About mepivacaine hydrochloride
Amide local anesthetic
Used for
- Local anesthesia for dental procedures, often with a vasoconstrictor-free formulation.
Usual adult dose
Dentist injects the smallest effective amount; dose depends on procedure and patient factors.
Usual dose in children
Used in children; dose is calculated by body weight and must not exceed the product’s recommended maximum.
Common side effects
- Injection-site pain or numbness
- Dizziness, drowsiness, or headache
- Nausea
- Rarely, seizures or abnormal heart rhythm from excessive blood levels
Important warnings
- Accidental injection into a blood vessel can cause serious toxicity.
- Use caution with heart, liver, or kidney problems.
- Toxicity can include confusion, seizures, breathing problems, or heart complications.
- Contains no vasoconstrictor; duration and suitability depend on the dental procedure.
Pregnancy
Use only when clinically needed; the dentist should consider benefits and risks.
Breastfeeding
Small amounts are expected to reach breast milk; clinically significant effects are unlikely after dental use.
Interactions
- Other local anesthetics may increase toxicity.
- Medicines affecting heart rhythm can increase concern about cardiac effects.
- Sedatives or opioids may add to dizziness or drowsiness.
AI-generated from general medical knowledge, not from this product's official leaflet. It may be incomplete or out of date. Not medical advice — ask a pharmacist or doctor before making any decision.