- Prilocaine
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Prilocaine Systematic (IUPAC) name (RS)-N-(2-methylphenyl)-N2-propylalaninamide Clinical data AHFS/Drugs.com monograph MedlinePlus a603026 Pregnancy cat. B (U.S.) Legal status ? Pharmacokinetic data Protein binding 55% Metabolism Hepatic and renal Half-life 10-150 minutes, longer with impaired hepatic or renal function Identifiers CAS number 721-50-6 ATC code N01BB04 PubChem CID 4906 DrugBank APRD00180 ChemSpider 4737 UNII 046O35D44R KEGG D00553 ChEBI CHEBI:8404 ChEMBL CHEMBL1194 Chemical data Formula C13H20N2O Mol. mass 220.311 g/mol SMILES eMolecules & PubChem (what is this?) (verify) Prilocaine (pronounced /ˈpraɪlɵkeɪn/) is a local anesthetic of the amino amide type first prepared by Claes Tegner and Nils Lofgren. In its injectable form (trade name Citanest), it is often used in dentistry. It is also often combined with lidocaine as a preparation for dermal anesthesia (lidocaine/prilocaine or EMLA), for treatment of conditions like paresthesia. As it has low cardiac toxicity, it is commoly used for intravenous regional anaesthesia (IVRA).
In some patients, a metabolite of prilocaine may cause the unusual side effect of methemoglobinemia, which may be treated with methylene blue.
Maximum dosage for dental use: 8.0 mg/kg (2.7 mg/lb), with a maximum dose of 500 mg.
It is given as a combination with the vasoconstrictor epinephrine under the trade name Citanest Forte.
Compendial status
Notes
- ^ The United States Pharmacopeial Convention. "Revision Bulletin: Lidocaine and Prilocaine Cream–Revision to Related Compounds Test". http://www.usp.org/USPNF/notices/lidocaineAndPrilocaine.html. Retrieved 10 July 2009.
See also
Anesthetics: Local anesthetics - primarily sodium channel blockers (N01B) Esters Esters of aminobenzoic acidAmylocaine • Benzocaine • Butacaine • Butamben • Chloroprocaine • Dimethocaine • Meprylcaine • Metabutoxycaine • Orthocaine • Propoxycaine • Procaine (Novocaine) • Proxymetacaine • Risocaine • TetracaineEsters of benzoic acidAmides Articaine • Bupivacaine # /Levobupivacaine/Ropivacaine • Carticaine • Cinchocaine • Etidocaine • Lidocaine # • Mepivacaine • Prilocaine • TrimecaineCombinations This drug article relating to the nervous system is a stub. You can help Wikipedia by expanding it.