Land: USA
Språk: engelska
Källa: NLM (National Library of Medicine)
MEPIVACAINE HYDROCHLORIDE (UNII: 4VFX2L7EM5) (MEPIVACAINE - UNII:B6E06QE59J)
Hospira, Inc.
MEPIVACAINE HYDROCHLORIDE
MEPIVACAINE HYDROCHLORIDE 10 mg in 1 mL
EPIDURAL
PRESCRIPTION DRUG
CARBOCAINE is indicated for production of local or regional analgesia and anesthesia by local infiltration, peripheral nerve block techniques, and central neural techniques including epidural and caudal blocks. The routes of administration and indicated concentrations for CARBOCAINE are: local infiltration 0.5% (via dilution) or 1% peripheral nerve blocks 1% and 2% epidural block 1%, 1.5%, 2% caudal block 1%, 1.5%, 2% See DOSAGE AND ADMINISTRATION for additional information. Standard textbooks should be consulted to determine the accepted procedures and techniques for the administration of CARBOCAINE. CARBOCAINE is contraindicated in patients with a known hypersensitivity to it or to any local anesthetic agent of the amide-type or to other components of solutions of CARBOCAINE.
Single-dose vials and multiple-dose vials of CARBOCAINE may be sterilized by autoclaving at 15 pound pressure, 121°C (250°F) for 15 minutes. Solutions of CARBOCAINE may be reautoclaved when necessary. Do not administer solutions which are discolored or which contain particulate matter. THESE SOLUTIONS ARE NOT INTENDED FOR SPINAL ANESTHESIA OR DENTAL USE For single-dose vials: Discard unused portion. Store at 20 to 25°C (68 to 77°F); excursions permitted between 15° to 30°C (59° to 86°F). [See USP Controlled Room Temperature.] Distributed by Hospira, Inc., Lake Forest, IL 60045 USA LAB-0996-4.0 11/2018
New Drug Application
CARBOCAINE- MEPIVACAINE HYDROCHLORIDE INJECTION, SOLUTION HOSPIRA, INC. ---------- CARBOCAINE MEPIVACAINE HYDROCHLORIDE INJECTION, USP These solutions are not intended for spinal anesthesia or dental use Rx only _DESCRIPTION_ Mepivacaine hydrochloride is 2-Piperidinecarboxamide, _N_-(2,6-dimethylphenyl)-1-methyl, monohydrochloride and has the following structural formula: C H N O • HCl It is a white crystalline odorless powder, soluble in water, but very resistant to both acid and alkaline hydrolysis. CARBOCAINE is a local anesthetic available as sterile isotonic solutions (clear, colorless) in concentrations of 1%, 1.5%, and 2% for injection via local infiltration, peripheral nerve block, and caudal and lumbar epidural blocks. Mepivacaine hydrochloride is related chemically and pharmacologically to the amide-type local anesthetics. It contains an amide linkage between the aromatic nucleus and the amino group. COMPOSITION OF AVAILABLE SOLUTIONS 1% Single-Dose 30 mL Vial mg/mL 1% Multiple-Dose 50 mL Vial mg/mL 1.5% Single-Dose 30 mL Vial mg/mL 2% Single-Dose 20 mL Vial mg/mL 2% Multiple-Dose 50 mL Vial mg/mL TM 15 22 2 * * Mepivacaine hydrochloride 10 10 15 20 20 Sodium chloride 6.6 7 5.6 4.6 5 Potassium chloride 0.3 0.3 0.3 Calcium chloride 0.33 0.33 0.33 Methylparaben 1 1 _CLINICAL PHARMACOLOGY_ Local anesthetics block the generation and the conduction of nerve impulses, presumably by increasing the threshold for electrical excitation in the nerve, by slowing the propagation of the nerve impulse and by reducing the rate of rise of the action potential. In general, the progression of anesthesia is related to the diameter, myelination, and conduction velocity of affected nerve fibers. Clinically, the order of loss of nerve function is as follows: pain, temperature, touch, proprioception, and skeletal muscle tone. Systemic absorption of local anesthetics produces effects on the cardiovascular and central nervous systems (CNS). At blood concentrations achieved with normal therapeutic doses, changes in cardiac cond Läs hela dokumentet