why use epinephrine with lidocaine

My wife had seizure about 1 minute after her dentist injected her with lidocaine and epinephrine. The seizure lasted for about 1-2 minutes, her by blood pressure dropped to 90/55. She was very pale. What's interesting is that my wife is epileptic, but 18 months ago she was prescribed lamictal daily. Herr seizures stopped. This lidocaine induced seizure was the first in 18months.

I had to get stitches last night, and was given 5-6 shots of epinephrine and lidocane. I told the intake nurse I was taking synthroid (which I presume implies thyroid problems). I felt a little "unusual" afterward (pounding heart, feeling calm and detached..), and was googling the side effects of the shot.. an article said this: "Additionally, epinephrine and lidocaine usually aren’t used in patients with thyroid disease, or disease of the kidneys or liver.

and he sprayed lidocaine with epinephrine up my nose. I had had some light nosebleeds after a fire we had at our place in Alaska, anyway he was checking for possible polyps. About 15-20 min after he sprayed it, I went into a-fib. When I called the office they told me it was probably not the lidocaine but instead was a reaction to the epinephrine. It landed me in the ER that night and since that single incident, I've tried to stay away from both.

m also very interested to know and kiseki has a point it may have been lidocaine mixed with epinephrine. I too had similar experiences at the dentist and in the er be sure to stay away from any adrenergic agonists and make sure to refuse Robinul or glycopyrrolate which is also used for pain which will also make your heart race and go into arrhythmia as well. My issue is caused from what they believe is whipples disease that has spread to my nervous system which is a bacterial systemic infection.

I really appreciate it. Will the dentist be annoyed if I ask him to use lidocaine without epinephrine? Because, doesn't this mean he will have to keep injecting me to keep me numb? I have never been allergic to preservative substances as far as i am aware. If I do not use antibiotics prior or post root canal do i put myself at risk for infection? Thanks again!

The amount is so small that I have never heard of it causing tachycardia, although this is theoretically possible. Lidocaine and epinephrine is used in the suturing of millions of wounds every year with no cardiac events. My guess is that that is a coincidence here. The temporary fast heart rate in the absence of chest pain, pressure or other symptoms should have no long-lasting effects whatsoever. An EKG will verify that because tissue death is reflected in an abnormal ST segment.

What it sounds like is you had a mild reaction to the epinephrine in the anesthetic previously. You can have your dentist use an anesthetic that does not contain epinephrine to rule out any possibility of these complications. For example, carbocaine 3% without epi. I use it every day on heart patients. It is perfectly safe if you are not allergic to it.

9 days ago my new dentist gave me a large dose of lidocaine/epinephrine on back molar (#17). Deep filling was needed. Most of my tongue has been numb since this procedure and I have had heart palpitations, chest pounding off and on since this happened. Also start shivering off and on. For past 3 days I have had chest pain when lying down...chest feels like it is being squeezed. Feel it now in any position but lying down increases the feeling. For past 2 days intense headache.

I researched on the web and found many warnings about pregnant women receiving Lidocaine from the dentist but not what they gave me. The Epinephrine was used to clot my blood and the Xylocaine to numb the area. I know the medical community doesn't know everything and they reassured me this medication would not reach my baby but I think they may have been wrong on this one.

A related discussion, <a href="/posts/Dental-Health/Seizure-with-lidocaine-epinephrine/show/1790788">Seizure with lidocaine/epinephrine</a> was started.

This is the second time in two years this happens. The first time it was lidocaine with epinephrine; this time it was carbocaine without epinephrine. I think the reaction resulted in slight chest tightness even. As I told the doctor, he stopped the surgery (he had not started it yet) and sent me to my primary doctor to get cardiac clearance. I am 29 and have never had any heart problems.

An ideas as to why this might have happened. We have followed up with her pediatrician and they say she seems to be fine. She still has 1 filling left to get and frankly I am a little unsure about her having it done. The paramedics asked the dentist what she gave her and she told them lidocaine and epinephrine.

I had a tooth pulled, they used epinephrine. I was in afib with low rate for 8 days. Then afib every 2-3 day. I was given Rythmol as PIP. I gradually have had less afib, but, each one has 100 for rate...I called dr. and asked him what to do....he said I needed ablation and bp monitors were not accurate. I got a new dr. and new dr. did not say anything about the lowered rate. I go to new EP next week. I will ask him.

Most OB's recommend that you continue with your regular dental visits because if you develop a dental related infection during pregnancy it can cause preterm labor among other things. That being said, I have read that 1st trimester work is the biggest gamble & have personally had a root canal done during my second trimester.

