Adrenalin

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Synonym(s)

Epinephrine

Definition
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Biogenic hormone of the adrenal medulla, neurotransmitter of adrenergic neurons in the CNS, catecholamine which belongs to the sympathomimetics.

General information
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Adrenaline regulates, among other things, the blood flow of the body and increases blood pressure, heart rate as well as heart strength and saliva secretion (oral saliva).

Adrenaline is often used as an additive in dental local anaesthetics for local anaesthesia during dental treatment. Due to its vasoconstrictive effect, the local anaesthetic stays in place longer or the anaesthetic lasts longer, thus ensuring a low anaemia operation area as in tooth extraction or wisdom tooth removal.

Anamnesis at the dentist is usually done by means of a questionnaire and in discussion with the dentist, where the history of disease is established, so that the dentist can identify risk factors before a dental treatment and can adjust the type and dosage of local anaesthetic.

Note(s)
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Important information:

  • In the case of diabetics, dentists should be cautious about adrenaline supplements, so that the dentist should not be kept silent about any illnesses. In such cases, anaesthetic solutions with high adrenaline supplements must not be used during dental treatment. If there are diseases, the dentist must always be informed about them as well as about the current medication, including blood thinners.

Contraindications for the administration of Adreanling are:

  • narrow-angle glaucoma, pheochromocytoma, prostate hypertrophy, hyperthyroidism, arteriosclerosis, coronary insufficiency, heart muscle damage, absolute arrhythmia, severe hypertension, anaesthesia with inhalation anaesthetics (cyclopan, halothane), local anaesthesia of the acra (fingers, hands, feet, nose, chin, tongue, etc.).

Outgoing links (1)

Catecholamines;

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Last updated on: 29.10.2020