Prilocaine
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Prilocaine
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Systematic (IUPAC) name | |
N-(2-methylphenyl)-2-propylamino-propanamide | |
Identifiers | |
CAS number | |
ATC code | N01 |
PubChem | |
DrugBank | |
Chemical data | |
Formula | C13H20N2O |
Mol. mass | 220.311 g/mol |
Pharmacokinetic data | |
Bioavailability | ? |
Protein binding | 55% |
Metabolism | Hepatic and renal |
Half life | 10-150 minutes, longer with impaired hepatic or renal function |
Excretion | ? |
Therapeutic considerations | |
Pregnancy cat. |
B (U.S.) |
Legal status | |
Routes | ? |
Prilocaine (pronounced /ˈpraɪloʊkeɪn/) is a local anesthetic of the amino amide type. In its injectable form (trade name Citanest), it is often used in dentistry. It is also often combined with lidocaine as a preparation for dermal anesthesia (lidocaine/prilocaine or EMLA). As it has low cardiac toxicity, it is commoly used for intravenous regional anaesthesia (IVRA).
In some patients, a metabolite of prilocaine may cause the unusual side-effect of methaemoglobinaemia. And may be treated with methylene blue.
Maximum dosage for dental use: 6.0mg/kg (2.7mg/lb), with a maximum dose of 400mg.
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