Introduction of local Anaesthetic
Classification based on the linker moiety
Classification based on pharmacological action and route of administration
Mechanism of action of local Anaesthetic
3. 1. Local Anaesthetic: Introduction
2. Classification: Based On The Linker Moiety (Amide Class ,
Ester Class )
3. Pharmacological Classification: Based On The Duration
Of Action And Route Of Administration
4. Mechanism Of Action
4. • Introduction: Local Anaesthetic inhibits the condition of
action potential in nerve fibres.
• Pain and other sensation are not transmitted effectively
to the brain, and motor impulse are not transmitted
effectively to impulses.
• Classification: Based on linker Moiety
• (a) Amide Class: 1. Lidocaine
• 2. Prilocaine
• 3. Bupivacaine
• 4. Dibucaine(longest acting)
• 5. Mepivacine
• 6. Etidocaine
• 7. Ropivacine
5. • (b) Ester Class: Cocaine, Procaine, Chlorprocaine(short
acting)
• Tetracaine( Amethocaine)
• Benzocaine
• Pharmacological Classification: Based on duration of
action and route of administration
• Amine type: (a) Longer acting: Bupivacaine,
Levobupivacaine, Etidocaine, Ropivacaine,
Dibucaine(cinchocaine) .
• Dibucaine is an longest acting anaesthetic.
• (b) Intermediate acting: Lignocaine, Mepivacaine,
prilocaine
7. • Note: Amide type of local anaesthetics have '2 i' in their
spelling Ex. Dibucaine , Lidocaine both have ' 2i' in their
spelling.
• Ester type of local anaesthetics have one i ('1i') in their
spelling Ex. Cocaine, procaine, Tetracaine, Benzocaine
• Linker Moiety present between the aromatic group and
the terminal amine 2 type of linker Moiety
• (a) Amine type
• (b) Ester type
8. • Mechanism Of Action Of Local Anaesthetic: these drugs
act by penetrating the axonal membrane ( in unionized
form) and blocking the voltage gated sodium channel
from within ( in ionized form)