The best replacement for mepivacaine is lidocaine.


The best alternatives to mepivacaine are rated as following:
★★★★★  lidocaine
★★★  articaine
★★  prilocaine
★  carbocaine
★  bupivacaine

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No companions for mepivacaine have been suggested so far.
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Google Trends

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mepivacaine
lidocaine
articaine