oshudhkosh

Jasocaine 1%

Rx
Dosage form:
Injection
Pack size:
50ml vial

৳ 23/unit

Pack: ৳ 23

At a glance

Lidocaine (Lignocaine) Hydrochloride — brands, prices, indication, dosage and side effects available in Bangladesh.

Description

Lidocaine (Lignocaine) Hydrochloride is a local anesthetic used to temporarily numb certain areas of the body. It is used as an anesthetic lubricant to insert of instruments in the human body for medical procedures (e.g., catheters). It is also used for the treatment of symptoms of painful inflammation of the urethra and bladder. The most common side effects of this medicine include redness, rash, burning and itching on the area of application. These are usually mild and short-lived. Consult your doctor if any of the side effects persist or worry you. Before using it, tell your doctor if you have liver disease or are taking medicines for heart rhythm problems. Although medicines used on the skin are not normally affected by other medicines you should let your doctor know if you are taking any other medicines to be safe. Ask your healthcare team for advice if you are pregnant or breastfeeding. Lidocaine (Lignocaine) Hydrochloride is a local anesthetic. It works on the skin by blocking pain signals from the nerves to brain. This numbs the area and decreases pain sensation.

Indications

• Local anesthesia (Numb tissues in a specific area)

Mechanism of action

Lidocaine is an amide type local anaesth. It stabilises the neuronal membrane and inhibits Na ion movements, which are necessary for conduction of impulses. In the heart, lidocaine reduces depolarisation of the ventricles during diastole and automaticity in the His-Purkinje system. Duration of action potential and effective refractory period are also reduced.

Dosage

Adult Dose: Intravenous Ventricular Arrhythmias 1-1.5 mg/kg slow IV bolus over 2-3 minutes May repeat doses of 0.5-0.75 mg/kg in 5-10 minutes up to 3 mg/kg total Continuous infusion: 1-4 mg/min IV Regional Anesthesia (IV) 4 mg/kg Parenteral Sympathetic nerve block Adult: As 1% soln: 50 mg for cervical block or 50-100 mg for lumbar block. Epidural Epidural anaesthesia Adult: 2-3 mL administered for each dermatome to be anaesthesised. Recommended doses are: Lumbar epidural 250-300 mg (as 1% soln) for analgesia and 225-300 mg (as 1.5% soln) or 200-300 mg (as 2% soln) for anaesth; for thoracic epidural: 200-300 mg (as 1% soln). For obstetric caudal analgesia: 200-300 mg (as 1% soln); for surgical caudal anaesth: 225-300 mg (as 1.5% soln). For continuous epidural or caudal anaesth, not to repeat max doses more frequently than 1.5 hrly. Peripheral nerve block Adult: As 1.5% soln: For brachial plexus block: 225-300 mg. As 2% soln: For dental nerve block: 20-100 mg. As 1% soln: For intercostal nerve block: 30 mg; for paracervical block: 100 mg on each side, repeated not more frequently than every 90 min; for paravertebral block: 30-50 mg; for pudendal block: 100 mg on each side. As 4% soln: For retrobulbar block: 120-200 mg. Intraspinal Spinal anaesthesia Adult: As hyperbaric soln of 1.5% or 5% lidocaine in 7.5% glucose soln. Normal vaginal delivery: Up to 50 mg (as 5% soln) or 9-15 mg (as 1.5% soln). Caesarian operation: Up to 75 mg (as 5% soln). Other surgical procedures: 75-100 mg. Hepatic impairment: Dosage reduction may be needed. Child Dose: Ventricular Arrhythmias Bolus: 0.5-1 mg/kg IV/IO/ET, not to exceed 100 mg; follow with continuous infusion; if delay between bolus and start of infusion is >15 minutes, administer a second bolus q5-10min to 5 mg/kg, THEN Continuous infusion: 20-50 mcg/kg/min IV

Administration

Hold the container with the extension tube aimed at the area of application. To spray, press the button. Allow a 2 second gap between two consecutive sprays. Use it as advised by your doctor or also check the label for directions before use.

