Oxetacaine

From WikiMD's medical encyclopedia

Oxetacaine

Chemical structure of Oxetacaine

Oxetacaine, also known as oxethazaine, is a potent local anesthetic used primarily for the relief of pain associated with gastritis, esophagitis, and peptic ulcer disease. It is known for its long-lasting effects and is often used in combination with antacids to provide symptomatic relief from gastroesophageal reflux disease (GERD) and other related conditions.

Pharmacology

Oxetacaine works by blocking sodium channels in the neuronal membrane, which inhibits the initiation and conduction of nerve impulses. This action results in a numbing effect on the mucous membranes of the gastrointestinal tract, providing relief from pain and discomfort.

Mechanism of Action

The primary mechanism of action of oxetacaine involves the stabilization of the neuronal membrane by inhibiting the ionic fluxes required for the initiation and conduction of impulses. This is achieved by binding to the intracellular portion of the sodium channels, thereby preventing the influx of sodium ions.

Clinical Use

Oxetacaine is commonly used in combination with antacids in the treatment of conditions such as:

The combination of oxetacaine with antacids not only provides pain relief but also helps in neutralizing stomach acid, offering a dual therapeutic effect.

Side Effects

While oxetacaine is generally well-tolerated, some patients may experience side effects, including:

Patients are advised to consult their healthcare provider if they experience any adverse effects or if symptoms persist.

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Contributors: Prab R. Tumpati, MD