Does Lidocaine Hydrochloride And Epinephrine Bitartrate Interact with Topical Local Anesthetics?
CDI records a major classification for Lidocaine Hydrochloride And Epinephrine Bitartrate and Topical Local Anesthetics. The stored summary is: Serious dose-related cardiac arrhythmias may occur when epinephrine-containing preparations are used during or following potent inhalation anesthetics. The mechanism involves cardiac sensitization to catecholamines. Patients taking both medications should consult their healthcare provider before starting, stopping, or changing the dosage of either drug. This record was extracted from drug labeling through openFDA. NIH/NLM RxNorm is used for drug identities. The summary and severity classification are CDI's processed information, not a verbatim source quotation. Product, route, and patient circumstances matter.
- Severity
- Major
- Lidocaine Hydrochloride And Epinephrine Bitartrate Class
- alpha-Adrenergic Agonist
- Management
- Close medical supervision required
- Data Source
- U.S. FDA via OpenFDA
Recorded Mechanism
Cardiac sensitization to catecholamines
What To Tell Your Doctor or Pharmacist
If you are taking Lidocaine Hydrochloride And Epinephrine Bitartrate and your doctor is considering prescribing Topical Local Anesthetics (or vice versa), make sure to:
- Inform your doctor and pharmacist of all current medications, including over-the-counter drugs and supplements
- Ask whether the benefits of combining these medications outweigh the risks for your specific situation
- Ask what symptoms to watch for that would indicate the interaction is causing problems
- Ask how frequently you should be monitored while these are co-prescribed
- Ask whether any dosage adjustments are needed
- Never stop or change either medication without first consulting your healthcare provider