Nesacaine (injection)

Nesacaine (injection)

Nesacaine (injection)

Uses for Nesacaine

This medicine should only be administered by or under your doctor's direct supervision.

Before using nesacaine

When deciding whether to use a medicine, the risks of taking the medicine must be weighed against the benefits it produces. This is a decision that you and your doctor will make. The following should be noted with this medicine:

Allergies

Tell your doctor if you have ever had an unusual or allergic reaction to this medicine or any other medicines. Also tell your doctor if you have other allergies, such as to foods, dyes, preservatives or animals. For over-the-counter products, read the label or package ingredients carefully.

Pediatrics

Due to the toxicity of this drug, it should be used with extreme caution in children under 6 months of age. The recommended doses should not be exceeded and the patient should be carefully monitored during treatment.

geriatrics

Related studies conducted to date have not shown any geriatric-specific problems that would limit the benefit of chloroprocaine injection in the elderly. However, older patients are more likely to suffer from kidney problems, which may require caution and dose adjustment in patients receiving chloroprocaine injection.

Breastfeeding

There are insufficient studies in women to determine the risk to infants when using this drug while breast-feeding. Weigh the potential benefits against the potential risks before taking this medication while breastfeeding.

Drug interactions

Although certain medicines should not be used together at all, in other cases two different medicines can be used together, although interactions may occur. In these cases, your doctor may want to change the dose or other precautions may be necessary. If you are receiving this medicine, it is particularly important that your doctor knows whether you are taking any of the medicines listed below. The following interactions were selected for their potential significance and are not necessarily exhaustive.

Using this medicine with any of the following medicines is not usually recommended but may be necessary in some cases. If both medicines are prescribed together, your doctor may change the dose or how often you use one or both medicines.

• Bupivacain
• Bupivacain-Liposom
• Hyaluronidase
• Johanniskraut

Interactions with food/tobacco/alcohol

Certain medicines should not be taken during or around the time of eating or consuming certain foods because interactions may occur. Consuming alcohol or tobacco with certain medications can also lead to interactions. Discuss using your medicine with food, alcohol or tobacco with your doctor.

Other medical problems

The presence of other medical problems may affect the use of this medicine. Be sure to tell your doctor if you have any other medical problems, especially:

• Blutgefäßerkrankung bzw
• Herzkrankheit bzw
• Hypertonie (Bluthochdruck) bzw
• Lebererkrankung – Mit Vorsicht anwenden. Das Risiko von Nebenwirkungen kann erhöht sein.

• Gehirn- oder Nervenerkrankung oder
• Herzblock bzw
• Hypotonie (niedriger Blutdruck), schwere oder
• Sepsis oder
• Wirbelsäulenprobleme – Mit Vorsicht verwenden.

• Glucose-6-Phosphat-Dehydrogenase-Mangel (G6PD) oder
• Herzprobleme bzw
• Lungen- oder Atemprobleme oder
• Methämoglobinämie (Bluterkrankung), erblich oder idiopathisch (unbekannte Ursache) – mit Vorsicht anwenden. Kann das Risiko einer Methämoglobinämie erhöhen.

Proper use of nesacaine

A nurse or other trained health professional will give you this medicine in a medical facility. You may receive the injection in your chest, chest, or other areas of your body. Only Nesacaine®-MPF is administered through a catheter inserted into your lower back during an epidural or spinal block.

This medicine should only cause numbness at the site where it is injected. There may be a temporary loss of feeling or movement in the injection area. This type of anesthesia is called local anesthesia. It is not intended to cause you to fall asleep or become unconscious.

If you receive Nesacaine®-MPF in your lower back (epidural), you may experience a temporary loss of feeling and movement, usually in the lower half of your body. It may be easier to injure yourself while the area of ​​the body being treated is still numb. Be careful to avoid injury until you regain feeling and are no longer numb.

If you are given Nesacaine®-MPF as an epidural to relieve contractions, it may take longer than normal before you can push your baby out. It is also possible that the baby may have adverse effects after birth (including drowsiness, slow reactions). Talk to your doctor if you have any questions about how this medicine may affect your baby.

Precautions when using Nesacaine

It is very important that your doctor closely monitors you or your child's progress while taking this medicine to see if it is working properly. Blood tests may be needed to check for adverse effects.

