Anesthetics : Before Using

Anesthetics - Parenteral-Local

Anesthetics *** Before Using *** How to Use *** Fore Safe Use *** Side Effects

Before Using This Medication

In deciding to using a medication, the problems of uses this drugs must be weighed against the good it will do. This is a decision you and your medical family doctor, dentist, or nurse will make. For local anesthetics, the following must be considered

Allergic reaction

Tell your family doctor, dentist, or nurse if you have any unusual or allergy to a local anesthetic or to epinephrine - Adrenalin. Also tell your family doctor, dentist, nurse, or pharmacist if you are allergic to any other substances, such as sulfites or other preservatives, especially aminobenzoic acid - also called para-aminobenzoic acid "PABA ".

Pregnancy care

Local anesthetics have not been reported to cause birth defects.

Use of a local anesthetic during labor and delivery may rarely cause unwanted effects. These medication may increase the length of labor by making it more difficult for the mother to bear down - push. They may also cause unwanted effects in the fetus or newborn baby, especially if certain medical problems are present at the time of delivery. Before receiving a local anesthetic for labor and delivery, you must discuss with your family doctor the good that this drug will do as well as the chance of receiving it.

Breast-feeding problem

It is not known whether local anesthetics pass into breast milk. However, these medication have not been reported to cause problems in nursing babies.

Use for Children

Children may be especially sensitive to the effects of parenteral-local anesthetics. This may increase the risk of side effects.

Elderly care

Elderly people are especially sensitive to the effects of parenteral-local anesthetics. This may increase the risk of side effects.

Drug interactions

Although certain medication must not be using together at all, in other cases two various medication may be using together even if an interaction might occur. In these cases, your family doctor, dentist, or nurse may want to change the dose, or other precautions may be necessary. The best for you that you tell the person in charge if you are taking:

Beta-adrenergic blocking agents - carteolol " Cartrol ", carvedilol " Coreg ", labetolol " Normodyne ", nadolol " Corgard ", oxprenolol " Trasicor ", penbutolol " Levatol ", pindolol " Visken ", propranolol " Inderal ", sotalol " Sotacor ", timolol " Blocadren "
Carteolol - ophthalmic - Ocupress
Levobunolol - ophthalmic - Betagan
Metipranolol - ophthalmic - OptiPranolol
Timolol - ophthalmic - Timoptic Use of some local anesthetics with these medication may increase the risk of high blood pressure or a slow heart rate

Central nervous system - CNS depressants - medication that cause drowsiness Use of local anesthetics with these medication may increase the risk that drowsiness will occur

Digoxin - Lanoxin Use of some local anesthetics with this drug may increase the risk of irregular heartbeats

Haloperidol - Haldol
Phenothiazines - Phenergan Use of these medication may reduce the effectiveness of the local anesthetic

Tricyclic antidepressants - amitriptyline " Elavil ", amoxapine " Asendin ", clomipramine " Anafranil ", desipramine " Norpramin ", doxepin " Sinequan ", imipramine " Tofranil ", nortriptyline " Aventyl ", protriptyline " Vivactil ", trimipramine " Surmontil "
Maprotiline - Ludiomil Use of some local anesthetics with these medication may increase the risk of some problems, including high blood pressure and irregular heartbeats

Any other drug, prescription or nonprescription - over-the-counter "OTC ",
``Street'" drugs, such as amphetamines - ``uppers'', barbiturates - ``downers'', cocaine - including ``crack'', marijuana, phencyclidine - PCP, ``angel dust'' and heroin or other narcotics Serious side effects may occur if anyone gives you a local anesthetic without knowing that you have taken another drug

Other Information for using

The presence of other medical problems may effect the use of local anesthetics. Make sure you tell your family doctor, dentist, or nurse if you have any other medical problems, especially:

Asthma Increased risk of allergic-like reactions with use of some local anesthetics

Brain infection or tumor
Blood clotting disorders Increased risk of bleeding with injection of local anesthetics

Diabetes mellitus - sugar diabetes Use of local anesthetics can cause stress on your heart if you have diabetes mellitus

Heart disease Use of local anesthetics can worsen some kinds of heart disease

History of migraine headaches Use of local anesthetics can worsen headaches

Hypertension - high blood pressure
Hypotension - low blood pressure Use of local anesthetics can cause hypotension or hypertension

Hyperthyroidism Use of some local anesthetics can cause stress on your heart if you have hyperthyroidism

Kidney disease
Liver disease Increased risk of side effects

Methemoglobinemia Prilocaine may make this condition worse

Peripheral vascular disease Use of some local anesthetics can make this condition worse or can cause your blood pressure to increase

Skin infection or inflammation Your physician may not want to inject the local anesthetic into infected or inflamed skin because the local anesthetic may not work as well