Lidocaine + Prilocaine

Lidocaine and prilocaine are local anaesthetic agents of the amide type. Both work by stabilising the neuronal membranes and inhibiting the ionic fluxes required for the initiation and conduction of impulses, thereby giving rise to the anaesthetic action.

ব্যবহার

Indicated as a topical anesthetic for use on normal intact skin for local analgesia, genital mucous membranes for superficial minor surgery and as pretreatment for infiltration anesthesia

Lidocaine + Prilocaine এর দাম কত? Lidocaine + Prilocaine এর দাম

Lidocaine + Prilocaine in bangla
বাণিজ্যিক নাম	Lidocaine + Prilocaine
জেনেরিক	Lidocaine + Prilocaine
ধরণ
পরিমাপ
দাম
চিকিৎসাগত শ্রেণি	Local & Surface anesthesia, Topical Local Anesthetics
উৎপাদনকারী
উপলভ্য দেশ	Bangladesh
সর্বশেষ সম্পাদনা	September 24, 2024 at 5:38 am

খাওয়ার নিয়ম / ব্যবহারের নিয়ম

Lidocaine + Prilocaine খাওয়ার নিয়ম / ব্যবহারের নিয়ম

A thick layer of Lidocaine & Prilocaine cream is applied to intact skin and covered with an occlusive dressing.

Minor Dermal Procedures: For intravenous cannulation and venipuncture, apply 2.5 grams ofLidocaine & Prilocaine cream over 20 – 25cm2 of skin surface for at least 1 hour.

Major Dermal Procedures: For more painful dermatological procedures involving a larger skinarea, apply 2grams of Lidocaine & Prilocaine cream per 10cm2 of skin and allow to remain in contact with theskin for at least 2 hours.

Adult Male Genital Skin: As an adjunct prior to local anesthetic infiltration, apply a thick layer ofLidocaine & Prilocaine cream to the skin surface for 15 minutes. Local anesthetic infiltration should beperformed immediately after removal of Lidocaine & Prilocaine cream.

Adult Female GenitalMucous Membranes: For minor procedures on the femaleexternal genitalia, such as removal of condylomata acuminata, as well as for use as pretreatmentfor anesthetic infiltration, apply a thick layer (5-10 grams) of Lidocaine & Prilocaine cream for 5 to 10 minutes.Occlusion is not necessary for absorption, but may be helpful to keep the cream in place.Patients should be lying down during the Lidocaine & Prilocaine cream application, especially if no occlusion isused. The procedure or the local anesthetic infiltration should be performed immediately afterthe removal of Lidocaine & Prilocaine cream.

Pediatric Patients: The following are the maximum recommended doses, application areas andapplication times for Lidocaine & Prilocaine cream based on a child’s age and weight:

0 to 3 months or <5 kg: Maximum Total Dose1 gm,Maximum Application Time: 1 hour
3 to 12 months and >5 kg:Maximum Total Dose 2 gm, Maximum Application Time 4 hour
1 to 6 years and >10 kg:Maximum Total Dose 10 gm, Maximum Application Time 4 hour
7 to 12 years and >20 kg:Maximum Total Dose 20 gm, Maximum Application Time 4 hour

পার্শ্বপ্রতিক্রিয়া

Nervousness, dizziness, blurred vision, tremors, drowsiness, convulsions, unconsciousness, respiratory arrest, hypotension, myocardial depression, bradycardia, cardiac arrest and anaphylactoid reactions (cutaneous lesion, urticaria, oedema).

সতর্কতা

Absorption from wound surfaces and mucous membranes is relatively high, especially in the bronchial tree. This cream should be used with caution in patients with traumatised mucosa and/or sepsis in the region of the proposed application. If the dose or site of administration is likely to result in high blood levels, cream should be used cautiously in patients with epilepsy, impaired cardiac condition, bradycardia, impaired hepatic function and in severe shock. The use of oropharyngeal topical anesthetic agents may interfere with swallowing and thus enhance the danger of aspiration. This is particularly important in children because of their frequency of eating. Numbness of the tongue or buccal mucosa may increase the danger of biting trauma.

মিথস্ক্রিয়া

Cream should be used with caution in patients receiving antiarrhythmic drugs, such as tocainide, since the toxic effects are additive.

গর্ভাবস্থাকালীন ব্যবহার

There is no, or inadequate, evidence of safety of the drug in human pregnancy but it has been in wide use for many years without apparent ill consequence. If drug therapy is needed in pregnancy, this drug can be used if there is no safer alternative. Cream enters the mothers milk, but in such small quantities that there is generally no risk of affecting the child at therapeutic dose levels.

বৈপরীত্য

Hypersensitivity to local anaesthetics of the amide type or to any other component of the product.

অতিরিক্ত সতর্কতা

তীব্র ওভারডোজ

Toxic levels of lidocaine (>5 µg/ml) and/or prilocaine (>6 µg/ml) may decrease cardiac output, total peripheral resistance and mean arterial pressure. These changes are due to direct depressant effects of these local anaesthetic agents on the CVS.