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A 33-year-old member asked:

i am allergic to novacain, septocaine, and lidocaine. what options can the dentist use?

8 doctor answers14 doctors weighed in
Dr. Leonard Pizzolatto
General Practice 41 years experience
Carbocaine: This is an another anesthetic that can be used for dental anesthesia. Than being said there are very very few actual cases of someone being allergic to local anesthetic. What usually happens is the patient is affected by the Epinephrine that is combined with the local anesthetic. A jittery feeling or a racing heartbeat may result. The dentist can use an anesthetic without epinephrine.
Dr. James Wright
Dentistry 33 years experience
Nucalm: Nucalm is a possibility. Nitrous oxide may be helpful. Also oral anti anxiety could help. See your dentist and discuss these options.
Dr. Willis Hardesty
Dentistry 28 years experience
Allergy Test: It is highly suspect that you have a true allergy to lidocaine. It is more likely you are allergic to an additive or preservative in the anesthetic solution. See an allergist to be tested so that you don't have continued dental issues.
Dr. Gary Lederman
Dentistry 40 years experience
Plain carbocaine: The likelihood is that you will tolerate plain carbocaine. It has no vasoconstrictor and no preservatives, the usual cause of allergy to local anesthetics. No worries about latex allergies either, since the stopper is not made of latex.
Dr. Jack Mutnick
Allergy and Immunology 17 years experience
Testing: Your allergist can also perform novocaine, lidocaine, etc testing to truly determine if you are allergic.
Dr. Gary Lederman
Dentistry 40 years experience
Can't agree more that patient should be tested.
Jul 29, 2012
Dr. Orrin Ailloni-Charas
Anesthesiology 29 years experience
If they are: True allergies and not allergies to preservatives mixed with the local or accidental intravascular injections, then i would recommend avoiding local and trying nitrous oxide or monitored anesthesia care wih sedation or general anesthesia. Discuss your options with your dentist.
Dr. Richard Ruden
Dentistry 38 years experience
Carbocaine: You may have problems with the Epinephrine in the locals you mentioned so have your dentist try Carbocaine which does not contain lidocaine.
Dr. LEONARD FAZIO
Dentistry 33 years experience
Citanest Plain: Very well tolerated by most epinephrine-sensitive patients.. Hard to get. Most docs don't have it. Perpetually on back order.

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