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parenteral-local anesthetics, an-ess-thet-iks, given by injection to cause loss, feeling before and during surgery, dental procedures, dental surgery, labor and delivery, do not cause loss, consciousness, given only by, under the immediate supervision, a medical doctor, by a specially trained nurse, doctor's office, in a hospital, available, following dosage forms parenteral, articaine, injection, bupivacaine, injection, chloroprocaine, injection, etidocaine, injection, levobupivacaine, injection, lidocaine, injection, mepivacaine, injection, prilocaine, injection, procaine, injection, tetracaine, injection, using the medicine, weighed against the good it will do, this is a decision you, nurse will make, for local anesthetics, allergies tell my medical doctor, nurse, allergic reaction to a local anesthetic, to epinephrine, adrenalin, also tell my medical doctor, nurse, allergic to any other substances, sulfites, other preservatives, especially aminobenzoic acid, para-aminobenzoic acid, paba, local anesthetics, haven't been reported to cause birth defects in humans, a local anesthetic during labor and delivery may rarely cause unwanted effects, may increase the length, labor by making it more difficult for the mother to bear down, push, may also cause unwanted effects, fetus, newborn baby, especially if certain medical problems are present at the time, delivery, before receiving a local anesthetic for labor and delivery, should discuss with a physician the good that this medicine will do as well as the risks, receiving it, when breast-feeding , not known whether local anesthetics pass into breast milk, not been reported to cause problems in nursing babies, children children, especially sensitive to the effects, parenteral-local anesthetics, this may increase the chance, side effects, elderly people are especially sensitive to the effects, parenteral-local anesthetics, this may increase the chance, side effects, an interaction might occur, nurse may ask, change the dose, beta-adrenergic blocking agents, carteolol, cartrol, carvedilol, coreg, labetolol, normodyne, nadolol, corgard, oxprenolol, trasicor, penbutolol, levatol, pindolol, visken, propranolol, inderal, sotalol, sotacor, timolol, blocadren, carteolol, ophthalmic, ocupress, levobunolol, ophthalmic, betagan, metipranolol, ophthalmic, optipranolol, timolol, ophthalmic, timoptic, some local anesthetics with these medicines may increase the risk, high blood pressure , a slow heart rate, central nervous system, cns, depressants, medicines that cause drowsiness , local anesthetics with these medicines may increase the risk that drowsiness will occur, digoxin, lanoxin, some local anesthetics with this medicine may increase the risk, irregular heartbeats, haloperidol, haldol, phenothiazines, phenergan, may reduce the effectiveness, the local anesthetic, tricyclic antidepressants, amitriptyline, elavil, amoxapine, asendin, clomipramine, anafranil, desipramine, norpramin, doxepin, sinequan, imipramine, tofranil, nortriptyline, aventyl, protriptyline, vivactil, trimipramine, surmontil, maprotiline, ludiomil, some local anesthetics with these medicines may increase the chance, some problems, high blood pressure and irregular heartbeats, any other medicine, prescription, nonprescription, over-the-counter, otc, ``street'' drugs, amphetamines, ``uppers'', barbiturates, ``downers'', cocaine, ``crack'', marijuana, phencyclidine, pcp, ``angel dust'', heroin, other narcotics, serious side effects may occur if anyone gives you a local anesthetic without knowing, have taken another medicine other medical problems, local anesthetics, make sure you tell my medical doctor, nurse, any other medical problems, asthma, increased chance, allergic-like reactions with use, some local anesthetics, brain infection, tumor, blood clotting disorders, increased chance, bleeding with injection, local anesthetics, diabetes mellitus, sugar diabetes, local anesthetics can cause stress on my heart, diabetes mellitus, heart disease , local anesthetics can worsen some kinds, heart disease , migraine headaches, local anesthetics can worsen headaches, hypertension, high blood pressure , hypotension, low blood pressure, local anesthetics can cause hypotension, hypertension, hyperthyroidism, some local anesthetics can cause stress on my heart, hyperthyroidism, kidney disease , liver disease , increased chance, side effects, methemoglobinemia, prilocaine may make this condition worse, peripheral vascular disease, some local anesthetics can make this condition worse, can cause my blood pressure to increase, skin infection , inflammation, physician may not want to inject the local anesthetic into infected, inflamed skin because the local anesthetic may not work as well, a local anesthetic will be different for different patients, health care professional will decide on the right amount for you, depending on, general physical condition, the reason the local anesthetic is being given, other medicines you are taking, will receive before, after the local anesthetic is given, precautions, know the side effects, for patients going home before the numbness , feeling caused by a local anesthetic wears off, during the time that the injected area feels numb, serious injury can occur without my knowing about it, be especially careful to avoid injury until the anesthetic wears off, feeling returns to the area, received a local anesthetic injection, in my mouth, do not chew gum, food while my mouth feels numb, may injure myself by biting my tongue, the inside, cheeks, side effects, along with its needed effects, some unwanted effects, side effects may occur, may need medical attention, hospital, medical doctor's, dentist's office, nurse will carefully follow the effects, any medicine you have received, some effects may not be noticed until later, check with my dentist, medical doctor immediately, side effects occur, bluish lips and fingernails, breathing problems, chest pain , convulsions, seizures, dizziness , drowsiness , fatigue, fever, headache, irregular heartbeat , itching, nausea and/or vomiting, pale skin, troubled breathing, exertional, unusual bleeding, bruising, unusual tiredness , weakness, raised red swellings on the skin, lips, tongue, throat, rapid heart rate, restlessness, unusual tiredness , weakness, check with my dentist, side effects occur, back pain, constipation, difficulty in opening the mouth, inability to hold bowel movement and/or urine, sexual function, paralysis, legs, persistent numbness , prolonged numbness , tingling, lips and mouth, shivering, skin rash , tingling, pins and needles sensation, other side effects, check with my medical doctor, brand names some commonly used brand names are, carbocaine, carbocaine with neo-cobefrin, chirocaine, citanest plain, dalcaine, dilocaine, duranest, duranest-mpf, isocaine, l-caine, lidoject-1, lidoject-2, marcaine, marcaine spinal, nesacaine, nesacaine-mpf, novocain, octocaine, polocaine, polocaine-mpf, pontocaine, sensorcaine, sensorcaine-mpf, sensorcaine-mpf spinal, septocaine, xylocaine, xylocaine-mpf, xylocaine-mpf with glucose, astracaine 4% forte, carbocaine, citanest forte, citanest plain, isocaine 2%, isocaine 3%, marcaine, nesacaine-ce, novocain, octocaine-50, octocaine-100, polocaine, pontocaine, sensorcaine, sensorcaine forte, ultracaine d-s, ultracaine d-s forte, xylocaine, xylocaine test dose, xylocaine 5% spinal,