FrancophonIA/ELRC3.0 huggingface dataset:
English: Several factors such as pH of tissue, pKa, lipid solubility, local anaesthetic concentration, diffusion in the nerve of local anaesthetic, etc., may influence the onset and the duration of the local anaesthetic.
Slovenian: Mnogi dejavniki, kot so pH tkiva, pKa, topnost lipidov, koncentracija lokalnega anestetika, prehajanje lokalnega anestetika v živec, itd., lahko vplivajo na začetek in trajanje delovanja lokalnega anestetika.
English: Delay in proper management of dose-related toxicity, under ventilation from any cause, and/or altered sensitivity may lead to the development of acidosis, cardiac arrest and, possibly, death.
Slovenian: Zakasnitev ustreznega zdravljenja z odmerkom povezane toksičnosti, nezadostna ventiliranost iz katerega koli razloga in/ali spremenjena občutljivost lahko vodijo v razvoj acidoze, srčnega zastoja in celo do smrti.
English: • Heart disorders due to the abnormality of the electronic impulse triggering the heart beat (severe conduction disturbances);
Slovenian: • bolezni srca zaradi nenormalnosti električnega impulza, ki sproža bitje srca (hude motnje prevodnosti),
English: The average dosage is 0.75 mg/kg = 0.025 ml of mepivacaine solution per kg body weight: ~ ¼ cartridge (15 mg of mepivacaine hydrochloride) for a 20 kg child.
Slovenian: Povprečni odmerek je 0,75 mg/kg = 0,025 ml raztopine mepivakaina na kg telesne mase: ~ ¼ vložka (15 mg mepivakainijevega klorida) za 20 mg otroka.
English: − involuntary eye movements, eye problems such as narrowed pupil, falling of the upper eyelid (as in
Slovenian: nehoteno gibanje oči, težave z očmi, kot so zožena zenica, povešenje zgornje veke (kot pri
English: Pulp anaesthesia generally lasts approximately 25 minutes after maxillary infiltration and around 40 minutes after inferior alveolar block, whereas anaesthesia of soft tissue was maintained around up to 90 minutes after maxillary infiltration and approximatively 165 minutes after inferior alveolar nerve block.
Slovenian: Pulpalna anestezija ponavadi traja 25 minut po maksilarni infiltraciji in približno 40 minut po spodnjem alveolarnem bloku; anestezija mehkih tkiv se je ohranila 90 minut po maksilarni infiltraciji in približno 165 minut po spodnjem alveolarnem bloku.
English: Toxicity of local anaesthetics is additive.
Slovenian: Toksičnost lokalnih anestetikov je aditivna.
English: Patients who are being treated with antiarrhythmic drugs may encounter an accumulation of side effects after the use of mepivacaine due the similarity of structures (such as Class I drug i.e. lidocaine).
Slovenian: Pri bolnikih, ki se zdravijo z antiaritmiki, se lahko po uporabi mepivakaina neželeni učinki kopičijo zaradi podobnosti v strukturi (kot je zdravilo razreda I, npr. lidokain).
English: As the absence of pain is related to the patient individual sensibility, the lowest dose of anaesthetic leading to effective anaesthesia should be used.
Slovenian: Ker je odsotnost bolečine povezana z bolnikovo individualno občutljivostjo, je treba uporabiti najmanjši odmerek anestetika, ki povzroči učinkovito anestezijo.
English: - The other ingredients are: sodium chloride, sodium hydroxide and water for injection.
Slovenian: Druge sestavine zdravila so: natrijev klorid, natrijev hidroksid in voda za injekcije.
English: X with food
Slovenian: Zdravilo X skupaj s hrano
English: − quick or difficult breathing, drowsiness, headache, inability to think and sleepiness, which may be the signs of a high concentration of carbon dioxide in your blood (hypercapnia);
Slovenian: hitro ali težko dihanje, zaspanost, glavobol, nezmožnost razmišljanja in nespečnost, kar so lahko znaki velike koncentracije ogljikovega dioksida v vaši krvi (hiperkapnija), spremenjen glas (hripavost),
English: Tabulated list of adverse reactions The reported adverse effects come from spontaneous reporting and literature.
Slovenian: Navedeni neželeni učinki so zabeleženi na podlagi spontanih prijav in literature.
English: Of note, the maximum quantity has to take into account the patient's body weight.
