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Medications for Anesthesia

Anesthesia is the practice of administering medicines that block the feeling of pain or other sensations to allow medical or surgical operations to take place without causing undue distress or discomfort. There are various types of anesthesia, and most are given by inhalation (breathing in through the nose and mouth) or injection. The medication used to induce anesthesia is called an anesthetic.

The main types of anesthesia include:

  • Procedural sedation: Commonly used outside of an operating room setting, procedural sedation provides a depressed level of consciousness so that a patient can tolerate unpleasant procedures without affecting cardiovascular function and without the need for airway management (help with breathing)
  • Conscious sedation: Conscious sedation reduces a patient's level of consciousness to a certain extent while still maintaining a certain level of awareness so that they can respond purposefully to verbal commands or light stimulation by touch. Often misused to describe other levels of sedation
  • Analgesia: Uses medications that act locally (means in a small defined area) to reduce or eliminate pain in that area
  • Regional anesthesia: involves an injection of a local anesthetic in the vicinity of major nerve bundles that supply a particular body area, for example, epidurals (into the spine) for childbirth, nerve blocks for dental procedures. May be used on its own or combined with general anesthesia
  • General anesthesia: Uses a combination of intravenous and inhaled gases to produce a sleep-like state where the patient is unconscious and will not respond to any stimuli, including pain. This may cause changes in breathing and circulation which will need to be monitored.

Anesthesia is usually administered before an operation by an anesthesiologist or anesthetist. How anesthesia works is still only partially understood.

In most circumstances, anesthesia is very safe, even people who are quite seriously ill can be safely anesthetized. It is often the surgery that carries the biggest risk. However, complications after anesthesia may include an increased risk of a heart attack, pneumonia or stroke.
These outcomes can include postoperative confusion, heart attack, pneumonia, and stroke.

Symptoms of Anesthesia

Symptoms depend on the type of anesthesia used.

Local or regional anesthesia typically results in numbness or tingling in an area supplied by the nerves and moving that region of the body may become difficult or impossible.

General anesthesia causes a loss of consciousness which means you will be unable to feel pain and will not be aware of anything that is happening. Rarely, some people may experience unintended intraoperative awareness.

Side Effects of Anesthesia

Side effects of local anesthesia may include:

  • Pain around the injection site
  • Prolonged numbness that takes a few hours to wear off
  • Dribbling or difficulty speaking if anesthesia was in the mouth.

Side effects of general anesthesia include:

  • Bruising or soreness from the IV drip
  • Dizziness
  • Feeling cold, shivering
  • Nausea and vomiting
  • Sore throat (from the breathing tube)
  • Temporary memory loss and confusion.

Drugs used for Anesthesia

The medications listed below are related to or used in the treatment of this condition.

