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CLASSIFICATION OF LOCAL ANESTHETICS ESTERS …

28 CLASSIFICATION OF LOCAL ANESTHETICS ESTERS AMIDES Benzocaine Chloroprocaine* Cocaine Proparacaine Tetracaine* articaine Bupivacaine Dibucaine Lidocaine Mepivacaine Prilocaine Ropivacaine * Discontinued from Canadian market; of note there are no longer any injectable ester-type LOCAL anesthetic products available in Canada. If a patient reports an allergy to an amide-type LOCAL anesthetic, then a different amide-type LOCAL anesthetic may be trialed. The risk of cross-sensitivity is considered very low. Using an epinephrine-free and preservative-free product, if available and appropriate for the indication, is preferable.

28 CLASSIFICATION OF LOCAL ANESTHETICS ESTERS AMIDES Benzocaine Chloroprocaine* Cocaine Proparacaine Tetracaine* Articaine Bupivacaine Dibucaine

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Transcription of CLASSIFICATION OF LOCAL ANESTHETICS ESTERS …

1 28 CLASSIFICATION OF LOCAL ANESTHETICS ESTERS AMIDES Benzocaine Chloroprocaine* Cocaine Proparacaine Tetracaine* articaine Bupivacaine Dibucaine Lidocaine Mepivacaine Prilocaine Ropivacaine * Discontinued from Canadian market; of note there are no longer any injectable ester-type LOCAL anesthetic products available in Canada. If a patient reports an allergy to an amide-type LOCAL anesthetic, then a different amide-type LOCAL anesthetic may be trialed. The risk of cross-sensitivity is considered very low. Using an epinephrine-free and preservative-free product, if available and appropriate for the indication, is preferable.

2 See Drugs and Therapeutics Newsletter, Volume 19 (2).


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