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Can Syntocinon Be Used As A Local Anaesthesia To Decrease Bleeding During Delivery?
Posted on
Tue, 2 Feb 2016
Medically reviewed by
Ask A Doctor - 24x7 Medical Review Team
Tue, 2 Feb 2016
Answered on
Tue, 12 Apr 2016
Last reviewed on
Question : Is Syntocinon the drug that can have an off-label use with a local anesthetic in patients with hypertension in whom one would prefer not to use epinephrine with the local anesthetic? The procedure under consideration is colpectomy and colpocleisis. Please refer my question to a urogynecologiest.
Brief Answer:
Can be used off label.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
Syntocinon contains hormone Oxytocin and causes a smooth muscle contraction and mainly causes uterine contractions and helps in induction of labor pains. It is not used with a local anaesthetic to decrease the bleeding in place of epinephrine routinely.
It can be safely used in hypertensive patients with no cardiac side effects. It can be used off label with a local anaesthetic for short procedures. It depends on your anaesthetist.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Can be used off label.
Detailed Answer:
Hello,
Thanks for trusting us with your health concern.
Syntocinon contains hormone Oxytocin and causes a smooth muscle contraction and mainly causes uterine contractions and helps in induction of labor pains. It is not used with a local anaesthetic to decrease the bleeding in place of epinephrine routinely.
It can be safely used in hypertensive patients with no cardiac side effects. It can be used off label with a local anaesthetic for short procedures. It depends on your anaesthetist.
Please feel free to discuss further. I will be glad to answer the follow up queries that you have.
Wishing you good health.
Regards.
Dr. Rakhi Tayal.
For future query, you can directly approach me through my profile URL http://bit.ly/Dr-Rakhi-Tayal
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
Dear Dr. Tayal,
Thank you for your response to my question regarding the off-label use of Syntocinon with a local anesthetic to help with hemostasis for a colpectomy and colpocleisis in a hypertensive patient. Do you have an opinion on the amount/concentration to be used with lidocaine or bupivacaine hydrochloride and on the maximum dose that should be used?
Thank you for your help.
Thank you for your response to my question regarding the off-label use of Syntocinon with a local anesthetic to help with hemostasis for a colpectomy and colpocleisis in a hypertensive patient. Do you have an opinion on the amount/concentration to be used with lidocaine or bupivacaine hydrochloride and on the maximum dose that should be used?
Thank you for your help.
Brief Answer:
Dosage needs adjustment according to the patient response.
Detailed Answer:
Hello.
Thanks for writing again.
It is an off label use and the dosage may vary from patient to patient. Usually started with 5 IU and the dosage is then adjusted according to the need.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Dosage needs adjustment according to the patient response.
Detailed Answer:
Hello.
Thanks for writing again.
It is an off label use and the dosage may vary from patient to patient. Usually started with 5 IU and the dosage is then adjusted according to the need.
Hope my answer is helpful.
Do accept my answer in case there are no further queries.
Regards.
Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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