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Pharmacology Anaesthesia ddac36da

Methemoglobinemia is caused by:

A
Prilocaine
B
Ropivacaine
C
Bupivacaine
D
Procaine
High-Yield Explanation
Ans. (A) Prilocaine(Ref: Katzung 11th/e p449)The administration of large doses (>10mg/kg) of prilocaine during regional anesthesia may lead to accumulation of the metabolite o-toluidine, an oxidizing agent capable of converting hemoglobin to methemoglobin.The treatment of methemoglobinemia involves the intravenous administration of reducing agents (eg. methylene blue or ascorbic acid), which rapidly convert methemoglobin to hemoglobin.

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