Select a medication above to begin.
lidocaine/ epinephrine
generic
Adult Dosing .
Dosage forms: INJ (0.5%/1:200,000): 5 mg per mL; INJ (1%/1:100,000): 10 mg per mL; INJ (1%/1:200,000): 10 mg per mL; INJ (1.5%/1:200,000): 15 mg per mL; INJ (2%/1:100,000): 20 mg per mL; INJ (2%/1:200,000): 20 mg per mL
Special Note
- [formulation clarification]
- Info: some concentrations methylparaben-free (MPF)
- [dosing clarification]
- Info: dose based on lidocaine component
local anesthesia
- [infiltration, dental]
- Dose: 20-100 mg/total dose (2%/1:100,000) via infiltration; Max: 7 mg/kg/dose, 500 mg/total dose
- [infiltration, all other procedures]
- Dose: varies by procedure; Max: 7 mg/kg/dose, 500 mg/total dose
regional anesthesia
- [peripheral nerve block]
- Dose: varies by procedure; Max: 7 mg/kg/dose, 500 mg/total dose
- [caudal block]
- Dose: varies by procedure (1%/1:200,000 MPF, 1.5%/1:200,000 MPF, or 2%/1:200,000 MPF); Max: 7 mg/kg/dose no more frequently than q90min, 500 mg/total dose
- [central neural block]
- Dose: varies w/ number dermatomes anesthetized (1%/1:200,000 MPF, 1.5%/1:200,000 MPF, or 2%/1:200,000 MPF); Max: 7 mg/kg/dose no more frequently than q90min, 500 mg/total dose
epidural test dose
- [30-45 mg (1.5%/1:200,000 MPF) epidurally x1]
- Info: give before initial full dose and any repeat full doses
renal dosing
- [see below]
- renal impairment: no adjustment; Info: metabolite accumulation possible
- HD/PD: not defined
hepatic dosing
- [see below]
- hepatic impairment: consider decr. usual dose
Peds Dosing .
- Dosage forms: INJ (0.5%/1:200,000): 5 mg per mL; INJ (1%/1:100,000): 10 mg per mL; INJ (1%/1:200,000): 10 mg per mL; INJ (1.5%/1:200,000): 15 mg per mL; INJ (2%/1:100,000): 20 mg per mL; INJ (2%/1:200,000): 20 mg per mL
Special Note
- [formulation clarification]
- Info: some concentrations methylparaben-free (MPF)
- [dosing clarification]
- Info: dose based on lidocaine component
local anesthesia
- [infiltration]
- Dose: varies by procedure; Info: max dose varies by age and weight; use lowest effective concentration and dose
regional anesthesia
- [nerve block]
- Dose: varies by procedure; Max: 3 mg/kg/total dose; Info: use lowest effective concentration and dose
renal dosing
- [see below]
- renal impairment: no adjustment; Info: metabolite accumulation possible
- HD/PD: not defined
hepatic dosing
- [see below]
- hepatic impairment: consider decr. usual dose