"Ultrakain D": instructions for use

Going to the dentist is a responsible business, requiring strong nerves. Whether it's a sick tooth, an inflamed jaw nerve or gums, it's all accompanied by severe pain, the inability to lead a normal lifestyle. Fear of interference and fear of pain often leads to the patient postponing his visit to the doctor to the last.

To solve this problem help good painkillers used in dentistry. One of them is "Ultrakain D". It negates all the fears of patients, completely blocking the sensitivity in the place of manipulation.

Why this drug is preferred by most dentists?

Features

There are many different anesthetics used in dentistry. The most famous of them are Novokain and Lidocaine.

Dentists, knowing that the fear of their patients sometimes does not allow timely and properly provide them with medical care, prefer to use the most powerful painkillers in their practice. This is due to the fact that there is a large number of nerve fibers in the jaw region.

On the strength of anesthesia, "Ultracaine D" is more effective than "Novocaine" 5 times and "Lidocaine" - 2 times.

In addition, this variety of "Ultracaine" does not contain epinephrine, present in two other forms of the drug. Epinephrine has a number of contraindications and is not tolerated in patients with intolerance to this component.

The content of epinephrine in the anesthetic also includes the presence of appropriate preservatives in it for its preservation, which can be allergic to patients.

Thus, this form of the drug is optimal for use in individuals with a high likelihood of an allergic reaction, including a diagnosis of bronchial asthma.

Description

"Ultrakain D" is available as a colorless transparent solution for injection.

In 1 ml of it contains: the active component - articaine hydrochloride (40 mg), additional components - water for injection and sodium chloride.

The drug is referred to as anesthetic agents of the articaine series.

It is used in the form of injections in dental practice for conductive and infiltration anesthesia.

The freezing effect with loss of sensitivity of the site in which the injection was made occurs within 1-3 minutes. This effect lasts about 20 minutes.

Since articaine rapidly degrades in the body to non-toxic acid, it is permissible to re-administer the drug if necessary.

This anesthetic accumulates in the liver, does not excrete with breast milk, penetrates the placenta, is excreted from the body by the kidneys.

Indications

"Ultracaine D" (the composition excludes the presence of epinephrine) can be applied to groups of patients who are intolerant of sulfites.

This anesthetic is also allowed in conditions that are contraindications to other forms of "Ultracaine" containing epinephrine. These are heart and vascular diseases, tachyarrhythmia, tachycardia (paroxysmal), the use of noncardioselective beta-adrenoblockers, pheochromocytoma, closed-angle glaucoma, hyperthyroidism, severe arterial hypertension.

Anesthetic "Ultrakain D" instructions for use in dentistry recommends the use for the following purposes:

• Conductor and infiltration anesthesia of the oral cavity in patients with epinephrine intolerance;
• Short-term dental operations (for example, in the field of canines, incisors);
• Cleaning carious areas of the tooth;
• Teeth grinding for prosthetics;
• Manipulations requiring a small amount of anesthetic volumes.

Contraindications

Contraindications for the use of "Ultrakain D" include such states as:

• Individual intolerance to articaine and other anesthetics of the amide type;
• Severe cardiac conduction abnormalities;
• Acute heart failure;
• Severe form of hypotension;
• Anemia caused by vitamin B12 deficiency;
  
• Hypoxia;
• Deficiency of cholinesterase;
• CNS disease;
• Lengthy or volume of dental operations;
• The patient's age is up to 4 years.

Use with caution

We remind you that "Ultrakain D" contains articaine, which penetrates the placenta. In connection with this, a doctor must decide on the use of this anesthetic in pregnant women.

Artikain, unlike other local anesthetics, passes through the placenta in very small quantities, but permission to use it can be justified only if the potential benefit from it is higher than the risk for the fetus and the mother.

Nursing women are not contraindicated because articaine is quickly excreted from the body and does not enter breast milk.

Mode of application

"Ultracaine D", the instruction warns, it is not recommended to enter into inflamed tissues.

Before administering the drug, it is necessary to conduct an aspirate test in order to avoid getting the solution into the blood vessel. For this, after inserting the needle of the syringe into the area of the planned injection, it is necessary to slightly pull the syringe piston in the opposite direction and make sure that the blood solution does not appear in the drug solution. The presence of blood in the syringe indicates that the needle pierced the blood vessel, then the place or depth of the injection should be changed.

If the result of the test is negative, the drug can be injected into the chosen area for its anesthesia.

Dosage

For infiltration anesthesia, 1.7 ml of the preparation is required per one or two adjacent teeth.

For conductive anesthesia, conducted below the alveolar nerve, 1-1.7 ml of solution will be needed.

