Land: Israel
Sprog: engelsk
Kilde: Ministry of Health
LIDOCAINE HYDROCHLORIDE MONOHYDRATE
LAPIDOT MEDICAL IMPORT AND MARKETING LTD
D04AB01
SOLUTION FOR INJECTION
LIDOCAINE HYDROCHLORIDE MONOHYDRATE 20 MG/ML
I.V, I.M, EPIDURAL, S.C, INTRADERMAL, SUBMUCOSAL, SPINAL, PERINEURAL, I.V REGIONAL ANAESTHESIA
Required
B.BRAUN MELSUNGEN AG, GERMANY
LIDOCAINE
Local and regional anaesthesia.Severe symptomatic ventricular tachycardia or tachy-arrhythmia, if assessed to be life-threatening.
2021-05-31
This leaflet format has been determined by the Ministry of Health and the content thereof has been checked and approved in June 2016 SUMMARY OF PRODUCT CHARACTERISTICS 1. NAME OF THE MEDICINAL PRODUCTS Lidocaine B. Braun 2% Solution for injection 2. QUALITATIVE AND QUANTITATIVE COMPOSITION Lidocaine B. Braun is a sterile, nonpyrogenic solution of lidocaine hydrochloride in water for injection for parenteral administration with characteristics as follows: Each mL contains: Lidocaine HCl 20 mg; Sodium Chloride 7.1mg/5.3 mg; Water for Injection q.s. Sodium hydroxide may have been added for pH adjustment Lidocaine is a local anesthetic of the amide type. Lidocaine B. Braun is chemically designated 2-(diethylamino)-N-(2,6-dimethylphenyl)-acetamide monohy- drochloride monohydrate, a white powder freely soluble in water. The molecular weight is 288.82. It has the following structural formula: 3. PHARMACEUTICAL FORM Solution for injection Clear, colourless aqueous solution The pH is 6.5 (5.0 to 7.0) 4. CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Local and regional anaesthesia 4.2 POSOLOGY AND METHOD OF ADMINISTRATION Posology _ _ _Local and regional anaesthesia _ In order to guard against systemic toxicity, the lowest effective concentration and lowest effective dose should be used at all times. These recommended doses serve only as a guide to the amount of anesthetic required for most routine pro- cedures. The actual volumes and concentrations to be used depend on a number of factors such as type and extent of surgical procedure, depth of anesthesia and degree of muscular relaxation required, duration of anesthesia required, and the physical condition of the patient. In all cases the lowest concentration and smallest dose that will produce the desired result should be given. The onset of anesthesia, the duration of anesthesia and the degree of muscular relaxation are proportional to the volume and concentration (i.e., total dose) of local anesthetic used. Thus, an increase in volume and concentration of Lidocaine H Læs hele dokumentet
_ _ SUMMARY OF PRODUCT CHARACTERISTICS 1 NAME OF THE MEDICINAL PRODUCT Lidocaine B.Braun 2% 2 QUALITATIVE AND QUANTITATIVE COMPOSITION Each ml of the solution for injection contains 20mg Lidocaine Hydrochloride Monohydrate (2% w/v) Accordingly, the contents per ampoule are as follows: • One ampoule of 5ml contains 100mg of Lidocaine Hydrochloride Monohydrate • One ampoule of 10ml contains 200mg of Lidocaine Hydrochloride Monohydrate • One ampoule of 20ml contains 400mg of Lidocaine Hydrochloride Monohydrate Excipients with known effect: Sodium (as sodium chloride and sodium hydroxide) 95 micromol/ml For a full list of excipients, see section 6.1. 3 PHARMACEUTICAL FORM Solution for injection Clear, colourless aqueous solution 4 CLINICAL PARTICULARS 4.1 THERAPEUTIC INDICATIONS Local and regional anaesthesia Severe symptomatic ventricular tachycardia or tachy-arrhythmia, if assessed to be life-threatening. 4.2 POSOLOGY AND METHOD OF ADMINISTRATION POSOLOGY _LOCAL AND REGIONAL ANAESTHESIA _ As a matter of principle the smallest possible dose that produces adequate anaesthesia should be administered. The dosage should be adjusted individually according to the particulars of each case. Adults: When injected into tissues with marked systemic absorption, without combination with a vasoconstrictor, a single dose of lidocaine Hydrochloride monohydrate should not exceed 4.5 mg/kg body weight (BW) (or 300 mg). If combined with a vasoconstrictor, 7 mg/kg BW (or 500 mg) of lidocaine Hydrochloride monohydrate per single dose should not be exceeded. _TYPE OF ANAESTHESIA _ CONCENTRATION [%] USUAL VOLUME [ML] MAXIMUM DOSE [MG] Infiltration 0.5-1 300 500 (with epinephrine) Major nerve blocks 1-2 30-50 500 (with epinephrine) Minor nerve blocks 1 5-20 200 Epidural 1-2 15-30* 500 (with epinephrine) Spinal 1.5 or 5 in 7.5% glucose 1-2 100 Intravenous regional anaesthesia (IVRA) - upper limb -lower limb 40 0.5 50-100 0.25 *1.5 ml per segment in average For prolongation of anaesthesia lidocaine may be combined with a vasoconstricto Læs hele dokumentet