Cophenylcaine

Question 1

What is the presentation?

Answer 1

Topical pump spray containing: Lignocaine hydrochloride 50mg/ml and Phenylephrine 5mg/ml

Question 2

What effects does it have?

Answer 2

A topical local anaesthetic and haemorrhage control agent for the relief of surface pain, nasal and oral bleeding.

Question 3

What are the indications?

Answer 3

Local pain: abrasions, small cuts and wounds
Relief of mild and moderate epistaxis
Post tonsillectomy haemorrhage
Intra-oral haemorrhage

Question 4

What are the contraindications?

Answer 4

Hypersensitivity to phenylephrine, lignocaine or other anaesthetics
Children <2yrs
Pregnancy

Question 5

What are the precautions?

Answer 5

Used with caution in patients with cardiovascular, hepatic and/or renal disease.
For oral use, nozzle inserted within the anterior 1/3 of mouth to avoid gag stimulation.
Each spray delivers 100 microlitres of fluid. The dose of lignocaine in each squirt is 5 mg and the dose of phenylephrine in each squirt is 0.5mg

Question 6

What are the dosages for an adult?

Answer 6

Intranasal: Max 10 squirts (5 squirts per nostril)
Topically: Max 5 squirts
Oral use: 1 spray then pause, repeat if required to max. 5 sprays.

Maximum dosages should not be administered more than once in 24 hours.

Question 7

What are the dosages for a paed?

Answer 7

Intranasal:
2-4 years: 1 squirt per nostril
4-8 years: 2 squirts per nostril
8-12 years: 3 squirts per nostril
Topically: Max 5 squirts
Oral use: 1 spray then pause, repeat if required to max. 5 sprays.

Maximum dosages should not be administered more than once in 24 hours.

Question 8

What are the special considerations?

Answer 8

Oral administration may cause a transient bitter taste.

Pause between subsequent doses.