Prilocaine

Prilocaine is a local anaesthetic used to numb areas of the body for medical procedures or pain relief. It works by temporarily blocking nerve signals, preventing pain sensations. If you’ve been prescribed prilocaine, here’s what you need to know.

What is prilocaine?

Prilocaine is a local anaesthetic that numbs the skin or tissue in a specific area, reducing pain during medical procedures.

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How does prilocaine work?

Prilocaine blocks sodium channels in nerve cells, preventing pain signals from being transmitted to the brain.

What is prilocaine used to treat?

Prilocaine is commonly prescribed for:

  • Numbing the skin before injections or minor procedures
  • Local anaesthesia for dental procedures
  • Pain relief in conditions requiring temporary numbing
  • Epidural anaesthesia (when combined with other agents)

Who can take prilocaine?

Prilocaine is suitable for most adults and children, as prescribed by a doctor.

Who might not be able to take prilocaine?

Prilocaine may not be suitable if you:

  • Have a known allergy to local anaesthetics
  • Have methemoglobinemia (a blood disorder affecting oxygen levels)
  • Have severe liver or kidney disease
  • Have certain heart conditions

Can I take prilocaine if I’m pregnant or breastfeeding?

Prilocaine may be used during pregnancy and breastfeeding, but your doctor will assess the benefits and risks before prescribing it.

What if I miss a dose?

Prilocaine is typically used as needed for procedures or pain relief, so missing a dose is not usually a concern.

How effective is prilocaine?

Prilocaine is highly effective at numbing areas of the body for medical procedures and pain relief when used as directed.

What should I do if I use too much?

Using too much prilocaine can cause dizziness, breathing difficulties, or a bluish tint to the skin (a sign of methemoglobinemia). If symptoms occur, seek medical advice immediately.

What dose of prilocaine is usually taken?

  • For skin numbing: Apply a thin layer as directed before a procedure
  • For dental anaesthesia: Dose varies based on the procedure
  • For epidural anaesthesia: Administered by a healthcare professional

Your doctor will determine the correct dose based on your condition.

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What are the side effects of prilocaine?

Common side effects include:

  • Temporary numbness or tingling
  • Mild skin irritation or redness
  • Dizziness or drowsiness

Serious side effects, such as breathing difficulties, irregular heartbeat, or severe allergic reactions, require urgent medical attention.

How should I use prilocaine?

Prilocaine is available as a cream, injection, or gel. Follow your doctor’s or pharmacist’s instructions carefully.

When should prilocaine be used?

Prilocaine should be applied or administered shortly before a procedure, as directed by a healthcare professional.

What are the brand names for prilocaine?

Prilocaine is available as a generic medicine, but some branded versions include:

  • EMLA (combined with lidocaine for skin numbing)
  • Citanest (for dental and injectable use)

Final thoughts

Prilocaine is an effective local anaesthetic for pain relief during procedures, but it should be used exactly as prescribed to avoid side effects. If you experience unusual symptoms, speak to your doctor or pharmacist.

Always consult a medical professional
This article is for informational purposes only and is not a substitute for medical advice. Always consult a healthcare professional before starting, stopping or changing any medication. If you have concerns about your medication or experience side effects, speak to your doctor or pharmacist immediately.

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