<p>Absorption from wound surfaces and mucous membranes is&nbsp;relatively high, especially in the bronchial tree. This cream should be used with caution in&nbsp;patients with traumatised mucosa and/or sepsis in the region of the proposed application. If the&nbsp;dose or site of administration is likely to result in high blood levels, cream should be used&nbsp;cautiously in patients with epilepsy, impaired cardiac condition, bradycardia, impaired hepatic&nbsp;function and in severe shock. The use of oropharyngeal topical anesthetic agents may interfere&nbsp;with swallowing and thus enhance the danger of aspiration. This is particularly important in&nbsp;children because of their frequency of eating. Numbness of the tongue or buccal mucosa may&nbsp;increase the danger of biting trauma.</p>