Slovenian: Pomembno je, da je pri največji količini treba upoštevati bolnikovo telesno maso.
English: − abnormal sensation in and around the mouth (hypoesthesia);
Slovenian: nenormalen občutek v ustih in njihovi okolici (hipestezija),
English: Mepivacaine should be administered with caution in patients, who are using antiplatelet/anticoagulant medicines or are suffering from a coagulation disorder, because of higher risk of bleeding.
Slovenian: Mepivakain je treba uporabiti previdno pri bolnikih, ki uporabljajo antiagregacijska zdravila/antikoagulante ali imajo motnjo strjevanja krvi, zaradi večjega tveganja za krvavitve.
English: Avoid eating, included chewing-gum, until normal sensation is restored because there is a risk that you may bite your lips, cheeks or tongue, especially in children.
Slovenian: Ne jejte in ne žvečite žvečilnih gumijev, dokler se ne povrnejo normalni občutki, zaradi nevarnosti, da se ugriznete v ustnice, lica ali jezik, zlasti pri otrocih.
English: 4.5 Interaction with other medicinal products and other forms of interaction
Slovenian: 4.5 Medsebojno delovanje z drugimi zdravili in druge oblike interakcij Aditivna medsebojna delovanja z drugimi lokalnimi anestetiki
English: Given this fact, inhibitors of P450 isoenzymes may decrease its metabolism and increase the risk of adverse effects (see section 4.5.).
Slovenian: Glede na to dejstvo lahko zaviralci izoencimov P450 zmanjšajo njegovo presnovo in povečajo tveganje za neželene učinke (glejte poglavje 4.5).
English: These include inadvertent intravascular injection or abnormal rapid absorption into the systemic circulation, or delayed metabolism and elimination of the product.
Slovenian: To vključuje nenamerno intravaskularno injiciranje ali nenormalno hitro absorpcijo v sistemski obtok, ali pa zakasnjeno presnovo in izločanje zdravila.
English: Loss of consciousness Coma
Slovenian: izguba zavesti, koma,
English: Mepivacaine is metabolized by the liver and can lead to elevated plasma levels in patients with hepatic impairment, in particular after repeated use.
Slovenian: Mepivakain se presnavlja v jetrih in lahko pride do povišanih ravni v plazmi pri bolnikih z okvaro jeter, zlasti po ponovni uporabi.
English: Patients with acidosis
Slovenian: Bolniki z acidozo:
English: Local anaesthetics should only be employed by healthcare professionals who are well versed in diagnosis and management of dose-related toxicity and other acute emergencies which might arise from the block to be employed.
Slovenian: Lokalne anestetike lahko aplicira samo zdravstveno osebje, ki je dobro poučeno o diagnostiki in zdravljenju z odmerkom povezane toksičnosti in drugih akutnih nujnih stanj, ki se lahko pojavijo ob uporabi blokade.
English: Therefore, as a precautionary measure, it is preferable to avoid the use of mepivacaine during pregnancy, unless necessary.
Slovenian: Zato se je med nosečnostjo iz previdnosti bolje izogniti uporabi mepivakaina, razen če je to nujno potrebno.
English: It contains the active substance mepivacaine hydrochloride and belongs to the group of nervous system anaesthetics.
Slovenian: Vsebuje učinkovino mepivakainijev klorid in spada v skupino anestetikov za živčni sistem.
English: Patients with porphyria {Scandonest and associated names} should only be used to patients with acute porphyria when no safer alternative is available.
Slovenian: Bolniki s porfirijo: Zdravilo {Scandonest in povezana imena (glejte Prilogo I) jakost farmacevtska oblika} se lahko uporablja pri bolnikih z akutno porfirijo le v primeru, če ni na voljo varnejše možnosti.
English: The bioavailability is 100% at the action site.
Slovenian: Biološka uporabnost Biološka uporabnostje 100 % na mestu injiciranja.
English: − breathing difficulties such as shortness of breath, abnormally slow or very rapid breathing;
Slovenian: povečana prekrvitev (hiperemija), težave z dihanjem, kot so zadihanost, nenormalno počasno ali zelo hitro dihanje,
English: Early control of seizures and aggressive airway management to treat hypoxaemia and acidosis may prevent cardiac arrest.
