
Ultracaine® D-S Forte
Introduction
Ultracaine® is the world’s original articaine and one of HANSAmed’s key products. It is available as an injectable local anesthetic and has been sold exclusively in Canada through HANSAmed since 1999.
Ultracaine D-S Forte contains 4% articaine hydrochloride (40 mg/mL) with 1:100,000 epinephrine (0.006 mg/mLepinephrine hydrochloride, which corresponds to 0.005 mg/mL (epinephrine as a free base), sodium metabisulphite (0.50 mg/ml) as antioxidant, and water for injection.

User Benefits
Ultracaine® D-S Forte: 4% Articaine HCl injection
Epinephrine:
- 1:100,000 straight epinephrine
- Ultracaine® D-S Forte is a longer lasting anesthetic than Ultracaine® D-S due to the higher concentration of epinephrine
Pulpal Anesthesia:
- Provides 60-75 minutes of safe and effective pulpal anesthesia
Soft Tissue Anesthesia:
- Provides 180-360 minutes of safe and effective soft tissue anesthesia
Onset:
- 1-2 minute infiltration
- 2-3 minutes block
Half Life:
- 27 minute half-life
Indications & Clinical Use
Ultracaine D-S (articaine with epinephrine) solutions for injection are indicated for Infiltration anesthesia and nerve block anesthesia in clinical dentistry.
Geriatrics (>65 years of age): elderly patients should be given reduced doses commensurate with their age and physical condition.
Pediatrics (<4 years of age): the use of Ultracaine D-S and Ultracaine D-S Forte (articaine with epinephrine solutions) in children under the age of 4 years is not recommended.