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Nesacaine Generic Name & Formulations
Legal Class
Rx
General Description
Chloroprocaine HCl 10mg/mL, 20mg/mL; soln for inj; contains methylparaben.
Pharmacological Class
Local anesthetic.
See Also
How Supplied
Nesacaine: Multi-dose vial (30mL)—25; Nesacaine-MPF: Single-dose vial (20mL)—25
Manufacturer
Nesacaine Indications
Indications
Production of local anesthesia by infiltration and peripheral nerve block.
Nesacaine Dosage and Administration
Adult
Epidural anesthesia: administer test dose first; monitor for CNS or cardiovascular toxicity. See full labeling for dosing based on procedure. Individualize. Max single recommended dose: 11mg/kg, not to exceed max total dose of 800mg. Debilitated, elderly, acutely ill (cardiac and/or liver disease): reduce dose.
Children
<3yrs: see full labeling. Individualize based on age and weight. ≥3yrs: max 11mg/kg.
Nesacaine Contraindications
Not Applicable
Nesacaine Boxed Warnings
Not Applicable
Nesacaine Warnings/Precautions
Warnings/Precautions
Not for subarachnoid administration. Lumbar and caudal epidural anesthesia: caution with existing neurological disease, spinal deformities, septicemia, severe hypertension. To be administered under the supervision of experienced clinicians. Have intubation, artificial respiration, oxygen therapy and reversal agents available. Risk of methemoglobinemia (esp. in G6PD deficiency, congenital or idiopathic methemoglobinemia, cardiac or pulmonary compromise, infants <6 months of age, concurrent exposure to oxidizing agents or metabolites); monitor. Hypotension. Heart block. Monitor cardiovascular and respiratory vital signs. Impaired cardiovascular function. Hepatic impairment. Retrobulbar block. Labor & delivery. Pregnancy (Cat.C). Nursing mothers.
Nesacaine Pharmacokinetics
See Literature
Nesacaine Interactions
Interactions
Concomitant sulfonamides: not recommended. Concurrent vasopressor and ergot-type oxytocic drugs may cause severe, persistent hypertension or cerebrovascular accidents. Increased risk of methemoglobinemia when concurrently exposed to nitrates/nitrites, local anesthetics, antineoplastic agents, antibiotics, antimalarials, anticonvulsants, others.
Nesacaine Adverse Reactions
Adverse Reactions
CNS effects (eg, excitation, depression, restlessness, anxiety, dizziness, tremors), cardiovascular effects (eg, myocardium depression, decreased cardiac output, heart block, hypotension, bradycardia, ventricular arrhythmias, cardiac arrest), allergic-type reactions, neurologic effects (eg, spinal block, urinary retention, paresthesia, weakness, headache, paralysis of lower extremities).
Nesacaine Clinical Trials
See Literature
Nesacaine Note
Not Applicable
Nesacaine Patient Counseling
See Literature