The maximum permitted dose for adult patients is 4 mg per 1 kg of body weight.

Side effects

What are the undesirable effects of Ultracaine D? Instructions for use in dentistry warns that after the introduction of an anesthetic, there may be side effects such as dizziness, weakness, hearing loss, headache, drowsiness.

If the dosage is exceeded, the patient may experience impaired consciousness or breathing, as well as convulsions.

Dyspeptic disorders - vomiting, nausea - can also be caused by the administration of the drug.

Disorders in the cardiac and vascular system after the injection of "Ultracaine D" can be as follows: a decrease in blood pressure, a violation of the heart rhythm, heart failure, collapse, bradycardia, chest pain.

Before the use of the drug "Ultracaine D" the instruction should be well studied. Anesthetic can be allergenic to patients, therefore it is recommended to conduct a preliminary test for sensitivity to this analgesic.

Allergies to the drug are indicated by the following symptoms: redness of the skin, swelling at the injection site, urticaria, pruritus, rash, rhinitis, conjunctivitis, edema of the face (swelling of the lips), laryngeal edema, shortness of breath, anaphylactic shock.

When the tissue of nerve fibers is damaged, paresis of the facial nerve, paresthesia of the tongue and lips, loss of sensation and taste perception can occur.

Assistance with overdose

"Ultracaine D" is well tolerated by most patients. However, do not neglect the precautions when using it.

Symptoms with an overdose of the drug are: loss of consciousness, dizziness, bradycardia, excessive motor activity, lowering blood pressure.

Help: give the patient's body a horizontal position with raised legs up. Ensure access to fresh air and ensure that the airway is free.

When using the "Ultracain D" anesthetic, the instruction recommends that you follow the indices of blood pressure and heart rate.

If breathing is difficult, give oxygen to the patient. When breathing is stopped, artificial ventilation is indicated. With edema of the larynx - endotracheal intubation and IVL.

With convulsions - enter intravenously barbiturates, give the patient oxygen, control hemodynamics.

In case of shock and serious circulatory disturbance, intravenous albumin, plasma substitutes, glucocorticoids, electrolytes should be administered.

Interaction

Since the anesthetic in question does not contain epinephrine (an adrenaline analog), which is a vasoconstrictor, it is obvious that "Ultracaine D" without epinephrine, when used with anticoagulants, increases the risk of bleeding.

Like any local anesthetic, the drug enhances the effect of drugs that depress the functions of the central nervous system.

10 days before the use of anesthetic, it is necessary to abolish the use of MAO inhibitors. This will reduce the risk of hypotension.

Sosudosuzhivayuschie drugs and narcotic analgesics strengthen and prolong the effect of the drug. The latter, in this case, can cause depression or stop breathing.

Reviews

About the drug "Ultracaine D" reviews are reduced mainly to the fact that it has a good, but a short-term analgesic effect.

Patients to whom this anesthetic was applied in the process of dental manipulation, note the following:

• The drug is sold in almost all pharmacies at an affordable price;
• This anesthetic well anesthetizes, completely removing sensitivity and pain;
• The action of the drug is short-term, which allows you to quickly get rid of numbness, freely talk and eat;
• Optimal anesthetic for those who do not like the prolonged freezing effect of such drugs;
• A good variant of anesthetic for people with bronchial asthma or with thyroid diseases;
• In contrast to "Ultrakain" containing epinephrine, this drug does not cause violations from the heart, such as heart palpitations, bradycardia, etc.

"Ultracaine D", patients' reviews confirm this, is very popular. By cons, as well as to the pluses, it is possible to attribute only a short-term effect as an anesthetic.

Despite the fact that the drug can be purchased at the pharmacy and taken with you to the dentist, you should consult your doctor before buying. Only a specialist can determine how long it will take a procedure, and, perhaps, suggest using a drug of a longer duration.

"Ultrakain D Fort"

Trade name of the drug: "Ultrakain D-S Forte." It is used in dental practice as a local anesthetic.

It is available as a clear, colorless solution for injection.

In 1 ml of anesthetic contains: articaine hydrochloride (40 mg) - active substance, epinephrine hydrochloride (0.012 mg) - active substance; Sodium disulfite, water for injection, sodium chloride - auxiliary substances.

The ratio of epinephrine to articaine in this form of the drug is 1: 100,000, which is indicated on the pack of anesthetic.

Features

Epinephrine (an analogue of adrenaline) in the anesthetic is vasoconstrictor and allows prolonging the analgesic effect of articaine.

Low toxicity of the drug allows its repeated administration if necessary.

This anesthetic temporarily removes the sensitivity of nerve fibers in the area of injection.

The effect of "freezing" of tissues occurs within 3 minutes after the injection and lasts no less than 75 minutes.

