Peringatan Keamanan

The mean seizure dosage of mepivacaine in rhesus monkeys was found to be 18.8 mg/kg with mean arterial plasma concentration of 24.4 µg/mL. The intravenous and subcutaneous LD 50 in mice is 23 mg/kg to 35 mg/kg and 280 mg/kg respectively.

Mepivacaine

DB00961

small molecule approved vet_approved

Deskripsi

A local anesthetic that is chemically related to bupivacaine but pharmacologically related to lidocaine. It is indicated for infiltration, nerve block, and epidural anesthesia. Mepivacaine is effective topically only in large doses and therefore should not be used by this route. (From AMA Drug Evaluations, 1994, p168)

Struktur Molekul 2D

Berat 246.348
Wujud solid

Peta Jejaring Molekuler
Legenda: ObatTargetGenEnzim(Panah → menunjukkan arah efek / relasi)TransporterCarrier

Profil Farmakokinetik

Waktu Paruh (Half-Life) The half-life of mepivacaine in adults is 1.9 to 3.2 hours and in neonates 8.7 to 9 hours.
Volume Distribusi -
Klirens (Clearance) -

Absorpsi

Absorbed locally. The rate of systemic absorption of local anesthetics is dependent upon the total dose and concentration of drug administered, the route of administration, the vascularity of the administration site, and the presence or absence of epinephrine in the anesthetic solution.

Metabolisme

Rapidly metabolized, with only a small percentage of the anesthetic (5 percent to 10 percent) being excreted unchanged in the urine. The liver is the principal site of metabolism, with over 50% of the administered dose being excreted into the bile as metabolites.

Rute Eliminasi

It is rapidly metabolized, with only a small percentage of the anesthetic (5 percent to 10 percent) being excreted unchanged in the urine.The liver is the principal site of metabolism, with over 50% of the administered dose being excreted into the bile as metabolites.

