EMLA

This topical anesthetic is available for the treatment of intense pain only by prescription.  It is a cream made with two chemicals (lidocaine and prilocaine) that when combined, dull and numb the pain.  EMLA is commonly applied by a physician before a pain-inducing process.  This may include getting a shot (especially for children), having blood extracted, inserting an intravenous line (IV), or having a growth (i.e. wart) removed.

LIDOCAINE PATCH

This anesthetic is also available only by a doctor's presciption most often given for severe pain relief associated with postherpetic neuralgia (post shingles) and pain from significant nerve damage.

OVER-THE-COUNTER

Several topical anesthetics are available for mild pain relief without a prescription (over-the-counter).  Some brand names include Nupercainal, Xylocaine, Zilactin-L, Lanacane, Solarcain and Prax.  The OTC medicines such as those mentioned above contain various numbing agents such as dibucaine, lidocaine, benzocaine and pramoxine.
Local anesthetics are a specific type of topical pain relievers that include chemicals (usually lidocaine) to numb a localized area.
Anesthetics
(local, topical)
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