Xylocaine MPF with Epinephrine: Sterile Solution and Dosage Considerations

Sterile Solution and Dosage Considerations of Xylocaine MPF with Epinephrine

Xylocaine MPF with Epinephrine is a sterile, nonpyrogenic, isotonic solution containing sodium chloride. It contains lidocaine and epinephrine.​

Xylocaine MPF Description and Composition

Xylocaine MPF with Epinephrine is a sterile, nonpyrogenic, isotonic solution containing sodium chloride.​ Each milliliter of the solution includes lidocaine hydrochloride, epinephrine, sodium metabisulfite as an antioxidant, and citric acid as a stabilizer.​ The solution is methylparaben-free and adjusted to a pH of approximately 6.5. Xylocaine MPF is available in various dosages and formulations for different procedures requiring local anesthesia.​

Epinephrine in Xylocaine MPF

Epinephrine in Xylocaine MPF is (-) -3, 4-Dihydroxy-α-(methylamino) methyl benzyl alcohol with a molecular weight of 183.21. The structural formula of epinephrine (C9H13NO3) is particularly potent in combination with lidocaine hydrochloride present in Xylocaine MPF.​ Epinephrine in this formulation acts as a vasoconstrictor and helps in prolonging the duration of local anesthesia by reducing systemic absorption.​

Dosage Considerations for Xylocaine MPF with Epinephrine

The dosage of Xylocaine-MPF with epinephrine varies depending on the area to be anesthetized, vascularity of the tissues, and number of dermatomes involved. It is important to follow the recommended dosages for each specific procedure to ensure safe and effective local anesthesia delivery.​ Dosage adjustments may be necessary for elderly patients, individuals with underlying cardiac or liver diseases, and pediatric populations.​ The maximum recommended dose of lidocaine HCl with epinephrine for healthy adults should not exceed 7 mg/kg of body weight.​ Careful consideration should be given to the dosage to avoid potential adverse effects associated with Xylocaine MPF with Epinephrine.

Recommended Dosages and Administration Techniques

Table 1 summarizes the recommended volumes and concentrations of Xylocaine Injection for various types of anesthetic procedures.​ Dosages suggested are for normal healthy adults and refer to the use of epinephrine-free solutions.​ When larger volumes are required٫ solutions containing epinephrine should be used٫ except in cases where vasopressors are contraindicated.​ Administration techniques should be carefully followed to ensure accurate dosing and safe delivery of local anesthesia.​

Potential Side Effects and Safety Information

When administering Xylocaine MPF with Epinephrine, patients should be monitored for potential side effects such as blue skin discoloration, anxiety, drowsiness, dizziness, nausea, vomiting, or confusion.​ It is crucial to adhere to recommended dosages and administration techniques to minimize adverse reactions.​ Notably, epinephrine may lead to increased myocardial oxygen consumption and ventricular arrhythmias, warranting careful consideration of dosage adjustments for vulnerable populations. Furthermore, the maximum recommended lidocaine HCl with epinephrine dose for healthy adults should be strictly followed to prevent any safety concerns associated with Xylocaine MPF with Epinephrine administration.​