Mepivacaine
Mepivacaine (HCl) is amide type local anesthetic. It consists of an aromatic ring connected by an intermediate chain, including an ester or amide to an ionizable group, usually a tertiary amine. The actions and effects similar to that of lidocaine. It works by preventing nerves from transmitting painful impulses to brain which creates temperory anesthesia.
Primary Characteristics
Mepivacaine is also known as Mepivacaine (HCl).
It is of Synthetic origin and belongs to Ester.
Molecular Weight: 282.8 · pKa: 7.7 · Solubility in Water: soluble(7000mg/l) · Solubility in Alcohol: freely · Non-proprietary name: Mepivacaine (HCl).

Pharmacokinetics
Distribution: Mepivacaine has a plasma protein binding is 78 %.
Elimination: it is metabolised via through Liver, plasma half-life is 2 - 3hr (adults), 9hr (neonates),, renal excretion is 5 - 10 % (unchanged).
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Indications
Mepivacaine is primarily indicated in conditions like Anesthesia, Caudal anaesthesia, Epidural anaesthesia.
Mepivacaine is also indicated for secondary conditions like Infilteration anaesthesia, Nerve block.
Contraindications
Mepivacaine is contraindicated in conditions like Hypersensitivity.
Dosage
None recorded.
Drug Interactions
None recorded.
Side Effects
Mepivacaine in overdosage may give rise to further complications which include Cardiac arrhythmias, Convulsions , Allergic reactions , Chest pain , Tremors .
Mepivacaine produces potentially life-threatening effects which include Coma, Convulsions , Respiratory Failure , Cardiac Arrest . Careful monitoring is needed with proper medical management.
The signs and symptoms that are produced after acute overdosage of Mepivacaine are Skin eruptions.
Mepivacaine is known to cause more or less tolerable side effects which are usually transient. These include Anxiety, Backache , Blurred vision, Dizziness, Excitement, Headache, Nausea and vomiting, Nervousness, Numbness , Restlessness, Tremors.
Warnings / Precautions
Available Brands
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Single Ingredient
Storage Conditions
Drug Classification
- 1.1.2 — Local anesthetics
Manufacturers
Manufacturers of Mepivacaine in Pakistan: