Page last updated: 2024-10-30

mepivacaine and Drug Overdose

mepivacaine has been researched along with Drug Overdose in 12 studies

Mepivacaine: A local anesthetic that is chemically related to BUPIVACAINE but pharmacologically related to LIDOCAINE. It is indicated for infiltration, nerve block, and epidural anesthesia. Mepivacaine is effective topically only in large doses and therefore should not be used by this route. (From AMA Drug Evaluations, 1994, p168)
mepivacaine : A piperidinecarboxamide in which N-methylpipecolic acid and 2,6-dimethylaniline have combined to form the amide bond. It is used as a local amide-type anaesthetic.

Drug Overdose: Accidental or deliberate use of a medication or street drug in excess of normal dosage.

Research Excerpts

ExcerptRelevanceReference
"The development of safe and effective local anesthetic agents has possibly been the most important advancement in dental science to occur in the last century."2.46Local anesthetics: pharmacology and toxicity. ( Hersh, EV; Moore, PA, 2010)
"5 mL/kg/day, the maximum daily dosage recommended by the U."1.46Adverse events associated with a large dose of intravenous lipid emulsion for suspected local anesthetic toxicity. ( Banwell, BL; Corwin, DJ; Osterhoudt, K; Topjian, A, 2017)

Research

Studies (12)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's5 (41.67)18.2507
2000's5 (41.67)29.6817
2010's2 (16.67)24.3611
2020's0 (0.00)2.80

Authors

AuthorsStudies
Corwin, DJ1
Topjian, A1
Banwell, BL1
Osterhoudt, K1
Moore, PA2
Hersh, EV1
Weaver, JM1
Feierman, DE1
Mahboobi, SK1
Milnes, A1
Weinberg, G1
VadeBoncouer, T1
Martínez, MA1
Ballesteros, S1
Segura, LJ1
García, M1
Bier, JA1
Butterworth, J1
James, RL1
Grimes, J1
Meechan, J1
Bruguerolle, B1
Emperaire, N1

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Intravenous Lidocaine for Postoperative Recovery in Liver Surgery, a Randomized Double Blinded Placebo-controlled Study[NCT05153785]Phase 2/Phase 380 participants (Anticipated)Interventional2021-11-15Recruiting
Methemoglobin Levels in Generally Anesthetized Pediatric Dental Patients Receiving Prilocaine Versus Lidocaine[NCT01402869]91 participants (Actual)Interventional2011-08-31Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Delta Methemoglobin Blood Level

Change in percentage of methemoglobin in blood from baseline level to peak level (NCT01402869)
Timeframe: From administration of local anesthetic or start of restorative procedures to time at which maximum methemoglobin blood level was documented during dental treatment for an average of 2 hours

Interventionpercentage of methemoglobin in blood (Mean)
Prilocaine2.73
Lidocaine0.78
No Local Anesthetic0.76

Peak Methemoglobin Blood Levels

The maximum percentage of methemoglobin in blood (NCT01402869)
Timeframe: Measured at 10 second intervals during dental treatment for an average of 2 hours

Interventionpercentage of methemoglobin in blood (Mean)
Prilocaine3.55
Lidocaine1.63
No Local Anesthetic1.60

Time to Peak Methemoglobin Blood Levels

The length of time between the administration of local anesthetic (Prilocaine and Lidocaine Groups) or start of restorative dental procedures (No local anesthetic Group) and the time at which the maximum methemoglobin blood level is observed. (NCT01402869)
Timeframe: Measured at 10 second intervals during dental treatment for an average of 2 hours

Interventionminutes (Mean)
Prilocaine62.73
Lidocaine57.50
No Local Anesthetic29.50

Reviews

1 review available for mepivacaine and Drug Overdose

ArticleYear
Local anesthetics: pharmacology and toxicity.
    Dental clinics of North America, 2010, Volume: 54, Issue:4

    Topics: Anesthesia, Dental; Anesthetics, Local; Bupivacaine; Carticaine; Drug Overdose; Humans; Hydrogen-Ion

