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. 2019 Dec 18;95(1):82–90. doi: 10.1016/j.abd.2019.09.025

Table 1.

Characteristics of the most used anesthetics in dermatology.

Anesthetic Protein affinity Onset of action Duration without epinephrine (min) Duration with epinephrine (min)
Amide type
 Lidocaine 64 2–3 min 30–120 60–400
 Mepivacaine 77 3–20 min 30–120 60–400
 Bupivacaine 95 5–8 min 120–240 240–480



Ester type
 Procaine 5.8 5 min 15–30 30–90

Adapted from Koay et al, 2012 and Park et al, 2017 5, 6