Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 11/13/2025

Reconstituting Ceftriaxone with Lidocaine for Intramuscular Administration

Standard Reconstitution Practice

  • The Centers for Disease Control and Prevention recommends reconstituting ceftriaxone with 1% lidocaine solution when administering intramuscularly to reduce injection pain 1
  • Use 1% lidocaine (without epinephrine) as the diluent for intramuscular ceftriaxone administration, as recommended by the CDC 1

Important Safety Considerations

  • The CDC advises against using lidocaine with epinephrine for reconstitution, and instead recommends using plain 1% lidocaine 1
  • The CDC specifically notes that intravenous ceftriaxone should never be reconstituted with lidocaine, and this reconstitution method is only for intramuscular administration 1