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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest An Alternative To Lidocaine

I have SVt and I have to have two teeth pulled The dentist said he would not use epi just lidocaine but I just read online lidocain is also a class 1b anti arythmic drug. NOw i am scared and feel like lidocaine is not safe for me. what is safe for me to have so I can get my two teeth pulled. (I have had adenosine and been shocked so many times I lost count also had a unsuccessful ablation) Thanks
Wed, 3 Dec 2014
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General & Family Physician 's  Response
Hello
Thank You for contacting HCM.
Welcome to Health Care Magic.
My name is Dr Muhammad Ahmad & i will look into your problem.

I have gone through your query and would try to help you in the best possible.
Yes your knowledge about Lidocain being an antiarrhthmic is true but its administration in both cases mentioned is different

In Cardiac issues:
We give a bolus (full rapid) injection of lidocain to a big vein very close to heart so that it directly effects heart...in this case it is used in a super large quantity.

I Dental procedure:
1-Lidocain is given in your flesh (gum) not in your vein ,there is near to zero percent chance it will reach your heart
2-It's given in very small quantity even all this quantity reaches heart nothing would happen
3-Tooth are far away from heart no direct vein goes to heart from tooth
4- Not lidocain but your anxiety and fear can give you an SVT so take a Verapamil tab or an Inderal before procedure and worry not it wont hurt you


Hope this answers your question. If you have additional questions or follow
up questions then please do not hesitate in writing to us.
Wishing you good health
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Suggest An Alternative To Lidocaine

Hello Thank You for contacting HCM. Welcome to Health Care Magic. My name is Dr Muhammad Ahmad & i will look into your problem. I have gone through your query and would try to help you in the best possible. Yes your knowledge about Lidocain being an antiarrhthmic is true but its administration in both cases mentioned is different In Cardiac issues: We give a bolus (full rapid) injection of lidocain to a big vein very close to heart so that it directly effects heart...in this case it is used in a super large quantity. I Dental procedure: 1-Lidocain is given in your flesh (gum) not in your vein ,there is near to zero percent chance it will reach your heart 2-It s given in very small quantity even all this quantity reaches heart nothing would happen 3-Tooth are far away from heart no direct vein goes to heart from tooth 4- Not lidocain but your anxiety and fear can give you an SVT so take a Verapamil tab or an Inderal before procedure and worry not it wont hurt you Hope this answers your question. If you have additional questions or follow up questions then please do not hesitate in writing to us. Wishing you good health