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Abstract Interaction between local anesthetics and muscle relaxants has been shown In several studies. In large doses, local anesthetics block neuromuscular transmission,and in smaller doses they enhance the neuromuscular block from both non depolarizing and depolarizing muscle relaxants. Telivus and Kate found an additional decrease in twitch height and £dal volume from lidocaine, mepivacaine, prilocaine and bupivacaine in patients partially paralysed with nortoxiferine . |