Dobisim 20, 50 & 300 20 mg, 50 mg & 300 mg Solution for injection
Clinical Summary
Quick overview from the medicine insert
Indication
Local anaesthetic for infiltration and field block anaesthesia.
Dosage (summary)
0.5-1.0% solution; max 300 mg/24 hours.
Special Populations
- Elderly
- Children
- Patients with hepatic impairment
- Patients with renal impairment
Pregnancy & Breastfeeding
Avoid in early pregnancy; small amounts excreted in breast milk.
Key Drug Interactions
- Other local anaesthetics
- Beta-blockers
- CYP1A2 inhibitors
Contraindications
- Hypersensitivity to lidocaine
- Heart block
- Bradycardia
- Hypovolaemia
- Myasthenia gravis
Common side effects
- Hypotension
- Dizziness
- Nausea
- Allergic reactions
Counselling Points
- Avoid driving after anaesthesia
- Monitor for allergic reactions
- Report any unusual symptoms immediately
Serious warnings
- Risk of systemic toxicity if administered intravenously
- Caution in patients with cardiovascular issues
- Potential for chondrotoxicity with intra-articular use
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