Lidocaine/Lignocaine Flashcards
What are the pharmacological properties of lidocaine/lignocaine?
Highly lipophilic, therefore rapidly absorbed and short onset of action
What is the metabolism of lidocaine/lignocaine?
Hepatic 95%
What is the elimination half life of lidocaine/lignocaine?
90-120minutes
What is the onset of action of lidocaine/lignocaine?
2-3minutes
What is the duration of action for lidocaine/lignocaine?
- -60-90 minutes pulp
- -60-120 minutes soft tissues
- with vasoconstrictor
What are the preparations and proprietary names?
- 2% lignocaine with 1:80 000 adrenaline Xylocaine © (most versatile and commonly used)
- 2% lignocaine with 1:100 000 Nurocain ©
- 2% lignocaine plain
What are the dosages for lidocaine/lignocaine?
7mg/kg absolute max (500mg adult) for 2% lignocaine with 1:80 000 adrenaline Xylocaine ©
Indications for lidocaine and lignocaine?
Majority of dental LA
What are the contraindications of lignocaine?
Adrenal Tumors, Uncontrolled Diabetes,
medical conditions