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Some commonly used brand names are:
In the U.S.—
Another commonly used name for lidocaine is lignocaine .
Parenteral-local anesthetics (an-ess-THET-iks) are given by injection to cause loss of feeling before and during surgery, dental procedures (including dental surgery), or labor and delivery. These medicines do not cause loss of consciousness.
These medicines are given only by or under the immediate supervision of a medical doctor or dentist, or by a specially trained nurse, in the doctor"s office or in a hospital.
These medicines are available in the following dosage forms:
Before Receiving This Medicine
In deciding to use a medicine, the risks of using the medicine must be weighed against the good it will do. This is a decision you and your medical doctor, dentist, or nurse will make. For local anesthetics, the following should be considered:
Allergies—Tell your medical doctor, dentist, or nurse if you have ever had any unusual or allergic reaction to a local anesthetic or to epinephrine (e.g., Adrenalin). Also tell your medical doctor, dentist, nurse, or pharmacist if you are allergic to any other substances, such as sulfites or other preservatives, especially aminobenzoic acid (also called para-aminobenzoic acid [PABA]).
Pregnancy—Local anesthetics have not been reported to cause birth defects in humans.
Use of a local anesthetic during labor and delivery may rarely cause unwanted effects. These medicines may increase the length of labor by making it more difficult for the mother to bear down (push). They may also cause unwanted effects in the fetus or newborn baby, especially if certain medical problems are present at the time of delivery. Before receiving a local anesthetic for labor and delivery, you should discuss with your doctor the good that this medicine will do as well as the risks of receiving it.
Breast-feeding—It is not known whether local anesthetics pass into breast milk. However, these medicines have not been reported to cause problems in nursing babies.
Children—Children may be especially sensitive to the effects of parenteral-local anesthetics. This may increase the chance of side effects.
Older adults—Elderly people are especially sensitive to the effects of parenteral-local anesthetics. This may increase the chance of side effects.
Other medicines—Although certain medicines should not be used together at all, in other cases two different medicines may be used together even if an interaction might occur. In these cases, your medical doctor, dentist, or nurse may want to change the dose, or other precautions may be necessary. It is very important that you tell the person in charge if you are taking:
Other medical problems—The presence of other medical problems may affect the use of local anesthetics. Make sure you tell your medical doctor, dentist, or nurse if you have any other medical problems, especially:
Proper Use of This Medicine
Dosing—The dose of a local anesthetic will be different for different patients. Your health care professional will decide on the right amount for you, depending on:
Precautions After Receiving This Medicine
For patients going home before the numbness or loss of feeling caused by a local anesthetic wears off:
Side Effects of This Medicine
Along with its needed effects, a medicine may cause some unwanted effects. Although not all of these side effects may occur, if they do occur they may need medical attention. While you are in the hospital or your medical doctor"s or dentist"s office, your medical doctor, dentist, or nurse will carefully follow the effects of any medicine you have received. However, some effects may not be noticed until later.
Check with your dentist or medical doctor immediately if any of the following side effects occur:
Less common or rare
Bluish lips and fingernails; breathing problems; chest pain; convulsions (seizures); dizziness; drowsiness; fatigue; fever; headache; irregular heartbeat; itching; nausea and/or vomiting; pale skin, troubled breathing, exertional, unusual bleeding or bruising, unusual tiredness or weakness; raised red swellings on the skin, lips, tongue, or in the throat; rapid heart rate; restlessness; unusual tiredness or weakness
Check with your dentist or medical doctor as soon as possible if any of the following side effects occur:
Less common or rare
Back pain; constipation; difficulty in opening the mouth; inability to hold bowel movement and/or urine; loss of sexual function; paralysis of legs; persistent numbness; prolonged numbness or tingling of lips and mouth; shivering; skin rash; tingling or “pins and needles” sensation
Other side effects not listed above may also occur in some patients. If you notice any other effects, check with your medical doctor or dentist.
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