Dosage Reference
Anesthetic Calculator
Weight-based maximum-dose calculator for lidocaine, articaine, bupivacaine, and mepivacaine — with manufacturer absolute ceilings.
Reference only — always apply clinical judgment and account for patient health history.
Clinical Safety Tool
Local Anesthetic Calculator
Calculate maximum safe dosages based on patient weight and anesthetic type. Always apply clinical judgment and follow manufacturer guidelines.
Pounds (lbs)
=
Kilograms (kg)
Lidocaine 2% with Epinephrine (1:100,000)
Maximum Dose
—
mg
Maximum Carpules
—
1.8 mL carpules
Total Volume
—
mL
Dosage: 7 mg/kg with epinephrine (manufacturer ceiling 500 mg). Each 1.8 mL carpule contains 36 mg lidocaine.
Important Clinical Considerations
- These calculations provide maximum doses. Consider patient health status, procedure complexity, and duration.
- Reduce doses for pediatric, elderly, or medically compromised patients, and when combining anesthetics.
- Always aspirate before injection. Monitor for signs of toxicity: CNS excitation, seizures, cardiovascular depression.
- This tool is for reference only. Exercise clinical judgment and follow manufacturer IFU.
Quick Reference: Anesthetic Properties
Lidocaine2% with Epi
- Max Dose
- 7 mg/kg (max 500 mg)
- mg / Carpule
- 36 mg
Articaine4% with Epi
- Max Dose
- 7 mg/kg (max 500 mg)
- mg / Carpule
- 72 mg
Bupivacaine0.5% with Epi
- Max Dose
- 2 mg/kg (max 90 mg)
- mg / Carpule
- 9 mg
Mepivacaine3% Plain
- Max Dose
- 6.6 mg/kg (max 400 mg)
- mg / Carpule
- 54 mg
| Anesthetic | Concentration | Max Dose | mg / Carpule |
|---|---|---|---|
| Lidocaine | 2% with Epi | 7 mg/kg (max 500 mg) | 36 mg |
| Articaine | 4% with Epi | 7 mg/kg (max 500 mg) | 72 mg |
| Bupivacaine | 0.5% with Epi | 2 mg/kg (max 90 mg) | 9 mg |
| Mepivacaine | 3% Plain | 6.6 mg/kg (max 400 mg) | 54 mg |
Also useful
Implant Torque Specifications