5 doctors weighed in:

But when it comes to local anaesthetics during ear, nasal or throat surgury, are lidocaine and cocaine interchangable? Or is that fair to say, somehow cocaine=lidocaine+Epinephrine? Thank you very much!

5 doctors weighed in
Dr. Paul Grin
Pain Management
1 doctor agrees

In brief: Cocaine or LA w/epi

Because local blocks often require several additional injections, many surgeons prefer general anesthesia or deep sedation.

In brief: Cocaine or LA w/epi

Because local blocks often require several additional injections, many surgeons prefer general anesthesia or deep sedation.
Dr. Paul Grin
Dr. Paul Grin
Thank
Dr. John Chiu
Internal Medicine - Allergy & Immunology
1 doctor agrees

In brief: Somewhat

Cocaine constricts the blood vessels and thus provides long duration of action (this also is the cause septum perforation for some users).
Lidocaine does not constrict the blood vessels and thus epinephrine is usually added in order to prolong its action. They are not interchangeable however.

In brief: Somewhat

Cocaine constricts the blood vessels and thus provides long duration of action (this also is the cause septum perforation for some users).
Lidocaine does not constrict the blood vessels and thus epinephrine is usually added in order to prolong its action. They are not interchangeable however.
Dr. John Chiu
Dr. John Chiu
Thank
Dr. Louis Gallia
Surgery - Oral & Maxillofacial

In brief: No

No. Different drugs, different indications.
OFten used together. Ask your ENT surgeon about what he/she plans to use.

In brief: No

No. Different drugs, different indications.
OFten used together. Ask your ENT surgeon about what he/she plans to use.
Dr. Louis Gallia
Dr. Louis Gallia
Thank
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