Interaksi Obat

2100 Data
Buprenorphine Mepivacaine may increase the central nervous system depressant (CNS depressant) activities of Buprenorphine.
Doxylamine Doxylamine may increase the central nervous system depressant (CNS depressant) activities of Mepivacaine.
Dronabinol Dronabinol may increase the central nervous system depressant (CNS depressant) activities of Mepivacaine.
Droperidol Droperidol may increase the central nervous system depressant (CNS depressant) activities of Mepivacaine.
Hydrocodone Mepivacaine may increase the central nervous system depressant (CNS depressant) activities of Hydrocodone.
Hydroxyzine Hydroxyzine may increase the central nervous system depressant (CNS depressant) activities of Mepivacaine.
Magnesium sulfate The therapeutic efficacy of Mepivacaine can be increased when used in combination with Magnesium sulfate.
Methotrimeprazine Mepivacaine may increase the central nervous system depressant (CNS depressant) activities of Methotrimeprazine.
Metyrosine Mepivacaine may increase the sedative activities of Metyrosine.
Minocycline Minocycline may increase the central nervous system depressant (CNS depressant) activities of Mepivacaine.
Mirtazapine Mepivacaine may increase the central nervous system depressant (CNS depressant) activities of Mirtazapine.
Nabilone Nabilone may increase the central nervous system depressant (CNS depressant) activities of Mepivacaine.
Orphenadrine Mepivacaine may increase the central nervous system depressant (CNS depressant) activities of Orphenadrine.
Paraldehyde Mepivacaine may increase the central nervous system depressant (CNS depressant) activities of Paraldehyde.
Perampanel Perampanel may increase the central nervous system depressant (CNS depressant) activities of Mepivacaine.
Pramipexole Mepivacaine may increase the sedative activities of Pramipexole.
Ropinirole Mepivacaine may increase the sedative activities of Ropinirole.
Rotigotine Mepivacaine may increase the sedative activities of Rotigotine.
Rufinamide The risk or severity of adverse effects can be increased when Rufinamide is combined with Mepivacaine.
Sodium oxybate The risk or severity of CNS depression can be increased when Mepivacaine is combined with Sodium oxybate.
Suvorexant Mepivacaine may increase the central nervous system depressant (CNS depressant) activities of Suvorexant.
Tapentadol Tapentadol may increase the central nervous system depressant (CNS depressant) activities of Mepivacaine.
Thalidomide Mepivacaine may increase the central nervous system depressant (CNS depressant) activities of Thalidomide.
Zolpidem Mepivacaine may increase the central nervous system depressant (CNS depressant) activities of Zolpidem.
Esmolol The serum concentration of Mepivacaine can be increased when it is combined with Esmolol.
Betaxolol The serum concentration of Mepivacaine can be increased when it is combined with Betaxolol.
Metoprolol The serum concentration of Mepivacaine can be increased when it is combined with Metoprolol.
Atenolol The serum concentration of Mepivacaine can be increased when it is combined with Atenolol.
Timolol The serum concentration of Mepivacaine can be increased when it is combined with Timolol.
Sotalol The serum concentration of Mepivacaine can be increased when it is combined with Sotalol.
Propranolol The serum concentration of Mepivacaine can be increased when it is combined with Propranolol.
Labetalol The serum concentration of Mepivacaine can be increased when it is combined with Labetalol.
Bisoprolol The serum concentration of Mepivacaine can be increased when it is combined with Bisoprolol.
Alprenolol The serum concentration of Mepivacaine can be increased when it is combined with Alprenolol.
Pindolol The serum concentration of Mepivacaine can be increased when it is combined with Pindolol.
Carvedilol The serum concentration of Mepivacaine can be increased when it is combined with Carvedilol.
Propafenone The serum concentration of Mepivacaine can be increased when it is combined with Propafenone.
Acebutolol The serum concentration of Mepivacaine can be increased when it is combined with Acebutolol.
Nadolol The serum concentration of Mepivacaine can be increased when it is combined with Nadolol.
Bevantolol The serum concentration of Mepivacaine can be increased when it is combined with Bevantolol.
Practolol The serum concentration of Mepivacaine can be increased when it is combined with Practolol.
Penbutolol The serum concentration of Mepivacaine can be increased when it is combined with Penbutolol.
Oxprenolol The serum concentration of Mepivacaine can be increased when it is combined with Oxprenolol.
Dexpropranolol The serum concentration of Mepivacaine can be increased when it is combined with Dexpropranolol.
Celiprolol The serum concentration of Mepivacaine can be increased when it is combined with Celiprolol.
Nebivolol The serum concentration of Mepivacaine can be increased when it is combined with Nebivolol.
Bufuralol The serum concentration of Mepivacaine can be increased when it is combined with Bufuralol.
Bopindolol The serum concentration of Mepivacaine can be increased when it is combined with Bopindolol.
Bupranolol The serum concentration of Mepivacaine can be increased when it is combined with Bupranolol.
Indenolol The serum concentration of Mepivacaine can be increased when it is combined with Indenolol.
Arotinolol The serum concentration of Mepivacaine can be increased when it is combined with Arotinolol.
Levobetaxolol The serum concentration of Mepivacaine can be increased when it is combined with Levobetaxolol.
Talinolol The serum concentration of Mepivacaine can be increased when it is combined with Talinolol.
Anisodamine The serum concentration of Mepivacaine can be increased when it is combined with Anisodamine.
