Instruction for use: Trimecaine

Latin name: Trimecainum (genus. Trimecaini)

Chemical name

2- (Diethylamino) -N- (2,4,6-trimethylphenyl) acetamide (as hydrochloride)

Gross formula

C₁₅H₂₄N₂O

Pharmacological groups:

Local Anesthetics

Antiarrhythmics

The nosological classification (ICD-10)

I49.3 Premature ventricular depolarization: Left ventricular asynergy; Ventricular arrhythmia; Expressed ventricular extrasystoles; Ventricular arrhythmia; Ventricular extrasystole; Ventricular arrhythmias; Ventricular extrasystole; Paroxysmal ventricular extrasystole; Recurrent ventricular arrhythmias; Ventricular extrasystole; Asynergy of the ventricles of the heart

R00.0 Tachycardia, unspecified: Tachycardia

Z100.0 * Anesthesiology and premedication: Abdominal surgery; Adenomectomy; Amputation; Angioplasty of the coronary arteries; Carotid artery angioplasty; Antiseptic treatment of skin in wounds; Antiseptic treatment of hands; Appendectomy; Atheroctomy; Balloon coronary angioplasty; Vaginal hysterectomy; Venous bypass; Interventions on the vagina and cervix; Interventions on the bladder; Interference in the oral cavity; Reconstructive-reconstructive operations; Hand hygiene of medical personnel; Gynecological Surgery; Gynecological interventions; Gynecological operations; Hypovolemic shock during surgery; Disinfection of purulent wounds; Disinfection of the edges of wounds; Diagnostic Interventions; Diagnostic procedures; Diathermocoagulation of the cervix; Long-term surgeries; Replacement of fistulous catheters; Infection in orthopedic surgical interventions; Artificial heart valve; Kistectomy; Short-term outpatient surgery; Short-term operations; Short-term surgical procedures; Cryotyreotomy; Blood loss during surgical interventions; Bleeding during surgery and in the postoperative period; Laser coagulation Laserocoagulation; Laser retinopathy of the retina; Laparoscopy; Laparoscopy in gynecology; Likvornaya fistula; Small gynecological operations; Small surgical interventions; Mastectomy and subsequent plastic surgery; Mediastinotomy; Microsurgical operations on the ear; Mukinging operations; Suturing; Minor surgery; Neurosurgical operation; Eclipse of the eyeball in ophthalmic surgery; Orchiectomy; Pancreatectomy; Pericardectomy; The rehabilitation period after surgical operations; Reconvalence after surgical intervention; Percutaneous transluminal coronary angioplasty; Pleural Thoracocentesis; Pneumonia postoperative and post traumatic; Preparing for surgical procedures; Preparing for a surgical operation; Preparation of the surgeon's arms before surgery; Preparation of the colon for surgical interventions; Postoperative aspiration pneumonia in neurosurgical and thoracic operations; Postoperative nausea; Postoperative hemorrhage; Postoperative granuloma; Postoperative shock; Early postoperative period; Myocardial revascularization; Resection of the apex of the tooth root; Resection of the stomach; Bowel resection; Resection of the uterus; Liver resection; Small bowel resection; Resection of a part of the stomach; Reocclusion of the operated vessel; Gluing of tissues during surgical interventions; Suture removal; Condition after eye surgery; Condition after surgery in the nasal cavity; Condition after gastrectomy; Condition after resection of the small intestine; Condition after tonsillectomy; Condition after removal of duodenum; Condition after phlebectomy; Vascular Surgery; Splenectomy; Sterilization of surgical instrument; Sterilization of surgical instruments; Sternotomy; Dental surgery; Dental intervention on periodontal tissues; Strumectomy; Tonsillectomy; Thoracic surgery; Total gastrectomy; Transdermal intravascular coronary angioplasty; Transurethral resection; Turbinectomy; Removal of a tooth; Cataract removal; Removing Cysts; Removal of tonsils; Removal of myoma; Removal of mobile milk teeth; Removal of polyps; Removal of a broken tooth; Removal of the uterus; Removal of seams; Urethrotomy; Fistula of the luminal ducts; Frontoetmoidogamotomy; Surgical infection; Surgical treatment of chronic ulcers of extremities; Surgery; Surgery in the anus; Surgery on the large intestine; Surgical practice; Surgical procedure; Surgical interventions; Surgical interventions on the digestive tract; Surgical interventions on the urinary tract; Surgical interventions on the urinary system; Surgical interventions on the genitourinary system; Surgical intervention on the heart; Surgical procedures; Surgical operations; Surgical operations on veins; Surgical intervention; Vascular Surgery; Surgical treatment of thromboses; Cholecystectomy; Partial resection of the stomach; Extraperitoneal hysterectomy; Percutaneous transluminal coronary angioplasty; Percutaneous transluminal angioplasty; Coronary artery bypass grafting; Extirpation of the tooth; Extirpation of infant teeth; Extirpation of pulp; Extracorporeal circulation; Extraction of the tooth; Extraction of teeth; Extraction of cataracts; Electrocoagulation; Endourological interventions; Episiotomy; Ethmoidotomy; Complications after tooth extraction

CAS code

616-68-2

Characteristics of the substance Tetracaine

White or white with a yellowish hue of crystalline powder. Soluble in water and alcohol.

Pharmacology

Pharmacological action - local anesthetic, antiarrhythmic.

Having sufficient lipophilicity, it penetrates through the nerve fiber membrane, binds to receptors and disrupts depolarization processes, blocking the conduction of a nerve impulse. Has antiarrhythmic activity due to stabilization of cardiomyocyte membranes and inhibition of "slow" sodium current. Promotes the release of potassium, inhibits the automatism of ectopic pacemakers, shortens the duration of the action potential and effective refractory period.

Application of Tetracaine

Local anesthesia - superficial, infiltration, conduction and spinal cord; ventricular extrasystoles, tachycardia.

Contraindications

Hypersensitivity, weakness of the sinus node, AV-blockade, severe bradycardia, cardiogenic shock, liver pathology.

Side effects of Tetracaine

Hypotension, headache, dizziness, drowsiness, anxiety, tinnitus, numbness of the tongue and oral mucosa, impaired vision, convulsive twitching, tremor, bradycardia.

Interaction

Vasoconstrictors strengthen and lengthen the effect.

Routes of administration

Parenteral.