"Ultracaine DS Forte": instructions for use, contraindications. Solution for injection for local anesthesia

Probably, there are few people who would happily, or at least without fear, visit the dentist. This unpleasant treatment, which can often be accompanied by pain, forces us to postpone the visit to the polyclinic any longer. But now there are great opportunities to make the process of treatment and removal of teeth quite painless. To do this, there is a mass of medications that perfectly anesthetize, the doctor can do anything in your mouth, anything, and you will not even feel it. One of these drugs is "Ultrakain DS Forte." Let's try to understand its therapeutic effect, its usage and contraindications.

Pharmacological effect on the body

This drug belongs to the group of local anesthetics, which are widely used in dental practice. The drug is almost instantaneous, after the introduction is only a few minutes before the anesthesia. The duration of the analgesic period is more than an hour, depending on what dosage was administered.

"Ultracaine DS Forte" is well tolerated by the majority of patients, the elimination half-life is only 25 minutes, and this process is carried out mostly by the kidneys. The medicine has a very low toxicity, which makes it possible to apply it again.

Locally anesthetic properties of the drug contribute to the loss of sensitivity at the injection site or in its area due to a decrease in the intensity of conduction of nerve impulses.

After the introduction of only 2 ml of the drug, the maximum concentration in the blood plasma is reached after 15-20 minutes. But it is noticed that the concentration in the area of administration is thousands of times higher than that in the bloodstream.

Form of the preparation and its composition

"Ultrakain DS Forte" is available in the form of injectable solutions. 1 ml of the drug contains:

• The main active ingredients are 40 mg of articaine hydrochloride and epinephrine hydrochloride, its concentration may differ.
• As additional components are included: sodium chloride, sodium metabisulphite, water for injection.

The drug is produced in ampoules and is a solution without color, completely transparent.

This drug is also available in different forms, which differ in the concentration of the active substance:

• "Ultracaine DS Forte" 1: 100,000 concentration of epinephrine.
• The concentration can be 1: 200000.
• There is a form of the drug completely without epinephrine.

Producers pack the drug into special 1.7-ml blood vessels, which are inserted into the carp syringe, and then the needle is screwed into the medication. So "Ultracaine" is introduced, the price of 1 ampoule is very small - it makes 40-50 rubles, so almost every patient before visiting a dentist can afford to buy such a drug. Its use will make it possible to pull out or cure the tooth painlessly.

Indications for the use of the drug "Ultracaine"

The composition of the drug allows a fairly wide use of it in dentistry in the implementation of infiltration and conductive anesthesia. This drug is used even in patients who have physical illnesses. The introduction of "Ultracaine DS Forte" is shown in the following cases:

• If surgical intervention is made on the oral mucosa.
• Extraction or extirpation of the tooth is necessary.

• Extraction of teeth that are affected by periodontal disease.
• If there is a long intervention by the surgeon in the removal of cysts, grinding teeth before prosthetics.

The dosage of the drug in each case is determined individually.

Dosage and methods of administration

If you decide to buy before going to the dentist "Ultrakain", the instruction for use says that you can enter it only if the tissues have no inflammatory process. Also, intravenous administration is contraindicated.

If you have to remove the tooth, uncomplicated inflammatory processes and other complications, then it is enough to introduce 1.7 ml of the drug into the submucosa, there are cases when it may be necessary to administer an additional amount of the drug. In such situations, a painful palatal injection can be avoided.

If the teeth to be removed are located next to each other, then the number of injections can not be increased, the drug "Ultracaine DS Forte" will work and well anesthetize.

If you have to make a cut and apply seams in the sky, then to create a palatine depot is enough for 0.1 ml of medicine per shot.

When removing the lower teeth, which without inflammatory processes, it will suffice to infiltrate anesthesia by injection of 1.7 ml per tooth. If the desired effect of anesthesia is not achieved after the injection, an additional injection can be made to the submucosal area. There are situations when this approach does not lead to reliable anesthesia, then it will be necessary to conduct a conductive blockade of the mandibular nerve.

If surgical intervention is required and anesthesia is required, "Ultracaine" is dosed depending on the severity of the pathology and the expected duration of the operation.

If treatment or removal of teeth is carried out in adult patients, then the active substance of the drug can be administered up to 7 mg per kilogram of body weight. Dosage for children is selected in each case individually, taking into account the weight and age of the small patient. But we must take into account that the amount of active substance should not exceed 5 mg per kilogram of the child's weight.

In the treatment of elderly patients, the dosage is also desirable to take the minimum, but necessary to achieve the desired effect.

Some nuances of using "Ultracaine"

In the use of any drugs, there are always special rules and subtleties, and "Ultracaine" is no exception. Here are some rules that must be observed when using this medication:

1. To prevent intravascular injection, an aspiration test should be performed.
2. The pressure at the prick should correspond to the sensitivity of the tissue.
3. In order to prevent the development of infectious diseases, the patient must control that the doctor uses a new needle and syringe at each fence of the solution from the vial. If the cartridge is already open, it can not be used for the next patient.
4. It is also unacceptable to use a damaged cartridge to administer the drug.
5. If you use special syringe stands, you can protect yourself from damage to the glass and make their functioning flawless.

If you adhere to these simple rules, then anesthesia with the use of this drug will be wonderful.

