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% |
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