MedPath

Mepivacaine

Generic Name
Mepivacaine
Brand Names
Carbocaine, Carbocaine With Neocobefrin, Isocaine, Isocaine With Levonordefrin, Polocaine, Scandonest, Scandonest L, Scandonest Plain
Drug Type
Small Molecule
Chemical Formula
C15H22N2O
CAS Number
96-88-8
Unique Ingredient Identifier
B6E06QE59J
Background

A local anesthetic that is chemically related to bupivacaine but pharmacologically related to lidocaine. It is indicated for infiltration, nerve block, and epidural anesthesia. Mepivacaine is effective topically only in large doses and therefore should not be used by this route. (From AMA Drug Evaluations, 1994, p168)

Indication

For production of local or regional analgesia and anesthesia by local infiltration, peripheral nerve block techniques, and central neural techniques including epidural and caudal blocks.

Associated Conditions
Anaemia vitamin B6 deficiency, Anemia, Blood Loss Anemia, Diabetic Peripheral Neuropathy (DPN)
Associated Therapies
Local Anaesthesia therapy, Regional nerve block therapy, Lumbar epidural anesthesia therapy

Mepivacaine vs Bupivacaine Spinal Anesthesia for TKA

Phase 4
Recruiting
Conditions
Arthroplasty, Replacement, Knee
Anesthesia, Spinal
Interventions
First Posted Date
2024-03-04
Last Posted Date
2024-08-20
Lead Sponsor
Prisma Health-Upstate
Target Recruit Count
138
Registration Number
NCT06291727
Locations
🇺🇸

Prisma Health Patewood Hospital, Greenville, South Carolina, United States

Avoid With Locoregional Analgesia Persistant Postoperative Pain In Children

Phase 3
Recruiting
Conditions
Persistent Postoperative Pain
Interventions
Drug: Profofol and/or Suxaméthonium and/or Sévoflurane
First Posted Date
2024-02-21
Last Posted Date
2024-06-12
Lead Sponsor
Nantes University Hospital
Target Recruit Count
208
Registration Number
NCT06271174
Locations
🇫🇷

CHU Nantes, Nantes, France

Spinal Hypobaric Local Anesthetic Study

Completed
Conditions
Anesthesia, Local
Interventions
Drug: Spinal hypobaric Bupivacaine Local Anesthetic Injection
First Posted Date
2023-12-12
Last Posted Date
2025-03-28
Lead Sponsor
University Health Network, Toronto
Target Recruit Count
60
Registration Number
NCT06166394
Locations
🇨🇦

Toronto Western Hospital, Toronto, Ontario, Canada

Photobiomodulation for Controlling Pre-Local Anesthetic Injection Pain

Not Applicable
Completed
Conditions
Fear Needles
Interventions
Device: Photobiomodulation
Device: Photobiomodulation simulation
First Posted Date
2023-11-13
Last Posted Date
2024-07-18
Lead Sponsor
University of Nove de Julho
Target Recruit Count
50
Registration Number
NCT06128590
Locations
🇧🇷

Anna Carolina R.T. Horliana, São Paulo, SP, Brazil

Combination of Buffered Anesthetic to Treat Mandibular Molars

Phase 4
Terminated
Conditions
Symptomatic Irreversible Pulpitis
Interventions
First Posted Date
2023-09-21
Last Posted Date
2025-05-13
Lead Sponsor
Indiana University
Target Recruit Count
40
Registration Number
NCT06047366
Locations
🇺🇸

ndiana University School of Dentistry Graduate Endodontics Dept., Indianapolis, Indiana, United States

Understanding Rebound Pain After Regional Anesthesia Resolution in Healthy Volunteers

Phase 1
Completed
Conditions
Regional Anesthesia Morbidity
Pain, Acute
Healthy
Interventions
First Posted Date
2023-08-22
Last Posted Date
2024-06-17
Lead Sponsor
Brigham and Women's Hospital
Target Recruit Count
58
Registration Number
NCT06005480
Locations
🇺🇸

Brigham and Women's Hospital, Boston, Massachusetts, United States

Genicular and Anterior Femoral Cutaneous Nerve Blocks for Total Knee Arthroplasty

Phase 4
Recruiting
Conditions
Genicular Nerve Block
Opioid Use
Total Knee Replacement
Interventions
First Posted Date
2023-08-08
Last Posted Date
2024-12-27
Lead Sponsor
Hospital for Special Surgery, New York
Target Recruit Count
244
Registration Number
NCT05980546
Locations
🇺🇸

Hospital for Special Surgery, New York, New York, United States

Articaine Efficacy and Safety for 3 Years Old Children

Phase 3
Active, not recruiting
Conditions
Dental Diseases
Pulp Disease, Dental
Behavior, Child
Dental Caries in Children
First Posted Date
2023-05-03
Last Posted Date
2024-12-27
Lead Sponsor
Qassim Health Cluster
Target Recruit Count
200
Registration Number
NCT05839548
Locations
🇸🇦

Qassim University, Burayadh, Qassim, Saudi Arabia

Comparing General Anesthesia With Single Injection Peribulbar Block With 3 Different Drugs

Not Applicable
Completed
Conditions
Pediatric Squint Surgeries
Interventions
First Posted Date
2023-02-14
Last Posted Date
2025-04-23
Lead Sponsor
Research Institute of Ophthalmology, Egypt
Target Recruit Count
55
Registration Number
NCT05728151
Locations
🇪🇬

Research Institute of Ophthalmology, Giza, Egypt

Mepivacaine Versus Bupivacaine Onset Time in Ultrasound-guided Ankle Blocks

Phase 4
Conditions
Ankle Block
Foot Surgery
Interventions
First Posted Date
2022-06-21
Last Posted Date
2024-03-13
Lead Sponsor
Mayo Clinic
Target Recruit Count
50
Registration Number
NCT05425979
Locations
🇺🇸

Mayo Clinic in Rochester, Rochester, Minnesota, United States

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