Prevention of pain in otorhinolaryngology; obstetrics; introduction of instruments, tubes & catheters into the resp & digestive tract; dental practice.
Otorhinolaryngology 3 metered doses for puncture of the maxillary sinus or other minor surgical procedures. Obstetric during delivery Up to 20 metered doses (lidocaine base 200 mg) Introduction of instruments, tubes & catheters into the resp & digestive tract Up to 20 metered doses (lidocaine base 200 mg) for procedures in pharynx, larynx & trachea. Max: 400 mg. Application mainly to the larynx, trachea & bronchi Should not exceed 20 metered doses (lidocaine base 200 mg). Dental practice 1-5 metered doses to the mucous membranes. Childn Max: 3 mg/kg. Mainly in larynx & trachea Reduce dose to 1.5 mg/kg.
Paralyzed patients under general anaesth; patients w/ wounds or traumatized mucosa in the region of the proposed application; partial or complete heart block; advanced liver disease or severe renal dysfunction, elderly patients. Oropharyngeal use may interfere w/ swallowing & thus enhance the danger of aspiration. Avoid contact w/ the eyes. Numbness of the tongue or buccal mucosa may increase the danger of biting trauma. May temporarily impair locomotion & coordination. Concomitant use w/ antiarrhythmic drug class III (eg, amiodarone). Should not be used on cuffs of endotracheal tubes made of plastic. May be porphyrinogenic.
Additive toxic effects w/ agents structurally related to local anaesth eg, antiarrhythmics (eg, mexiletin & tocainide). Use in caution w/ antiarrhythmics class III, cimetidine or β-blockers.
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