What is Citanest plain used for?

4% Citanest Plain is used in dentistry for the production of local anesthesia by infiltration or nerve block. It provides a short pulpal duration anesthesia in the maxilla (approximately 10 minutes), and intermediate pulpal duration anesthesia in mandibular nerve blocks (45-60 minutes) without a vasoconstrictor.

Does Citanest have epinephrine?

4% Citanest Forte DENTAL with Epinephrine 1:200,000 (Citanest Forte) is a sterile, non-pyrogenic, isotonic solution that contains a local anesthetic agent with epinephrine (as bitartrate) and is administered parenterally by injection.

Does prilocaine plain have epinephrine?

For long procedures, or those involving maxillary posterior teeth where soft tissue numbness is not troublesome to the patient, Prilocaine HCI 4% with epinephrine 1:200,000 is recommended.

What is the most common adverse reaction to local anesthetic?

Most emergencies are not due to reactions to the local anesthetic itself, but to the anxiety associated with the injection. The most common reaction is the psychogenic response commonly known as syncope, or fainting. The second most common reaction is hyperventilation or anxiety attack.

What is the pH of Citanest plain?

4% Citanest Plain Dental (prilocaine HCI Injection, USP), is a sterile, non-pyrogenic isotonic solution that contains a local anesthetic agent and is administered parenterally by injection….TABLE 1: COMPOSITION.

Product Identification Formula (mg/mL)
Prilocaine HCl pH
4% Citanest® Plain Dental 40.0 6.0 to 7.0

What is Marcaine used for?

Marcaine is a prescription medicine used as local anesthesia, Caudal Block, Epidural Block and nerve blocks (peripheral and sympathetic), Spinal Anesthesia and Retrotubular Anesthesia. Marcaine may be used alone or with other medications.

Which ingredient in Etidocaine increases the duration of action?

The addition of sodium bicarbonate to procaine, chloroprocaine, mepivacaine, or lidocaine will shorten the onset of nerve block, enhance the density of block, and prolong the duration of block in isolated nerve preparations.

What is the difference between lidocaine and prilocaine?

In the U.S., tumescent anesthesia used for liposuction and other indications is usually formulated with lidocaine. In Europe, prilocaine is preferred, as it has lower cardiotoxicity and is more rapidly excreted. However, unlike lidocaine, prilocaine can result in dose-dependent methemoglobinemia.

What are the side effects of prilocaine?

Side Effects

  • Blurred vision.
  • burning, crawling, itching, numbness, prickling, “pins and needles”, or tingling feelings in the lips or mouth.
  • chest pain or discomfort.
  • cold, clammy, pale skin.
  • continuing ringing or buzzing or other unexplained noise in the ears.
  • difficulty swallowing.
  • discouragement.

What happens if you have too much local anesthetic?

Local anesthetics are generally safe and usually don’t cause any side effects, aside from some tingling as it wears off. However, if you’re given too much, or the injection goes into a vein instead of tissue, you might have more side effects, such as: ringing in your ears. dizziness.

Can you be allergic to local anesthetic?

Allergy to local anaesthetic is considered rare. True immunological reaction represents only 1% of adverse reactions to local anaesthetic. Adverse reactions can be type A (pharmacological) or type B (idiosyncratic).

What is the pH of lidocaine?

Plain 1% lidocaine had a pH of 6.09±0.16, and plain 2% lidocaine had a pH of 6.00±0.27. Epinephrine-containing solutions were more acidic when they had been previously opened.

When to use Citanest for local anesthesia in dentistry?

4% Citanest Plain Dental Injection is indicated for the production of local anesthesia in dentistry by nerve block or infiltration techniques. Only accepted procedures for these techniques as described in standard textbooks are recommended.

What is the chemical formula of Citanest plain dental?

The quantitative composition is shown in Table 1. 4% Citanest Plain Dental contains prilocaine HCl, which is chemically designated as propanamide, N- (2-methyl-phenyl) -2- (propylamino)-, monohydrochloride and has the following structural formula: C 13 H 20 N 2 O ∙ HCl molecular wt = 256.77

Are there side effects from using Citanest in the head?

Use in the Head and Neck Area. Confusion, convulsions, respiratory depression and/or respiratory arrest, and cardiovascular stimulation or depression have been reported. These reactions may be due to intra-arterial injection of the local anesthetic with retrograde flow to the cerebral circulation.

How long does it take for Citanest to work?

When used for inferior alveolar nerve block, the time of onset of Citanest Plain Dental Injection and Citanest Forte Dental Injection averages less than three minutes with an average duration of soft tissue anesthesia of approximately 2½ hours with Citanest Plain Dental Injection and approximately 3 hours with Citanest Forte Dental Injection.