Are there remedies for hiccups, and do lidocaine (local anesthetic) eardrops help alleviate hiccups?

Medical Advisory BoardAll articles are reviewed for accuracy by our Medical Advisory Board
Educational purpose only • Exercise caution as content is pending human review
Article Review Status
Submitted
Under Review
Approved

Last updated: March 6, 2025View editorial policy

Personalize

Help us tailor your experience

Which best describes you? Your choice helps us use language that's most understandable for you.

From the Research

For mild hiccups, simple techniques like holding your breath for 10-20 seconds, drinking cold water quickly, gargling with ice water, breathing into a paper bag for a few minutes, or pulling gently on your tongue can help reset your diaphragm's normal rhythm, but lidocaine eardrops are not a standard treatment for hiccups. For persistent hiccups (lasting more than 48 hours), it is essential to consult a healthcare provider who might prescribe medications like baclofen (5-10 mg three times daily), chlorpromazine (25-50 mg), or metoclopramide (10 mg) 1. While lidocaine can be used medically for hiccups, it's typically administered as a viscous solution for gargling or through a nebulizer under medical supervision, not as eardrops 2. Lidocaine works by blocking nerve signals that contribute to hiccups, but using eardrops for this purpose lacks scientific evidence and could be potentially harmful if not used as directed. Some key points to consider when treating hiccups include:

  • Identifying the underlying cause of the hiccups, whether central or peripheral, to guide treatment 3
  • Using a systematic approach to treatment, starting with simple physical maneuvers and progressing to pharmacological interventions as needed 3
  • Considering the use of baclofen, metoclopramide, or other medications as prescribed by a healthcare provider 1, 3
  • Avoiding the use of lidocaine eardrops due to the lack of scientific evidence supporting their effectiveness and potential for harm 2. Always consult a healthcare provider for persistent hiccups rather than repurposing medications.

References

Research

Successful treatment of intractable hiccups by oral application of lidocaine.

Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2012

Research

Management of hiccups in palliative care patients.

BMJ supportive & palliative care, 2018

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

Have a follow-up question?

Our Medical A.I. is used by practicing medical doctors at top research institutions around the world. Ask any follow up question and get world-class guideline-backed answers instantly.