Lidocaine and Epinephrine and Tonocard
Determining the interaction of Lidocaine and Epinephrine and Tonocard and the possibility of their joint administration.
In the database of official manuals used in the service creation an interaction registered by statistical results of studies was found, which can either lead to negative consequences for the patient health or strengthen a mutual positive effect. A doctor should be consulted to address the issue of joint drug administration.
Consumer:Using lidocaine together with tocainide may have additive effects. You should start tocainide six hours before stopping lidocaine infusions, then starting the next maintenance dose of tocainide six hours after the lidocaine drip has ended. Your heart rhythm and response should be monitored during this time. If your doctor does prescribe these medications together, you may need a dose adjustment or special test to safely use both medications. It is important to tell your doctor about all other medications you use, including vitamins and herbs. Do not stop using any medications without first talking to your doctor.
Professional:ADJUST DOSING INTERVAL: Lidocaine and tocainide are structurally similar, and each crosses the blood-brain barrier. Their central nervous system side effects, such as agitation, disorientation, and seizures may be additive.
MANAGEMENT: Management consists of cautiously starting patients on tocainide six hours before stopping lidocaine infusions, then starting the next maintenance dose of tocainide six hours after the lidocaine drip has ended. The patient's heart rhythm and clinical response should be monitored during this time.
- Forrence E, Covinsky JO, Mullen C "A seizure induced by concurrent lidocaine-tocainide therapy: is it just a case of additive toxicity?" Drug Intell Clin Pharm 20 (1986): 56-9
- "Product Information. Tonocard (tocainide)." Merck & Co, Inc, West Point, PA.
Generic Name: epinephrine / lidocaine
Brand name: D-Care 100X, Lignospan Forte, Lignospan Standard, Xylocaine MPF With Epinephrine, Xylocaine With Epinephrine
Synonyms: n.a.
In the course of checking the drug compatibility and interactions, data from the following reference sources was used: Drugs.com, Rxlist.com, Webmd.com, Medscape.com.
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