Dryden, NY
A 70-year-old female asked:

Will the plastic surgeon be able to complete excise my melanoma in situ on top of my tibia bone with carbocaine instead of lidocaine. i cant take epinephrine?

2 doctor answers2 doctors weighed in
Dr. Stanley Katz
Dermatology 49 years experience
most likely....may be a bit more bleeding, b but I'm fairly certain that any capable surgeon can deal with such conditions. Always can address this concern to him.
Created for people with ongoing healthcare needs but benefits everyone.
Dr. Daniel Ziegler
Emergency Medicine 32 years experience
mepivacaine (Carbocaine) is a local anesthetic for dentistry. Its quick and lasts longer than lidocaine. For longer medical procedures surgeons use bupivicaine. All 3 can be mixed with epinephrine (adrenaline) to decrease blood flow to the area so the anesthetic doesn't wash out as quickly and there is less bleeding. Use of epinephrine is avoided in older patients and those with heart conditions
Created for people with ongoing healthcare needs but benefits everyone.
Last updated Mar 14, 2021
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