2 displacement with diethylamine yields lidocaine in excellent yield under mild conditions. To further enhance process sustainability, the crude reaction mixture was subjected to a liquid-liquid extraction using a hydrophobic DES composed of menthol and decanoic acid (1 : 1 molar ratio). This innovative work-up step avoids the use of conventional organic solvents and enables direct transfer of the synthesized lidocaine into a biocompatible eutectic phase already reported for lidocaine-based formulations and delivery systems. GC-MS and FT-IR analyses confirmed exclusive partitioning of lidocaine into the hydrophobic DES. Green metrics (CHEM21) demonstrate a reduced process mass intensity (PMI) and solvent burden compared to classical routes. This study demonstrates how DESs can act simultaneously as reaction media, extractants, and formulation matrices, providing a practical blueprint for sustainable API manufacturing.