Bucindolol The serum concentration of Mepivacaine can be increased when it is combined with Bucindolol.
Esatenolol The serum concentration of Mepivacaine can be increased when it is combined with Esatenolol.
Cloranolol The serum concentration of Mepivacaine can be increased when it is combined with Cloranolol.
Mepindolol The serum concentration of Mepivacaine can be increased when it is combined with Mepindolol.
Epanolol The serum concentration of Mepivacaine can be increased when it is combined with Epanolol.
Tertatolol The serum concentration of Mepivacaine can be increased when it is combined with Tertatolol.
Landiolol The serum concentration of Mepivacaine can be increased when it is combined with Landiolol.
Prilocaine The risk or severity of methemoglobinemia can be increased when Mepivacaine is combined with Prilocaine.
Hyaluronidase (ovine) Hyaluronidase (ovine) can cause an increase in the absorption of Mepivacaine resulting in an increased serum concentration and potentially a worsening of adverse effects.
Hyaluronidase (human recombinant) Hyaluronidase (human recombinant) can cause an increase in the absorption of Mepivacaine resulting in an increased serum concentration and potentially a worsening of adverse effects.
Hyaluronidase Hyaluronidase can cause an increase in the absorption of Mepivacaine resulting in an increased serum concentration and potentially a worsening of adverse effects.
Methadone The risk or severity of adverse effects can be increased when Methadone is combined with Mepivacaine.
Ethanol Mepivacaine may increase the central nervous system depressant (CNS depressant) activities of Ethanol.
Azelastine Mepivacaine may increase the central nervous system depressant (CNS depressant) activities of Azelastine.
Brimonidine Brimonidine may increase the central nervous system depressant (CNS depressant) activities of Mepivacaine.
Fluvoxamine The risk or severity of adverse effects can be increased when Mepivacaine is combined with Fluvoxamine.
Duloxetine The risk or severity of adverse effects can be increased when Mepivacaine is combined with Duloxetine.
Sibutramine The risk or severity of adverse effects can be increased when Mepivacaine is combined with Sibutramine.
Nefazodone The risk or severity of adverse effects can be increased when Mepivacaine is combined with Nefazodone.
Milnacipran The risk or severity of adverse effects can be increased when Mepivacaine is combined with Milnacipran.
Desvenlafaxine The risk or severity of adverse effects can be increased when Mepivacaine is combined with Desvenlafaxine.
Levomilnacipran Mepivacaine may decrease the excretion rate of Levomilnacipran which could result in a higher serum level.
Citalopram The risk or severity of adverse effects can be increased when Mepivacaine is combined with Citalopram.
Trazodone The risk or severity of adverse effects can be increased when Mepivacaine is combined with Trazodone.
Paroxetine The risk or severity of adverse effects can be increased when Mepivacaine is combined with Paroxetine.
Sertraline The risk or severity of adverse effects can be increased when Mepivacaine is combined with Sertraline.
Escitalopram The risk or severity of adverse effects can be increased when Mepivacaine is combined with Escitalopram.
Zimelidine The risk or severity of adverse effects can be increased when Mepivacaine is combined with Zimelidine.
Dapoxetine The risk or severity of adverse effects can be increased when Mepivacaine is combined with Dapoxetine.
Seproxetine The risk or severity of adverse effects can be increased when Mepivacaine is combined with Seproxetine.
Indalpine The risk or severity of adverse effects can be increased when Mepivacaine is combined with Indalpine.
Ritanserin The risk or severity of adverse effects can be increased when Mepivacaine is combined with Ritanserin.
Alaproclate The risk or severity of adverse effects can be increased when Mepivacaine is combined with Alaproclate.
Dapsone The risk or severity of methemoglobinemia can be increased when Dapsone is combined with Mepivacaine.
Technetium Tc-99m tilmanocept Mepivacaine may decrease effectiveness of Technetium Tc-99m tilmanocept as a diagnostic agent.
Benzatropine Benzatropine may decrease the excretion rate of Mepivacaine which could result in a higher serum level.
Disopyramide Disopyramide may decrease the excretion rate of Mepivacaine which could result in a higher serum level.
Clozapine The risk or severity of CNS depression can be increased when Clozapine is combined with Mepivacaine.
Chlorpromazine The risk or severity of CNS depression can be increased when Chlorpromazine is combined with Mepivacaine.
Lamotrigine The risk or severity of methemoglobinemia can be increased when Lamotrigine is combined with Mepivacaine.
Propantheline Propantheline may decrease the excretion rate of Mepivacaine which could result in a higher serum level.
Dicyclomine Dicyclomine may decrease the excretion rate of Mepivacaine which could result in a higher serum level.
Maprotiline The risk or severity of CNS depression can be increased when Maprotiline is combined with Mepivacaine.
Tolterodine Mepivacaine may decrease the excretion rate of Tolterodine which could result in a higher serum level.
Promethazine The risk or severity of CNS depression can be increased when Mepivacaine is combined with Promethazine.
Doxacurium The risk or severity of CNS depression can be increased when Mepivacaine is combined with Doxacurium.

Target Protein

Sodium channel protein type 10 subunit alpha SCN10A

Referensi & Sumber

Belum ada data referensi/link/attachment untuk obat ini pada database. Jalankan import DrugBank untuk mengisi field referensi.

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