Amide LA + vasoconstrictor
Mepivacaine with adrenaline
Brand names: Scandonest with adrenaline
Adult dose
Dose: Per procedure (dental); max 4.4 mg/kg
Route: Infiltration / nerve block
Frequency: per procedure
Clinical pearls
- Dental anaesthesia with vasoconstriction
Contraindications
- As mepivacaine
- Severe hypertension
- Tachyarrhythmia
- Concurrent MAOI
Side effects
- Tachycardia
- Hypertension
- LA toxicity
Interactions
- MAOIs
- TCAs
- β-blockers
Reference: BNF; https://bnf.nice.org.uk/drugs/mepivacaine-with-adrenaline/. Verify against your local formulary and the latest BNF before prescribing.
Related
Curated clinical cross-links plus same-class fallbacks.