G-Lidocaine 2% (Injection)

2 ml ampoule: ৳ 3.50 (2 x 5: ৳ 35.00)

Medicine Details

Indications

  • Local anaesthetic for infiltration blockade and intravenous regional analgesia
  • Prevention and treatment of ventricular tachyarrhythmias

Description

  • Sterile, non-pyrogenic, aqueous solution
  • Contains G-G-Lidocaine
  • Amide type local anaesthetic
  • Fast onset and intermediate duration of action

Pharmacology

  • Inhibits sodium influx through sodium specific ion channels
  • Acts on voltage-gated sodium channels
  • State dependent blockade

Dosage

  • Adjusted according to patient's response and site of administration
  • Maximum individual dose for healthy adults
  • Recommended doses for infiltration, peripheral nerve blocks, sympathetic nerve blocks, central neural blocks, etc.

Administration

  • Intravenous dose for antiarrhythmic treatment
  • Technique for antiarrhythmic treatment
  • Loading dose for achieving steady state

Interactions

  • Cimetidine can impair metabolism of lidocaine
  • Significant increases in plasma lidocaine concentrations with beta blockers
  • Prolongs duration of action of suxamethonium

Contraindications

  • Known hypersensitivity to anaesthetics of the amide type

Side Effects

  • Rare adverse reactions
  • Systemic effects involving CNS and cardiovascular system
  • Excitatory and depressant CNS reactions
  • Cardiovascular reactions
  • Allergic reactions

Pregnancy & Lactation

  • Caution during early pregnancy
  • Caution when administered to nursing women

Precautions & Warnings

  • Should be employed by clinicians well versed in diagnosis and management of dose-related toxicity
  • Dependence on proper dosage, correct technique, and readiness for emergencies
  • Consulting standard text books for specific techniques and precautions
  • Availability of resuscitative equipment and drugs
  • Caution in patients with epilepsy, impaired cardiac conduction, impaired respiratory function, impaired hepatic function

Use in Special Populations

  • Dosage reduction in children
  • Elderly patients may be more sensitive

Therapeutic Class

  • Local & Surface anesthesia

Storage Conditions

  • Keep below 25°C temperature
  • Away from light & moisture
  • Keep out of the reach of children

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