Slovenian: Zgodnji nadzor konvulzij in agresivno ukrepanje na nivoju dihalnih poti za zdravljenje hipoksemije in acidoze lahko preprečita srčni zastoj.
English: It is packed in a glass cartridge with a rubber seal kept in place by an aluminium cap.
Slovenian: Pakirano je v steklene vložke z gumijasto zaporko, ki je pritrjena z aluminijevim pokrovčkom.
English: CNS toxicity occurs gradually, with symptoms and reactions of progressively increasing severity.
Slovenian: Toksičnost za osrednji živčni sistem se pojavi postopno, s simptomi in reakcijami, ki so vedno hujše.
English: Peak plasma levels of mepivacaine 30 mg/ml solution following peri-oral injections during dental usual procedures were determined in various clinical studies.
Slovenian: Najvišje plazemske ravni 30 mg/ml raztopine mepivakaina po perioralnem injiciranju med običajnimi zobozdravstvenimi posegi so določili v različnih kliničnih študijah.
English: Accidental intraneural injection may lead the drug to move in retrograde manner along the nerve.
Slovenian: Naključno injiciranje v živec lahko povzroči, da se zdravilo pomakne v obratni smeri po živcu.
English: Mepivacaine is metabolised primarily by CYP1A2 enzyme.
Slovenian: Mepivakain primarno presnavlja encim CYP1A2.
English: As a precautionary measure, it is preferrable to avoid the use of this product during pregnancy, unless necessary.
Slovenian: Kot previdnostni ukrep se je uporabi tega zdravila med nosečnostjo bolje izogibati, razen če je zdravilo nujno potrebno.
English: General toxicity studies (Single dose toxicity, Repeat-dose toxicity) were performed with mepivacaine demonstrating a good safety margin.
Slovenian: 5.3 Predklinični podatki o varnosti Splošne študije toksičnosti (študije enkratnega odmerka in ponavljajočih odmerkov), opravljene z mepivakainom, so pokazale dobro varnostno mejo.
English: The drug administration should take place immediately after opening.
Slovenian: Zdravilo je treba uporabiti takoj po odprtju.
English: hypoesthesia, dysesthesia, hyperesthesia, etc) of the lips, tongue and oral tissues.
Slovenian: parestezijo, hipestezijo, dizestezijo, hiperestezijo itd.) v ustnicah, jeziku in ustnih tkivih.
English: These adverse reactions are, in general, dose-related and may result from high plasma levels caused by overdose, rapid absorption or unintended intra-vascular injection.
Slovenian: Ti neželeni učinki so na splošno odvisni od odmerka in so lahko posledica velike koncentracije v plazmi zaradi prevelikega odmerjanja, hitre absorpcije ali nenamernega injiciranja v žilo.
English: Risk associated with an accidental intravascular injection Accidental intravascular injection (e.g.: inadvertent intravenous injection into the systemic circulation, inadvertent intravenous or intra-arterial injection in the head area and neck area) may be associated with severe adverse reactions, such as convulsions, followed by central nervous system or cardiorespiratory depression and coma, progressing ultimately to respiratory arrest, due to the sudden high level of mepivacaine in the systemic circulation.
Slovenian: Tveganje, povezano z naključnim intravaskularnim injiciranjem Naključno intravaskularno injiciranje (npr.: nenamerno intravensko injiciranje v sistemski obtok, nenamerno intravensko ali intraarterijsko injiciranje v področje glave in vratu) je lahko povezano s hudimi neželenimi učinki, kot so konvulzije, ki jim sledi depresija osrednjega živčnega sistema ali kardio respiratorna depresija in koma, kar lahko napreduje do zastoja dihanja zaradi nenadnih visokih ravni mepivakaina v sistemskem obtoku.
English: Patients with cardiovascular disorders: - Peripheral vascular disease, - Arrhythmias particularly of ventricular origin, - Atrio-ventricular conduction disorders, - Heart failure,
Slovenian: Bolniki s srčno-žilnimi boleznimi: - periferna žilna bolezen, - aritmije, zlasti ventrikularnega izvora, - motnje atrioventrikularnega prevajanja,
English: - You have a high acidity in the blood (acidosis); - You have poor blood circulation; - Your general condition is impaired ; - You have inflammation or infection in the injection site.
