Lidocaine versus diphenhydramine for numbing simple skin lacerations
Official title: Lidocaine Versus Diphenhydramine to Achieve Local Anesthesia for Laceration Repairs
Run by Florida Atlantic University · NCT06910241 · Data updated 2026-11-12
This study will see if injected diphenhydramine numbs simple lacerations as well as 1% lidocaine for people who need stitches in the emergency department.
Quick facts
| Phase | Phase 3 |
|---|---|
| Study type | Interventional |
| Ages | 18 Years and up |
| Sex | All |
| Enrollment | 100 (estimated) |
| Sponsor | Florida Atlantic University Academic / other |
| Locations | 1 site (Boynton Beach, Florida) |
| Status | Recruiting |
| Started | September 3, 2025 |
| Main results expected | June 30, 2027 |
| Study ends | June 30, 2028 |
| Registry record updated | January 7, 2026 |
| Trial ID | NCT06910241 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are people who present to the emergency department with simple lacerations that need one-layer suturing and can be repaired by emergency physicians.
✕Probably not a fit
Patients with active bleeding, complex or multi-layer lacerations, those needing specialist repair, those allergic to diphenhydramine or lidocaine, or those who would benefit from epinephrine are unlikely to benefit from this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
Adults presenting to the emergency department with simple skin lacerations that require a single-layer suture and are appropriate for repair by emergency physicians will be enrolled. Participants will receive local infiltration with either diphenhydramine or 1% lidocaine and pain scores for the injection and the repair procedure will be recorded. The study is designed as a noninferiority comparison to determine whether diphenhydramine provides similar anesthesia to lidocaine for bedside laceration repair. Patients with active bleeding, complex lacerations, allergies to the study drugs, or cases where epinephrine would be beneficial are excluded.
Why it matters
Potential benefit: If diphenhydramine is noninferior to lidocaine, it could offer an alternative local anesthetic option when lidocaine is contraindicated or unavailable.
How similar studies have gone: Small studies and case reports have shown local diphenhydramine can produce anesthesia for minor procedures, but direct, high-quality comparisons to lidocaine are limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Lacerations requiring one layer of sutures * Lacerations appropriate for repair by emergency physicians Exclusion Criteria: * Active bleeding from laceration * Complex lacerations requiring multiple layers * Lacerations to be repaired by a specialist service * Patients with allergies to either diphenhydramine or lidocaine * Laceration repairs would benefit from the use of epinephrine as an additive to the local anesthetic
Where it's running
-
Bethesda Hospital East
Boynton Beach, Florida, United States Recruiting
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.