Indications

The drug is used in dental practice for infiltration and conductive anesthesia, which is required for operations on the oral mucosa or on the tooth pulp, to remove the broken tooth, with prolonged surgical interventions.

Contraindications

This anesthetic is contraindicated in almost the same cases as "Ultracaine D", the description of which is given above. This is due to the common active ingredient in both drugs - articaine. Only long-term operations in the oral cavity are not a contraindication for this anesthetic, since epinephrine prolongs its action.

However, epinephrine itself has a number of contraindications that apply to this form of release of Ultracaine.

These include:

• Intolerance to sulfites and other substances in the anesthetic;
• bronchial asthma;
• Tachyarrhythmia;
• Paroxysmal tachycardia;
• Thyroid gland diseases;
• Arterial hypertension in severe form;
• Application of noncardioselective beta-blockers;
• Glaucoma (closed-angle).

Use with caution in the presence of angina pectoris, cardiosclerosis, cerebral circulation, atherosclerosis, stroke, pulmonary emphysema, diabetes mellitus, chronic bronchitis, severe renal or hepatic impairment, lack of cholinesterase, impaired blood coagulation, excessively excited state.

Application in pregnancy

"Ultracaine D" during pregnancy is undesirable, because articaine penetrates the placenta. But if the need for an anesthetic is great, it is better to choose a form of "Ultracaine" that does not contain epinephrine or contains it in a lower dosage than "Ultracaine D-C Fort"

The drug is not contraindicated for women who are breastfeeding, as the amount in breast milk is very small.

Dosage and route of administration

It is recommended to administer the drug only to those areas where there is no inflammation.

Do not allow this anesthetic to enter the bloodstream!

To perform one treatment procedure for an adult patient, a dose of an anesthetic is sufficient at the rate of: for 1 kg of weight, not more than 7 mg of the drug.

For children from 4 years, the maximum dose of an anesthetic should not be more than 5 mg of solution per 1 kg of weight.

Elderly patients and those suffering from severe forms of hepatic or renal insufficiency are advised not to inject more than the minimum dose necessary to achieve an analgesic effect.

Adverse reactions of the body to the drug

The side effects of this form of release of "Ultracaine" are the same as those of "Ultracaine D". However, the presence of epinephrine in the solution can cause additional negative reactions from the body. True, such complications occur extremely rarely, they include tachycardia, a violation of the rhythm of the heart, increased blood pressure.

If the drug enters the blood vessel, necrosis areas may occur at the injection site.

"Ultrakain DS"

The only form of release of "Ultracaine," which does not contain epinephrine, is "Ultracaine D". "Ultracaine D-S", in turn, includes epinephrine, but in a lower dosage than "Ultrakain DS-forte."

Composition

In 1 ml of anesthetic contains 40 mg of articaine and 0.006 mg of epinephrine. The ratio of epinephrine to articaine in this form of the drug is 1: 200 000. Also included in the solution and additional substances: water for injection, sodium disulfite, sodium chloride.

Features

With the injection of this anesthetic, its effect occurs after 3 minutes and lasts at least 45 minutes.

Due to the small dose of epinephrine, the drug does not have a significant effect on the heart, which allows us to safely apply it for longer medical treatments.

Indications

Conducting and infiltration anesthesia in dental operations, such as:

• Extraction of teeth;
• Teeth grinding for prosthetics;
• Treatment of carious teeth.

Contraindications

Since the ratio of epinephrine to articaine in the composition of the drug "Ultracaine D-C" is 1: 200 000, the contraindications to the use of this anesthetic are mainly related to sensitivity in patients to articaine.

The drug is contraindicated in bronchial asthma and hyperthyroidism because of epinephrine, which, although in a small dose, but is present in the anesthetic.

Yet this form of "Ultracaine" is relatively safe for use in pregnant and lactating patients, people with compensated diseases of the heart and blood vessels.

Attention! The drug should not get into blood vessels and inflamed tissues!

All other recommendations for the use of this anesthetic: interaction with other drugs, side effects, contraindications, indications, the consequences of an overdose, coincide with the instructions prescribed for "Ultracaine D-S Forte."

Form of issue

All 3 types of "Ultracaine D" are available in the form of a solution in ampoules of 2 ml (in a package - 10 units) or in cartridges with a capacity ("Ultracaine D") 1.7; 100 pieces in the box.

Before using the anesthetic, you should carefully read the instructions, check the shelf life of the solution, make sure that the procedure is sterile, test for sensitivity to the drug and an aspirate test.

After the injection, it is recommended to carefully monitor the patient's condition and, if necessary, take the necessary measures to provide him with first aid.