Adult Stomach insertion of tubes & catheters Swallow 10-15 mL. Irritated or inflamed mouth mucous membranes Rinse 5-15 mL around in mouth then spat out. Dental practice 10 mL then spat out once adequate anesth has been achieved. Irritated or inflamed pharynx mucous membranes Gargle 5-10 mL then slowly swallow. Painful upper GI tract conditions Rapidly swallow 5-15 mL all at once.
Not suitable for patients w/ hypovolaemia, heart block or other conduction disturbances. CHF, bradycardia, resp depression; cardiac & circulatory failure; familial malignant hyperthermia. Traumatized mucosa in area of application due to potential for rapid systemic absorption. May impair swallowing & lead to danger of aspiration. May increase danger of biting trauma due to tongue or buccal mucosa numbness. Excessive dosage or short-dose interval may result in high plasma levels. May affect ability to drive & use machines. Hepatic & renal impairment. Pregnancy & lactation. Debilitated, acutely ill patients. Childn. Elderly.
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