Chemocain-A 2%+0.0005% (Injection)
50 ml vial: ৳ 100.00
Medicine Details
| Category | Details |
|---|---|
| Generic | Lidocaine adrenaline |
| Company | Chemist laboratories ltd |
Indications
- Local anesthesia
- Regional anesthesia
- Infiltration techniques
- Peripheral nerve block techniques
- Central neural techniques
- Percutaneous injection
- Brachial plexus block
- Intercostal block
- Lumbar epidural block
- Caudal epidural block
Pharmacology
- Local anaesthetic
- Decreases permeability of sodium ions
- Blocks induction and conduction of nerve impulses
- Combination with epinephrine
- Restricts systemic spread of lidocaine
- Vascular absorption restriction
- Prolongs local anaesthetic effect
Dosage & Administration
- Dependent on route, type, and extent of surgical procedure
- Dependent on duration of anesthesia
- Dependent on patient's condition and age
- Maximum dose for adults with epinephrine
- Maximum dose for children
- Use of ideal body weight in children with high body weight
Interaction
- Halogenated inhalation anaesthetics
- Alpha or beta blocking agents
- Methyldopa
- Guanethidine
- Drugs with vasoconstrictor and pressor effects
- Antihypertensives
- Adrenergic neuron blockers
- Potassium-depleting drugs
- Cardiac glycosides
- Ephedra
- Yohimbe
- Tricyclic antidepressants
Contraindications
- Tachycardia
- Hypertension
- Cerebral arteriosclerosis
- Ischemic heart disease
- Intravenous administration
- Anaesthetise digits or appendages
- Myasthenia gravis
Side Effects
- Minor redness at application site
- Burning at application site
- Irritation at application site
- Numbness at application site
- Lightheadedness
- Nausea
- Severe allergic reactions
- Confusion
- Dizziness
- Fainting
- Irregular heartbeat
- Loss of consciousness
- Mental or mood changes
- Nervousness
- Paleness
- Rash
- Itching
- Swelling
- Seizures
- Shortness of breath
- Blistering of skin
- Tremors
- Vision changes
- Vomiting
Pregnancy & Lactation
- Pregnancy Category C+B
- Consult doctor if pregnant
- Discuss benefits and risks during pregnancy
- Presence in breast milk
- Consult doctor if breastfeeding
- Discuss risks to baby
Precautions & Warnings
- Epilepsy
- Impaired cardiac conduction
- Cerebral hemorrhage
- Diabetes mellitus
- Closed angle glaucoma
- Impaired liver function
- Severe renal dysfunction
- Reduced effect if injected into inflamed or infected area
- Cerebrovascular insufficiency
- Hyperthyroidism
- Neonates
- Elderly
- Patients in poor general condition
- Optimize patient's condition before major block
- Pregnancy
Therapeutic Class
- Local anesthesia
- Surface anesthesia
Reconstitution
- Dilution in glucose 5%
- Dilution in sodium chloride 0.9%
- Dilution in lactated Ringer's solution
Storage Conditions
- Room temperature storage
- Temperature range: 20℃ to 25℃
- Protection from heat and light
- Child-resistant envelope sealing
- Keep out of reach of children
- Keep away from pets