Oxybuprocaine Hydrochloride

Generic Details

Generic Name

Oxybuprocaine Hydrochloride

Other Names

  • Benoxinate Hydrochloride
  • Novesine
  • Novesin
  • Proculin

Drug Class

  • Topical Anesthetic

Chemical Formula

C17H28ClNO3

Molecular Weight

327.86 g/mol

Mechanism of Action

  • Blocks voltage-gated sodium channels, inhibiting nerve conduction

Indications

  • Ophthalmic procedures
  • Eye examinations
  • Removal of foreign bodies from the eye

Common Dosage Forms

  • Ophthalmic solution

Typical Dosage

  • Instill 1 to 2 drops into the conjunctival sac of the eye(s) as needed

Pediatric Dosage

  • Dosing adjustments may be needed based on weight and age

Geriatric Dosage

  • Lower doses may be required due to decreased metabolism

Side Effects

  • Burning sensation
  • Stinging
  • Redness of the eye
  • Temporary blurred vision

Contraindications

  • Hypersensitivity to local anesthetics

Pregnancy Category

  • C - Safety in pregnancy has not been established

Lactation Safety

  • Use with caution as it is unknown if excreted in breast milk

Drug Interactions

  • No significant drug interactions reported

Overdose Symptoms

  • Systemic toxicity, central nervous system depression

Antidote for Overdose

  • Supportive care and monitoring

Storage Conditions

  • Store at room temperature away from light and moisture

Pharmacokinetics

  • Absorption: Rapidly absorbed through the cornea
  • Distribution: Limited distribution in the eye tissues
  • Metabolism: Metabolized in the liver
  • Excretion: Excreted in urine as metabolites

Precautions

  • Avoid contact with soft contact lenses
  • Do not use if solution is discolored or contains particles

Warnings

  • Not for injection
  • Do not use for prolonged periods without medical supervision

Others

  • Ensure patient's corneal integrity before use
  • Do not touch the dropper tip to avoid contamination