3% Citanest DENTAL with Octapressin

Main information

  • Trade name:
  • 3% Citanest DENTAL with Octapressin Solution for injection
  • Pharmaceutical form:
  • Solution for injection
  • Units in package:
  • Cartridge, glass, Self aspirating 100x1.8mL, 180 mL
  • Class:
  • Prescription
  • Prescription type:
  • Prescription
  • Medicine domain:
  • Humans
  • Medicine type:
  • Allopathic drug
  • Manufactured by:
  • PolyPeptide Laboratories AB



  • Available in:
  • 3% Citanest DENTAL with Octapressin Solution for injection
    New Zealand
  • Language:
  • English

Therapeutic information

  • Therapeutic indications:
  • Infiltration anaesthesia in dentistry, where there is no need for profound ischaemia in the injected area.

Other information


  • Source:
  • Medsafe - Medicines Safety Authority - New Zealand
  • Authorization number:
  • 772
  • Authorization date:
  • 31-12-1969
  • Last update:
  • 27-09-2017

Patient Information leaflet: composition, indications, side effects, dosage, interactions, adverse reactions, pregnancy, lactation

3% Citanest





Prilocaine Hydrochloride with Felypressin

Consumer Medicine Information

Name of consumer

Address of consumer

What is in this leaflet

This leaflet answers some common

questions about Citanest DENTAL

with Octapressin.

It does not contain all the available

information. It does not take the place

of talking to your dental practitioner or

dental nurse.

All medicines have risks and benefits.

Your dental practitioner has weighed

the risks of you using this medicine

against the benefits they expect it will

have for you.

If you have any concerns about

being given this medicine, ask your

dental practitioner.

Keep this leaflet.

You may need to read it again.

What Citanest DENTAL

with Octapressin is used


Citanest DENTAL with Octapressin is

used to prevent or relieve pain during

dental procedures, but it will not put

you to sleep.This medicine belongs to a

group of medicines called local


It is injected into the gums and works

by making the nerves unable to pass

pain messages to the brain.

Depending on the amount used, it will

either totally stop pain or will cause a

partial loss of feeling.

The felypressin makes the blood

vessels at the site of injection narrower,

which means you bleed less. It is then

easier for your dental practitioner to

see what is happening.

Ask your dental practitioner if you

have any questions about why this

medicine has been prescribed for


This medicine is not addictive.

Before you are given

Citanest DENTAL with


When you must not be given


Do not take Citanest DENTAL with

Octapressin if you have an allergy


any medicine containing


any of the ingredients listed at

the end of this leaflet

any other similar medicines,

such as other local anaesthetics

e.g. Xylocaine.

Some of the symptoms of an allergic

reaction may include

shortness of breath

wheezing or difficulty breathing

swelling of the face, lips, tongue

or other parts of the body

rash, itching or hives on the


Do not take Citanest DENTAL with

Octapressin if you have any of these

medical conditions:

a problem with abnormal blood

pigment levels


It may not be safe for you to be given

this medicine if you have any of these


This medicine will only be used if the

solution is clear, the package is

undamaged and the use by (expiry)

date printed on the pack has not been


Before you are given it

Tell your dental practitioner if you

have allergies to any other

medicines, foods, preservatives or


Tell your dental practitioner if you

have or have had any of the

following medical conditions:

problems with your heart beat

rhythm or a very slow heart beat

anaemia (a decreased number of

red blood cells)


nerve problems

liver problems

kidney problems

heart problems

malignant hyperthermia.

Tell your dental practitioner if you

are pregnant or plan to become

pregnant or are breast-feeding.



Your dental practitioner can discuss

with you the risks and benefits


This medicine has been widely used

for dental procedures during pregnancy

with no reports of ill effects to the

mother or baby.

This medicine may enter breast milk,

but in such small amounts that there is

generally no risk of affecting the baby.

If you have not told your dental

practitioner about any of the above,

tell him/her before you are given

Citanest DENTAL with Octapressin.

Taking other medicines

Tell your dental practitioner if you

are taking any other medicines,

including any that you get without a

prescription from your pharmacy,

supermarket or health food shop.

Some medicines and Citanest

DENTAL with Octapressin may

interfere with each other. These


medicines used to maintain the

normal rhythm of your heart,

such as mexilitene

a type of antibiotic medicine,

known as sulphonamides, such

as sulfamethoxozole

medicines used to treat malaria,

such as quinine

medicines called nitric

compounds such as

nitroglycerin which is used to

treat angina.

These medicines may be affected by

Citanest DENTAL with Octapressin or

may affect how well it works. You

may need different amounts of your

medicines, or you may need to take

different medicines.