Slovenian: imate zelo kislo kri (acidoza), imate slab obtok krvi, je vaše splošno stanje oslabljeno, imate vnetje ali okužbo na mestu injiciranja.
English: Injury, poisoning and procedural complications
Slovenian: Poškodbe, zastrupitve in zapleti postopkov neznana poškodba živca
English: If sedative medication is administered, the maximum safe dose of mepivacaine may be reduced due to an additive effect of the combination on central nervous system depression (see section 4.5).
Slovenian: Če se uporabi pomirjevalo, je lahko največji varni odmerek mepivakaina zmanjšan zaradi aditivnega učinka kombinacije na zaviranje osrednjega živčnega sistema (glejte poglavje 4.5).
English: • Severe disorders of atrioventicular conduction not compensated by pace maker,
Slovenian: • hude motnje atrioventrikularnega prevajanja, ki niso kompenzirane s srčnim spodbujevalcem,
English: This medicine may have a minor influence on the ability to drive and use machines.
Slovenian: Vpliv na sposobnost upravljanja vozil in strojev To zdravilo ima lahko blag vpliv na sposobnost vožnje in upravljanja strojev.
English: Cartridges of 1.7 ml or 2.2 ml.
Slovenian: Vložki z 1,7 ml ali 2,2 ml.
English: Thus, to ensure that the needle does not penetrate a blood vessel during injection, aspiration should be performed before the local anaesthetic product is injected.
Slovenian: Zato je treba za zagotovitev, da igla med injiciranjem ne predre krvne žile, pred injiciranjem lokalnega anestetika narediti aspiracijo.
English: 1 laryngo-pharyngeal oedema may characteristically occur with hoarseness and/or dysphagia; 2 bronchospasm (bronchoconstriction) may characteristically occur with dyspnoea; 3 several adverse events, like agitation, anxiety / nervousness tremor, speech disorder may be warning signs before CNS depression.
Slovenian: 1 laringo-faringealni edem se lahko značilno pojavi s hripavostjo in/ali disfagijo; 2 bronhospazem (bronhokonstrikcija) se lahko značilno pojavi z dispnejo; mnogi neželeni učinki, kot so vznemirjenost, anksioznost/živčnost, tremor, motnje govora, so lahko opozorilni znaki pred depresijo osrednjega živčevja.
English: Horner's syndrome), dilated pupil, the posterior displacement of the eyeball within the orbit due to changes in the volume of the orbit (called Enophthalmos), doubled vision or vision loss;
Slovenian: Hornerjevem sindromu), razširjena zenica, pomik zrkla nazaj v očesno jamico zaradi sprememb v volumnu očesne jamice (ki se imenuje enoftalmos), dvojni vid ali izguba vida,
English: Cardiovascular symptoms occur at plasma levels exceeding those inducing CNS toxicity and are therefore generally preceded by signs of CNS toxicity, unless the patient is under general anaesthesia or is heavily sedated (e.g. by a benzodiazepine or barbiturate).
Slovenian: Srčno-žilni simptomi se pojavijo, kadar raven v plazmi preseže tisto, ki sproži toksičnost za osrednji živčni sistem in se torej pojavijo kasneje kot znaki toksičnosti za osrednji živčni sistem, razen če je bolnik v splošni anesteziji ali je globoko omamljen (npr. z benzodiazepini ali barbiturati).
English: • Epilepsy not adequately controlled by treatment; - In children below 4 years of age (ca. 20 kg in body weight).
Slovenian: • epilepsijo, ki z zdravljenjem ni dovolj urejena, pri otrocih pod 4. letom starosti (približno 20 kg telesne mase).
English: Increased serum levels of amide anaesthetics have also been reported after concomitant administration of cimetidine, which is probably due to the inhibitory effect of cimetidine on CYP1A2.
Slovenian: O povečanih koncentracijah amidnih anestetikov v serumu so poročali tudi po sočasni uporabi cimetidina, verjatno zaradi zaviralnega učinka cimetidina na CYP1A2.
English: This medicine contains 24.67 mg sodium per 10 ml (maximum recommended dose).
Slovenian: To zdravilo vsebuje 24,67 mg natrija na 10 ml (največji priporočeni odmerek).
English: The maximum recommended dose in pediatric population is 3 mg of mepivacaine/kg (0.1 ml mepivacaine/kg).
