Prilocaine and Epinephrine
Generic Name: Prilocaine and Epinephrine (PRIL oh kane & ep i NEF rin)
Brand Name: Citanest Forte Dental
Medically reviewed by Drugs.com. Last updated on Sep 11, 2020.
Uses of Prilocaine and Epinephrine:
- It is used before dental care to numb the area.
What do I need to tell my doctor BEFORE I take Prilocaine and Epinephrine?
- If you have an allergy to prilocaine, epinephrine, or any other part of prilocaine and epinephrine.
- If you are allergic to prilocaine and epinephrine; any part of prilocaine and epinephrine; or any other drugs, foods, or substances. Tell your doctor about the allergy and what signs you had.
- If you have methemoglobinemia.
This is not a list of all drugs or health problems that interact with prilocaine and epinephrine.
Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check to make sure that it is safe for you to take prilocaine and epinephrine with all of your drugs and health problems. Do not start, stop, or change the dose of any drug without checking with your doctor.
What are some things I need to know or do while I take Prilocaine and Epinephrine?
- Tell all of your health care providers that you take prilocaine and epinephrine. This includes your doctors, nurses, pharmacists, and dentists.
- If you have a sulfite allergy, talk with your doctor.
- Do not eat while your mouth feels numb. You may bite your tongue.
- This medicine may affect certain lab tests. Be sure your doctor and lab workers know you use prilocaine and epinephrine.
- A severe blood problem called methemoglobinemia has happened with drugs like this one. The risk may be raised in people who have glucose-6-phosphate dehydrogenase (G6PD) deficiency, heart problems, or lung problems. The risk may also be raised while taking certain other drugs and in infants younger than 6 months of age. Tell your doctor if you have ever had methemoglobinemia.
- If you are 65 or older, use prilocaine and epinephrine with care. You could have more side effects.
- Use with care in children. Talk with the doctor.
- Tell your doctor if you are pregnant or plan on getting pregnant. You will need to talk about the benefits and risks of using prilocaine and epinephrine while you are pregnant.
- Tell your doctor if you are breast-feeding. You will need to talk about any risks to your baby.
How is this medicine (Prilocaine and Epinephrine) best taken?
Use prilocaine and epinephrine as ordered by your doctor. Read all information given to you. Follow all instructions closely.
- It is given as a shot.
- Your doctor will give prilocaine and epinephrine.
What do I do if I miss a dose?
- This medicine is given on an as needed basis.
What are some side effects that I need to call my doctor about right away?
WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:
- Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing; tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue, or throat.
- Signs of methemoglobinemia like a blue or gray color of the lips, nails, or skin; a heartbeat that does not feel normal; seizures; very bad dizziness or passing out; very bad headache; feeling very sleepy; feeling tired or weak; or shortness of breath. This effect is rare but may be deadly if it happens.
- Signs of too much acid in the blood (acidosis) like confusion; fast breathing; fast heartbeat; a heartbeat that does not feel normal; very bad stomach pain, upset stomach, or throwing up; feeling very sleepy; shortness of breath; or feeling very tired or weak.
- Ringing in ears.
- Low mood (depression).
- Slow heartbeat.
- Sweating a lot.
- Dizziness or passing out.
- Feeling lightheaded, sleepy, confused, or having blurred eyesight.
- Trouble breathing, slow breathing, or shallow breathing.
- Numbness or tingling in or around the mouth that lasts or gets worse.
- Very nervous and excitable.
- A burning, numbness, or tingling feeling that is not normal.
- Feeling hot or cold.
What are some other side effects of Prilocaine and Epinephrine?
All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical help if you have any side effects that bother you or do not go away.
These are not all of the side effects that may occur. If you have questions about side effects, call your doctor. Call your doctor for medical advice about side effects.
You may report side effects to the FDA at 1-800-332-1088. You may also report side effects at https://www.fda.gov/medwatch.
If OVERDOSE is suspected:
How do I store and/or throw out Prilocaine and Epinephrine?
- If you need to store prilocaine and epinephrine at home, talk with your doctor, nurse, or pharmacist about how to store it.
Consumer information use
- If your symptoms or health problems do not get better or if they become worse, call your doctor.
- Do not share your drugs with others and do not take anyone else's drugs.
- Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.
- Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.
- Some drugs may have another patient information leaflet. Check with your pharmacist. If you have any questions about prilocaine and epinephrine, please talk with your doctor, nurse, pharmacist, or other health care provider.
Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.