This document provides an overview of local anesthetics, including their physicochemical properties, mechanisms of action, classifications, toxicity risks, and clinical applications. It discusses how local anesthetics reversibly block sodium channels, preventing nerve impulse generation. The summary properties like lipid solubility, ionization, and protein binding determine onset and duration. Local anesthetics are classified as amide and ester types, with differences in stability and allergic potential. Toxicity can impact the central nervous system or cardiovascular system. Additives like epinephrine or bicarbonate alter anesthetic properties. Common amide and ester local anesthetics like lidocaine, bupivacaine, and cocaine are compared in terms of metabolism and indications.