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When should doctors use carbocaine with epinephrine and when without epinephrine?

1 doctor weighed in
Dr. Daniel Quon
Surgery - Oral & Maxillofacial

In brief: 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.

In brief: 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.
Dr. Daniel Quon
Dr. Daniel Quon
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