Tattoo numbing cream in New Zealand
Can you use numbing cream for a tattoo in New Zealand?
Yes, within limits. Lidocaine creams of more than 2% and up to 10% are pharmacy-only medicines in New Zealand, so Emla, Numit and LMX4 are bought over the counter at a pharmacy, not online from overseas. They numb intact skin for roughly an hour or two, which covers a small piece but not a long session, and many artists would rather you did not use them. Ask your artist before the day, not on it.
What numbing creams are legal to buy in New Zealand?
Numbing creams are medicines, so what you can buy is set by Medsafe's classification of lidocaine (also called lignocaine). For external use, medicines containing 2% lidocaine or less are general sale, more than 2% and up to 10% are pharmacy only, and more than 10% are prescription only. That is from Medsafe's classification database as quoted in its September 2024 Medicines Classification Committee paper, read on 23 October 2026.
In practice that means three products sit on pharmacy shelves. Emla and Numit are 2.5% lidocaine plus 2.5% prilocaine, and LMX4 is 4% lidocaine; Medsafe lists all three as pharmacy-only medicines. Chemist Warehouse NZ listed a 5g tube of Emla with two dressings at $17.99 on 23 October 2026, flagged as pharmacy only. Topicaine, a lidocaine, tetracaine and adrenaline solution, is classed as restricted, which means a pharmacist must be involved in the sale.
The strong tattoo creams advertised online, often 5% lidocaine or higher with tetracaine or adrenaline added, are above the general-sale limit and in some cases above the pharmacy-only limit. Buying them from an overseas website is importing a prescription medicine, and the tube that arrives may not contain what the label says.
How long does numbing cream last on a tattoo?
Shorter than the marketing suggests. The LMX4 data sheet says adequate anaesthesia should be obtained after 30 minutes, with the cream covered by an occlusive dressing and removed before the procedure, and that for adults the maximum application time should not exceed five hours. It is approved for small areas before a needle: the stated dose is one to 2.5 grams over a 2.5cm by 2.5cm patch. A tattoo is a lot of 2.5cm patches.
The Emla directions say not to apply it to large areas of the body except on the advice of a healthcare practitioner. The reason is absorption: lidocaine goes through the skin into the blood, and a thick layer over a whole forearm under cling film is a different dose from a 50-cent coin on the back of a hand. For a small, quick tattoo the cream can take the edge off the first half hour. For a three-hour session it will wear off partway through, often leaving the part of the body that had been numb feeling sharper by contrast.
Do tattoo artists allow numbing cream?
Some do, some ask you to tell them first, and some refuse outright. There is no New Zealand rule either way; it is each studio's policy. Artists who dislike it usually give the same reasons: the skin can feel spongy or slippery under the needle, it may swell or hold ink differently, the client stops giving the small signals that tell the artist how the skin is coping, and when the cream wears off mid-session the jump in pain is worse than a steady build would have been.
- Ask when you book, not when you arrive. An artist who finds cream on your skin without warning can refuse to work, and your deposit is usually gone.
- If the studio sells or recommends a product, use that one. They know how their own choice behaves under the needle.
- Tell the artist what you used, how much, and when you put it on. They need the timing to plan the session.
- Never use it on broken skin, a healing tattoo, or over a laser-treated area. Every product label says so.
How to use it if your artist agrees
- Buy it from a pharmacy and read the leaflet. Emla, Numit and LMX4 are the products Medsafe lists as pharmacy only; the pharmacist can tell you which suits the area.
- Patch-test a small spot a day or two before, because reactions to lidocaine or prilocaine happen.
- Apply a thick layer to clean, dry, intact skin, cover with the dressing that comes in the box or with cling film, and note the time.
- Follow the time on the leaflet. LMX4's data sheet says the procedure should start about five minutes after the cream is wiped off.
- Keep it to the size of the tattoo. More cream over more skin is more lidocaine in your blood, not more numbing.
Is the pain worth avoiding?
For most people and most placements, no. Our first-tattoo guide covers it: the discomfort is sharp over bone and thin skin and dull elsewhere, the first ten minutes are the worst, and the body settles. Eating properly, arriving rested and sober, and asking for breaks do more for a long session than any cream, and none of them changes how the skin takes ink. Where cream earns its place is small work on a spot you know you cannot sit through, agreed with the artist in advance.
Nothing here is medical advice. If you have a heart condition, liver problems, are pregnant, or take other medicines, ask the pharmacist before using any numbing cream, which is exactly why these products are pharmacy only.
Sources
- Medsafe, Medicines Classification Committee agenda paper on lidocaine (September 2024), quoting the classification database as at 4 September 2024: medsafe.govt.nz/Profs/Class/Agendas/Agen73/Lignocaine.pdf
- Medsafe, LMX4 lidocaine 4% w/w cream data sheet, revised 12 July 2022: medsafe.govt.nz/profs/Datasheet/l/LMX4crm.pdf
- Chemist Warehouse NZ, Emla Cream 1 x 5g tube with 2 dressings, read 23 October 2026: chemistwarehouse.co.nz/buy/87800
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