Cophenylcaine

Question 1

Cophenylcaine

Presentation

Answer 1

Topical pump spray containing:
• Lignocaine hydrochloride 50mg/ml
• Phenylephrine 5mg/ml

Question 2

Cophenylcaine

Use

Answer 2

• Local pain: abrasions, small cuts and wounds
• Relief of mild and moderate epistaxis
• Post tonsillectomy haemorrhage
• Intra-oral haemorrhage

Question 3

Cophenylcaine

Type

Answer 3

topical local anaesthetic and haemorrhage control agent for the relief of surface pain, nasal and oral bleeding..

Question 4

Cophenylcaine
Dose

(adult & paed Inc repeats +multiple routes)

Answer 4

Adult:
• Intranasal: Max 10 squirts (5 squirts per nostril)
• Topically: Max 5 squirts
• Oral use: 1 spray then pause, repeat if required to max. 5 sprays.
Paediatric:
• Intranasal:
o 2-4 years: 1 squirt per nostril
o 4-8 years: 2 squirts per nostril
o 8-12 years: 3 squirts per nostril
• Topically: Max 5 squirts
• Oral use: 1 spray then pause, repeat if required to max. 5 sprays

Question 5

Cophenylcaine

Actions

Answer 5

Topical local anaesthetic

Question 6

Cophenylcaine

Contraindications

Answer 6

• Hypersensitivity to phenylephrine, lignocaine or other anaesthetics
• Children <2yrs
• Pregnancy
.

Question 7

Cophenylcaine

Adverse effects

Answer 7

Transient bitter taste.

Question 8

Cophenylcaine

Precautions

Answer 8

• Used with caution in patients with cardiovascular, hepatic and/or renal disease.
• For oral use, nozzle inserted within the anterior 1/3 of mouth to avoid gag stimulation.
• Each spray delivers 100 microlitres of fluid. The dose of lignocaine in each squirt is 5 mg and the dose of phenylephrine in each squirt is 0.5mg
.