Lidocaine and epinephrine and Timolol interaction

Lidocaine and epinephrine and Timolol: both prescribing labels describe an interaction that usually calls for monitoring, a dose change, or spacing the doses.

Moderate

Usually manageable with monitoring or a dose change. Tell your pharmacist you take both.

What the FDA labels say

From the Lidocaine and epinephrine (Flavalta) label · effective 2026-03-31

Moderate

Risk of Hypertension and Bradycardia Due to Drug Interactions Between FLAVALTA and Nonselective Beta-Adrenergic Antagonists Administration of FLAVALTA (containing a vasoconstrictor, epinephrine) in patients receiving nonselective beta-adrenergic antagonists may cause severe hypertension and bradycardia.

Warnings and precautionsby drug classView label on DailyMed
Moderate

Nonselective Beta-Adrenergic Antagonists Administration of FLAVALTA solution (containing a vasoconstrictor, epinephrine), in patients receiving a nonselective beta-adrenergic antagonist may result in dose-dependent hypertension and bradycardia with possible heart block.

Drug interactionsby drug classView label on DailyMed
Minor

Nonselective Beta-Adrenergic Antagonists: Administration of FLAVALTA (containing a vasoconstrictor, epinephrine), in patients receiving nonselective beta-adrenergic antagonist may cause severe hypertension and bradycardia.

Drug interactionsby drug classView label on DailyMed

From the Timolol (Timolol Maleate) label · effective 2024-11-04

Moderate

Such patients may be unresponsive to the usual doses of epinephrine used to treat anaphylactic reactions.

Warnings and precautionsnames Lidocaine and epinephrineView label on DailyMed
Moderate

If necessary during surgery, the effects of beta-adrenergic blocking agents may be reversed by sufficient doses of adrenergic agonists.

Warnings and precautionsby drug classView label on DailyMed

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Not medical advice. Interaction Checker quotes FDA label text and NIH fact sheets. Whether an interaction matters for you depends on doses, timing, kidney and liver function, and other conditions. Confirm with a pharmacist or prescriber.