This medicine may cause a rare but serious blood disorder called methemoglobinemia. The risk may be increased in children under 6 months of age, elderly patients, or patients with certain congenital defects. It is more likely to occur in patients who receive too much of the drug, but can also occur with small amounts. Check with your doctor right away if you or your child experience any of the following symptoms after taking this medicine: pale, gray, or blue skin, lips, or nails, confusion, headache, dizziness, fast heartbeat, or unusual tiredness or weakness.

Tell your doctor or nurse immediately if you experience any of the following symptoms while taking this medicine: anxiety, blurred vision, depression, sleepiness, drowsiness, nausea or vomiting, numbness and tingling of the mouth or lips, restlessness, ringing in the ears, problems with speech, or tremor.

This medicine can cause serious allergic reactions, including anaphylaxis, which can be life-threatening and require immediate medical attention. Call your doctor immediately if you experience rash, itching, hoarseness, difficulty breathing, difficulty swallowing, or swelling of your hands, face, mouth, or throat after taking this medication.

This medicine may also increase your risk of serious heart and blood vessel problems such as heart attack, irregular heartbeat, or low blood pressure. Consult your doctor if you have chest pain or discomfort, pain or discomfort in your arms, jaw, back, or neck, dizziness, fainting, heart palpitations, slow heartbeat, difficulty breathing, or unusual tiredness or weakness.

Do not take any other medicines unless you have discussed this with your doctor. This includes both prescription and nonprescription (over-the-counter [OTC]) medications and herbal or vitamin supplements.

Nesacaine side effects

In addition to the necessary effects, a medicine may also have some undesirable effects. Although not all of these side effects may occur, medical attention may be required if they occur.

Contact your doctor or nurse immediately if any of the following side effects occur:

Incident not known

• Angst
• verschwommene Sicht
• Brennen, Krabbeln, Jucken, Taubheitsgefühl, Kribbeln, Kribbeln oder Kribbeln
• Brustschmerzen oder Unwohlsein
• kalte, feuchte, blasse Haut
• Verwirrung
• anhaltendes Klingeln oder Summen oder andere unerklärliche Geräusche in den Ohren
• Husten
• Abnahme der Häufigkeit und Menge des Urins
• Schwierigkeiten beim Wasserlassen (Tröpfeln)
• Schluckbeschwerden
• Entmutigung
• Schwindel, Ohnmacht oder Benommenheit beim plötzlichen Aufstehen aus einer liegenden oder sitzenden Position
• Schläfrigkeit
• Aufregung
• falsches oder ungewöhnliches Wohlbefinden
• schneller oder unregelmäßiger Herzschlag
• sich traurig oder leer fühlen
• allgemeines Krankheitsgefühl
• Schwerhörigkeit
• Nesselsucht, Juckreiz, Hautausschlag
• Reizbarkeit
• Appetitlosigkeit
• Verlust von Interesse oder Vergnügen
• Brechreiz
• schmerzhaftes Urinieren
• Schwellungen oder Schwellungen der Augenlider oder um die Augen, das Gesicht, die Lippen oder die Zunge
• Unruhe
• Anfälle
• starke Kopfschmerzen
• Zittern
• langsame Herzfrequenz
• Verlangsamung der Wehen
• steifer Nacken oder Rücken
• Schwitzen
• Engegefühl in der Brust
• Konzentrationsschwierigkeiten
• Schlafstörungen
• ungewöhnliche Müdigkeit oder Schwäche
• Erbrechen
• Schwäche der Gesichtsmuskulatur

Some side effects may occur that usually do not require medical attention. These side effects may disappear during treatment as your body gets used to the medicine. Your doctor may also be able to give you ways to prevent or reduce some of these side effects. If any of the following side effects persist or are bothersome, or if you have any questions, contact your doctor:

Incident not known

• Abnormale Ejakulation
• verminderte sexuelle Leistungsfähigkeit oder vermindertes sexuelles Verlangen
• Gefühl von Hitze
• Verlust der Kontrolle über Blase und Darm
• Verlust der Genitalempfindung und der Sexualfunktion
• kein Gefühl in den Beinen
• Taubheit
• nicht in der Lage, die Beine zu bewegen

Some patients may also experience other side effects not listed. If you notice other side effects, contact your doctor.

Call your doctor for medical advice about side effects. You may report side effects to FDA at 1-800-FDA-1088.

Commonly used brand names

In the USA

• Nesacain
• Nesacain-MPF

Available dosage forms:

• Lösung

Therapeutic class: anesthetic, local

Chemical Class: Aminoesters

More information