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Jul.2024 31
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Maximum Recommended Doses and Duration of Local Anesthetics (Lidocaine)
Introduction
Lidocaine Base Cas 137-58-6 Lidocaine HCl Cas 73-78-9
Details

Example calculation - Lidocaine when administered without vasoconstriction

  • Total dose that can be used

    • Maximum dose of lidocaine (plain, without vasoconstrictor)  is 4.5 mg/kg (not to exceed 300 mg)

    • Example patient weight - 10 kg

    • Total dose that can be used for this patient = 4.5 mg/kg x 10 kg = 45 mg

  • Maximum volume of lidocaine administered

    • Depends on concentration (see conversion table below)

    • E.g. for 1% lidocaine: contains 10 mg of lidocaine per 1 mL

    • Max volume of 1% lidocaine that can be administered to a 10 kg patient  = 45 mg / 10mg/mL = 4.5 mL