4,474
- reports as suspect product
- 0% of all reports · about 356 a year
- 113
- reports, 12 months to June 2026
- 133 in the 12 months before
- 4.3%
- marked serious by the reporter
- 65.1% across the class
- 0.5%
- record death among outcomes, as reported
- 21 reports · not verified by FDA
4,474 adverse event reports received by FDA list lidocaine patch, a generic name as a suspect or interacting product, from December 2013 to June 2026. A further 314 reports list it only as a concomitant medication, and those are not counted in the figures on this page.
In the 12 months to June 2026, 113 reports listed it, down 15% from 133 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Over its reporting history that is about 356 reports a year and 0% of the 20,646,523 reports in the database, and 10.7% of the reports for the amide local anesthetic class. How many people take it is not in the data, so a count is not a rate of occurrence.
The reactions recorded most often are product adhesion issue (64%), product quality issue (59.8%) and off label use (31.4%). A report can list several reactions, so shares add to more than 100%; 202 different terms appear across these reports. Product adhesion issue is recorded in 64% of these reports, with no counterpart in the median amide local anesthetic drug (0%).
4.3% of the reports are marked serious by the reporter (65.1% across the class); 0.5% record death among the outcomes and 0.7% record hospitalisation, as reported. 80.4% of the reports came from consumers, and the largest patient age group is 45 to 64 (16.2%). FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event."
Reports by month, five years
Reports by the month FDA received them. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases.
By year received
2026 covers reports received through June 2026 only.
Reactions recorded in the reports
share of Lidocaine patch reports recording the termmedian drug in amide local anesthetic
- Product adhesion issue64%2,862
- Product quality issuea problem with the product itself59.8%2,676
- Off label useused for a purpose or in a way not on the label31.4%1,403
- Drug ineffectivethe medicine did not work as expected11%493
- Wrong technique in product usage processthe product was used in the wrong way7.4%330
- No adverse eventno adverse event was reported6.7%300
- Painpain, site not specified4%180
- Expired product administeredthe product was used past its expiry date2.5%113
- Product use in unapproved indicationused for a purpose not on the label2.3%105
- Product availability issuethe product was not available1.9%84
- Application site rash1.6%72
- Application site pain1.5%65
- Application site discomfort1.3%58
- Application site erythemaredness where the product was applied1.3%56
- Application site pruritusitching where the product was applied1.2%55
- Product dose omission issuea dose was missed1.2%54
- Inappropriate schedule of product administrationthe product was taken at the wrong times0.8%36
- Drug effect decreasedthe medicine had less effect0.7%33
- Rashskin rash0.7%32
- Incorrect dose administeredthe wrong dose was given0.7%30
- Inappropriate schedule of drug administrationthe medicine was taken at the wrong times0.6%28
- Insurance issue0.6%26
- Falla fall0.5%23
- Hyperhidrosisexcessive sweating0.5%23
Top 30 of 202 MedDRA preferred terms recorded across these reports, with a plain-language gloss where one is available. One report can record several terms. The hollow bar is the median share across the 13 drugs in the amide local anesthetic class; it describes the reports, not the patients. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Outcomes recorded
Outcome flags as the reporter set them; a report can carry several, and "other serious" is FDA's own category for serious reports outside the named outcomes. Grey bar: all 41,804 reports in the class. FDA has not verified any outcome and states that the reports "cannot be used to estimate the incidence of these events."
Patients and reporters
Patient age
Patient sex
Who reported
Age and sex as stated in the report; the reporter's qualification is the primary source recorded by FDA. 99.9% of reports give the United States as the country of the event or reporter.
Reason for use recorded
| Indication as recorded (MedDRA) | Reports | Share |
|---|---|---|
| Back pain | 920 | 20.6% |
| Pain | 881 | 19.7% |
| Off label use | 250 | 5.6% |
| Arthralgia | 228 | 5.1% |
| Arthritis | 105 | 2.3% |
| Neuralgia | 75 | 1.7% |
The indication field is filled in by the reporter and is often blank; shares are of all 4,474 reports.
Drugs most often listed in the same reports
| Drug (any role in the report) | Reports | Share of Lidocaine patch reports |
|---|---|---|
| Gabapentin | 104 | 2.3% |
| Ibuprofen | 51 | 1.1% |
| Tylenol | 49 | 1.1% |
| Oxycodone | 42 | 0.9% |
| Lisinopril | 36 | 0.8% |
| Tramadol | 36 | 0.8% |
| Synthroid | 33 | 0.7% |
| Atorvastatin | 30 | 0.7% |
| Lyrica | 29 | 0.6% |
| Aspirin | 28 | 0.6% |
Other products listed in reports where Lidocaine patch is a suspect product, whatever their own role. Co-listing means the two were recorded together; it says nothing about either product's part in the event. Only the 2,500 most-reported names are counted here.
