lidocaine (Xylocaine, Lignocaine)

Other Medications

US Off-label EU EMA Approved ES Hospital use other indication IV 11 Clinical Trials
Voltage-gated sodium channels

Description

Lidocaine is a local anesthetic and antiarrhythmic agent from the amide class that is used perioperatively in colorectal cancer surgery to improve postoperative outcomes. In CRC treatment, lidocaine is administered as a continuous intravenous infusion during and after surgical resection to reduce postoperative pain, decrease opioid requirements, and potentially improve long-term survival outcomes. The drug serves as an adjunctive perioperative intervention rather than a direct anticancer therapy, with clinical evidence suggesting benefits for immune function preservation and enhanced recovery after colorectal surgery.

Mechanism of Action

Lidocaine blocks voltage-gated sodium channels in nerve cell membranes, preventing the initiation and propagation of nerve impulses to provide analgesic effects. Beyond its anesthetic properties, lidocaine exhibits anti-inflammatory effects by reducing cytokine release and may help preserve immune function during the perioperative period, which could potentially impact long-term cancer outcomes.

Molecular Targets

Side Effects

Dizziness Drowsiness Nausea Vomiting Metallic taste Tinnitus Perioral numbness Cardiac arrhythmias

Not all side effects are listed. Side effects vary by individual. Always consult your oncologist.

Clinical Trials

NCT06923787 Phase 2
Recruiting
Effect of Perioperative Intravenous Infusion of Lidocaine on the Postoperative Course and the Immune Response in Patients Undergoing Surgery for Colon Cancer - the PILDI Study
Slovenia
NCT07432399 Phase 2
Recruiting
Effect of Perioperative Lidocaine or High-Dose Dexamethasone on Immune Response in Colon Cancer Surgery (PILDI Study)
Slovenia
NCT06272461 Not Applicable
Recruiting
Comparison of Intravenous Lidocaine vs Ketamine in Colorectal Surgery
Tunisia
NCT06405776 Not Applicable
Recruiting
Effect of Lidocaine on Postoperative Pain and Long-term Survival in Elderly Patients Undergoing Colorectal Surgery
China
NCT05920980 Not Applicable
Completed
Effect of Lidocaine on Postoperative Pain in Elderlypatients Undergoing Colorectal Cancer Surgery
China
NCT05742438 Not Applicable
Archived
Effects of Dexmedetomidine/Lidocaine/Intrathecal Morphine on Cancer Metastasis Biomarker After Colorectal Surgery
South Korea
View all 11 clinical trials →