Table 2.
Addressed doses and pregnancy categories of the mostly used local anesthetics in dermatology.
| Anesthetic | Adult dosing (without epinephrine) | Adult dosing (with epinephrine) | Pediatric dosing (without epinephrine) | Pediatric dosing (with epinephrine) | Category in pregnancy |
|---|---|---|---|---|---|
| Amide type | |||||
| Lidocaine | 4.5 mg/kg (max: 300–350) | <7 mg/kg (300–500) | 4.5 mg/kg (300) | <12 years old: 4.5 mg/kg (100–150) | B |
| >12 years old: <7 mg/kg (300–500) | |||||
| Mepivacaine | <300 mg | <500 mg | 4–6 mg/kg (270) | C | |
| Bupivacaine | 2 mg/kg or 175 mg (single dose) or 400 mg/24 h (total dose) | 225 mg | Safety and efficacy have not been established | Safety and efficacy have not been established | C |
| Ropivacaine | 2.9 mg/kg (200 mg) | Safety and efficacy have not been established | Safety and efficacy have not been established | B | |
| Ester type | |||||
| Procaine | 350–500 mg | 600 mg | <15 mg/kg | C | |