Procaine

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 29.10.2020

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Definition
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Ester-type local anesthetic.

Half-life
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0,5–1 h

Pharmacodynamics (Effect)
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After absorption hydrolysis by cholinesterase in p-aminobenzoic acid and 2-diethylaminoethanol (has a tissue expanding effect, therefore possibly with addition of adrenalin).

Indication
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Infiltration and conduction anesthesia, local anesthesia of the eye.

Dosage and method of use
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0.5% for infiltration anaesthesia, 2% for block anaesthesia.

Standard concentration
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2% in eye drops.

Undesirable effects
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Allergic reactions (parasites). Contact sensitizations to procaine HCL are rare. In a large collective (n=2,165 persons tested) 12 (0.6%) positive epicutaneous tests were found. The DKG has tested procaine HCL in vaseline 2.0% so far. This application form is no longer available as a test substance in Germany. In this respect, a 1% concentration of procaine HCL in vaseline is now (as of 2016) recommended.

Interactions
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Effectiveness of sulfonamides is reduced.

Preparations
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Novocaine

Literature
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  1. Geier J et al (2016) News on the epicutaneous test series of the German Contact Allergy Group. Dermatology at work and in the environment 64: 70-75

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Last updated on: 29.10.2020