Product image of Imeros (Mepivacaine Hydrochloride) supplied by GNH India

Imeros

Active Ingredient:
Mepivacaine Hydrochloride
Origin:
EU

Imeros (Mepivacaine Hydrochloride)

Mepivacaine Hydrochloride, the active ingredient in Imeros, is a local anesthetic presented as a sterile solution for infiltration and perineural use. It provides temporary loss of sensation in targeted tissues, facilitating pain‑free minor surgical, diagnostic, and dental procedures in adult patients.

GNH India supplies Imeros as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide, ensuring quality, regulatory compliance and reliable logistics across EU and global markets. The solution is manufactured under strict GMP standards and undergoes rigorous testing to meet European pharmacopeia specifications.

Manufacturer / TM Owner

Ioulia And Irene Tseti Pharmaceutical Laboratories S.A.

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Indications & Clinical Uses

  • Imeros, a local anesthetic, acts on peripheral nerves to block pain transmission.
  • Infiltration anesthesia: provides localized numbness for minor surgical or diagnostic procedures.
  • Peripheral nerve block: enables regional anesthesia for limb surgeries.
  • Dental procedures: facilitates pain control during oral surgeries.

How It Works

  • Mepivacaine hydrochloride blocks voltage‑gated sodium channels on neuronal membranes, preventing sodium influx required for depolarization. This stabilizes the neuronal membrane, inhibiting the initiation and propagation of nerve impulses, thereby interrupting pain signal transmission from the injection site to the central nervous system.

Side Effects

Adverse reactions may occur following administration of Imeros.

Common Side Effects

  • Transient burning or tingling at the injection site.
  • Mild dizziness or light‑headedness.
  • Nausea or mild gastrointestinal discomfort.
  • Temporary facial or tongue numbness.
  • Mild headache.
  • Local swelling or erythema.

Serious or Rare Side Effects

  • Cardiac arrhythmias or cardiac arrest.
  • Central nervous system toxicity, including seizures.
  • Severe allergic reactions such as anaphylaxis.
  • Persistent motor block.
  • Methemoglobinemia (rare).
  • Respiratory depression.

Precautions & Warnings

  • When using Imeros, consider the following precautions.
  • Allergy assessment: verify no known hypersensitivity to amide‑type local anesthetics.
  • Cardiovascular status: use cautiously in patients with heart block or severe arrhythmias.
  • Dosage limits: adhere to the maximum recommended dose to avoid systemic toxicity.
  • Pregnancy: avoid unless the potential benefit outweighs the unknown risk.
  • Elderly patients: monitor for prolonged sensory or motor block.
  • Store at ambient temperature: keep in original container, protect from light and moisture.

Avoid Interactions

Mepivacaine may interact with other medications; monitor patients accordingly.

Major Interactions (Avoid)

  • Class I antiarrhythmic agents (e.g., quinidine): increased cardiotoxicity risk.
  • Beta‑blockers: may potentiate bradycardia.
  • General anesthetics such as halothane: enhanced central nervous system depression.

Moderate Interactions (Monitor Closely)

  • Nonsteroidal anti‑inflammatory drugs: may increase bleeding tendency.
  • Opioids: additive sedation and respiratory depression.
  • Monoamine oxidase inhibitors: potential for hypertensive crisis.

Frequently Asked Questions

Imeros contains mepivacaine hydrochloride, a local anesthetic used to produce temporary loss of sensation in a specific area. It is commonly employed for infiltration anesthesia during minor surgical or diagnostic procedures and for peripheral nerve blocks to provide regional anesthesia for limb surgeries. The drug is administered by a qualified healthcare professional.

Mepivacaine blocks voltage‑gated sodium channels on neuronal membranes, preventing the influx of sodium ions that are required for the generation and propagation of nerve impulses. By stabilizing the neuronal membrane, it inhibits the transmission of pain signals from the site of injection to the central nervous system, resulting in localized numbness.

The appropriate dose of Imeros is determined by the prescribing clinician based on the type of procedure, the site of administration, patient weight, and overall health status. Dosing guidelines are provided in the product’s prescribing information, and the healthcare professional will calculate the exact amount required for each individual case.

The safety of mepivacaine hydrochloride in pregnancy has not been definitively established, and it is classified as a category unknown. It should only be used when the potential benefit to the mother outweighs any possible risk to the fetus. Limited data are available for breastfeeding, so caution is advised.

To place an order, submit an enquiry on the product page at gnhindia.com specifying the required quantity of Imeros. GNH India works with hospitals, pharmacies and procurement teams worldwide, verifies trade or institutional credentials, and then provides pricing, availability, shipping details (including any cold‑chain requirements) and necessary import documentation.

Mepivacaine has a rapid onset similar to lidocaine but a slightly longer duration of action, making it suitable for procedures that require extended anesthesia without the need for a vasoconstrictor. Compared with bupivacaine, it has a lower risk of cardiotoxicity but a shorter duration, offering a balance between efficacy and safety for many clinical settings.

Imeros should be stored at ambient temperature, preferably below 25 °C, in its original sealed container. The product must be protected from direct sunlight, moisture and freezing. Before use, inspect the solution for particulate matter or discoloration; do not use if the container is compromised. Follow standard aseptic techniques when preparing for injection.

Imeros is supplied as a sterile solution for injection and is administered by a qualified healthcare professional via infiltration into the target tissue or perineural injection for a nerve block. The injection technique, volume, and concentration are selected based on the specific procedure and patient factors, ensuring effective local anesthesia while minimizing systemic exposure.

Although rare, serious adverse events can include cardiovascular toxicity such as arrhythmias or cardiac arrest, central nervous system effects like seizures, and severe allergic reactions including anaphylaxis. Prompt recognition and management of these events are essential; emergency resuscitation equipment and trained personnel should be readily available whenever mepivacaine is administered.

Imeros is contraindicated in patients with a known hypersensitivity to mepivacaine, other amide‑type local anesthetics, or any component of the formulation. It should also be avoided in individuals with severe heart block, uncontrolled epilepsy, or those receiving class I antiarrhythmic drugs unless the benefits clearly outweigh the risks. Clinical judgment is required for each patient.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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