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MLK F3 Kit

MARCAINE, LIDOCAINE, KENALOG, POVIDONE IODINE

Manufacturer: Asclemed USA, Inc.

Score: 146.0

Quick Summary

The MLK Kit F2 contains bupivacaine hydrochloride, lidocaine hydrochloride, triamcinolone acetonide, and povidone iodine. Bupivacaine hydrochloride is used for local or regional anesthesia, while lidocaine hydrochloride is used for local anesthesia and nerve block. Triamcinolone acetonide is a corticosteroid used for various conditions, including allergic reactions and inflammatory diseases. Povidone iodine is used as an antiseptic. Important safety information includes warnings about cardiac arrest, dose-related toxicity, and contraindications in certain patient populations. The main dosing recommendations vary depending on the specific condition being treated and the patient population. Special population considerations include use during pregnancy, nursing mothers, pediatric use, and geriatric use.

Key Clinical Findings and Indications

  • Bupivacaine hydrochloride is used for local or regional anesthesia
  • Lidocaine hydrochloride is used for local anesthesia and nerve block
  • Triamcinolone acetonide is used for various conditions, including allergic reactions and inflammatory diseases
  • Povidone iodine is used as an antiseptic

Important Safety Information

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

Dosing Recommendations

General Guidance

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

Local anesthesia

Adult Dose

2.5-50 mg

Pediatric Dose

Not recommended for pediatric patients younger than 12 years

Nerve block

Adult Dose

5-300 mg

Pediatric Dose

Not recommended for pediatric patients younger than 12 years

Special Population Considerations

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