Drug intelligence / Profile preview

lidocaine + epinephrine + dexamethasone

Development stage
Phase 3
Lead developer
Isfahan University of Medical Sciences
Modality
Small Molecules
Administration
Local Injection
01

Overview

This drug combination consists of the local anesthetic lidocaine, the vasoconstrictor epinephrine, and the synthetic glucocorticoid dexamethasone. It is being investigated by the **Isfahan University of Medical Sciences** as an enhanced anesthetic solution for inferior alveolar nerve blocks (IANB) in patients suffering from **symptomatic irreversible pulpitis**. In the presence of pulpal inflammation, standard local anesthetics like lidocaine often fail due to altered tissue pH and inflammatory sensitization of nerve fibers. The addition of dexamethasone, a potent anti-inflammatory agent, is intended to improve the success rate of the anesthetic block by reducing local inflammation and potentially modulating nerve excitability.

Other names
lidocaine/epinephrine/dexamethasone combinationLidocaine/Dexamethasone for IANB
02

Targets

ADRA1A (α1A)ADRB1 (β1)GR (Glucocorticoid receptor)ADRA1 (Alpha-1 adrenergic receptor family)NaV (Voltage-gated sodium channels)

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