14 doctors weighed in:

I am allergic to novacain, septocaine, and lidocaine. What options can the dentist use?

14 doctors weighed in
Dr. Jack Mutnick
Internal Medicine - Allergy & Immunology
7 doctors agree

In brief: Testing

Your allergist can also perform novocaine, lidocaine, etc testing to truly determine if you are allergic.

In brief: Testing

Your allergist can also perform novocaine, lidocaine, etc testing to truly determine if you are allergic.
Dr. Jack Mutnick
Dr. Jack Mutnick
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1 comment
Dr. Gary Lederman
Can't agree more that patient should be tested.
Dr. Gary Lederman
Dentistry
5 doctors agree

In brief: 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.

In brief: 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. Gary Lederman
Dr. Gary Lederman
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3 doctors agree

In brief: 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.

In brief: 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. Willis Hardesty
Dr. Willis Hardesty
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Dr. Orrin Ailloni-Charas
Anesthesiology
2 doctors agree

In brief: 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.

In brief: 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. Orrin Ailloni-Charas
Dr. Orrin Ailloni-Charas
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Dr. James Wright
Dentistry
2 doctors agree

In brief: Nucalm

Nucalm is a possibility.
Nitrous oxide may be helpful. Also oral anti anxiety could help. See your dentist and discuss these options.

In brief: Nucalm

Nucalm is a possibility.
Nitrous oxide may be helpful. Also oral anti anxiety could help. See your dentist and discuss these options.
Dr. James Wright
Dr. James Wright
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Dr. Leonard Pizzolatto
General Practice
2 doctors agree

In brief: 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.

In brief: 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. Leonard Pizzolatto
Dr. Leonard Pizzolatto
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Dr. LEONARD FAZIO
Dentistry
1 doctor agrees

In brief: Citanest Plain

Very well tolerated by most epinephrine-sensitive patients.
. Hard to get. Most docs don't have it. Perpetually on back order.

In brief: Citanest Plain

Very well tolerated by most epinephrine-sensitive patients.
. Hard to get. Most docs don't have it. Perpetually on back order.
Dr. LEONARD FAZIO
Dr. LEONARD FAZIO
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Dr. Richard Ruden
Dentistry

In brief: Carbocaine

You may have problems with the Epinephrine in the locals you mentioned so have your dentist try Carbocaine which does not contain lidocaine.

In brief: 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. Richard Ruden
Dr. Richard Ruden
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