Percutaneous inj & IV regional nerve block Individualized dosage. Max: 4.5 mg/kg/dose (300 mg/dose), do not repeat w/in 2 hr. For paracervical & continuous epidural, do not repeat more frequently than every 90 min.
Not to be given to patients w/ hypovolaemia, heart block or other conduction disturbances. May increase creatine phosphokinase conc when administered via IM inj. Patients w/ CHF, bradycardia, or resp depression. Hepatic impairment or pseudocholinesterase deficiency. Renal impairment. Pregnancy. Fetal bradycardia & neonatal resp depression hypotonia in large doses. Lactation.
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