Drug name Rating Reviews Activity ? Rx/OTC Pregnancy CSA Alcohol
propofol 7.6 408 reviews for propofol to treat Anesthesia Rx B N X
Generic name:
propofol systemic
Brand names:
Diprivan, Propoven
Drug class:
general anesthetics
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
lidocaine 3.9 15 reviews for lidocaine to treat Anesthesia Rx B N
Generic name:
lidocaine systemic
Brand names:
Xylocaine-MPF, Xylocaine HCl, DentiPatch
Drug class:
local injectable anesthetics, group I antiarrhythmics
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
fentanyl 5.2 10 reviews for fentanyl to treat Anesthesia Rx C 2 X
Generic name:
fentanyl systemic
Drug class:
Opioids (narcotic analgesics)
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
lidocaine / prilocaine 7.4 28 reviews for lidocaine / prilocaine to treat Anesthesia Rx B N
Generic name:
lidocaine / prilocaine topical
Brand names:
Emla, Lidopril, Oraqix, AgonEaze, Anodyne LPT, DermacinRx Empricaine, DermacinRx Prikaan, DermacinRx Prizopak, Dolotranz, EmReal, Leva Set, Lidopril XR, Lidotor, Livixil Pak, Nuvakaan II, Prikaan, Priloheal Plus 30, Prilolid, Prilovix Lite, Prilovix Lite Plus, Prilovix Plus, Prilovix Ultralite, Prilovix Ultralite Plus, Realheal-I, SkyaDerm-LP, VallaDerm-90, Venipuncture CPI
Drug class:
topical anesthetics
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
ketamine 3.4 54 reviews for ketamine to treat Anesthesia Rx N 3 X
Generic name:
ketamine systemic
Brand name:
Ketalar
Drug class:
general anesthetics
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Diprivan 8.1 19 reviews for Diprivan to treat Anesthesia Rx B N X
Generic name:
propofol systemic
Drug class:
general anesthetics
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
succinylcholine 2.0 55 reviews for succinylcholine to treat Anesthesia Rx C N
Generic name:
succinylcholine systemic
Brand names:
Anectine, Quelicin
Drug class:
neuromuscular blocking agents
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Emla 7.4 19 reviews for Emla to treat Anesthesia Rx B N
Generic name:
lidocaine / prilocaine topical
Drug class:
topical anesthetics
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
lidocaine Off-label 3.7 6 reviews for lidocaine to treat Anesthesia Rx/OTC B N
Generic name:
lidocaine topical
Brand names:
Lidocaine Viscous, Lidocan Patch, Anestacon, CidalEaze, LidaMantle, LMX 4, Xylocaine Jelly, Xylocaine Topical, DermacinRx Lido V Pak, Eha Lotion, LidoLite, Lidopac, LMX 5, Lydexa, Medi-Quik Spray, Regenecare HA Spray, Zionodil
Drug class:
topical anesthetics
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Off-label:
Yes
rocuronium 4.3 4 reviews for rocuronium to treat Anesthesia Rx C N
Generic name:
rocuronium systemic
Drug class:
neuromuscular blocking agents
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
glycopyrrolate Rate Add review Rx B N X
Generic name:
glycopyrrolate systemic
Brand name:
Glyrx-PF
Drug class:
anticholinergics/antispasmodics, anticholinergic bronchodilators
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
etomidate 10 1 review for etomidate to treat Anesthesia Rx C N X
Generic name:
etomidate systemic
Brand name:
Amidate
Drug class:
general anesthetics
For consumers:
interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Lidocaine Viscous Off-label 1.0 1 review for Lidocaine Viscous to treat Anesthesia Rx B N
Generic name:
lidocaine topical
Drug class:
topical anesthetics
For consumers:
dosage, interactions, side effects
Off-label:
Yes
vecuronium 8.0 1 review for vecuronium to treat Anesthesia Rx C N
Generic name:
vecuronium systemic
Drug class:
neuromuscular blocking agents
For consumers:
dosage, interactions, side effects
For professionals:
AHFS DI Monograph, Prescribing Information
Xylocaine-MPF Rate Add review Rx B N
Generic name:
lidocaine systemic
Drug class:
local injectable anesthetics, group I antiarrhythmics
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
Lidocan Patch Off-label Rate Add review Rx B N
Generic name:
lidocaine topical
Drug class:
topical anesthetics
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
Off-label:
Yes
Xylocaine HCl Rate Add review Rx B N
Generic name:
lidocaine systemic
Drug class:
local injectable anesthetics, group I antiarrhythmics
For consumers:
dosage, interactions, side effects
Anestacon Off-label Rate Add review OTC B N
Generic name:
lidocaine topical
Drug class:
topical anesthetics
For consumers:
dosage, interactions, side effects
Off-label:
Yes
CidalEaze Off-label Rate Add review Rx/OTC B N
Generic name:
lidocaine topical
Drug class:
topical anesthetics
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
Off-label:
Yes
Ketalar 2.7 6 reviews for Ketalar to treat Anesthesia Rx N 3 X
Generic name:
ketamine systemic
Drug class:
general anesthetics
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
LidaMantle Off-label Rate Add review Rx B N
Generic name:
lidocaine topical
Drug class:
topical anesthetics
For consumers:
dosage, interactions, side effects
Off-label:
Yes
LMX 4 Off-label 1.0 1 review for LMX 4 to treat Anesthesia OTC B N
Generic name:
lidocaine topical
Drug class:
topical anesthetics
For consumers:
dosage, interactions, side effects
Off-label:
Yes
Xylocaine Jelly Off-label Rate Add review Rx/OTC B N
Generic name:
lidocaine topical
Drug class:
topical anesthetics
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
Off-label:
Yes
Xylocaine Topical Off-label Rate Add review Rx/OTC B N
Generic name:
lidocaine topical
Drug class:
topical anesthetics
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information
Off-label:
Yes
Anectine 5.5 2 reviews for Anectine to treat Anesthesia Rx C N
Generic name:
succinylcholine systemic
Drug class:
neuromuscular blocking agents
For consumers:
dosage, interactions, side effects
For professionals:
Prescribing Information

