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Kräm 25 mg/g + 25 mg/g
(vit, mjuk kräm)

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ATC-kod: N01BB20
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  • Vad är miljöinformation?



Miljöinformationen för lidokain är framtagen av företaget Roche för Rocephalin® med lidokain

Miljörisk: Användning av lidokain har bedömts medföra försumbar risk för miljöpåverkan.
Nedbrytning: Lidokain är potentiellt persistent.
Bioackumulering: Lidokain har låg potential att bioackumuleras.

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Detaljerad miljöinformation

The assessment for Lidocaine is based on the following entries of sales data from IQVIA - kg consumption/2017:


CAS no.


kg (2017)





Lidocaine hydrochloride (water free)




Lidocaine hydrochloride (monohydrat)




Lidocaine (total)


Identification and characterisation

Chemical name: Lidocaine

CAS number: 137-58-6

Molecular weight: 234.3408 [1]

Remark: -

Brand name: Rocephalin® med lidokain [1]

Physico-chemical properties

Water solubility:

4000 mg/l as Lidocaine base [10]

680000 mg/l as Lidocaine hydrochloride monohydrate [10]

Dissociation constant, pKa:

8.05 (in 170 mM NaCl at 25 °C, with no added buffers) [9]

7.84 (25 °C) [10]

Melting point:

68–69 °C as Lidocaine base [10]

76–79 °C as Lidocaine hydrochloride monohydrate [10]

Vapour pressure: ND

Boiling point: ND

KH: 8.77*E–09 atm*m3/mol QSAR

QSAR = QSAR-modelled (EPISuite, SPARC, ACD Solaris)

Predicted Environmental Concentration (PEC)

PEC is calculated according to the formula:

PEC (μg/L) = (A x 1'000'000'000 x (100-R)) / (365 x P x V x D x 100) = 1.5 x 10-6 x A x (100 - R) = 0.332 μg/L


A Sold quantity = 2214.9394 kg/y calculaed sales data for Lidocaine (total) (total sold amount API in Sweden year 2017, data from IQVIA)

R Removal rate = 0 % Default value [2]

P Population of Sweden = 9000000

V Volume of Wastewater = 200 l/day Default value [2]

D Factor for Dilution = 10 Default value [2]

Predicted No Effect Concentration (PNEC)

Ecotoxicological Studies

Green alga (Scenedesmus vacuolatus): [4]

ErC50 24 h (growth rate) at pH 6.5 = 135 mg/l (no standard method)

ErC50 24 h (growth rate) at pH 7.5 = 161 mg/l (no standard method)

ErC50 24 h (growth rate) at pH 8.5 = 142 mg/l (no standard method)

ErC50 24 h (growth rate) at pH 9.0 = 128 mg/l (no standard method)

ErC50 24 h (growth rate) at pH 10.0 = 108 mg/l (no standard method)

(Algae were maintained as batch cultures in Talaquil medium at 25 °C under photosynthetically active radiation (PAR) of 170 ± 20μEm−2 s−1. The buffer constitution of the medium was increased to 20 mM to reach pH-stability over the test period. The buffer constitution was varied with pH as follows: 20mM MES (2-(N morpholino)ethanesulfonic acid, CAS 4432-31-9) was used for pH 6.5, 20 mM MOPS (3-(Nmorpholino) propanesulfonic acid, CAS 1132-61-2) for pH 7.5, 20 mM HEPPS (4 (2-hydroxyethyl)-1-piperazinepropanesulfonic acid, CAS 16052-06-5) for pH 8.5, 20 mM CHES (2-(cyclohexylamino)ethanesulfonic acid, CAS 103-47-9) for pH 9.0, and 20 mM CAPS (3- (cyclohexylamino)-1-propanesulfonic acid, CAS 1135-40-6) for pH 10.0. Algae were grown in medium at the different pH values for at least 3 days before the experiment to allow for adaptation. The test was conducted using OD-readings for the determination of the growth rate μ during 24 h.) [4]

Water-flea (Daphnia magna): cited in: [5]

EC50 48 h (immobilization) = 112 mg/l (OECD 202)

Thamnocephalus platyurus (anostracan crustacean) [8]

LC50 24 h (mortality) = 81.7 mg/l (Thamnotoxkit microbiotest)

Zebra fish (Danio rerio): cited in: [5]

LC50 96 h (mortality) = 106 mg/l (OECD 203)

Zebra fish (Danio rerio) Embryo Test: [11]

LC50 24 h (mortality) = 23 mg/l (OECD 236, adapted)



PNEC Derivation

The PNEC is based on the following data:

PNEC (mg/l) = lowest LC50/1000, where 1000 is the assessment factor used. An LC50 of 23000 μg/l in the Zebra fish (Danio rerio) Embryo Test has been used for this calculation.

