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Altacaine
Altacaine (proparacaine hydrochloride) is a topical anesthetic primarily used for providing local anesthesia in ophthalmic procedures. It is effective in numbing the eye to alleviate pain and discomfort during eye examinations, surgeries, and other diagnostic procedures. Altacaine works by blocking nerve signals in the eye, allowing for painless interventions.
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Frequently Asked Questions
How long does it take for Altacaine to work?
Altacaine typically begins to numb the eye within minutes after application, providing effective anesthesia for short procedures.
Can I drive after using Altacaine?
It is advisable to avoid driving or operating heavy machinery until the effects of the anesthesia have worn off, as vision may be temporarily blurred.
What should I do if I miss a dose of Altacaine?
Altacaine is typically used on an as-needed basis for procedures, so missing a dose may not apply. Follow your healthcare provider's instructions for use prior to procedures.
Are there any specific precautions I should take while using Altacaine?
Avoid contact with the dropper tip to prevent contamination, and inform your healthcare provider if you experience any unusual symptoms or prolonged numbness.
Can I use Altacaine for home treatment?
Altacaine is intended for use in a clinical setting by healthcare professionals. Do not use it for home treatment without the guidance of a healthcare provider.
Comprehensive Drug Guide
How Does Altacaine Work?
Altacaine works by inhibiting the influx of sodium ions through voltage-gated sodium channels in the nerve membrane. This action prevents the generation and transmission of nerve impulses, effectively numbing the surface of the eye and providing localized anesthesia.
Common Dosages
- Ophthalmic solution: 0.5% proparacaine hydrochloride
Typical Dosing
- The typical dosing for Altacaine involves instilling 1 to 2 drops into the affected eye(s) as needed, usually about 15 minutes prior to the procedure. Additional doses may be administered during longer procedures as necessary.
Typical Dosing
FDA Approved Indications
- Topical anesthesia for ocular procedures such as corneal abrasion, foreign body removal, and cataract surgery.
Who Shouldn't Take Altacaine?
- Known hypersensitivity to proparacaine hydrochloride or any components of the formulation
- Active infections of the eye
Advice From The Pharmacist
- Administer Altacaine exactly as directed by your healthcare provider, and avoid touching the dropper tip to any surface, including the eye, to prevent contamination.
- Monitor for any immediate allergic reactions after vaccination, although these are rare.
- Use caution when driving or operating machinery until the effects of the anesthesia have worn off.
Side Effects of Altacaine
Common Side Effects
- Burning or stinging upon application
- Redness of the eye
- Temporary blurred vision
Uncommon/Severe Side Effects
- Allergic reactions (e.g., rash, itching, swelling, or difficulty breathing)
Risks and Warnings of Altacaine
- Corneal Toxicity: Prolonged use of topical anesthetics can lead to corneal damage or delayed healing. Altacaine should only be used as directed and for the duration recommended by your healthcare provider.
- Systemic Absorption: Although rare, systemic absorption can occur. Caution should be exercised in patients with underlying health conditions.
Interactions with Altacaine
Common Drug Interactions
- Other Ocular Medications: When using multiple eye medications, allow at least 5 minutes between applications to avoid potential interactions.
- Caution with Systemic Medications: Inform your healthcare provider about all medications you are taking to avoid potential interactions.
Alternatives to Altacaine
- Other topical anesthetics: Such as tetracaine or lidocaine eye drops may be used for similar indications.
- General anesthesia: For more extensive ocular surgeries where local anesthesia may not suffice.
