MLK Kit F2

Warning

Cardiac arrest and dose-related toxicity are potential risks associated with the use of bupivacaine hydrochloride and lidocaine hydrochloride

Contraindications

• Hypersensitivity to the active ingredients or other local anesthetics of the amide type
• Obstetrical paracervical block anesthesia

Adverse Reactions

• Cardiovascular effects, including hypotension and cardiac arrhythmias
• Central nervous system effects, including seizures and respiratory depression
• Allergic reactions, including anaphylaxis

General Guidance

Dose adjustments may be necessary in patients with hepatic or renal impairment

Pregnancy

• Bupivacaine hydrochloride is contraindicated for obstetrical paracervical block anesthesia
• Lidocaine hydrochloride and triamcinolone acetonide should be used with caution during pregnancy

Nursing Mothers

• Bupivacaine hydrochloride and lidocaine hydrochloride are excreted in human milk
• Triamcinolone acetonide may suppress growth in pediatric patients

Pediatric Use

• Bupivacaine hydrochloride and lidocaine hydrochloride are not recommended for pediatric patients younger than 12 years
• Triamcinolone acetonide may be used in pediatric patients, but with caution

Geriatric Use

• Elderly patients may be more susceptible to the effects of bupivacaine hydrochloride and lidocaine hydrochloride
• Dose adjustments may be necessary in elderly patients with hepatic or renal impairment