Prilocaine

Prilocaine is an amide local anesthetic commonly used in dental and infiltration anesthesia with lower toxicity risk.

Structure of Prilocaine

  • Prilocaine is an amide-type local anesthetic with an isopropyl group attached to the diethylaminoethyl side chain, providing effective anesthetic properties with reduced toxicity.
  • Chemical Formula: C₁₂H₂₈N₂O
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Structure of Prilocaine

Mode of Action

  • Voltage-Gated Sodium Channel Blockade: Inhibits sodium influx, preventing nerve impulse conduction.
  • Membrane Stabilization: Enhances neuronal membrane stability, reducing excitability.
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Uses

  • Local Anesthesia: Employed in dental procedures, minor surgeries, and cosmetic applications.
  • Topical Preparations: Applied to skin and mucous membranes for numbing before minor interventions.
  • Infiltration Anesthesia: Injected to provide localized numbness during medical procedures.

Side Effects of Prilocaine

  • Methemoglobinemia: Risk of oxidizing hemoglobin to methemoglobin, reducing oxygen-carrying capacity.
  • Local Irritation: Redness, swelling, or discomfort at the application site.
  • Systemic Toxicity: CNS symptoms and cardiovascular disturbances in high doses.
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