Lidocaine (LID), a tertiary amine drug, is widely used as a local anesthetic for topical anesthesia and also presents antiarrhythmic and analgesic properties. Given its use can induce a temporary loss of sensory, motor, and autonomic function, it has been associated with criminal instances of drug-facilitated sexual assault. Herein, we manufactured an electrochemical paper-based analytical device (ePAD) using the laser-scribed graphene (LSG) technique for LID detection in pharmaceutical and forensic applications. The paper-based devices were characterized by scanning electron microscopy (SEM) and Raman spectroscopy, confirming the porosity and graphene-derived nature of the LSG material. In addition, to enhance the electrocatalytic properties, the LSG electrode was modified with a nanocomposite based on the mixture of multi-walled carbon nanotubes (MWCNT) and poly(3,4-ethylenedioxythiophene) polystyrene sulfonate (PEDOT:PSS). Electrochemical characterizations of the non-modified and MWCNT/PEDOT:PSS-modified electrodes by impedance spectroscopy (EIS), cyclic voltammetry (CV), and differential pulse voltammetry (DPV), revealed the enhancement of the electrochemical properties of the modified electrode, providing higher detectability for LID detection. An analytical curve was built using DPV technique and exhibited a linear response in the concentration range of 31 to 248 µmol L−1 LID. The limits of detection (LOD) and quantification (LOQ) of the method were 0.72 µmol L−1 and 2.39 µmol L−1, respectively. The manufacturing reproducibility of the method was assessed by testing 8 sensors from different batches and provided a relative standard deviation (RSD) of 4.92 % (n = 8). The developed sensor was applied to LID determination in a commercial anesthetic sample and, as proof of the applicability of potential use in crime scenes of drug-facilitating crimes, we analyzed spiked LID in alcoholic drinks (vodka and tequila samples). The recovery percentages ranged from 79 % to 109 %, highlighting the practical use of our portable method for in-field analysis. In addition, four seized cocaine samples containing LID were successfully analyzed to demonstrate the potential use as a LID screening tool in street drug samples.