The Navigation Model of Therapy: Why Awareness Changes Everything
November 16, 2025
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Brand Name :
Alucain( Pakistan), Fencaine (Taiwan), Magocain(Taiwan), Mezain (Taiwan), Neocane (Pakistan), Oxeway (Taiwan), Soothing (Taiwan), Sowecaine (Taiwan), Topicaine (Taiwan), Emoren (Italy)
Synonyms :
Oxetacaine, oxetacaina, oxetacain, oxetacainum, oxethazaine
Class :
Local anaesthetics
Brand Name :
Alucain( Pakistan), Fencaine (Taiwan), Magocain(Taiwan), Mezain (Taiwan), Neocane (Pakistan), Oxeway (Taiwan), Soothing (Taiwan), Sowecaine (Taiwan), Topicaine (Taiwan), Emoren (Italy)
Synonyms :
Oxetacaine, oxetacaina, oxetacain, oxetacainum, oxethazaine
Class :
Local anaesthetics
Dosage Forms & StrengthsÂ
TabletsÂ
15mgÂ
GranulesÂ
300mg Â
500mgÂ
Oral suspensionÂ
Gastroesophageal Reflux Disease (GERD)Â
15mg to 40mg tablets orally once daily in 3–4 divided doses
(or)
15mg to 40mg granules orally once daily in 3–4 divided doses
(Or)
15-ml suspension orally once daily
Safety and efficacy study is not establishedÂ
Refer to adult dosingÂ
To be used with caution in elderly patients
may increase the risk or severity of methemoglobinemia when miltefosine is combined
the risk of methemoglobinemia may be increased
the risk of methemoglobinemia may be increased
the risk of methemoglobinemia may be increased
the risk of methemoglobinemia may be increased
the risk of methemoglobinemia may be increased
the risk of methemoglobinemia may be increased
the rate of metabolism of alprazolam may be reduced
the risk of methemoglobinemia may be increased
the risk of methemoglobinemia may be increased
the rate of metabolism of atorvastatin may be reduced
the risk of methemoglobinemia may be increased
the risk of methemoglobinemia may be increased
the risk of methemoglobinemia may be increased
the risk of methemoglobinemia may be increased
the risk of methemoglobinemia may be increased
the risk of methemoglobinemia may be increased
the risk of methemoglobinemia can be increased
the risk of methemoglobinemia may be increased
Actions and spectrum:Â
By reducing the secretion of gastrin, oxetacaine prevents the secretion of gastric acid. Â
Additionally, the gastric mucosa is subjected to a local anesthetic effect by oxetacaine. Oxetacaine’s strong local anesthetic effect may be attributed to its distinct chemical properties, which include its weak base property and relative non-ionization in acidic solutions. At the same time, its hydrochloride salt exhibits solubility in organic solvents and cell membrane penetration.
The cell membrane permeability to sodium ions is decreased by oxetacaine through the reduction of sensory nerve impulse conduction in the vicinity of the application site. The unionized form is incorporated into the cell membrane to carry out this function.Â
Frequency not definedÂ
AnorexiaÂ
VertigoÂ
ThirstÂ
SleepinessÂ
HeadacheÂ
WeaknessÂ
RashesÂ
Nausea Â
Black Box Warning Â
Not listedÂ
Contraindication/Caution:Â
Contraindication:Â
Hypersensitivity Â
Pregnancy consideration:Â Â
USFDA pregnancy category: Safety studies are not establishedÂ
Lactation:Â Â
Data about the excretion of oxetacaine into breast milk is not knownÂ
Pregnancy category:Â Â
Category A: Studies that were well-controlled and met expectations revealed no risk to the fetus in either the first or second trimester.Â
Category B: There was a lack of studies on pregnant women and no evidence of risk to the fetus in animal experiments.  Â
Category C: there was evidence of risk of adverse effects in animal reproduction studies, and no adequate evidence in human studies must take care of potential risks in pregnant women.   Â
Category D: adequate data with sufficient evidence of human fetal risk from various platforms, but despite the potential risk, and used only in emergency cases for potential benefits.  Â
Category X: Drugs listed in this category outweigh the risks over benefits. Hence, these categories of drugs need to be avoided by pregnant women.   Â
Category N: There is no data available for the drug under this category
Pharmacology:Â
Oxetacaine is a local anesthetic that acts as an antispasmodic and produces vasoprotective effects in combination with antacidsÂ
Pharmacodynamics:Â
By blocking or lessening the conduction of sensory nerve impulses close to the site of application, this amide-type local anesthetic causes a temporary loss of feeling. Additionally, this has the membrane-stabilizing effect of reducing the nerve cell membrane permeability to sodium ions. By raising the pH and neutralizing the gastric acid in the stomach, it relieves the symptoms of hyperacidity. Â
Pharmacokinetics:Â Â
AbsorptionÂ
Peak plasma levels of about 20ng/ml are obtained in an hour after administering oxetacine orally.  Â
MetabolismÂ
It is metabolized extensively in the liver, with beta-hydroxy-mephentermine and beta-hydroxy-phentermine being the primary metabolites.Â
Elimination and excretionÂ
About 0.1% of administered oxetacaine is eliminated through urine as its metabolite or unchanged form. Â
Half-life:Â
One hourÂ
Administration:Â Â
Administer oxetacine orally before foodÂ
Â
Patient information leafletÂ
Generic Name: oxetacaine Â
Why do we use oxetacaine?Â
Oxetacaine is an amide-type local anesthetic used to treat heartburn, peptic ulcers, anorexia, gastritis, and hiatus hernia. It is also used in combination with other antacids to treat acid reflux, hemorrhoids, anal eczema, proctitis, etc.Â
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