Your dental practitioner and

pharmacist have more information on

medicines to be careful with or avoid

while being given this medicine.

How Citanest DENTAL

with Octapressin is given

Follow all directions given to you by

your dental practitioner carefully.

They may differ from the information

contained in this leaflet.

How much you are given

The dosage you will be given will

depend on your body size, age and the

type of dental work you will be having


Your dental practitioner will choose

the best dose for you. They will be

willing to discuss this decision with


How it is given

Citanest DENTAL with Octapressin

will be injected by your dental

practitioner into your gum near a single

nerve, or into an area which contains a

large number of nerves.

This will result in an area of numbness

at the site or near the site of injection.

Citanest DENTAL with Octapressin

should not be injected directly into

the blood.

If you are given too much


The dental practitioner giving you this

medicine will be experienced in the use

of local anaesthetics, so it is unlikely

that you will be given an overdose.

However, if you are particularly

sensitive to it, or the dose is

accidentally injected directly into your

blood, you may develop problems for a

short time.

Symptoms of an overdose may include:

a numb feeling in or around the


feeling dizzy or stiff

muscle twitching.

Whenever you are given the medicine,

equipment will be available to care for

you if an overdose happens.

While you are being given

Citanest DENTAL with


Things you must not do

Do not eat or drink anything until

the feeling has completely returned

to your mouth.

You may burn or bite yourself.

Things to be careful of

Be careful driving or operating

machinery until you know how

Citanest DENTAL with Octapressin

affects you.

This medicine may cause dizziness,

nervousness, drowsiness, blurred

vision or feeling strange/disoriented in

some people. If you have any of these

symptoms, do not drive, operate

machinery or do anything else that

could be dangerous.

Side effects

Tell your dental practitioner as soon

as possible if you do not feel well

while you are being given Citanest

DENTAL with Octapressin.

This medicine helps most people have

pain-free visits to the dental

practitioner but it may have unwanted

side effects in a few people, although

these are rare. All medicines can have

side effects. Sometimes they are

serious, most of the time they are not.

You may need medical attention if you

get some of the side effects.

If you are over 65 years of age you

may have an increased chance of

getting side effects.

Do not be alarmed by the following

lists of side effects. You may not

experience any of them.

Ask your dental practitioner to

answer any questions you may have.

Tell your dental practitioner if you

notice any of the following and they

worry you:



blurred vision


ringing in the ears


feeling strange (disoriented)



shakes (tremor)


The above list includes side effects that

are usually mild and short lived.



If Citanest DENTAL with

Octapressin is given wrongly or you

are very sensitive to it, any of the

following may happen. Tell your

dental practitioner immediately or

go to Accident and Emergency at

your nearest hospital:



breathing problems


slow heart beat


The above list includes very serious

side effects. If you have them, you may

have had a serious (allergic) reaction to

the medicine. You may need urgent

medical attention or hospitalisation.

Tell your dental practitioner if you

notice anything that is making you

feel unwell.

Other side effects not listed above may

also occur in some people.

After using Citanest




Citanest DENTAL with Octapressin

will be stored by your dental

practitioner under the recommended


It should be kept in a cool dry place

where the temperature stays below


°C. Protect from light.


Any medicine from a single dose

which is not used will be disposed of

in a safe manner by your dental


Product Description

What it looks like

Citanest DENTAL with


is a clear, colourless solutions in 2.2

mL and 1.8 mL dental cartridges. Each

cartridge is distinctly colour banded for

ease of identification with green and



Citanest DENTAL with


contains 30 mg/mL of prilocaine

hydrochloride and 0.54 µg/mL of

felypressin as the active ingredients. It

also contains:

Sodium chloride

Sodium hydroxide and/or

Hydrochloric acid

Water for Injections.

This medicine does not contain lactose,

sucrose, gluten, tartrazine or any other

azo dyes.


Citanest DENTAL with Octapressin is

supplied in Australia by:

DENTSPLY (Australia) Pty Ltd

11-21 Gilby Rd

Mount Waverley

Victoria, 3149 Australia

Tel: 1300 55 29 29

Citanest DENTAL with Octapressin is

supplied in New Zealand by:

Dentsply (N.Z.) Limited

11 Marshall Road

Katikati 3129

New Zealand

Tel: 0800 DENTSPLY (33 68 77)

This leaflet was prepared on

7 July 2014.

Australian Register numbers:

3% Citanest



2.2 mL injection cartridge

AUST R 220320

3% Citanest



1.8 mL injection cartridge

AUST R 220319

Trademarks herein are the property of the

AstraZeneca group.