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Lidocaine hydrochloride + neomycin sulfate + bacitracin zinc + polymyxin B is a **topical first-aid antibacterial and local-anesthetic combination**. Bacitracin inhibits bacterial cell-wall synthesis, neomycin inhibits bacterial protein synthesis through the 30S ribosomal subunit, and polymyxin B disrupts susceptible bacterial outer membranes through interaction with lipopolysaccharide; lidocaine provides local analgesia by inhibiting neuronal sodium-channel-mediated impulse conduction. The combination is marketed in multiple nonprescription topical products and strengths, including ReCellTis Wound Cream, which contains bacitracin zinc, neomycin sulfate, polymyxin B sulfate, and lidocaine hydrochloride and is labeled for topical use on wounds such as cuts, scrapes, and burns. ([dailymed.nlm.nih.gov](https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=8902aa55-547d-787f-e053-2a95a90a2289))
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