سعر سكاندونيست 2% سبيشيال 50 كاربولة 1.8 مل 2022

Scandonest 2% Special (Septodont, France; imported by Acrostone): dental cartridges of mepivacaine hydrochloride 2% with adrenaline 1:100,000, 1.8 ml each; box of 50.

• Local anaesthesia in dentistry for oral surgery and procedures requiring prolonged anaesthesia and haemostasis (infiltration or nerve block).Population: Adults and children aged 3 years and overMedsafe (New Zealand Medicines and Medical Devices Safety Authority)

• Local reactions, headache and paraesthesia; systemic CNS (excitation, convulsions, then depression) and cardiovascular (bradycardia, hypotension, arrhythmia) toxicity with excessive or intravascular doses; allergic reactions are rare.International label, same product · Medsafe (New Zealand Medicines and Medical Devices Safety Authority)

• Hypersensitivity to amide local anaesthetics (or cross-sensitivity), intravascular injection, inflammation or sepsis at the injection site, sulfite (metabisulfite) hypersensitivity; with adrenaline: cerebral arteriosclerosis, hypertension, coronary or valvular heart disease, untreated thyrotoxicosis, sensitivity to sympathomimetics, and patients on MAO inhibitors (or within 2 weeks) or tricyclic antidepressants.International label, same product · Medsafe (New Zealand Medicines and Medical Devices Safety Authority)

• Resuscitation equipment and drugs must be available; use the lowest effective dose, inject slowly with aspiration; caution in epilepsy, bradycardia, heart block, hepatic or renal impairment; warn patients about lip and tongue trauma while numb. With adrenaline: not advised in diabetes or thyrotoxicosis; contains metabisulfite, which may cause allergic-type reactions, particularly in asthmatics.International label, same product · Medsafe (New Zealand Medicines and Medical Devices Safety Authority)

• MAO inhibitors, tricyclic antidepressants and phenothiazinesAdrenaline-containing anaesthetics may cause severe prolonged hypertension or hypotension; MAOI/TCA use is a contraindication per the data sheet.Medsafe (New Zealand Medicines and Medical Devices Safety Authority)
• Non-selective beta-blockers (e.g. propranolol)Adrenaline may cause hypertension and reflex bradycardia; beta-blockers may also reduce local anaesthetic clearance.Medsafe (New Zealand Medicines and Medical Devices Safety Authority)
• Halogenated inhalational anaesthetics, digoxin, thyroid hormonesIncreased risk of arrhythmias with adrenaline.Medsafe (New Zealand Medicines and Medical Devices Safety Authority)

• Pregnancy Category A (Australian categorisation as stated in the NZ data sheet): mepivacaine has been used extensively for dental procedures in pregnancy without proven increase in malformations or harm to mother or foetus.International label, same product · Medsafe (New Zealand Medicines and Medical Devices Safety Authority)
• Use during lactation is not recommended in the NZ data sheet (adrenaline is excreted in breast milk).International label, same product · Medsafe (New Zealand Medicines and Medical Devices Safety Authority)

• Mepivacaine hydrochloride: Amide local anaesthetic that reversibly blocks nerve impulse conduction (NZ data sheet).
• Adrenaline (epinephrine):