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carbocaine uses

When do you choose Carbociane instead of using Lidocaine for SRP? And what is the contraindication of using Carbocaine?



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Author Note:
Sorry! Choose not chooae

2 Answers

Carbocaine (mepivicaine) does not contain epi. You would use it for patients with contraindications to using epi. There are absolute contraindications and relative contraindications to using an anesthetic with epi.
 
Absolute contraindications:
Recent myocardial infarction (3-6 months)
Recent coronary bypass surgery (3-6 months)
Uncontrolled blood pressure
Daily angina or uncontrolled arrhythmias
Sulfite allergies (NOT sulfide) especially steroid dependent asthmatics
Uncontrolled diabetes (causes hyperglycemic effect)
Pheochromocytoma – catecholamine producing tumors
Uncontrolled hyperthyroidism
 
Relative contraindications (limit amount of epi)
Patients taking tricyclic antidepressants
Patients taking phenothiazides
Patients taking non-selective beta blockers
Cocaine abusers
Glaucoma
Controlled diabetes
Controlled hyperthyroidism
Controlled high blood pressure
 
Anesthetic is also appropriate for children and geriatric patients that don’t require profound pulpal anesthesia.
 
When selecting which anesthetic to use the length of the procedure, requirement for hemostasis during and after the procedure, the requirement for postoperative pain control, and medical history (this includes if a patient is allergic, which would be a contraindication).

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