Lignocaine - General Information:
A local anesthetic and cardiac depressant used as an antiarrhythmia agent. Its actions are more intense and its effects more prolonged than those of procaine but its duration of action is shorter than that of bupivacaine or prilocaine. [PubChem]
Lignocaine is an anesthetic agent indicated for production of local or regional anesthesia and in the treatment of ventricular tachycardia occurring during cardiac manipulation, such as surgery or catheterization, or which may occur during acute myocardial infarction, digitalis toxicity, or other cardiac diseases. The mode of action of the antiarrhythmic effect of Lignocaine appears to be similar to that of procaine, procainamide and quinidine. Ventricular excitability is depressed and the stimulation threshold of the ventricle is increased during diastole. The sinoatrial node is, however, unaffected. In contrast to the latter 3 drugs, Lignocaine in therapeutic doses does not produce a significant decrease in arterial pressure or in cardiac contractile force. In larger doses, lidocaine may produce circulatory depression, but the magnitude of the change is less than that found with comparable doses of procainamide.
Lignocaine for patients
Patient may experience temporary loss of sensation and motor activity, usually in the lower half of the body, following proper administration of epidural anesthesia.
The safety and effectiveness of lidocaine depend on proper dosage, correct technique, adequate precautions, and readiness for emergencies. Standard textbooks should be consulted for specific techniques and precautions for various regional anesthetic procedures.
The administration of local anesthetic solutions containing epinephrine or norepinephrine to patients receiving monoamine oxidase inhibitors or tricyclic antidepressants may produce severe, prolonged hypertension.
Phenothiazines and butyrophenones may reduce or reverse the pressor effect of epinephrine.
Concurrent use of these agents should generally be avoided. In situations when concurrent therapy is necessary, careful patient monitoring is essential.
Concurrent administration of vasopressor drugs (for the treatment of hypotension related to obstetric blocks) and ergot-type oxytocic drugs may cause severe, persistent hypertension or cerebrovascular accidents.
Lidocaine is contraindicated in patients with a known history of hypersensitivity to local anesthetics of the amide type.
Other Brand Names containing Lidocaine:
Dalcaine; Lidoject-1; Lidoject-2; Octocaine; Xylocaine; Xylocaine-MPF; Xylocaine-MPF with Glucose; Octocaine-50; Octocaine-100; Xylocaine Test Dose; Xylocaine 5% Spinal; After Burn Double Strength Gel; After Burn Double Strength Spray; After Burn Gel; After Burn Spray; Alphacaine; Anestacon; Anestacon Jelly; Cappicaine; DermaFlex; Duncaine; Emla; Esracaine; Gravocain; Isicaina; Lanabiotic; Leostesin; Lidoderm; Lignocaine; Maricaine; Norwood Sunburn Spray; Rocephin Kit; Xylocaine Dental Ointment; Xylocaine Endotracheal; Xylocaine Viscous; Xylocard; Zilactin-L; Solarcaine; Solarcaine aloe extra burn relief cream; Solcain; Zingo;
Indication, Mechanism Of Action, Drug Interactions, Food Interactions, etc..