Doctor insights on:
It depends: It depends more on the size of the wound. You didn't provide enough information to answer directly. I usually need less than 10 mL for most of the lacerations I repair in my emergency department. ...Read more
Drinking mepivacaine: First, your mouth will get very numb. Then you may anesthetize the muscles in your mouth and throat and thus feel like you are choking or gagging on your tonge and completely unable to swallow anything (or it may go into your lungs). So this is not a good idea at all. Otherwise, it is not poisonous by itself. ...Read more
Depending: On the quantity,and speed of injection a range from nervous system problems to seizures then cardiac to death ...Read more
Local anesthetics: Hexylcaine has a much shorter half life than mepivicaine. So, in a practical sense mepivicaine is more powerful. ...Read more
What is the best local anestesic of choice when pregnant lidocaine (category b) or mepivacaine (cat c)?
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. ...Read moreSee 2 more doctor answers
Got ehlers danlos syndrome, tooth extraction, it wouldnt budge. Mepivacaine and still felt pain when drilling. Really don't want a general!
Few: Carbocaine is an amide local anesthetic. It's side effects are similar to any amide local anesthetic which can include allergic reactions, nerve injury, and toxicity if overdosed. Sign and symptoms of high levels include ringing in the ears, numbness of the lips, metallic taste in the mouth, confusion, loss of consciousness, heart arrhythmias, or cardiac arrest. ...Read more
Yes: Carbocaine is designed for those individuals with Epinephrine sensitivity. Someone who has cardiac disease or sensitivity to Epinephrine will need Carbocaine for any dental work. It is usually sufficient for root canal treatment. The one downside is that is wears off quickly and is slightly less potent due to the lack of epinephrine. ...Read moreSee 3 more doctor answers
Chemistry: The differences between the three are the active components from which the anesthetics are made. The anesthetics generally fall into one of two categories, amides or esters, and have different levels of duration. Some of the local anesthetics have Epinephrine at different concentrations which can contribute to the duration and effects of the particular anesthetic. ...Read more
Mepivicaine: Mepivicaine (carbocaine) is pregnancy category C, however lidocaine is pregnancy category B and can be used safer. The answer actually depends on what the clinical situation is and whether the drug is needed. Talk to your MD. You can look up any drug and find out its pregnancy category. ...Read more
Carbocaine allergy: It is called also mepivacaine and is a common local anesthetic. Allergic reaction to Carbocaine include hives, difficulty breathing, or swelling or puffiness of your face, lips, tongue, or throat. (sometimes very serious and life threatening) Nervousness, nausea, vomiting, are only side effects. ...Read more
Patient dependent: If the patient has an allergy to xylocaine or lidocaine, Carbocaine is commonly used with or without epinephrine. If a patient has a history of significant cardiovascular disease, Carbocaine without Epinephrine may be the preferred anesthetic. Carbocaine may also be used for patients who do not want a local anesthetic that has a short duration of action, or wears off quickly. ...Read more