A 30-year-old member asked:
Disclaimer

what is the best local anestesic of choice when pregnant lidocaine (category b) or mepivacaine (cat c)?

3 doctor answers
Dr. Jeff Livingston
21 years experience Obstetrics and Gynecology
Doctor preference: I would leave this decision up to the surgeon or anesthesiologist. Both medications are used frequently and safely. As a patient you want the people with the scalpel to feel comfortable and to be working in their normal environment and routine.
Answered on Sep 29, 2012
Dr. James Henning
49 years experience Anesthesiology
No Right Answer: The local anesthetics lidocaine, Mepivacaine and bupivicaine have similar chemical profiles (they are called amino amides) and work well in epidural anesthesia. Although bupivicaine has become quite popular among obstetrical anesthesiologists and obstetricians, there is no "best choice" except for that drug used most often and with which the OB team has had the most experience. Consult with them!
Answered on Jun 28, 2014
Dr. Richard Pollard
29 years experience Anesthesiology
See below: Depends. For an IV insertion Lidocaine is best. Fast onset and fast removal. For a spinal i would use bupivicaine for a spinal, and Lidocaine for an epidural. Talk to your anesthesiologist for their opinion. If you are talking about dental procedures the amount used is so small that it should not affect the fetus.
Answered on Apr 24, 2015

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month

Related questions:

A 24-year-old female asked:
Dr. James Ferguson
45 years experience Pediatrics
Wouldn't think so: To affect a fetus any medication exposure would need to reach a detectable level in the blood flowing through the placenta. A local injection of xyloc ... Read More
A 37-year-old female asked:
Dr. Stuart Hickerson
31 years experience Family Medicine
Use the Nitrous: Most dentists are skilled at administering nitrous oxide or "laughing gas" . However if you are female make sure you are not pregnant. Two other com ... Read More
1
1 thank
A -1-year-old male asked:
Dr. Addagada Rao
55 years experience General Surgery
Alternative: If are allergic to xylocaine, (lidocaine) most likely you are allergic to all ' caine' agents like benzecaine, procaine , tetracaine etc have to us ... Read More
1
1 thank
A 37-year-old member asked:
Dr. Ali Seifi
Dr. Ali Seifi answered
24 years experience Critical Care
Dyspareunia : Ouch !: I don't know if you are female or male ? Generally speaking you can use Emla (lidocaine and prilocaine) cream ( needs prescription ) or Lidocaine spr ... Read More

90,000 U.S. doctors in 147 specialties are here to answer your questions or offer you advice, prescriptions, and more. Get help now:

Ask doctors free
Personalized answers
Free
Talk to a doctor
Unlimited visits
$10/month