Which anesthetics are used in anterior nasal packing for epistaxis?

Updated: May 09, 2018
  • Author: Eric Goralnick, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

Topical anesthetics include a 2% (or 4%) solution of lidocaine (see the image below).

Lidocaine 2%. Lidocaine 2%.

Topical nasal vasoconstrictors include the following:

  • Phenylephrine (Neo-Synephrine Fast-Acting Nasal)

  • Oxymetazoline (Afrin, Neo-Synephrine 12-hour Maximum Strength Nasal)

  • Epinephrine

Mixture of anesthetics and vasoconstrictors include the following:

  • Phenylephrine plus lidocaine

  • Epinephrine (0.25 mL of 1:1000 solution [ie, 0.25 mg]) plus lidocaine (20 mL 2% [ie, 400 mg])


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