I have to go have a tooth filled tomorrow and I'm somewhat apprehensive about the anesthetic. I know most often the ones they use contain epinephrine because it's a vasoconstricter and causes the anesthesia to work longer. I know you can request the anesthetic without the epi but then it wears off quickly (like when they are drilling on your tooth). I asked my cardiologist and he said if I didn't get a big dose of the epi, if it was mixed, with the beta blockers I should be ok.

Just as the doctor left the room after shooting him up with the novacaine on both sides of his mouth top and bottom he went unconsious and had a seizure. The doctor stated it was because he fasted and was nervous. He has never had a seizure before but it was deffinately not just passing out. What should I watch for as future side effects of this treatment?

I also found out from my Primary Dr and Cardiologist that that Lidocaine and Septhacaine people with heart conditions can't take for because it can cause a heart attack and being I do not numb I have to be put under for the tooth extractions. Make sure you tell your dentist about your heart condition and he will tell you to get a medical clearance first because he will not touch you.

For the first time in 37 years, two weeks ago when I received regular dental anesthetic my heart raced and I started having palpitations. It passed of course in a few minutes and when I went in yesterday for a root canal I asked for the anesthetic without epi. The first shot was fine, but the second injection sill caused my heart to pound hard, my chest felt shallow and made me feel a little panicy. It passed and the 3rd injection did the same.

One important thing none of these other smart ladies mentioned, if you have a procedure done make sure they use a lidocaine or pain reliever that doesn't have epinephrine in it. Bad for baby and your heart. Also I agree with the others, double check with your obgyn about the heart risk. Never hurts to call and they are used to it. Good luck!

m wondering with my heart problem how dangerous is it to get a dose of epinephrine and how will that affect my heart? I had an epinephrine dose in the early nineties due to a breathing problem, but that was before I was diagnosed with the mvp and atrial misfire.

t bad this time because they gave me nitrous but I learned they put epinephrine in the local anesthetic shots (it has something to do with helping the anesthetic last longer) So I'm thinking the epinephrine sends my anxiety level from like a six to a ten. Last November I had a tooth pulled and while the dentist was injecting the shot my heart rate got so high I almost passed out. They put a monitor on my finger and it was about 150! That is just crazy.

Over the past 10 years I have had reactions to lidocaine (ended up being taken by PARPAMEDICS to ER) passed, out had shaking seizures, swollen tongue - could not talk for over 3 hours, could not breathe, 5 years ago - Carbociane, petite seizures, trouble breathing. Today - Tetracaine, tingling tongue, somewhat swollen, cough difficulty swalling, and nearly passed out., Dr then gave Epinephrine - flush, really hot, and constant shaking for over one hour.

The only danger is that lidocaine completely anesthetizes tissue, which is why you can cut or suture an area treated by lidocaine. Thus it is possible to cause a tear or injury that would not be noticed until the lidocaine wore off. In the case of normal intercourse, this should not be a problem.

Also, not saying you do, but illegal drug use can be major problem for people with normal hearts, rhythm wise, but with someone with a known arrhythmia, engaging in illegal drug use is asking for major problems. Also, when I go to the dentist, since I have an arrhythmia, I always ask that they use a local anesthetic (like Novocain) without Epinephrine, which is related to adrenaline. Epinephrine helps to sustain the anesthetic, but can cause heart rhythm problems.

I am 16 almost 17 years old. I exercise alot. I use to notice that only my left eye use to get bloodshot. but recently i noticed that both of them have become very bloodshot. THey hurt around the eye lid area. And it is also a little blurry after i finish exercising. Why is this? WHat should i do?

One time I had to go straight to the ER from the ear, nose and throat Dr because he had sprayed lidocaine or zylocaine with epinephrine into my nose, but my reaction came only 20 minutes later because od the way it was ingested. The Dr told me I just had a sensitivity to it. PS. I have never had a reaction like that to Vicodin. I think one of the "caine" drigs is more likely the culprit.

Hey. I went to my PCP yesterday and he gave me a LIDODERM, a lidocaine patch, to try and help with the pain in my neck -he thinks if that calms down so will the migraines.. theyve been everyday constantly for well over a month and a half, and no meds help.. nor do therapeutic methods i have here at home.. Has anyone here used it before? And did it help? I tried to use it last night but it wouldnt stick to my neck.

100,000, Dose 20cc. Yes, this is the first time I have experienced this occurrence. I have a surgical biopsy soon because of more calcification in the same breast 1 year later; what do you suggest I tell the anaestesiologist?

Why use epinephrine with lidocaine

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