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Articadent Side Effects

Please note - some side effects for Articadent may not be reported. Always consult your doctor or healthcare specialist for medical advice. You may also report side effects to the FDA at http://www.fda.gov/medwatch/ or 1-800-FDA-1088 (1-800-332-1088).



Articadent Side Effects - for the Professional

Articadent

Reactions to Articadent™ are characteristic of those associated with other amide-type local anesthetics. Adverse reactions to this group of drugs may also result from excessive plasma levels (which may be due to overdosage, unintentional intravascular injection, or slow metabolic degradation), injection technique, volume of injection, hypersensitivity, or may be idiosyncratic.

The reported adverse events are derived from clinical trials in the US and UK. Table 1 displays the adverse events reported in clinical trials where 882 individuals were exposed to 4% Articadent™ with epinephrine 1:100,000 and Table 2 displays the adverse events reported in clinical trials where 182 individuals were exposed to 4% Articadent™ with epinephrine 1:100,000 and 179 individuals were exposed to 4% Articadent™ with epinephrine 1:200,000.

Table 1. Adverse Events in controlled trials with an incidence of 1% or greater in patients administered 4% Articadent™ with epinephrine epinephrine 1:100,000.
Body System 4% Articadent™ with epinephrine 1:100,000
N (%)
Number of patients 882 (100%)
Body as a whole
Face Edema 13 (1%)
Headache 31 (4%)
Infection 10 (1%)
Pain 114 (13%)
Digestive system
Gingivitis 13 (1%)
Nervous system
Paresthesia 11 (1%)
Table 2. Adverse Events in controlled trials with an incidence of 1% or greater in patients administered 4% Articadent™ with epinephrine 1:100,000 and 4% Articadent™ with 1:200,000.
Number of patients exposed to drug 4% Articadent™ with epinephrine 1:100,000
(N=182)
4% Articadent™ with epinephrine 1:200,000
(N=179)
Number of patients that reported any Adverse Event 35 33
Pain 14 (7.6%) 11 (6.1%)
Headache 6 (3.2%) 9 (5.0%)
Positive blood aspiration into syringe 6 (3.2%) 3 (1.6%)
Swelling 5 (2.7%) 3 (1.6%)
Trismus 3 (1.6%) 1 (0.5%)
Nausea and emesis 0 (0%) 3 (1.6%)
Sleepiness 1 (0.5%) 2 (1.1%)
Numbness and tingling 2 (1.0%) 1 (0.5%)
Palpitation 2 (1.0%) 0 (0%)
Ear symptoms (earache, otitis media) 2 (1.0%) 1 (0.5%)
Cough, persistent cough 2 (1.0%) 0 (0%)

The following list includes adverse and intercurrent events that were recorded in 1 or more patients, but occurred at an overall rate of less than one percent, and were considered clinically relevant.

Body as a Whole: abdominal pain, accidental injury, asthenia, back pain, injection site pain, burning sensation above injection site, malaise, neck pain.

Cardiovascular System: hemorrhage, migraine, syncope, tachycardia, elevated blood pressure.

Digestive System: constipation, diarrhea, dyspepsia, glossitis, gum hemorrhage, mouth ulceration, nausea, stomatitis, tongue edemas, tooth disorder, vomiting.

Hemic and Lymphatic System: ecchymosis, lymphadenopathy.

Metabolic and Nutritional System: edema, thirst.

Musculoskeletal System: arthralgia, myalgia, osteomyelitis.

Nervous System: dizziness, dry mouth, facial paralysis, hyperesthesia, increased salivation, nervousness, neuropathy, paresthesia, somnolence, exacerbation of Kearns-Sayre Syndrome.

Respiratory System: pharyngitis, rhinitis, sinus pain, sinus congestion.

Skin and Appendages: pruritus, skin disorder.

Special Senses: ear pain, taste perversion.

Urogenital System: dysmenorrhea.

Persistent paresthesias of the lips, tongue, and oral tissues have been reported with use of articaine hydrochloride, with slow, incomplete, or no recovery. These post-marketing events have been reported chiefly following nerve blocks in the mandible and have involved the trigeminal nerve and its branches.

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