Commonly Used Infiltrative Anesthetic Agents

This table is from the AAFP article refered below

AGENT CONCENTRATION ONSET* DURATION* MAXIMUM DOSE
MG PER KG ML

Amides

Lidocaine (Xylocaine)

0.5%, 1%, or 2%
(Higher concentrations provide no additional anesthetic effects.)

Rapid: < 2 minutes

30 to 60 minutes

4 (up to 300 mg per dose)

0.5%: 601%: 302%: 15

Lidocaine with epinephrine‡

1% or 2%

Rapid: < 2 minutes§

1 to 4 hours

7 (up to 500 mg per dose)

1%: 502%: 25

Bupivacaine (Marcaine)

0.25% or 0.5%

Slow: 5 minutes

2 to 4 hours

2 (up to 175 mg per dose)

0.25%: 700.5%: 35

Esters

Procaine (Novocain)

1% or 2%

Moderate: 2 to 5 minutes

15 to 60 minutes

7 (up to 600 mg per dose)

1%: 602%: 30

Tetracaine (Pontocaine)

0.5%

Slow: 5 to 10 minutes

2 to 3 hours

1.4 (up to 120 mg per dose)

24

 

*—Similar for all concentrations of each agent.

‡—Epinephrine concentration may be 1:100,000 or 1:200,000.

§—May take up to 5 minutes for epinephrine to be effective.

References

Am Fam Physician. 2014 Jun 15;89(12):956-962. Infiltrative Anesthesia in Office Practice. http://www.aafp.org/afp/2014/0615/p956.html

print