Is local anesthesia possible during lactation? | Local anesthesia

Is local anesthesia possible during lactation?

Local anesthesia or local anesthesia is generally possible during lactation. However, breastfeeding should be discussed in advance with the attending physician in order to choose the appropriate local anesthetic. Articaine, bupivacaine and lidocaine are the most commonly used local anesthetics during breastfeeding. These substances can be applied locally in small concentrations without hesitation and without passing into breast milk, which could harm the baby.

Effect of local anesthesia

Local anesthesia is a method of local anesthesia and has no addictive or euphoric effect. All local anaesthetics work in the cells and block sodium channels there. Sodium flows through these channels when the cell is excited and depolarizes the cell.

This depolarization then excites the next cell and the signal is transmitted via the nerves to the brain. If these channels are blocked, there can be no transmission of the stimulus. This blocks the sensation of pain in the numbed area.

Depending on the dosage of the anesthetic, the potassium channels in the cells can also be blocked. This additionally leads to the elimination of the pressure and temperature sensations. In addition to eliminating sensitive sensations such as pain and temperature, motor skills can also be anaesthetized, so that for some time mobility in certain muscle groups becomes impossible.

Local anesthesia in a cream

There are a number of creams that are additionally mixed with a local anesthetic such as lidocaine or xylocaine to achieve a short-term local anesthetic of the skin. The use of anaesthetic creams is varied and ranges from prophylaxis to painless blood sampling in children, to alleviating pain and discomfort from skin infections. Also in the private sector anaesthetic creams are very popular, for example to anaesthetize the skin before a body hair removal or local anaesthesia before a piercing or tattoo is stung.

Dentinox® Dentine gel

Dentinox® is a gel which is used to help babies with their teeth. At the age of about half a year, most children’s milk teeth come through.This is a painful process for some children and a correspondingly stressful time for the parents. To make the dental process easier for children, Dentinox® gel contains a mixture of anti-inflammatory camomile tincture and a local painkilling local anaesthetic, lidocaine. Regular application of Dentinox® gel is intended to facilitate the dentition process by inhibiting pain.