Topics under Anesthesia

Learn more about Anesthesia

Medicine.com guides (external)

Legend

Rating For ratings, users were asked how effective they found the medicine while considering positive/adverse effects and ease of use (1 = not effective, 10 = most effective).
Activity Activity is based on recent site visitor activity relative to other medications in the list.
Rx Prescription only.
OTC Over-the-counter.
Rx/OTC Prescription or Over-the-counter.
Off-label This medication may not be approved by the FDA for the treatment of this condition.
EUA An Emergency Use Authorization (EUA) allows the FDA to authorize unapproved medical products or unapproved uses of approved medical products to be used in a declared public health emergency when there are no adequate, approved, and available alternatives.
Expanded Access Expanded Access is a potential pathway for a patient with a serious or immediately life-threatening disease or condition to gain access to an investigational medical product (drug, biologic, or medical device) for treatment outside of clinical trials when no comparable or satisfactory alternative therapy options are available.
Pregnancy Category
A Adequate and well-controlled studies have failed to demonstrate a risk to the fetus in the first trimester of pregnancy (and there is no evidence of risk in later trimesters).
B Animal reproduction studies have failed to demonstrate a risk to the fetus and there are no adequate and well-controlled studies in pregnant women.
C Animal reproduction studies have shown an adverse effect on the fetus and there are no adequate and well-controlled studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.
D There is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience or studies in humans, but potential benefits may warrant use in pregnant women despite potential risks.
X Studies in animals or humans have demonstrated fetal abnormalities and/or there is positive evidence of human fetal risk based on adverse reaction data from investigational or marketing experience, and the risks involved in use in pregnant women clearly outweigh potential benefits.
N FDA has not classified the drug.
Controlled Substances Act (CSA) Schedule
M The drug has multiple schedules. The schedule may depend on the exact dosage form or strength of the medication.
U CSA Schedule is unknown.
N Is not subject to the Controlled Substances Act.
1 Has a high potential for abuse. Has no currently accepted medical use in treatment in the United States. There is a lack of accepted safety for use under medical supervision.
2 Has a high potential for abuse. Has a currently accepted medical use in treatment in the United States or a currently accepted medical use with severe restrictions. Abuse may lead to severe psychological or physical dependence.
3 Has a potential for abuse less than those in schedules 1 and 2. Has a currently accepted medical use in treatment in the United States. Abuse may lead to moderate or low physical dependence or high psychological dependence.
4 Has a low potential for abuse relative to those in schedule 3. It has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 3.
5 Has a low potential for abuse relative to those in schedule 4. Has a currently accepted medical use in treatment in the United States. Abuse may lead to limited physical dependence or psychological dependence relative to those in schedule 4.
Alcohol
X Interacts with Alcohol.

Further information

Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances.