Intravenous Lidocaine for Refractory Chronic Orofacial Pain : Two case reports and a literature review

Abdulaziz Almahrezi, Louise Lamb, Mark A Ware, Yoram Shir, Ibrahim Al-Zakwani


This report presents the results of treatment of two adults, at the Pain Center of Montreal General Hospital, Canada, with intravenous lidocaine for intractable orofacial pain. Repeated lidocaine infusions (1mg/kg in a bolus, followed by 4mg/kg infused over 1 hour) resulted in satisfactory pain relief in both patients, and the drug was well tolerated. Intravenous lidocaine therapy may be considered for intractable orofacial pain; further research is warranted.




Facial pain; Lidocaine; Therapeutics; Humans; Review; Literature; Case reports; Canada

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Sultan Qaboos University Medical Journal, College of Medicine and Health Sciences, Sultan Qaboos University, PO Box 35, Postal Code 123, Al-Khod, Muscat, Oman

ISSN (Print edition): 2075-051X ISSN (Internet edition): 2075-0528

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