Emla Cream 5% (5g Pack)
₨15,000.00
EMLA Cream 5% is a topical anaesthetic containing two active ingredients: lidocaine 2.5% and prilocaine 2.5%, manufactured by AstraZeneca, one of the world’s leading pharmaceutical companies. Applied to intact skin before a procedure, EMLA numbs the area effectively, significantly reducing pain and discomfort. Online Pharmacy supplies original AstraZeneca EMLA with same-day delivery in Karachi and nationwide delivery across Pakistan.
Product Description:
Brand: Emla
Packet Size: 1’s Cream Tube
Active ingredient: Lidocaine and Prilocaine
Manufacturer: Aspen Pharmacare
Treatment: Numbing the skin to Prevent Pain
✓ Medically reviewed by
Dr. Irfan Zia
Pharm.D · DRAP Reg. No. 1921245 · Reviewed March 2026
This product has been reviewed and approved by our DRAP-registered pharmacist for clinical accuracy. All medicines on onlinepharmacy.pk are authentic and sourced from licensed suppliers.
Additional Details
What is EMLA Cream used for?
EMLA 5% cream is one of the most widely used topical anaesthetics in the world. In Pakistan, it is used across multiple settings:
- Laser hair removal and laser skin treatments: Applied 60–90 minutes before the session under cling wrap to significantly reduce the stinging and burning sensation associated with laser procedures. Widely used at dermatology clinics and beauty centres.
- Minor dermatological procedures: Skin biopsies, mole removal, wart treatment, dermal filler injections, and other minor skin procedures. Typically applied 45–60 minutes before the procedure.
- Vaccination in children: Paediatricians recommend EMLA before routine injections to reduce pain and distress in infants and children. Applied 60 minutes before the injection.
- IV cannulation and blood tests: Applied to the insertion site before venesection or cannulation to reduce pain of needle insertion, particularly useful for children and needle-phobic patients.
- Tattooing: Applied 60–90 minutes before the session to reduce pain during tattooing. Compatible with skin preparation for tattooing.
- Waxing: Applied 30–45 minutes before waxing sensitive areas to reduce discomfort.
How to use EMLA Cream — step by step
- Step 1: Clean and dry the skin area to be treated
- Step 2: Apply a thick layer of EMLA cream — do not rub in; the cream should form a visible white layer on the skin
- Step 3: Cover the cream with an airtight occlusive dressing (cling wrap works well) to prevent evaporation and improve absorption
- Step 4: Leave in place for the recommended time (see below)
- Step 5: Remove the dressing and wipe off the cream thoroughly before the procedure
- Step 6: Proceed with the laser treatment, procedure, injection, or tattooing session
How long before should I apply EMLA?
- Minor procedures and vaccination: 45–60 minutes
- Laser hair removal: 60–90 minutes
- Tattooing and waxing: 60–90 minutes
- IV cannulation / blood test: 45–60 minutes
- Maximum application time: 5 hours on intact skin (longer on genital mucosa may be used under medical supervision)
Dosage by age for vaccination
- Infants 3–11 months: 0.5g to 1g per site — apply 1 hour before vaccination
- Children 1–5 years: up to 1g per site — apply 1 hour before
- Children 6 years and above/adults: 1–2g per site — apply 1 hour before
Paediatric note: For newborns under 3 months, consult your paediatrician before using EMLA as the safety profile in very young infants requires specialist assessment.
Side effects
Local reactions at the application site are the most common side effects: mild and temporary paleness (pallor), redness (erythema), or swelling after removal. These are normal and resolve within 1–2 hours. Rare: allergic contact dermatitis in patients with known lidocaine or prilocaine sensitivity. Systemic absorption is minimal at recommended doses on intact skin.
Who should not use EMLA?
- Patients with known hypersensitivity to lidocaine, prilocaine, or other amide-type local anaesthetics
- Patients with congenital or idiopathic methaemoglobinaemia
- Do not apply to open wounds, broken skin, or mucous membranes (unless under specialist direction)
- Do not apply near the eyes
- Do not use in neonates (under 37 weeks gestational age) without specialist advice
Storage
- Store below 25°C. Do not freeze.
- Keep tube tightly closed between uses.
- Keep out of reach of children.
- Once opened, the 30g tube can be stored and reused within the expiry date.
Why buy EMLA from Online Pharmacy?
- Original AstraZeneca EMLA — not a substitute, generic, or locally manufactured equivalent
- Two pack sizes available (5g and 30g) — choose the right size for your needs
- Same-day delivery in Karachi for orders placed before 12 PM
- No prescription required — straightforward OTC purchase
- Nationwide delivery in 2–4 business days
Medical disclaimer: For educational purposes only. Consult your dermatologist or paediatrician for specific dosing guidance. For children under 12 months, always consult a paediatrician before use. Emergency: 1122.
Recommended Dosage of Emla 5mg Cream
The recommended dosage of Emla 5% cream is based on the area of the skin to which it is applied. The usual dose is 1 gram of cream for each area of skin that is 10 cm² (10 square centimeters) in size, applied for 1 to 5 hours under a dressing. The maximum dose is 60 grams, and the cream should not be used on an area of newly shaven skin larger than 600 cm² (600 square centimeters) in size.
For more information be sure to visit Online Pharmacy or you can talk with doctor for complete guidance.
Warnings and Precautions
Warnings:
Be cautious of an overdose of numbing medicine like Emla, as it can be fatal if too much is absorbed through your skin. Symptoms of an overdose might include uneven heartbeats, seizures, coma, slowed breathing, or respiratory failure.
It’s important to use only the smallest amount of Emla cream necessary to numb the skin. Don’t use it on the overall area with a bandage or plastic wrap without asking your doctor. It’s very important that if the skin is cut or irritated that can absorb more of the medicine than healthy skin.
Be particularly cautious if you’re involved in cosmetic procedures where a medical doctor might not be present. Inform your doctor if you have liver disease, a history of allergic reactions to lidocaine or prilocaine, or a personal or family history of methemoglobinemia or any genetic enzyme deficiency.
While the treated area is numb, be careful to avoid injury from hot or cold surfaces.
Precautions:
Before using Emla cream, make sure to talk with the doctor. If you’re allergic to lidocaine, prilocaine, or any other amide anesthetics like bupivacaine. Emla cream may contain inactive ingredients that could cause allergic reactions or other issues.
Additionally, share your medical history with your healthcare provider, particularly if you have heart disease (including irregular heartbeat), kidney disease, liver disease, or a specific blood disorder (methemoglobinemia).
It’s very important to talk with your doctor if you have heart disease (including a disturbed heartbeat), kidney disease, liver disease, or a blood disorder (methemoglobinemia).
Possible Side Effects of Emla Cream
If you experience any signs of an allergic reaction to Emla Cream, such as hives, difficulty breathing, or swelling of your face, lips, tongue, or throat, seek emergency medical help immediately.
You Should Contact Your Doctor Right Away If You Encounter:
- Severe burning, stinging, or irritation.
- Swelling or redness at the application site.
- Sudden dizziness or drowsiness after applying the cream.
- Confusion, blurred vision, or ringing in your ears.
- Bruising or a purple appearance of the skin.
- Unusual sensations of temperature.
Common Side Effects of Emla Cream May Include:
Mild burning
Itching or rash.
Changes in skin color
Remember, these are not all the possible side effects that you might experience. We’re here to inform you of all the complete guidelines for a safe and comfortable treatment with Emla cream.
If you have any concerns, then make sure to talk with your doctor for complete guidelines.
Can We Use Other Medicines with Emla Cream?
When using Emla Cream, it’s very important to talk with your doctor about all the medicines you’re currently using as well as any new medicines you start or stop using during your treatment with Emla Cream.
Medicines such as chloroquine, dapsone, nitrofurantoin, isosorbide dinitrate, nitroglycerin, nitroprusside, and quinine.
Heart rhythm medications like amiodarone, dofetilide, dronedarone, mexiletine, sotalol, and tocainide, among others.
Seizure medications, including phenobarbital, phenytoin, and primaquine.
Can Alcohol Drinker Use Elma Cream?
It’s very important to avoid drinking alcohol while you’re using Emla Cream, as alcohol can give you the risk of side effects like dizziness, drowsiness, and problems in concentrating.
Can You Use Emla Cream If You’re Pregnant?
You can use EMLA cream during pregnancy, but it’s very important to talk with your doctor before using EMLA cream. If you’re pregnant or breastfeeding, breastfeeding then it’s very important to talk with your doctor and get complete guidance regarding your specific health condition.
owais ahmed –
Great results and no discomfort at all.
Abu Bakar –
best numbing cream, especially for needle insertions.
wasay shiekh –
works well for me and customer service helped me very well for all questions.
Hira Baig –
My dermatologist recommended EMLA before laser hair removal. Applied 45 minutes before as instructed under cling wrap — the numbing effect was good and the session was much more comfortable. Received original AstraZeneca EMLA in sealed packaging. Ordered twice and will continue using this platform.
Sana Malik –
Applied EMLA cream to my daughter’s arm before her vaccination as the paediatrician suggested. She felt very little discomfort. The pharmacist confirmed the correct application time and amount for children before I ordered. Original product delivered the next day. Good experience all round.
Zara Hussain –
Ordered from two other platforms before trying Online Pharmacy and the products were questionable. Here I received original AstraZeneca EMLA with a clear batch number, proper expiry date, and sealed packaging. The pharmacist also confirmed the correct application method. This is now my regular source.
Faisal Anwar –
Use EMLA cream before tattooing sessions and order it regularly from Online Pharmacy. Product is always the original AstraZeneca formulation — sealed, correct batch, well within expiry. Same-day delivery in Karachi is convenient. Ordered three times without any issues.