2010
Local anesthetics: pharmacology and toxicity.
    Dental clinics of North America, 2010, Volume: 54, Issue:4

    Topics: Anesthesia, Dental; Anesthetics, Local; Bupivacaine; Carticaine; Drug Overdose; Humans; Hydrogen-Ion

2010
Local anesthetics: pharmacology and toxicity.
    Dental clinics of North America, 2010, Volume: 54, Issue:4

    Topics: Anesthesia, Dental; Anesthetics, Local; Bupivacaine; Carticaine; Drug Overdose; Humans; Hydrogen-Ion

2010
Local anesthetics: pharmacology and toxicity.
    Dental clinics of North America, 2010, Volume: 54, Issue:4

    Topics: Anesthesia, Dental; Anesthetics, Local; Bupivacaine; Carticaine; Drug Overdose; Humans; Hydrogen-Ion

2010

Other Studies

11 other studies available for mepivacaine and Drug Overdose

ArticleYear
Adverse events associated with a large dose of intravenous lipid emulsion for suspected local anesthetic toxicity.
    Clinical toxicology (Philadelphia, Pa.), 2017, Volume: 55, Issue:6

    Topics: Anesthetics, Local; Antidotes; Child; Drug Overdose; Fat Emulsions, Intravenous; Female; Humans; Mep

2017
Calculating the maximum recommended dose of local anesthetic.
    Journal of the California Dental Association, 2007, Volume: 35, Issue:1

    Topics: Adult; Anesthesia, Dental; Anesthetics, Local; Body Weight; Bupivacaine; Child; Drug Interactions; D

2007
Mepivacaine overdosage is more likely a cause of intraoperative cardiac arrest than drug-drug interaction.
    Anesthesia and analgesia, 2007, Volume: 104, Issue:5

    Topics: Drug Interactions; Drug Overdose; Heart Arrest; Humans; Intraoperative Complications; Mepivacaine

2007
Drug-drug interaction or a local anesthetic overdose?
    Anesthesia and analgesia, 2007, Volume: 104, Issue:5

    Topics: Anesthetics, Local; Cytochrome P-450 Enzyme System; Drug Interactions; Drug Overdose; Humans; Mepiva

2007
Drug interaction or drug overdose? Supercaine revisited.
    Anesthesia and analgesia, 2007, Volume: 105, Issue:2

    Topics: Drug Interactions; Drug Overdose; Heart Arrest; Humans; Intraoperative Complications; Mepivacaine; T

2007
Reporting a fatality during tumescent liposuction.
    Forensic science international, 2008, Jun-10, Volume: 178, Issue:1

    Topics: Adult; Ambulatory Care; Anesthetics, Local; Drug Overdose; Epilepsy, Tonic-Clonic; Epinephrine; Fata

2008
An abstract error?
    Journal of the American Dental Association (1939), 1993, Volume: 124, Issue:5

    Topics: Anesthesia, Dental; Anesthesia, Local; Child; Drug Overdose; Humans; Mepivacaine

1993
Structure-affinity relationships and stereospecificity of several homologous series of local anesthetics for the beta2-adrenergic receptor.
    Anesthesia and analgesia, 1997, Volume: 85, Issue:2

    Topics: Adrenergic beta-2 Receptor Antagonists; Adrenergic beta-Antagonists; Adult; Alkanes; Amides; Anesthe

1997
How to avoid local anaesthetic toxicity.
    British dental journal, 1998, Apr-11, Volume: 184, Issue:7

    Topics: Adult; Aged; Anesthesia, Dental; Anesthesia, Local; Anesthetics, Local; Body Weight; Child; Child, P

1998
Local anesthetic-induced toxicity may be modified by low doses of flumazenil.
    Life sciences, 1992, Volume: 51, Issue:25

    Topics: Anesthesia, Local; Animals; Drug Overdose; Etidocaine; Flumazenil; Lidocaine; Male; Mepivacaine; Mic

1992
Preventing local anesthesia toxicity.
    Journal of the American Dental Association (1939), 1992, Volume: 123, Issue:9

    Topics: Anesthesia, Dental; Anesthesia, Local; Body Weight; Child; Drug Overdose; Emergencies; Female; Human

1992