Citanest
Citanest (prilocaine) is an amide-type local anesthetic used to produce local numbness or loss of sensation for dental and medical procedures. It works by reversibly blocking nerve conduction.
Dosage by Body Weight
Dosage must be individualized by a healthcare provider based on the procedure, area to be anesthetized, and patient health status. Maximum adult dose is generally 4.5 mg/kg (not to exceed 400 mg) for plain solution, or 6 mg/kg (not to exceed 600 mg) when used with a vasoconstrictor.
- Body Weight
- Below 5 kg
- Dose
- Not recommended
- Frequency
- Single dose by clinician
- Tracking Notes
- Extremely high risk of methemoglobinemia in newborns and young infants.
- Body Weight
- 5-7 kg
- Dose
- Individualized (Max 5 mg/kg)
- Frequency
- Single dose by clinician
- Tracking Notes
- Must be administered only by healthcare professionals with appropriate monitoring.
- Body Weight
- 8-10 kg
- Dose
- Individualized (Max 5 mg/kg)
- Frequency
- Single dose by clinician
- Tracking Notes
- Administered under medical supervision. Monitor oxygen saturation.
- Body Weight
- 11-15 kg
- Dose
- Individualized (Max 5 mg/kg)
- Frequency
- Single dose by clinician
- Tracking Notes
- Dosage adjusted depending on the specific anesthetic technique used.
- Body Weight
- 16-20 kg
- Dose
- Individualized (Max 5 mg/kg)
- Frequency
- Single dose by clinician
- Tracking Notes
- Dosage calculated precisely based on lean body mass and procedure type.
| Body Weight | Dose | Frequency | Tracking Notes |
|---|---|---|---|
| Below 5 kg | Not recommended | Single dose by clinician | Extremely high risk of methemoglobinemia in newborns and young infants. |
| 5-7 kg | Individualized (Max 5 mg/kg) | Single dose by clinician | Must be administered only by healthcare professionals with appropriate monitoring. |
| 8-10 kg | Individualized (Max 5 mg/kg) | Single dose by clinician | Administered under medical supervision. Monitor oxygen saturation. |
| 11-15 kg | Individualized (Max 5 mg/kg) | Single dose by clinician | Dosage adjusted depending on the specific anesthetic technique used. |
| 16-20 kg | Individualized (Max 5 mg/kg) | Single dose by clinician | Dosage calculated precisely based on lean body mass and procedure type. |
Formulation
Injection (Solution)Topical Cream
Purpose
Local or regional anesthesia for dental and minor surgical procedures via infiltration, peripheral nerve block, or epidural administration.
Generic Name
PrilocaineScheduled Drug
Yes. This medicine should be supplied or used only according to applicable prescription and regulatory requirements.