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Lignocaine+adrenaline

About Lignocaine+adrenaline

Lignocaine+adrenaline belongs to the class of local anaesthetics known as numbing medication used to produce local numbness (anaesthesia) on skin before surgical procedure and reduce pain and discomfort caused by invasive medical procedures such as surgery. It is also used to reduce the discomfort of contractions during labour. Lignocaine+adrenaline is also used to treat certain types of chronic pain. Pain is a symptom triggered by the nervous system, which causes uncomfortable sensations in the body. Pain may be dull or sharp, it might be constant or may come and go. The tolerance level of pain might vary from person to person.

Lignocaine+adrenaline is a combination of two drugs: Lidocaine (local anesthetic) and Adrenaline (vasoconstrictor). Lidocaine works by blocking the influx (entry) of sodium ions into the membrane that surrounds the nerves, thereby preventing initiation and conduction of impulses. Hence, it gives an anaesthetic effect and helps decrease the sensation of pain. Adrenaline works by constricting and narrowing blood vessels to slow the dispersal. Thereby prolong the effect of Lidocaine.

Lignocaine+adrenaline will be administered by a healthcare professional. Do not self-administer. In some cases, you may experience certain common side-effects such as reactions at the application site (burning, itching, redness, and irritation), nausea, vomiting and allergy. Most of these side-effects do not require medical attention and will resolve gradually over time. However, you are advised to talk to your doctor if you experience these side-effects persistently.

The usage of Lignocaine+adrenaline is not allowed in patients who are hypersensitive to any of the components present in it as it may cause serious side effects.  Before starting the medication, tell your doctor about your medical history, especially if you have high blood pressure or heart problems such as a slow heart beat, hypovolaemia (decreased volume of blood), epilepsy, diabetes, liver disease, a certain blood disorder (methemoglobinemia). Please consult a doctor if you are pregnant or breastfeeding before taking Lignocaine+adrenaline. Lignocaine+adrenaline is not recommended for children. 

Uses of Lignocaine+adrenaline

Treatment of Pain relief (local anaesthesia).

Medicinal Benefits

Lignocaine+adrenaline is a combination of two medicines, namely; Lidocaine (local anesthetic) and Adrenaline (vasoconstrictor). Lignocaine+adrenaline is used to produce local numbness (anaesthesia). Lidocaine is a local anesthetic which works by blocking the transmission of the nerve signals in the body, thereby helps in decreasing the sensation of pain. Adrenaline is a vasoconstrictor which works by constricting and narrowing blood vessels to slow the dispersal. Thereby prolong the effect of Lidocaine. Lignocaine+adrenaline is used to reduce pain and discomfort caused by invasive medical procedures such as surgery, needle punctures or insertion of a breathing tube or catheter. It is also used to reduce the discomfort of contractions during labour. Lignocaine+adrenaline will start to work rapidly after being injected and will slowly wear off when the surgical procedure is over.

Directions for Use

It will be administered by a healthcare professional; do not self-administer.

Storage

Store in a cool and dry place away from sunlight

Side Effects of Lignocaine+adrenaline

  • Pale skin

  • Burning sensation

  • Stinging sensation

  • Erythema (skin redness)

  • Itching

  • Pain at the site of application

  • Petechiae (red or purple spot caused by bleeding into the skin)

Drug Warnings

Do not exceed the dose and duration prescribed by your doctor. Consult your doctor before taking Lignocaine+adrenaline if you are pregnant or breastfeeding, your doctor will prescribe you Lignocaine+adrenaline only if the benefits outweigh the risks. Lignocaine+adrenaline causes drowsiness, so drive with caution. Avoid consuming alcohol along with Lignocaine+adrenaline as it could lead to increased drowsiness. Lignocaine+adrenaline may not be suitable for people with respiratory disease, heart disease, epilepsy, low blood pressure, kidney or liver problems. Inform your doctor about your health condition and medications before taking Lignocaine+adrenaline to rule out any side-effects.

Drug Interactions

Drug-Drug Interaction: Lignocaine+adrenaline may have interaction with used to treat anxiety (lorazepam, alprazolam), medicines used to induce anaesthesia (halothane, prilocaine), a medicine used to relieve pain (tramadol), medicines used to treat an uneven heartbeat (arrhythmia) and hypertension (amiodarone,  propranolol, sodium nitrite), medicines for sickness (domperidone), medicines for mental problems (haloperidol, chlorpromazine) antidepressants (isocarboxazid, phenelzine, selegiline, tranylcypromine), antiulcer (cimetidine).

Drug-Food Interaction: Avoid consuming alcohol along with Lignocaine+adrenaline as it could lead to increased drowsiness.

Drug-Disease Interaction: Lignocaine+adrenaline may interact with heart dysfunction, seizures (fits), electrolyte imbalance, liver problems and kidney dysfunction.

Drug-Drug Interactions Checker List:

  • LORAZEPAM
  • ALPRAZOLAM
  • HALOTHANE
  • PRILOCAINE
  • TRAMADOL
  • AMIODARONE
  • PROPRANOLOL
  • SODIUM NITRITE
  • DOMPERIDONE
  • CIMETIDINE
  • ISOCARBOXAZID
  • PHENELZINE
  • SELEGILINE
  • TRANYLCYPROMINE
  • Safety Advice

    • Safety Warning

      Alcohol

      caution

      You are recommended to avoid alcohol consumption while taking Lignocaine+adrenaline. Alcohol intake, along with Lignocaine+adrenaline, may cause increased drowsiness.

    • Safety Warning

      Pregnancy

      unsafe

      It is not recommended to take Lignocaine+adrenaline while you are pregnant. Please consult your doctor if you have any concerns regarding this, your doctor will prescribe you Lignocaine+adrenaline only if the benefits outweigh the risks.

    • Safety Warning

      Breast Feeding

      unsafe

      Please consult your doctor if you have any concerns regarding this, your doctor will decide whether breastfeeding mothers can take Lignocaine+adrenaline or not.

    • Safety Warning

      Driving

      caution

      Lignocaine+adrenaline may cause drowsiness and vision disturbances, do not drive or operate heavy machinery if you feel drowsy.

    • Safety Warning

      Liver

      caution

      Lignocaine+adrenaline should be used with caution in patients with liver impairment/liver disease. Dose adjustment may be needed. Please consult your doctor if you have a liver impairment or any concerns regarding this.

    • Safety Warning

      Kidney

      caution

      Lignocaine+adrenaline should be used with caution in patients with kidney impairment/kidney disease. Dose adjustment may be needed. Please consult your doctor if you have kidney impairment or any concerns regarding this.

    • Safety Warning

      Children

      unsafe

      Lignocaine+adrenaline should not be used by children, as the efficacy and safety have not been established.

    Habit Forming

    No

    Diet & Lifestyle Advise

    • ​Indulge yourself in mindfulness activities like yoga that help in reducing stress levels and pain management.

    • Never forget to get about 7-8 hours of sleep as it will help your muscles to heal fast and reduces inflammation and swelling.
    • Take out some time for meditation, read books, take a warm bubble bath, spend time with family or listen to relaxing music.
    • Make a habit of eating food rich in antioxidants such as berries, onion, milk, spinach, kidney beans, dark chocolate, etc.
    • Foods rich in flavonoids helps the body to heal faster by reducing inflammation. These include soy, berries, broccoli, grapes and green tea.
    • Strictly limit smoking and alcohol consumption as it may worsen the side effects of the drug.

    Special Advise

    Inform your doctor about any blood diseases/problems like hypovolaemia (decreased volume of blood), heart problems such as a slow heart beat, difficulty breathing or ever had a stroke.

    Patients Concern

    Disease/Condition Glossary

    Pain is a symptom triggered by the nervous system, causing uncomfortable sensations in the body. Pain may be dull or sharp, it might be constant or may come and go. The tolerance level of pain might vary from person to person. Pain can be generalized (overall body aches) or localized (affecting a specific area of the body). Pain can be considered a good thing as it helps us know that something is wrong in the body and thereby helps diagnose the condition. The common causes of pain include headache, muscle strain, cramps, cuts, bone fractures, arthritis and stomach ache.

    FAQs

    Lignocaine+adrenaline is used to produce local numbness (anaesthesia) on skin before surgical procedure and reduce pain and discomfort caused by invasive medical procedures such as surgery.

    Lignocaine+adrenaline contains Lidocaine and Adrenaline. Lidocaine blocks the influx of sodium ions into the membrane that surrounds the nerves, thereby preventing initiation and conduction of impulses (nerve signal). Hence, it gives an anesthetic effect and decreases the sensation of pain. Adrenaline works by constricting and narrowing blood vessels by acting on alpha receptors that cause muscle contractions. Thus, it decreasing the bleeding and the effects of Lignocaine+adrenaline will last longer.

    You are not recommended to take duloxetine (antidepressant) with Lignocaine+adrenaline as co-administration of these two medicines may increase the risk of high blood pressure and heart rate. However, please consult your doctor before taking other medicines with Lignocaine+adrenaline.

    Lignocaine+adrenaline causes drowsiness and vision disturbances. So, drive only if you are alert and omit driving or operating machinery if you feel dizzy or drowsy.

    A person of age 65 or older should use Lignocaine+adrenaline with caution, as directed by the doctor as the chances of occurrence of side effects increase in older people.

    Lignocaine+adrenaline should be used with caution in patients suffering from heart rhythm disorders as it may increase the risk of severe adverse effects. Therefore, inform your doctor if you have any heart problems before taking Lignocaine+adrenaline so that the dose may be adjusted appropriately or an alternate medicine may be prescribed.

    The effect of Lignocaine+adrenaline may last for about 1 to 2 hours, depending on the dosage, and the site of administration. For some individuals, the effect may last longer or shorter than the average duration. However, the duration may vary from person to person.

    Lignocaine+adrenaline is generally well-tolerated, and patients often report mild or no pain during administration. However, individual experiences may vary, and some patients might feel slight discomfort at the injection site. To minimize potential pain, healthcare providers may use techniques such as buffering the lidocaine with sodium bicarbonate or employing smaller gauge needles.

    Lignocaine+adrenaline is contraindicated in individuals with a known hypersensitivity to amide-type local anaesthetics or any ingredients of the injection formulation.

    No, Lignocaine+adrenaline may not cause abuse as it is typically administered by the doctor or nurse. This ensures the dosage and usage are carefully monitored to avoid misuse or harmful effects.

    The side effects of Lignocaine+adrenaline include nausea, vomiting, reactions at the application site (burning, itching, redness, and irritation), and allergy. Most of these symptoms will resolve gradually over time. However, consult the doctor if these side effects persist or worsen.

    Available Medicines for

    Lignocaine+adrenaline

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