Slovenian: Največji priporočeni odmerek: Največji priporočeni odmerek pri pediatrični populaciji je 3 mg mepivakaina/kg (0,1 ml mepivakaina/kg).
English: Whereas in case of absolute overdose, signs of toxicity, depending on the injection site, appear about 20-30 minutes after the injection.
Slovenian: V primeru relativnega prevelikega odmerjanja se pri bolnikih simptomi običajno pokažejo v 1-3 minutah, medtem ko se v primeru absolutnega prevelikega odmerjanja znaki toksičnosti, odvisno od mesta injiciranja, pojavijo približno 20-30 minut po injiciranju.
English: What you need to know before you use X
Slovenian: Kaj morate vedeti, preden boste uporabili zdravilo X Ne uporabljajte zdravila X:
English: Precautions for use
Slovenian: NAVODILA ZA UPORABO
English: 4 neural pathologies that may occur with the various symptoms of abnormal sensations (i.e., paresthesia,
Slovenian: 4 nevropatološki simptomi, ki se lahko pojavijo z različnimi simptomi nenormalnih zaznav (npr.
English: Mepivacaine has a rapid onset, a high potency of anaesthesia and a low toxicity.
Slovenian: Mepivakain začne delovati hitro, ima močno anestetično delovanje in majhno toksičnost.
English: PHARMACEUTICAL FORM AND CONTENTS Solution for injection.
Slovenian: FARMACEVTSKA OBLIKA IN VSEBINA raztopina za injiciranje
English: Mepivacaine is an amide local anaesthetic.
Slovenian: Mehanizem delovanja Mepivakain je amidni lokalni anestetik.
English: No relevant data reported any toxic effects on fertility in animals with mepivacaine.
Slovenian: Relevantni podatki niso pokazali toksičnih učinkov mepivakaina na plodnost pri živalih.
English: Sodium chloride, sodium hydroxide (for pH-adjustment),water for injection.
Slovenian: Natrijev klorid, natrijev hidroksid (za prilagajanje pH), voda za injekcije.
English: Loss of consciousness and the onset of generalized seizures may be preceded by premonitory symptoms such as joint and muscle stiffness, or twitching.
Slovenian: Pred izgubo zavesti in pojavom generaliziranih konvulzij se lahko pojavijo svarilni simptomi, kot so togost sklepov in mišic ali trzanje.
English: This medicinal product is authorised in the Member States of the EEA under the following names: [See Annex I - To be completed nationally]
Slovenian: Zdravilo je v državah članicah EGP pridobilo dovoljenje za promet z naslednjimi imeni: [Glejte Prilogo I - Izpolni država članica]
English: X should only be used by or under the supervision of dentists, stomatologists or other, trained clinicians by a slow local injection.
Slovenian: Kako uporabljati zdravilo X Zdravilo X smejo uporabljati samo zobozdravniki, stomatologi ali drugi usposobljeni zdravniki, ali pa se sme uporabljati pod nadzorom le-teh, s počasno lokalno injekcijo.
English: Equivalent* in cartridge numbers (1.7 ml)
Slovenian: Ustrezajoče število vložkov* (1,7 ml)
English: The marketed presentation is cartridges of 1.7 ml or 2.2 ml contained in box of 50 cartridges.
Slovenian: Na trgu so vložki s po 1,7 ml ali 2,2 ml, pakirani v škatle s po 50 vložkov.
English: What X looks like and contents of the pack
Slovenian: Izgled zdravila X in vsebina pakiranja
English: If you are pregnant or breast-feeding, think you may be pregnant or are planning to have a baby, ask your doctor, dentist or pharmacist for advice before using this medicine.
Slovenian: Nosečnost, dojenje in plodnost Če ste noseči ali dojite, menite, da bi lahko bili noseči ali načrtujete zanositev, se posvetujte z zdravnikom,
English: The plasma half-life is prolonged if the patient is suffering from liver and renal insufficiency.
Slovenian: Plazemski razpolovni čas je podaljšan, če ima bolnik okvarjeno delovanje jeter ali ledvic.
English: Initial symptoms include agitation, a feeling of intoxication, a sensation of numbness in the lips and tongue, paraesthesia around the mouth, dizziness, visual and hearing disturbances, and buzzing in the ears.
