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 injectable solution for infiltration and perineural use. It provides reversible nerve blockade for dental and surgical procedures.\n\nGNH India supplies Imeros as a licensed, GDP-compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide.

Manufacturer / TM Owner

Ioulia And Irene Tseti Pharmaceutical Laboratories S.A.

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Indications & Clinical Uses

  • Imeros is a local anesthetic used to achieve temporary loss of sensation in targeted tissues for dental and surgical interventions.\n\nDental procedures: provides local anesthesia for tooth extractions, periodontal surgery and other oral procedures.\nSurgical procedures: enables regional or infiltration anesthesia for minor to moderate surgical operations.\nPeripheral nerve blocks: facilitates perineural anesthesia for limb or trunk surgeries.

How It Works

  • Mepivacaine Hydrochloride reversibly binds to voltage‑gated sodium channels on neuronal membranes, stabilizing the inactive state of the channel. This blocks the influx of sodium ions required for depolarization, thereby inhibiting the initiation and propagation of nerve impulses and producing a temporary loss of sensation in the administered area.

Side Effects

  • Mepivacaine may cause a range of adverse reactions, most of which are mild and transient.\n\nCommon Side Effects:\n- Transient numbness or tingling at the injection site\n- Mild pain or burning sensation during injection\n- Dizziness or light‑headedness\n- Headache\n- Metallic taste\n- Local swelling or erythema\n\nSerious or Rare Side Effects:\n- Allergic reactions including anaphylaxis\n- Cardiovascular toxicity such as arrhythmias or cardiac arrest\n- Central nervous system toxicity leading to seizures\n- Prolonged or profound nerve block\n- Methemoglobinemia\n- Severe hypotension

Precautions & Warnings

  • When using Imeros, clinicians should observe several safety measures to minimize risk.\n\nAllergy assessment: verify no known hypersensitivity to amide‑type local anesthetics.\nCardiovascular status: use with caution in patients with heart block or severe conduction disorders.\nDosage limits: adhere to recommended maximum dose based on patient weight and procedure.\nConcurrent medications: avoid co‑administration with Class I antiarrhythmics when possible.\nPregnancy considerations: safety not established; weigh benefits against potential risks.\nStore at room temperature: keep in original container, protect from light and moisture.

Avoid Interactions

  • Mepivacaine can interact with other drugs, altering its safety profile.\n\nMajor Interactions (Avoid):\n- Class I antiarrhythmic agents (e.g., quinidine, procainamide): increase cardiotoxicity.\n- Beta‑adrenergic blockers: may potentiate hypotensive effects.\n- Monoamine oxidase inhibitors: risk of prolonged anesthesia.\n\nModerate Interactions (Monitor Closely):\n- Other local anesthetics: additive neuro‑ and cardiotoxicity.\n- Lithium: may enhance central nervous system toxicity.\n- Corticosteroids injected nearby: may affect absorption and duration.

Frequently Asked Questions

Imeros contains mepivacaine hydrochloride, a local anesthetic indicated for providing regional or infiltration anesthesia during dental procedures and various surgical interventions. It is administered by injection to numb targeted tissues, allowing clinicians to perform procedures without pain.

Mepivacaine blocks voltage‑gated sodium channels on neuronal membranes, preventing the initiation and propagation of action potentials. By stabilizing the neuronal membrane, it temporarily halts nerve impulse transmission, resulting in loss of sensation in the area supplied by the blocked nerves.

The specific dose of Imeros is determined by the prescribing clinician based on the type of procedure, patient weight, and clinical judgment. Dosage calculations follow established guidelines for local anesthetic administration, and the prescriber sets the exact amount to be injected.

Safety data for mepivacaine during pregnancy and lactation are limited. It is classified as a Category C or unknown, meaning it should only be used when the potential benefit justifies the potential risk to the fetus or infant. Clinicians should evaluate each case individually.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. 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.

Both mepivacaine and lidocaine are amide‑type local anesthetics, but mepivacaine has a slightly longer duration of action and a lower pKa, which may result in faster onset in mildly acidic tissues. Lidocaine is more widely used and has a broader safety profile, while mepivacaine may be preferred when a longer block is desired without vasoconstrictor addition.

Imeros should be stored at room temperature, below 25 °C, in its original sealed container. Protect the product from direct sunlight, moisture and freezing. Ensure the vial or ampoule remains intact and discard any solution that appears discolored or contains particles.

Imeros is supplied as a sterile injectable solution for infiltration or perineural injection. The clinician injects the solution directly into the tissue or around the target nerve under aseptic conditions, using appropriate needles and techniques to achieve the desired anesthetic block.

Serious adverse events, though rare, include allergic reactions such as anaphylaxis, cardiovascular toxicity like arrhythmias or cardiac arrest, central nervous system toxicity leading to seizures, and prolonged or profound nerve block. Immediate medical attention is required if any of these symptoms occur.

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 cardiac conduction disorders, uncontrolled epilepsy, or those receiving interacting medications that increase the risk of toxicity.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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