In context
| Measure | Lidocaine patch | Amide local anesthetic | All reports |
|---|---|---|---|
| Reports as suspect product | 4,474 | 41,804 | 20,646,523 |
| Share of that pool | — | 10.7% | 0% |
| Reports, latest 12 months | 113 | — | 1,332,454 |
| Marked serious | 4.3% | 65.1% | 57.4% |
| Death recorded among outcomes, per 1,000 reports | 5 | 77 | 91 |
| Hospitalisation recorded, per 1,000 reports | 7 | 250 | 213 |
| Consumer-filed share | 80.4% | 27% | 45.8% |
| Top term, share of reports | Product adhesion issue 64% | median 0% | 0.2% |
Shares are of reports, not of patients treated. The number of people taking a product is not in the data, so none of these figures is a rate, and differences between columns reflect who takes a product, who reports and how long it has been sold. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic."
Other drugs in the amide local anesthetic class
| Drug | Name type | Reports | Latest 12 months | Marked serious |
|---|---|---|---|---|
| Lidocaine | generic | 13,993 | 1,469 | 80% |
| Bupivacaine | generic | 5,447 | 310 | 83.3% |
| Lidocaine hydrochloride | generic | 3,047 | 314 | 80.7% |
| Exparel | brand | 2,157 | 217 | 42.4% |
| Marcaine | brand | 2,089 | 50 | 44.1% |
| Xylocaine (lidocaine hcl ) | generic | 2,015 | 109 | 89.9% |
| Bupivacaine hcl | generic | 1,870 | 0 | 45.3% |
| Lidocaine hcl | generic | 1,854 | 0 | 49.5% |
| Bupivacaine hydrochloride | generic | 1,797 | 251 | 62.3% |
| Ropivacaine hydrochloride | generic | 1,388 | 300 | 94.2% |
| Lidoderm | brand | 967 | 7 | 45% |
| Naropin | brand | 706 | 13 | 79.7% |
Ordered by report count for navigation only. FDA states that adverse event reports "represent a small percentage of total usage numbers of a product", that "common products may have a higher number of adverse events due to the higher total number of people using the product", and that the data "by themselves are not an indicator of the safety profile of the drug or biologic." A brand and its generic are separate rows because reporters name them separately.
Questions about Lidocaine patch reports
How many adverse event reports has FDA received for Lidocaine patch?
4,474 reports list Lidocaine patch as a suspect or interacting product in the openFDA FAERS release of 28 Sep 2026, covering reports received through June 2026. 113 of them arrived in the latest 12 months. Another 314 list it only as a concomitant medication.
What reactions are recorded in Lidocaine patch reports?
product adhesion issue (64%), product quality issue (59.8%), off label use (31.4%), drug ineffective for unapproved indication (28.2%) and drug ineffective (11%). These are MedDRA preferred terms coded from what the reporter described; a report can list several, and a term's presence is not a finding that Lidocaine patch was responsible.
How serious are the reports?
4.3% are marked serious by the reporter. Among the outcomes recorded, 0.5% of reports include death and 0.7% include hospitalisation. FDA has not verified these outcomes and states that the reports "cannot be used to estimate the incidence" of the events.
Who files these reports?
consumer or non-health professional (80.4%), pharmacist (9.7%) and not given (6.9%). Most reports reach FDA through the manufacturer, which must forward reports it receives.
Are reports for Lidocaine patch rising?
113 reports in the 12 months to June 2026, down 15% from 133 in the 12 months before. FDA releases FAERS data quarterly, so the newest months are incomplete and grow in later releases. Counts also move with how many people take a product, its time on the market and publicity.
Do these reports show that Lidocaine patch was responsible for these reactions?
No. FDA states that "a causal relationship cannot be established between product and reactions listed in a report" and that for any given report "there is no certainty that a suspected drug caused the event." The reaction may relate to the condition being treated, to other medicines, or to something else.
Is this a list of the side effects of Lidocaine patch?
No. It is a count of what was reported to FDA. The adverse reactions observed in clinical studies are printed on the FDA-approved label, which a pharmacist or clinician can go through with you.
How do I report an adverse event?
Consumers and health professionals can report to FDA through MedWatch (Form FDA 3500 online, or 1-800-FDA-1088), or to the manufacturer, which must pass reports on. See the guide on how to report.
Where this comes from. Counts are built from the openFDA Drug Adverse Event (FAERS) bulk export released 28 Sep 2026, which holds reports FDA received through 30 Jun 2026. Drug names are as reported, resolved to the brand or generic name on the FDA label where openFDA's harmonisation matched them; classes are the pharmacologic class (EPC) from the label and the National Drug Code Directory of 17 Sep 2026. A report counts here when it lists Lidocaine patch as a suspect or interacting product; reports listing it only as a concomitant medication (314) are excluded. No report narrative, lot number, patient detail or reporter identity is published. See the methodology and sources; FDA's record is authoritative, and corrections are handled within five working days.
Drug data (FAERS) through 30 Jun 2026; device data (MAUDE) through 31 Aug 2026. Not medical advice.