Lidoderm topical precautions What should I know regarding pregnancy, nursing and administering Lidoderm topical to children or the elderly?If you are: Pregnant: Possibly Safe Nursing: No Known Risk: AMOUNT EXCRETED REPORTED TO BE LOW WITH LOW INFANT ORAL BIOAVAILABILITY An adult over 60: Precaution: POSSIBLE INCR. CNS/CARDIAC ADVERSE REACTIONS. CONSIDER LOWER DOSE. Giving Lidoderm topical to a child under 12: Relative Contraindication: NO SAFETY EFFICACY IN PEDIATRICS. INCR.SENSITIVITY TO ADVERSE EFFECTS.