Country: Malaysia
Bahasa: Inggeris
Sumber: NPRA (National Pharmaceutical Regulatory Agency, Bahagian Regulatori Farmasi Negara)
LIDOCAINE
SCHMIDT BIOMEDTECH SDN BHD
LIDOCAINE
80 gm
SIDEFARMA
PATIENT INFORMATION LEAFLET LIDONOSTRUM 10% W/V TOPICAL SPRAY Lidocaine (100 mg/ml) ACTIVE INGREDIENT Lidocaine. EXCIPIENTS - Ethanol (solvent and preservative); - Polyethylene glycol 400; - Banana flavour (containing propylene glycol); - Menthol; - Saccharin; - Purified water. DOSAGE FORM Topical spray. PRODUCT DESCRIPTION Lidonostrum 10% w/v Topical Spray is a clear, colourless to yellowish liquid with a characteristic odour and taste to banana. The active substance is dissolved in a mixture of water, ethanol and polyethylene glycol 400. PHARMACODYNAMICS Lidocaine, like other local anaesthetics, causes a reversible blockade of impulse propagation along nerve fibres by preventing the inward movement of sodium ions through the nerve membrane. Local anaesthetics of the amide type are thought to act within the sodium channels of the nerve membrane. Local anaesthetic drugs may also have similar effects on excitable membranes in the brain and myocardium. If excessive amounts of drug reach the systemic circulation rapidly, symptoms and signs of toxicity will appear, emanating from the central nervous and cardiovascular systems. Central nervous system toxicity usually precedes the cardiovascular effects since it occurs at lower plasma concentrations. Direct effects of local anaesthetics on the heart include slow conduction, negative inotropism and eventually cardiac arrest. PHARMACOKINETICS ABSORPTION Lidocaine is absorbed following topical administration to mucous membranes, its rate and extent of absorption being dependent upon the concentration and total dose administered, the specific site of application, and duration of exposure. In general, the rate of absorption of local anaesthetic agents following topical application is most rapid after intratracheal and bronchial administration. Lidocaine is also well-absorbed from the gastrointestinal tract, although little of the intact drug appears in the circulation because of biotransformation in the liver. DISTRIBUTION The plasma protein binding of lidocaine is dependen Baca dokumen lengkap