PNEC = 23000 / 1000 = 23 μg/l

Environmental Risk Classification (PEC/PNEC Ratio)

PEC Predicted Environmental Concentration = 0.332 μg/L

PNEC Predicted No Effect Concentration = 23 μg/L

Ratio PEC/PNEC = 0.014

PEC/PNEC = 0.332/23 = 0.014 for Lidocaine which justifies the phrase 'Use of Lidocaine has been considered to result in insignificant environmental risk.'


Biotic Degradation

Ready biodegradability: ND

Inherent biodegradability: ND

Other degradation information: [6]

Degradation in surface water = 92 d (laboratory, 23 °C, in the dark), = 110 d (field, 2-28 °C, in the dark)

Abiotic Degradation

Photodegradation: = 0.4 d (laboratory, light), = 1.3 d (field, light) [6]

Hydrolysis: ND

Lidocaine is neither readily, nor inherently biodegradable. This justifies the phrase 'Lidocaine is potentially persistent.'


logPOW 1.66 QSAR [3]

logPOW 2.44 method unknown, cited in: [3]

logDOW 1.63 (pH 7.4, 25 °C) [9]

logDOW 1.66 (phosphate buffer, pH 7.4, 25 °C) [10]

KOC ≤420 QSAR [3]

BCF <20 QSAR [3]

Lidocaine has low potential for bioaccumulation (log DOW <4 at pH 7.4).


Lidocaine is metabolized chiefly by the liver. Its major degradative pathway is conversion to monoethylglycinexylidide by oxidative N-deethylation followed by hydrolysis to 2,6-xylidine. Further conversion of 2,6-xylidine to 4-hydroxy-2,6-xylidine appears to occur in man, since the latter compound excreted in urine over a 24-hour period has accounted for over 70% of an orally administered dose of lidocaine. No more than 10% of the dose is excreted as parent lidocaine. [7]


1. F. Hoffmann-La Roche Ltd (2015): Safety Data Sheet for Lidocaine, 15.12.2015; https://www.roche.com/sustainability/what_we_do/for_communities_and_environment/environment/safety_data_sheets-row.htm

2. ECHA, European Chemicals Agency. 2008 Guidance on information requirements and chemical safety assessment. http://guidance.echa.europa.eu/docs/guidance_document/information_requirements_en.htm

3. US Environmental Protection Agency, EPI (Estimation Programs Interface) Suite™ v4.11.

4. Neuwoehner J, Escher BI. 2011. The pH-dependent toxicity of basic pharmaceuticals in the green algae. Aquatic Toxicology 101:266-275.

5. Landesumweltamt Brandenburg (LUA). 2002. Ökotoxikologische Bewertung von Humanarzneimitteln in aquatischen Ökosystemen, Band 39, Studien und Tagungsberichte (ISSN 0948-0838).

6. Rúa-Gómez PC, Püttmann W. 2013. Degradation of lidocaine, tramadol, venlafaxine and the metabolites O-desmethyltramadol and O-desmethylvenlafaxine in surface waters. Chemosphere 90:1952–1959.

7. Collinsworth KA, Kalman SM, Harrison DC. 1974. The clinical pharmacology of lidocaine as an antiarrhythymic drug. Circulation. 50(6):1217-30.

8. Nałecz-Jawecki G, Persoone G. 2006. Toxicity of selected pharmaceuticals to the anostracan crustacean Thamnocephalus platyurus: comparison of sublethal and lethal effect levels with the 1h Rapidtoxkit and the 24h Thamnotoxkit microbiotests. Environ Sci Pollut Res Int. 13(1):22-7.

9. Strichartz GR, Sanchez V, Arthur GR, Chafetz R, Martin D. 1990. Fundamental properties of local anesthetics. II. Measured octanol:buffer partition coefficients and pKa values of clinically used drugs. Anesth Analg. 71(2):158-70.

10. Gröningsson K, Lindgren J-E, Lundberg E, Sandberg R, Wahlén A. 1985. Lidocaine Base and Hydrochloride. Analytical Profiles of Drug Substances. 14:207-243.

11. Lomba L, Ribate MP, Zuriaga E, García CB, Giner B. 2019. Acute and subacute effects of drugs in embryos of Danio rerio . QSAR grouping and modelling. Ecotoxicol Environ Saf. 172:232-239.


Miljörisk: Risk för miljöpåverkan av prilokain kan inte uteslutas då ekotoxikologiska data saknas.
Nedbrytning: Det kan inte uteslutas att prilokain är persistent, då data saknas.
Bioackumulering: Prilokain har låg potential att bioackumuleras.

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Detaljerad miljöinformation

Uppmätt Log Pow = 2,11

Eftersom log Pow <4 bedöms risken för bioacckumulering vara låg.

Ref: ChemIDplus, https://chem.nlm.nih.gov/chemidplus/rn/721-50-6