Xylocaine pump spray is a non-sterile solution used to numb (anaesthetize) parts of the body to reduce pain and reflex gagging. It contains the active ingredient lidocaine, which belongs to a group of medicines called local anaesthetics. Each dose (one spray) contains 10 mg of lidocaine. The other ingredients include ethanol, levomenthol, macrogol 400, essence of banana (contains propylene glycol), saccharin, purified water, and 1 mg of propylene glycol (an excipient of the banana essence) .

Positive aspects:

• Xylocaine pump spray is an effective local anesthetic that can reduce pain and reflex gagging.
• It is easy to use and comes with a spray pump closure.
• It has a mild effect on mental function and does not impair locomotion and coordination.

Negative aspects:

• Xylocaine pump spray should not be used if you are hypersensitive to the active substance, to any of the excipients listed in section 6.1, or to local anaesthetics of the amide-type.
• It is probably porphyrinogenic and should only be prescribed to patients with acute porphyria on strong or urgent indications.
• Lidocaine should be used with caution in patients receiving other local anaesthetics or agents structurally related to amide-type local anaesthetics.
• In extremely rare cases, amide-type local anaesthetic preparations have been associated with allergic reactions (in the most severe instances anaphylactic shock) .

In summary, Xylocaine pump spray is an effective local anesthetic that can reduce pain and reflex gagging. It contains lidocaine and other ingredients such as ethanol, levomenthol, and essence of banana. However, it should not be used in certain cases and should be used with caution in others.