Description overdue on 04/09/2014

• Composition
• Product form
• Pharmacological action
• Pharmacodynamics and pharmacokinetics
• Indications ultrakain D-C Forte
• Contraindications
• Side effects
• Instructions on Ultrakain D-C Forte (method and dosage)
• Overdose
• Cooperation
• Terms of sale
• Storage conditions
• Shelf life
• Analogs
• With alcohol
• Reviews
• Price, where to buy

Composition

In this preparation contains active substances:   Articaine hydrochloride   - 40 mg 80 mg Epinephrine hydrochloride   - 12 mg-24 mg, corresponding to the content   epinephrine   - 10 mg-20 mg.

As well as supporting components: sodium bisulfite - sodium metabisulfite, sodium chloride and water for injection.

Product form

Ultrakain D-C Forte is offered as a solution for injection, transparent and has no color in ampoules 2 ml of 10 pieces in a pack.

Pharmacological action

This drug has a local anesthetic action.

Pharmacodynamics and pharmacokinetics

The active components of this combination are local anesthetics articaine   a local anesthetic effect and epinephrine Having vasoconstrictor action necessary to increase the duration of anesthesia.

Application artikaina   It allows blocking the sodium channels of the neuron membrane, reducing the conductivity of nerve impulses fibers and providing local anesthetic action. Thus a reversible loss of sensation due to the decrease or cessation of sensory nerve conduction pulses at the injection site and around it.

For ultrakain D-C Forte is characterized by fast and strong anesthetic effect With good tissue tolerance. The duration of anesthesia is approximately 75 minutes.

The rapid destruction of articaine associated with quite low systemic toxicity, which allows for a short time to perform repeated injections.

Due to low content of epinephrine, the action of the drug is not particularly affects the cardiovascular system without causing an increase in blood pressure and heart rate.

After submucosal injection drug effect appears after 10-15 minutes. In articaine it enters the systemic circulation as an inactive metabolite. Inside the body of the main substance is distributed near the dental alveoli. In this connection artikaina   and plasma proteins is approximately 95%.

The metabolism of the drug occurs in the liver microsomes. Also articaine composed of tissue and blood plasma is inactivated by nonspecific esterases in the form of hydrolysis of the carboxyl group. A rapid hydrolysis, which starts after the administration, 90% inactivated by articaine this way. Received artikainovaya acid   - The main metabolite articaine has no local anesthetic activity and systemic toxicity. Withdrawal artikaina   It occurs approximately 25 minutes after administration, preferably by the kidneys.

Indications ultrakain D-C Forte

The main indication for the use of this tool is to conduct anesthesia in dentistry at:

• surgery on the mucous membranes and bones;
• operations in the dental pulp in the removal and hysterectomy;
• removal of the affected periodontitis   and decayed teeth;
• lengthy surgical procedures, for example, operations to Caldwell-Luc percutaneous osteosynthesis , Removal of cysts, interventions on mucous gums and so on.

Contraindications

The drug is not recommended for use in:

• hypersensitivity to artikaina . epinephrine   and other components;
• paroxysmal tachycardia And other abnormalities of cardiac activity;
• closure glaucoma form ;
• anemia, methemoglobinemia, hypoxia ;
• asthma   and high sensitivity to sulfites;
• treatment of children up to 4 years.

Side effects

When treating ultrakain D-C Forte may develop disorders of the nervous system in the form of turbidity, or loss of consciousness, breathing problems, headaches . muscle tremors , Muscle twitching, generalized convulsions, nausea and vomiting.

Also retained the probability of a sharp decrease in blood pressure, heart failure, tachycardia , Various allergic reactions For example: swelling or inflammation at the injection site pruritus, redness of the skin . conjunctivitis . rhinitis . hives   and so on.

Instructions on Ultrakain D-C Forte (method and dosage)

In dental practice, the dosage of the drug is established for each individual patient depending on the severity and duration of the surgery. Uncomplicated extractions in the upper jaw in the absence of inflammation requires infiltration anesthesia at 1, 7 ml per tooth. Exceptional cases the introduction of an additional 1-1, 7 ml of the product, which allows for full anesthesia. Often it is not necessary to carry out anesthesia through palatal access to numb the tissue at the palatine cuts and stitches to create palatal depot administered about 0, 1 mL of anesthetic injection.

In carrying out the removal of several teeth, arranged side by side, you can limit the number of injections. Removal of the lower jaw premolars if no inflammation requires mandibular anesthesia.

In preparation of the oral cavity or tooth preparation for a crown, except for the lower molars, administered dose of 0, 5-1, 7 ml per tooth infiltration anesthesia with vestibular side. In carrying out such medical procedure for adults, allowed the introduction of up to 7 mg per 1 kg of body weight. To avoid intravascular injection, injection should be performed prior to aspirate using syringes " Unidzhet K ".

Overdose

Introduction ultrakain D-C Forte in high doses during dental procedures can lead to unwanted side symptoms or toxic effect, for example, dizziness, motor restlessness and disorders of consciousness. In such cases, immediately discontinue administration of the drug, put the patient in a comfortable horizontal position, hold control of hemodynamic parameters - pressure and heart rate, as well as airway.

When violations of patient breathing give oxygen, CPR is performed, endotracheal intubation with controlled ventilation. Do not use drugs analeptic of the central action. Involuntary muscle twitching or generalized seizures require the introduction of barbiturates   or short-acting, while controlling hemodynamic, respiration, oxygen and / infusion fluid. Treatment of other negative phenomena is carried out depending on the symptoms and severity of the violation.

Cooperation

The simultaneous use of the drug and   tricyclic antidepressants   or MAO inhibitors   It can lead to increased blood pressure and increase the effect of the active substance epinephrine . Therefore, when using ultrakain D-C Forte is necessary to monitor all vital signs.

Terms of sale

Sold by prescription.

Storage conditions

The drug should be stored in a cool place, protected from light penetration and reach of children.

Shelf life

3 years.

Analogs Ultrakain D-C Forte

By analogues of the drug and other drugs are included in the group " Local anesthetics ". For example, Lidocaine Asepta, Gelikain, Tsitokartin, articaine D-C   and   Ultrakain D.

Alcohol and articaine D-C Forte

In the treatment of the data anesthetic should refrain from drinking alcohol beverages. The fact that the interaction of these substances occur in serious disorders of the heart and blood vessels, as well as other abnormalities.

Reviews Ultrakain D-C Forte

Numerous reviews Ultrakain D-C Forte show that it is often used in dental practice. This marked the highest analgesic effect, to successfully carry out surgery, even in severe cases.

It should be noted that virtually no feedback occurs reported overdose or development of side effects. As for professionals, they recommend before applying ultrakain must perform tests on the sensitivity of patients to the drug and to perform accurate administration of injections.

Price Ultrakain Dr. C. Forte, where to buy

Buy this medication at any pharmacy in the presence of a Russian recipe. The price of articaine Forte solution for injection 40 mg plus 10 mg / ml, 10 pcs. It varies in the range 490-599 rubles.