lidocaine substitutes
 

Are there any other local anesthetics to use other than lidocaine? Apparently I encountered more than mild side effects during an endometrial biopsy. The doctors suggests that I make sure if I ever have an epidural to let them know not to use lidocaine. She said there are options but I didn't ask what they were at the time.

Any insights?

I believe that all the ---caine type generalize concerning allergic reactions with each other.

Was there epinephrine in that shot? Some people get reactions to the epi part and think it is the lidocaine.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2923931/

What kind of reaction did you have?

It did not have the epi in it. It's hard to describe it but I felt like everything moved away from me and I was getting dizzy. Then my hearing was effected. For some reason the air flowing through the heating ducts above became very prominent and pretty much drowned everything else out. But I could still hear my doctor when she talked to me. I had to lay there for about 10 -15 minutes after the procedure and wait for it to subside. Then, I got really cold.

She said she's heard about the side effects happening but has never seen it before. She also said it was not an allergic reaction but that I need to make sure I have it on my list of meds to avoid in cases where it would get into my blood stream more directly like an epidudral. Apparently the cervix is rich in blood vessels and she was very careful not to inject into one.

Did they take your blood pressure, heart rate etc?

List of local anesthetics

Please note the disclaimer:
See also: Local anesthetic

Doc

No she did not but I suspect there was slight drop in heart rate only because I get very nervous in these situation and I noticed I was calmer.

I think I've had some level of side effect most of my life when I look back at past dental appointments.

Thanks for the link doc. Didn't know there were so many.

Neither did I.

The only side effect I recall (other than amnesia, which I can't remember happening :p) dentally is that Xylocaine (lidocaine) doesn't work on me, but Novocain (procaine) does.

Doc

Lidocaine used dentally is removed by the tissue rapidly....so it usually is combined with epinephrine to slow this metabolic process down, because the epi, constricts blood flow and hence the lidocaine stays around a bit longer.

I can't stand the procaine...it is far less numbing than the Lidocaine mixture. For a while I was getting palpitations from the lidocaine/epi type, but when I use a beta blocker before this doesn't happen for me. Now that I am on a beta blocker again, I won't have to premedicate.

There shouldn't be any amnesiac effect with lidocaine. The Benzos are the amnesiac producing drug in dental anesthesia.

My son had IV valium when he had his 4 wisdom teeth removed and he didn't remember anything!

Hi Marlene,

Many local anesthetics have preservatives in them and people can react negatively to them. Particularly if you are sensitive to bisulfites. I am in the dental field and have seen various reactions occur after the injection of a local anesthetic.

I am not saying this is what happened to you .... but sometimes the reaction is actually the patient hyperventilating or a panic attack that is mistaken for a drug reaction. Someone can have either of those things in varying degrees and sometimes they are surprised by it because they thought they were in control of the situation at the onset.

Here is some information about local anesthetics. Hope you find it helpful...
http://www.dentalfearcentral.org/fea...rgy-novacaine/

Bryanna