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        New Message Board Archives >> 2005 Cluster Headache Specific Posts >> Xylocaine - Vasodilator
        
(Message started by: Chillrmn1 on Feb 9^th, 2005, 4:37pm)

Title: Xylocaine - Vasodilator
Post by Chillrmn1 on Feb 9^th, 2005, 4:37pm

Recently had a dental procedure which required administration of xylocaine to my upper and lower jaws. Near the end of the procedure, experienced a bad hit. This happened last month also, but considered it a coincidence then since I was in cycle and still am. Found this link: http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=291855&dopt=Abstract which identified xylocaine, and some other oral anesthetics used by dentists, etc., as vasodilators.

Wanted to pass this on since I'm sure the xylocaine was the cause of my hit.

Have others experienced the same after dental work?

Wishing Everyone PFDANs

Bob

Title: Re: Xylocaine - Vasodilator
Post by Langa on Feb 9^th, 2005, 4:44pm

Thanks for the info Bob...definitely good to know if you're going in for dental work.

Langa

Title: Re: Xylocaine - Vasodilator
Post by Bec on Feb 9^th, 2005, 7:53pm

Xylocaine is a vasoconstrictor we use it to stop bleeding in pt.'s as well as getting them numb, I have never read anything in the ligature about it being a vasoditator.Xylocaine and septacaine are the most commonly used, they both have epi in them with can cause your heart to race. There are many types of local oral anesthetics on the market and everyone of them are a little different, so I am sure there are ones that have the opposite effect and have vosodilators in them. You can ask for carbocaine with does not have any epi in it. We use it on heart pt.'s. The only thing with cabocaine is that it does not last as long and some pt's don't get completely numb (that is the only think I will let them use on me. IMHO it is the epi that triggers me ). I would also suggest you stay away for NO2 (laughing gas ) I know that when I am using it on a Pt. no matter how careful we are there is still leakage and it will trigger me (also women if you are pregnant do not use NO2 it will cause a miscarriages)
Hugs and PF wishes
bec

Title: Re: Xylocaine - Vasodilator
Post by vig on Feb 9^th, 2005, 8:04pm

I got hit after NO2... I don't call it laughing gas anymore.

Title: Re: Xylocaine - Vasodilator
Post by Mr. Happy on Feb 10^th, 2005, 12:22am

So how does lidocaine fit in here, which is a listed med? Most of these other `caines seem to be dead ringers for giving the old trigreminal a blast of blood flow. This can't be good. No wonder so many CHeads have rotten teeth and poor fitting dentures. Damned dentists.

Floridian take the stage, man......

Title: Re: Xylocaine - Vasodilator
Post by Frank_W on Feb 10^th, 2005, 7:45am

Interesting that this comes up now, because yesterday, I had my last molar on the upper right side, anesthetized, drilled, and filled. As the anesthetic began to wear off last night, I had a shadow that lasted for a couple of hours. Very interesting...

Title: Re: Xylocaine - Vasodilator
Post by sandie99 on Feb 10^th, 2005, 1:34pm

Hi there, Bob!
I get always hit after visiting dentist. That's why I'm not looking forward to the end of March when my second wisdon teeth is taken out... :(

Best wishes & PFdays,
Sandie

Title: Re: Xylocaine - Vasodilator
Post by Chillrmn1 on Feb 10^th, 2005, 4:07pm

I'll soon be scheduling another appointment for extraction of a wisdom tooth and will request an anesthetic without vasodilatory effect be used. I'll follow up this post and let everybody know if that makes a difference and what was used.

Cheers And Have A PF Day!!!!!!!

Bob

Title: Re: Xylocaine - Vasodilator
Post by Bec on Feb 10^th, 2005, 9:31pm

Hap,

lidocaine and Xylocine are on in the same, the both have epi in them so they are both vasoconstrictors.
hugs
bec ( no-one ) [smiley=laugh.gif]

Title: Re: Xylocaine - Vasodilator
Post by Chillrmn1 on Mar 22^nd, 2005, 6:09pm

Made that trip back to the dentist and was given Citanest (Prilocaine) instead of Xylocaine for the local anesthetic. Had not one cluster headache or hint of an attack this time. In the future I'll always request the Citanest be used.

Hope this info may help somebody from experiencing what I went thru. Dental work is tough enough, let alone when you get a cluster headache during the procedure.

The following is information found on: http://www.doctorspiller.com/local_anesthetics.htm

"The first modern local anesthetic agent was lidocaine (trade name Xylocaine®). The major problem with lidocaine and its analogs is that they cause vasodilation, or the tendency of the local blood vessels to open wider increasing the blood flow in the area.

Mepivicaine (Carbocaine®) and prilocaine (Citanest®) have much less vasodilative qualities and hence can be used without the epinephrine vasoconstrictor."

Bob

Edited to correct website address.

Title: Re: Xylocaine - Vasodilator
Post by jokrs2 on Mar 22^nd, 2005, 6:39pm

Thank you for getting this post up here as I have an appointment the 28th of March. I have already put in a call to my dentist to see if she can use Carbocaine and let me breathe O2 while they are working on me. Waiting to hear back and I will follow this string and keep you posted as I have always been hit hard after a visit to the dentist. Joe

Title: Re: Xylocaine - Vasodilator
Post by PCMCCK on Mar 23^rd, 2005, 12:10am

I've had the opposite experience. My CH pain (I'm chronic) is in my left eye; I've found that when I have dental work done on the upper left part of my mouth, the anesthetic injected there not only numbs my mouth but also numbs my eye pain for awhile (and my lips, of course, causing me to spill anything that I try to drink unless I use a straw).

Title: Re: Xylocaine - Vasodilator
Post by Chillrmn1 on Mar 23^rd, 2005, 6:26am

PCMCCK,

By chance, do you recall which type anesthetic was used? I'm curious.

Thanks,

Bob