The use of "Ultracaine" in some patient groups

Any anesthetic, even if it is a simple injection of Ultrakain, requires special care in certain categories of patients, as well as in certain situations:

• If the patient suffers from heart and vascular disease, there are cardiac arrhythmias, a history of stroke, there is hypertension, then it is desirable to use the drug with minimal or no active substance.
• The same applies to patients who have diabetes, hyperthyroidism, emphysema or bronchitis.
• After visiting the dentist, you can eat only after the anesthesia has completely stopped.

• There was no specific effect on the ability to drive a car, but if a patient was given a large dose, it is better to refrain from this until the sensitivity is completely restored.
• With great care, the drug should be used in patients with angina and postinfarction cardiosclerosis.
• If there is a disturbance of the cerebral circulation, the dosage should also be strictly observed.
• Coagulation disorders require caution.
• Severe damage to the kidneys and liver is a good reason for not using Ultrakain.

Use of "Ultrakain" 1: 200,000

This drug has a concentration of active substance is less, so it is most often used for the treatment of pregnant women or nursing mothers.

This concentration is suitable for patients with cardiovascular problems. But there are limitations:

• With great care apply to patients with bronchial asthma.
• If there is a pathology of the thyroid gland, then use this "Ultracaine" (injections) is prohibited.

"Ultracaine" without epinephrine

Considering that practically all preservatives are practically absent in this form of the drug, this is the most suitable option for patients who are at risk of allergic manifestations. It is also suitable for patients with bronchial asthma and having thyroid disease.

The drug is suitable for cores, but one must bear in mind that the time of action of such a form is much less.

Undesirable manifestations after application of "Ultracaine"

If you use "Ultracaine", instructions for use in dentistry should be strictly observed, otherwise there may be side effects:

1. Respiratory disorders that can result in even stopping breathing.
2. Appearance of seizures.
3. Visual disorders.
4. If you decide to use Ultracaine, the instruction manual warns that an inefficient injection may result in damage to the facial nerve.
5. After the injection, you may have a headache.
6. Nausea and vomiting.
7. Arterial hypotension develops.
8. Bradycardia.
9. Some may, on the contrary, cause an increase in pressure.
10. Allergic manifestations.
11. At the injection site, puffiness.
12. Swelling of the upper and lower lips, cheeks and even vocal cords.

If after visiting a dentist you find these manifestations, then urgently you need to see a doctor.

Who is not allowed the reception of "Ultracaine"

In spite of the fact that the patients leave positive after the injection of the drug "Ultracaine DS Forte", there are pathologies and conditions in which its use is not desirable:

1. Hypersensitivity to the components of the drug.
2. Bradycardia.
3. Atrioventricular blockage of 2-3 degrees.
4. Heart failure.
5. Anemia.
6. Hypoxia.
7. Closed-angle glaucoma.
8. "Ultracaine" has contraindications to use in children up to 4 years.

When you visit a dentist, you must tell your doctor about your chronic illness.

Consequences of an overdose

Many before buying a dentist buy Ultrakain, the price of 1 ampoule is small, so some just in case buy a couple, without fear sit down in the dental chair and ask the doctor to inject a double dose. But it is necessary to know that complications can occur if the dosage is not observed. Here are some symptoms of an increased amount of the drug:

• Dizziness.
• Stupor.
• Impaired breathing.
• Generalized convulsions.
• A sharp drop in blood pressure.
• Collapse.
• Bradycardia.
• Tachycardia.

If any of these symptoms appear, discontinue the drug and promptly take action.

Compatibility of "Ultrakain" with other drugs

If you visit a dentist and expect an injection of "Ultracaine", then you need to inform the doctor about what medicines you are taking at the moment. Do not combine the drug with the following medicines:

1. With cardioselective beta-blockers, for example, "Propranolol".
2. With antidepressants.
3. With drugs that have a depressing effect on the nervous system.
4. It is unacceptable to combine "Ultracaine" with "Aspirin" and "Heparin" - there may be bleeding at the injection site.
5. If you use the drug with muscle relaxants, then their effect is enhanced.
6. You can not use additional funds for inhalation anesthesia, the risk of heart rhythm disturbances increases.
7. Do not use solutions containing heavy metals for disinfection.

Use of "Ultrakain" during the carrying of the baby

If a woman is in a position to visit a dentist, it is advisable to use the "Ultracaine" with the minimum active ingredient, the instruction for use in dentistry confirms this. But to use the drug completely without epinephrine is not recommended, since adrenaline causes vessels to narrow at the site of injection and slowing the absorption, which reduces the concentration of the active substance in the blood.

To penetrate into breast milk the active substance of "Ultrakaina" is capable, but its concentration there will be so insignificant that it can not affect the baby in any way. Therefore, if the mother needs to tear out or cure the tooth, then do not interrupt breastfeeding.

Reviews about the drug

Patients often leave positive feedback after using Ultrakain. Many people say that after the injection, numbness occurs after a few hours, a feeling is created that the lips and tongue are swollen.

After the use of "Ultracaine," virtually any manipulation of the dentist does not cause pain, and the process of treatment passes without stress.

Few patients notice the appearance of unwanted effects after injection.

Tends to choose this medication and its affordable cost in pharmacies. To give 40-50 rubles for a tool is capable of almost everyone.

Treatment of teeth and their removal is an unpleasant and painful business, but with such medications as "Ultrakain", all these procedures become painless.

But be sure to tell your doctor about all your chronic diseases and medications you have, only so you can guarantee safe pain.