Slovenian: Začetni simptomi vključujejo vznemirjenost, občutek zastrupitve, občutek odrevenelosti ustnic in jezika, parestezija v okolici ust, omotica, motnje vida in sluha ter šumenje v ušesih.
English: The immediate availability of oxygen, other resuscitative drugs, cardiopulmonary resuscitative equipment, and the personnel resources needed for proper management of toxic reactions and related emergencies should be considered (see section 4.2).
Slovenian: oprema za srčno-pljučno oživljanje in osebje, ki je potrebno za ustrezno zdravljenje toksičnih reakcij in povezanih nujnih stanj (glejte poglavje 4.2).
English: Mepivacaine should be administered with caution in patients with impaired cardiac function since they may be less able to compensate or worsen changes due to prolongation of atrio-ventricular conduction.
Slovenian: Mepivakain je treba uporabiti previdno pri bolnikih z okvarjenim delovanjem srca, ker imajo lahko manjšo zmožnost za kompenziranje sprememb, povezanih s podaljšanjem atrioventrikularnega prevajanja.
English: Do not use this medicine after the expiry date, which is stated on the cartridge label and carton after EXP.
Slovenian: Tega zdravila ne smete uporabljati po datumu izteka roka uporabnosti, ki je naveden na nalepki vložka in na škatli poleg oznake EXP. Rok uporabnosti zdravila se izteče na zadnji dan navedenega meseca.
English: X contains sodium
Slovenian: Zdravilo X vsebuje natrij
English: The cartridges are for single use.
Slovenian: Vložki so za enkratno uporabo.
English: No relevant reproductive and development toxicity study demonstrated teratogenic effects with mepivacaine.
Slovenian: Nobena relevantna študija vpliva na sposobnost razmnoževanja in razvojne toksičnosti ni pokazala teratogenih učinkov mepivakaina.
English: These plasmatic concentrations are well below the threshold of CNS and CVS toxicity, respectively 10 to 25 fold lower.
Slovenian: Te plazemske koncentracije so precej pod pragom za toksičnost za osrednji živčni sistem in srčno-žilno toksičnost, in sicer so 10 do 25
English: If needle nerve injuries occur, the neurotoxic effect could be aggravated by mepivacaine's potential chemical neurotoxicity as it may impair the perineural blood supply and prevent mepivacaine local wash-out.
Slovenian: Če se pojavi poškodba živca, lahko možni kemični nevrotoksični učinek mepivakaina poslabša nevrotoksični učinek, ker lahko poslabša prekrvitev ob živcu in prepreči lokalno izpiranje mepivakaina.
English: Single use type I glass cartridge, sealed at its base by a mobile type I synthetic rubber and at the top by a type I synthetic rubber seal kept in place by an aluminium cap.
Slovenian: Vložek iz stekla tipa I za enkratno uporabo, zavarjen na dnu z mobilno sintetično gumo tipa I, na vrhu pa je zaporka iz sintetične gume tipa I pritrjena z aluminijastim pokrovčkom.
English: Equivalent* in cartridge numbers (2.2 ml)
Slovenian: Ustrezajoče število vložkov* (2,2 ml)
English: Dialysis is not effective in treating an overdose of Mepivacaine.
Slovenian: Dializa pri zdravljenju prevelikega odmerjanja mepivakaina ni učinkovita.
English: Studies revealed, that mepivacaine has vasoconstrictive properties.
Slovenian: Študije so potrdile, da ima mepivakain vazokonstriktorne lastnosti.
English: Types of overdose
Slovenian: Vrste prevelikega odmerjanja
English: If sedatives are employed to reduce patient's apprehension, reduced doses of anaesthetics should be used since local anaesthetic agents, like sedatives, are central nervous system depressants which in combination may have an additive effect.
Slovenian: Sedativi (zaviralci centralnega živčnega sistema) Če se uporablja sedative, da bi zmanjšali zaskrbljenost bolnika, je treba uporabiti zmanjšane odmerke anestetika, saj so tako lokalni anestetiki kot tudi sedativi zaviralci osrednjega živčnega sistema in imajo lahko v kombinaciji aditivni učinek.
English: Metabolites are excreted in the urine with less than 10% of unchanged mepivacaine.
Slovenian: Presnovki se izločajo z urinom, z manj kot 10 %
English: Mepivacaine hydrochloride dose (mg)
Slovenian: Odmerek mepivakainijevega klorida (mg)