Side effects

Common: • Allergic reaction • Application site reactions (burning, irritation, itching and redness)

Precautions & warnings

No interaction found/established Lidocaine (Lignocaine) Hydrochloride is prescribed to relieve itching and pain caused by scrapes, burns, rashes, bites and eczema. Apply it over the affected area with a clean fingertip, three to four times a day or as directed by your doctor. Do not apply it to broken or infected areas of skin, face, eyes or eyelids unless instructed to by your doctor. Do not cover the area being treated with airtight dressings such as bandages unless directed by a doctor, as this may increase the risk of side effects. Avoid contact with eyes, mouth, and nose. In case of accidental contact, rinse thoroughly with water. Consult your doctor if your skin condition has not improved after 2-4 weeks of treatment. Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.

Contraindications

Hypovolaemia; heart block or other conduction disturbances.

Drug interactions

May increase serum levels w/ cimetidine and propranolol. Increased risk of cardiac depression w/ ?-blockers and other antiarrhythmics. Additive cardiac effects w/ IV phenytoin. Hypokalaemia caused by acetazolamide, loop diuretics and thiazides may antagonise effect of lidocaine. Dose requirements may be increased w/ long-term use of phenytoin and other enzyme-inducers.

Food interactions

No interaction found/established

Use in pregnancy

[SAFE IF PRESCRIBED] Lidocaine (Lignocaine) Hydrochloride is generally considered safe to use during pregnancy. Animal studies have shown low or no adverse effects to the developing baby; however, there are limited human studies.

Use in lactation

[SAFE IF PRESCRIBED] Lidocaine (Lignocaine) Hydrochloride is probably safe to use during breastfeeding. Limited human data suggests that the drug does not represent any significant risk to the baby.

Renal / hepatic impairment

No interaction found/established No interaction found/established

Common questions

SUFFERRING WITH FROZEN LEFT HAND SHOULDER, DOING PHYSIOTHERAPY EXERCISES SINCE ONE MONTH NEGLIGIBLE IMPROVEMENT , ORTHOPAEDICS DOCTOR , STRETCHING THE HAND WITH FULL ANESTHESIA, IS IT POSSIBLE WITH LOCAL ANESTHESIA OR ANY OTHER METHOD TO RECOVER Adv. Inj. Depomedrol locally, with local anaesthesia locally by a Orthopaedic surgeon, Active Physiotherapy, Tab Nucoxia MR 1 BD after meals, Cap Pantop DSR 1 daily before breakfast. Beard hair loss in a specific area in coin shape, its from 4yrs and affecting area is not spreading, concentrated in same area. Problem is starting after two weeks beard growth. This is alopecia areata, best treatment is intralesional injection of steroids by skin specialist I have been using novo rapid and lanctus insulin for quit some time and I further want to buy from 1 mg. I do not have any prescriptions for that.what is to be done? consult a local doctor in your area for prescription Difficulty in swallowing food. Need to drink lots of water before eating something. https://www.1mg.com/otc/himalaya-himcocid-syrup-mint-otc1580462-2 tea spoon morning & evening before taking food , use at least 1-2 months Sir, there are a small infection on my penis and in quiet surrounding area of penis same infection on left hand albo look like rashes I am scratching it again and again due to respected sir give me a solution or cure as soon as Hi kindly once consult to a skin specialist in your local area I want my all teeth transplant Is it very painful?? If not plzz tell me the suitable time and the approximate cost diring During the entire procedure All painful procedures are done under local anesthesia where the area of treatment will be anaesthetisedFor full dentures upper n lower removable typ it will cost u around 10-30 k ,depends on the type.of denture u chooseAnd for implant supported dentures it may cost u arounf 60-80 k in total Iringworm have appeared on neck ,face and groin area This requires oral antifungal along with topical For local application use lulican cream-once daily for 6wks Terbicip cream - twice daily for 6wksVisit a dermatologist for oral antifungal prescription after properly assessing the area of involvement and investigations Route canel expense and rest time root canal treatment may cost u around 2k-3.5k depends on the caserest us not required for rctin the first visit ur tooth will be anaesthetised when d area will remain numb for 1-1.5 hours

⚠️ This information is for educational purposes only — not a substitute for medical advice. Consult a registered physician before taking any medicine.