Co-Phenylcaine Forte Spray

Topical anaesth & local vasoconstriction prior to endoscopy of the upper airways. Prep of nasal mucosa for surgery. Aid in the treatment of acute nose bleeds & removal of foreign bodies from the nose. Topical anaesth of the pharynx prior to direct or indirect laryngoscopy.

Adult 5 squirts per nostril once daily.

Hypersensitivity to lidocaine HCl, phenylephrine HCl, amide type local anaesth or to other sympathomimetic agents. Pregnancy. Childn.

Patients w/ comorbidities should be given a reduced dose. Hyperthyroidism & CV disease, especially those suffering from HTN, severe bradycardia, conduction disturbance or severe digitalis intoxication. Adverse cardiac effects on patients w/ epilepsy who are on phenytoin. Genetic predisposition to malignant hyperthermia & preexisting abnormal neurological conditions. Careful monitoring of CV & resp vital signs should be done. Patient w/ cuts or sores in areas of nose or throat may cause higher drug level in the blood. Carefully exam the nose & throat before the procedure. Avoid use in presence of severe infection or severely traumatized mucosa in the areas of application. Food or drinks especially hot liqd should not be ingested w/in 2 hr of use. May cause allergic-type reactions w/ Na metabisulfite. Contains Na metabisulfite. Hepatic insufficiency. Renal impairment. Phenylephrine HCl: Patients taking MAOIs or w/in 2-3 wk after discontinuation. Risk of inducing closed angle glaucoma.

Transient bitter taste. Headache, drowsiness, lightheadedness, confusion, blurred vision, twitching, convulsions, sensations of hot or cold, slow heartbeat, fast heart rate w/ or w/o palpitations. Hallucinations & paranoid delusions, restlessness, excitement, transient irritability & insomnia.

Lidocaine HCl: Reduced clearance w/ propranolol or cimetidine. Additive or antagonistic effect w/ antiarrhythmics. Prolongs the action of suxamethonium. Additive cardiac depressant effects w/ phenytoin. Phenylephrine HCl: May increase risk of high BP w/ TCAs. May increase effect w/ MAOIs. Reduced or reverse the pressor effect w/ phenothiazines & butyrophenones.

Anaesthetics - Local & General

N01BB52 - lidocaine, combinations ; Belongs to the class of amides. Used as local anesthetics.

Rx