Brand & Generic Names
Basic Information
- Habit forming? Yes
- Prescription needed? Yes
- Available as generic? Yes
- Drug class: Anesthetic (local)
Uses
Provides local anesthesia to the nose, mouth or throat to allow
some types of surgery or examinations without pain.
Dosage & Usage Information
How to use:
Used only under doctor's supervision, it's applied by spray or
cotton swab directly to the area being anesthetized.
When to use:
Immediately before special examinations or surgery.
If you forget a dose:
Not applicable.
What drug does:
Blocks conduction of nerve impulses to brain.
Reduces swelling, bleeding and congestion at operation site.
Time lapse before drug works:
Immediate.
Don't use with:
Any other medicine without consulting your doctor or pharmacist.
Overdose
SYMPTOMS:
Abdominal pain, chills, confusion, lightheadedness,
dizziness, severe nervousness or restlessness, fast or irregular
heartbeat, severe headache, sweating, twitching, dilated pupils,
bulging eyes.
WHAT TO DO:
- Tell your doctor immediately if any of the above occurs after
cocaine has been applied.
- Dial 911 (emergency) or O (operator) for an ambulance or
medical help. Then give first aid immediately.
- See EMERGENCY Information.
Possible Adverse Reactions or Side Effects
Life-threatening:
Blue discoloration Seek emergency
of skin, lips, nails; treatment immediately.
irregular, weak heartbeat;
chest pain; seizure; loss
of bowel and bladder
control.
Common:
Abdominal pain,
dizziness, confusion,
agitation, irritability,
hallucinations, fast
or irregular heartbeat,
headache, euphoria,
psychotic behavior,
trembling, large pupils,
chills and fever,
twitching, stuffy nose.
Infrequent:
Loss of taste or smell
after application
to nose or mouth.
Rare:
Warnings & Precautions
Don't take if:
You are allergic to cocaine.
Before you start, consult your doctor:
- If you are allergic to anything.
- If you are taking any other medicine.
- If you have any acute illness or history of cancer,
convulsions, irregular heartbeat, heart disease, blood vessel
disease, high blood pressure, liver disease, heart attack
history, hyperthyroidism (overactive thyroid gland).
- If you have recently used an insecticide.
- If you have had glaucoma or are using eye drops for glaucoma
(such as Betoptic, Betagan, Timoptic).
- If you have a throat infection.
Over age 60:
More sensitive to drug. May cause impaired thinking,
hallucinations, nightmares. Consult doctor about any of these.
Pregnancy:
Risk to unborn child outweighs any possible drug benefits.
Don't use.
Breast-feeding:
Risk outweighs any possible drug benefits. Don't use.
Infants & children:
Not recommended for children 6 and younger. Use for older
children only under doctor's supervision.
Prolonged use:
Addiction.
Skin & sunlight:
No problems expected.
Driving, piloting or hazardous work:
Don't drive or pilot aircraft for 24 hours after cocaine has
been used for local anesthesia. Don't work around dangerous
machinery. Don't climb ladders or work in high places. Danger
increases if you drink alcohol or take medicine affecting
alertness and reflexes, such as antihistamines, tranquilizers,
sedatives, pain medicine, narcotics and mind-altering drugs.
Discontinuing:
No problems expected.
Others:
- In some people, even small amounts of cocaine can cause
serious adverse reactions.
-
Cocaine is used only under the direct supervision of your
doctor.
May interfere with the accuracy of some medical tests, such as
blood sugar, blood pressure, heart rate.
Possible Interaction with Other Drugs
GENERIC NAME |
COMBINED EFFECT |
| |
------------------------ |
----------------------- |
Anesthetics* |
Increased risk of heartbeat |
|
irregularity. |
Antidepressants, |
Increased risk of |
tricyclic (TCA)* |
heartbeat irregularity. |
Antihypertensives* |
Increased risk of heart block and |
|
high blood pressure. |
Beta-blockers* |
Decreased beta-blocker effect. |
Central nervous |
Convulsions or excessive |
system stimulants* |
nervousness. |
Digitalis |
Increased risk of |
preparations* |
heartbeat irregularity. |
Insecticides |
Increased risk of toxicity. |
Levodopa |
Increased risk of heartbeat |
|
irregularity. |
MAO inhibitors* |
Increased risk of toxicity. |
Methyldopa |
Increased risk of heartbeat |
|
irregularity. |
Nitrates* |
Reduced effectiveness of nitrates. |
Sympathomimetics* |
High risk of heartbeat |
|
irregularities and high blood |
|
pressure. |
Possible Interaction with Other Substances
INTERACTS WITH |
COMBINED EFFECT |
--------------- |
--------------- |
Alcohol: |
Dangerous interaction. Don't use. |
| |
| |
Caffeine drinks. |
Dangerous interaction. Don't use. |
| |
| |
Orally. |
Increased chance of |
|
adverse reactions or death. |
| |
Foods: |
No proven problems. |
| |
Marijuana: |
Dangerous interaction. Don't use. |
| |
Tobacco: |
Increased likelihood of irregular |
|
or rapid heartbeat. |
|